The Journal of Neuroscience, 2012 · DOI: 10.1523/JNEUROSCI.6451-11.2012 · Published: September 12, 2012
This study investigates how damage to the corticospinal tract (CST), a major brain pathway controlling voluntary movement, affects nerve connections in the spinal cord. Researchers severed the CST in rats and examined changes in other nerve fibers. They found that after CST injury, sensory nerve fibers called proprioceptive afferents, which provide information about body position, sprouted into areas of the spinal cord that had lost connections due to CST damage. These changes may contribute to muscle stiffness or spasms (spasticity). The study suggests that injury to the CST causes a reorganization of nerve connections in the spinal cord, leading to increased sensitivity of reflexes and potentially contributing to movement problems.
The findings contribute to understanding the mechanisms underlying spasticity after CST injury, suggesting potential targets for therapeutic interventions.
The study emphasizes the importance of considering competitive interactions between CST connections and proprioceptive afferents when designing rehabilitation strategies.
Modulating microglial activation after CST injury might help to prevent reactive sprouting and excitability changes that contribute to the development of hyperreflexia and spasticity.