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  4. Motor cortex electrical stimulation promotes axon outgrowth to brain stem and spinal targets that control the forelimb impaired by unilateral corticospinal injury

Motor cortex electrical stimulation promotes axon outgrowth to brain stem and spinal targets that control the forelimb impaired by unilateral corticospinal injury

Eur J Neurosci, 2013 · DOI: 10.1111/ejn.12119 · Published: April 1, 2013

Spinal Cord InjuryNeurology

Simple Explanation

This study investigates how electrical stimulation of the motor cortex affects nerve fiber growth after a spinal cord injury in rats. The goal was to see if stimulation encourages nerve fibers to connect not only to the spinal cord but also to brainstem areas that control arm and hand movement. Researchers stimulated the motor cortex of rats with a specific type of spinal cord injury and then measured the length of nerve fibers extending from the motor cortex to different areas of the brain and spinal cord. They wanted to understand if stimulating the motor cortex could help the brain and spinal cord reconnect and potentially improve movement. The results showed that electrical stimulation increased the length of nerve fibers in both the spinal cord and brainstem areas, suggesting that stimulation could promote the formation of new connections and potentially aid in motor recovery after spinal cord injury.

Study Duration
10 days stimulation, 31-32 days post-injury
Participants
17 adult female Sprague Dawley rats
Evidence Level
Not specified

Key Findings

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    Electrical stimulation of the motor cortex after spinal cord injury increases axon length in both the spinal cord and magnocellular red nucleus.
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    Stimulation promotes outgrowth preferentially to the sparsely corticospinal-innervated and impaired side of the spinal cord.
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    Increase in axon length in brain stem was preferentially directed towards areas less densely innervated by the stimulated system.

Research Summary

The study demonstrates that electrical stimulation of the motor cortex promotes significant axon outgrowth to the spinal cord, red nucleus, and cuneate nucleus after unilateral pyramidotomy in rats. Stimulation-induced axon outgrowth was observed in both denervated and non-denervated structures, indicating that the effect is not solely dependent on the loss of innervation from the contralateral motor cortex. The regional distribution of corticofugal axons showed that outgrowth from the stimulated motor cortex was preferentially directed outside the areas with the highest corticofugal innervation, suggesting local competition within the stimulated system.

Practical Implications

Therapeutic Potential

Electrical stimulation of the motor cortex could be a therapeutic strategy to enhance motor recovery after spinal cord injury.

Circuit Reformation

The study suggests that electrical stimulation can help reform adaptive circuits by targeting areas controlling the impaired forelimb.

Competition Mechanisms

Understanding the mechanisms of activity-dependent competition within the corticospinal system can inform strategies to maximize the benefits of stimulation.

Study Limitations

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