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  4. Impact of activity-based recovery training and desmopressin on spinal cord injury-induced polyuria in Wistar rats

Impact of activity-based recovery training and desmopressin on spinal cord injury-induced polyuria in Wistar rats

The Journal of Spinal Cord Medicine, 2023 · DOI: 10.1080/10790268.2022.2069538 · Published: January 1, 2023

Spinal Cord InjuryUrologyRehabilitation

Simple Explanation

Spinal cord injury (SCI) can lead to polyuria, an excessive production of urine, which disrupts daily activities and increases the risk of infections. To manage this, individuals often limit their fluid intake, leading to other health issues. This study investigates the effectiveness of activity-based recovery training (ABRT) and desmopressin (DDAVP), a synthetic vasopressin analog, in reducing polyuria in rats with SCI. The results showed that ABRT reduced urine production, but not completely to pre-injury levels. DDAVP maintained the reduced urine output in the ABRT group, suggesting both interventions are effective alone but not additively.

Study Duration
10 weeks
Participants
60 adult male Wistar rats
Evidence Level
Not specified

Key Findings

  • 1
    Seventy sessions of ABRT reduced urine overproduction in SCI rats, but not to pre-SCI baseline levels.
  • 2
    DDAVP treatment maintained the reduced urine output achieved by ABRT, without further reducing it, and also reduced drink volume.
  • 3
    The beneficial effects of ABRT on void volume were lost seven days post-training, indicating the need for continuous exercise to maintain the benefits.

Research Summary

The study investigated the impact of activity-based recovery training (ABRT) and desmopressin (DDAVP) on spinal cord injury (SCI)-induced polyuria in Wistar rats. ABRT was found to reduce urine production, but not completely to pre-SCI baseline levels, while DDAVP maintained the reduced urine output in the ABRT group and also reduced drink volume. The effects of ABRT and DDAVP were not additive, and the benefits of ABRT were lost after a week without training, suggesting the need for continuous or combinatorial strategies.

Practical Implications

Clinical Strategies

The study suggests that a combination of ABRT and DDAVP could be a potential treatment strategy for managing polyuria in SCI individuals.

Sustained Training

Continuous exercise or regular ABRT sessions are necessary to maintain the benefits of ABRT on urinary output.

Further Research

Further studies are needed to understand the mechanisms underlying changes in fluid and solute balance and to optimize the timing and dosing of ABRT and DDAVP.

Study Limitations

  • 1
    Short-term DDAVP effects studied, long-term effects unknown.
  • 2
    Potential chronic kidney damage may limit maximum improvement.
  • 3
    The exercise effect is not maintained for very long even after 70 sessions.

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