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  4. Rehabilitation following spinal cord injury: how animal models can help our understanding of exercise-induced neuroplasticity

Rehabilitation following spinal cord injury: how animal models can help our understanding of exercise-induced neuroplasticity

Neural Regeneration Research, 2019 · DOI: 10.4103/1673-5374.245951 · Published: March 1, 2019

Spinal Cord InjuryNeuroplasticityRehabilitation

Simple Explanation

Spinal cord injury (SCI) often leads to long-term paralysis due to the limited healing capacity of the central nervous system. Rehabilitation is currently the only effective strategy. Animal models like bicycling, treadmill training, swimming, enriched environments, or wheel running can help us understand the changes in axonal connections that underlie motor recovery after SCI. This review focuses on animal models of SCI rehabilitation and the changes in neuronal networks improved by exercise.

Study Duration
Not specified
Participants
Animal models (rodents)
Evidence Level
Review

Key Findings

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    Animal models of SCI rehabilitation, such as treadmill training and wheel running, can mimic clinical rehabilitation and reveal axonal changes underlying motor recovery.
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    Rehabilitative strategies in animals lead to the upregulation of brain-derived neurotrophic factor (BDNF), which is crucial for activity-dependent neuronal plasticity and learning.
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    Exercise and neuronal re-wiring seem to be the underlying cause for this sustained improved recovery after spinal cord injury.

Research Summary

Spinal cord injury is a devastating condition, and rehabilitation is the most effective strategy for managing paralysis and impairments. Rodent models of rehabilitation can help reveal the axonal changes underlying motor recovery and define the optimal timing and onset of training. This review focuses on different animal models of spinal cord injury rehabilitation and the underlying changes in neuronal networks that are improved by exercise and rehabilitation.

Practical Implications

Improved Rehabilitation Strategies

Understanding the neuronal mechanisms underlying exercise-induced neuroplasticity can lead to better-targeted rehabilitation strategies for SCI patients.

Optimal Timing and Intensity

Identifying the optimal timing and intensity of rehabilitation can maximize functional recovery in SCI patients.

Development of New Therapies

Combining rehabilitation with other therapies, such as epidural stimulation or pharmacological agents, shows great potential for improving outcomes in SCI patients.

Study Limitations

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