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  4. Prominent Role of the Spinal Central Pattern Generator in the Recovery of Locomotion after Partial Spinal Cord Injuries

Prominent Role of the Spinal Central Pattern Generator in the Recovery of Locomotion after Partial Spinal Cord Injuries

The Journal of Neuroscience, 2008 · DOI: 10.1523/JNEUROSCI.5692-07.2008 · Published: April 9, 2008

Spinal Cord InjuryNeurologyRehabilitation

Simple Explanation

The study investigates how the spinal cord's central pattern generator (CPG) contributes to regaining movement in cats after partial spinal cord injuries (SCI). It uses a dual-lesion approach, first partially injuring the spinal cord and then completely transecting it after a period of recovery. The researchers found that cats who received treadmill training after the partial injury showed immediate hindlimb movement after the complete transection, suggesting the CPG was primed by the training. Untrained cats showed asymmetrical movement, indicating the importance of training in shaping spinal cord plasticity. The findings suggest that while intact descending pathways are important for voluntary movement, the spinal CPG and sensory inputs play a major role in recovering hindlimb locomotion after partial SCI. Locomotor training further enhances this recovery by promoting spinal cord reorganization.

Study Duration
Several weeks
Participants
5 adult cats (1 male, 4 females)
Evidence Level
Level III, Experimental Study

Key Findings

  • 1
    Cats with partial SCI that received treadmill training exhibited immediate bilateral hindlimb locomotion after complete spinal cord transection, indicating that the spinal CPG was primed for locomotion.
  • 2
    Untrained cats showed asymmetrical hindlimb locomotion after complete spinal cord transection, with the limb on the side of the partial lesion walking better initially.
  • 3
    Treadmill training improved spinal locomotion in both trained and untrained cats, demonstrating the ongoing plasticity of the spinal cord even after complete transection.

Research Summary

This study used a dual-lesion paradigm in cats to investigate the role of the spinal central pattern generator (CPG) in the recovery of locomotion after partial spinal cord injuries (SCI). The researchers found that locomotor training after partial SCI facilitated the re-expression of spinal locomotion after complete spinal cord transection, suggesting that the spinal CPG was primed for locomotion. The findings highlight the importance of promoting spinal neuroplasticity in rehabilitation strategies for SCI patients to optimize locomotor recovery.

Practical Implications

Rehabilitation Strategies

Emphasize locomotor training to enhance spinal cord plasticity and improve locomotor outcomes after partial SCI.

Understanding Spinal Cord Plasticity

Further research into the mechanisms of spinal cord plasticity could lead to more effective therapies for SCI.

Targeted Interventions

Develop interventions that specifically target and enhance the spinal CPG to improve locomotor function.

Study Limitations

  • 1
    Small sample size (n=5) limits the generalizability of the findings.
  • 2
    The study was conducted on cats, and results may not directly translate to humans.
  • 3
    The extent and location of the partial spinal lesions varied among the cats, which could have influenced the results.

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