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  4. REPETETIVE HINDLIMB MOVEMENT USING INTERMITTENT ADAPTIVE NEUROMUSCULAR ELECTRICAL STIMULATION IN AN INCOMPLETE SPINAL CORD INJURY RODENT MODEL

REPETETIVE HINDLIMB MOVEMENT USING INTERMITTENT ADAPTIVE NEUROMUSCULAR ELECTRICAL STIMULATION IN AN INCOMPLETE SPINAL CORD INJURY RODENT MODEL

Exp Neurol, 2010 · DOI: 10.1016/j.expneurol.2010.02.011 · Published: June 1, 2010

Spinal Cord InjuryNeurorehabilitationBiomedical

Simple Explanation

This study explores how electrical stimulation-based movement therapies can improve sensorimotor recovery after incomplete spinal cord injury (iSCI). The researchers used an adaptive neuromuscular electrical stimulation (aNMES) system in rats with iSCI to generate hip movements. The aNMES system adjusted the stimulation to control hip movement while accounting for factors like muscle fatigue and spinal reflexes. The rats received intermittent stimulation over several days as they recovered from their injuries. The results showed that aNMES could reliably track the desired hip trajectory with low error, indicating its potential for use in chronic stimulation studies to understand the mechanisms of neuroplasticity in NMES-based repetitive movement therapy.

Study Duration
21 days
Participants
5 Long Evans adult rats with incomplete thoracic (T8 vertebral level) spinal cord contusion
Evidence Level
Not specified

Key Findings

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    aNMES automatically and reliably tracked the desired hip trajectory with low error during lengthy sessions.
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    Intermittent aNMES accounted for factors influencing NMES response, such as electrode stability, excitability of spinal neural circuitry, muscle fatigue, and spinal reflexes.
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    The aNMES control system could provide reciprocal NMES for multiple sessions over a number of days in rodents with iSCI, without requiring manual tuning.

Research Summary

This study investigated the use of adaptive neuromuscular electrical stimulation (aNMES) to provide repetitive movement of hip joints in rodents with incomplete thoracic spinal cord injury. The aNMES system was able to automatically and reliably track a desired hip trajectory during lengthy stimulation sessions, accounting for factors such as muscle fatigue and spinal reflexes. The findings suggest that this novel aNMES application can be used in chronic stimulation studies to investigate the mechanisms of neuroplasticity targeted by NMES-based repetitive movement therapy.

Practical Implications

Therapeutic Intervention

aNMES shows potential for promoting sensorimotor recovery in people with iSCI.

Understanding Neuroplasticity

This rodent model can be used to investigate the underlying mechanisms of neuroplasticity following NMES therapy after spinal cord injury.

Clinical Translation

Knowledge gained from preclinical studies using aNMES could be translated for promoting sensorimotor recovery in humans.

Study Limitations

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