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  4. Reaching and Grasping Training Improves Functional Recovery After Chronic Cervical Spinal Cord Injury

Reaching and Grasping Training Improves Functional Recovery After Chronic Cervical Spinal Cord Injury

Frontiers in Cellular Neuroscience, 2020 · DOI: 10.3389/fncel.2020.00110 · Published: May 27, 2020

Spinal Cord InjuryNeuroplasticityRehabilitation

Simple Explanation

This study investigates if rehabilitation can improve hand function after a chronic spinal cord injury using a rat model. The rats received a spinal cord injury and then underwent a training program to improve their ability to reach and grasp food pellets. The training program involved the rats using a modified staircase to reach for food. Researchers found that the rats in the training group improved their ability to grab food pellets, suggesting that rehabilitation can improve hand function even after a chronic injury. The study also found that the rehabilitation helped the rats' brains and spinal cords to reorganize, which may have contributed to the improvement in hand function. This suggests that task-specific rehabilitation can be a potential treatment for patients with chronic spinal cord injuries.

Study Duration
6 weeks
Participants
16 nude rats
Evidence Level
Not specified

Key Findings

  • 1
    MMS rehabilitation significantly increased the number of pellets taken at 13 and 14 weeks PI in rats with chronic cervical SCI, indicating an improvement in forelimb function.
  • 2
    The accuracy rate for grasping pellets was significantly higher in the MMS training group at 12 to 14 weeks PI, suggesting improved precision in forelimb movements.
  • 3
    MMS rehabilitation promoted the sprouting of serotonergic axons in the ventral horns caudal to the injury and increased the number of synapses around motor neurons, indicating enhanced neuroplasticity.

Research Summary

This study investigated the effects of Modified Montoya Staircase (MMS) rehabilitation on forelimb functional recovery after chronic cervical spinal cord injury (SCI) in rats. The results demonstrated that MMS rehabilitation significantly improved reaching and grasping functions, increased serotonergic fiber sprouting, and enhanced synaptic plasticity in the spinal cord caudal to the lesion. The findings suggest that task-specific rehabilitation has therapeutic potential for promoting functional recovery after chronic cervical SCI by modifying the injury environment and promoting neuroplasticity.

Practical Implications

Clinical Rehabilitation

The study suggests that task-specific rehabilitation, such as MMS training, could be an effective therapy for improving hand function in patients with chronic cervical SCI.

Neuroplasticity Enhancement

Rehabilitation can promote axonal sprouting and synaptic plasticity, potentially enhancing functional recovery by modifying the injury environment.

Combination Therapies

Combining rehabilitation with other therapeutic approaches, such as neural stem cell transplantation, may lead to greater functional recovery after chronic SCI.

Study Limitations

  • 1
    The study was conducted on nude rats, which may not fully represent the pathophysiology of SCI in humans.
  • 2
    The study focused on a specific type of cervical contusion injury, limiting the generalizability of the findings to other types of SCI.
  • 3
    The study did not investigate the long-term effects of MMS rehabilitation on functional recovery and neuroplasticity.

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