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  4. Generation of locomotor-like activity using monopolar intraspinal electrical microstimulation in rats

Generation of locomotor-like activity using monopolar intraspinal electrical microstimulation in rats

EXPERIMENTAL AND THERAPEUTIC MEDICINE, 2023 · DOI: 10.3892/etm.2023.12259 · Published: August 17, 2023

Spinal Cord InjuryNeurologyRehabilitation

Simple Explanation

This study explores using electrical stimulation to help rats with spinal cord injuries regain movement in their hind legs. The central pattern generator (CPG) in the spinal cord, which helps control movement, can be activated using a technique called intra-spinal micro-stimulation (ISMS). The researchers identified specific spots in the spinal cord that, when stimulated, could trigger stepping motions in the rats' hind legs. By changing the direction of the electrical pulse or stimulating different spots, they could control whether the leg flexed or extended. The paralyzed rats underwent four weeks of training where these specific spots were stimulated. Results showed significant improvement in their ability to move their hind legs, suggesting that this type of stimulation can help restore motor function after spinal cord injury.

Study Duration
4 weeks
Participants
60 Sprague Dawley rats
Evidence Level
Not specified

Key Findings

  • 1
    Two special sites were identified in the lumbosacral spinal cord of rats that, when stimulated with ISMS, could activate the CPG neural network to induce alternating patterns in the hindlimbs.
  • 2
    Reversing the pulse polarity of the stimulus or changing the special site could reverse flexion and extension movements, suggesting a method to control stepping movements.
  • 3
    Locomotor training with ISMS at the special sites promoted significant functional recovery of the bilateral hindlimbs in SCI rats.

Research Summary

The study aimed to investigate the effects of different pulse polarities of stimulus on movement patterns of bilateral hindlimbs and develop a gait function reconstruction training strategy. The experiment involved creating an incomplete SCI model in rats and then applying ISMS to specific sites in the spinal cord during a four-week locomotor training period. The results demonstrated that motor function of paralyzed bilateral hindlimbs can be restored using monopolar ISMS applied to the identified special sites.

Practical Implications

Therapeutic Potential

Monopolar ISMS has the potential to be a therapy for restoring motor function in paralyzed limbs following SCI.

Reduced Surgical Complexity

The study greatly reduces surgical complexity, the number of implanted electrodes required and muscle fatigue compared to muscle stimulation.

CPG Activation

Identified A-CPG sites can be targeted to control the switch of two movement patterns in SCI patients.

Study Limitations

  • 1
    The study was conducted on rats, and the results may not be directly applicable to humans.
  • 2
    The study only evaluated the effects of a four-week training period.
  • 3
    Further research is needed to fully understand the mechanisms by which unilateral stimulation can produce bilateral activation.

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