Bioengineering, 2024 · DOI: 10.3390/bioengineering11080819 · Published: August 12, 2024
Spinal cord injuries can lead to significant bone loss below the injury site, increasing fracture risk. This study explores whether combining body-weight-supported treadmill training (BWSTT) with a scaffold that releases neurotrophins can minimize this bone loss in rats with spinal cord injuries. The study compared four groups of rats: injury only, injury with BWSTT, injury with neurotrophin-releasing scaffold, and injury with both treatments. The researchers then measured the structural and biomechanical properties of their forelimb and hindlimb bones. The results showed that BWSTT and the combined treatment led to improved bone properties in the hindlimbs (below the injury) and reduced overcompensation in the forelimbs (above the injury), suggesting these treatments can help mitigate bone loss after spinal cord injury.
BWSTT should be considered as an effective strategy to reduce bone loss after SCI.
Combining BWSTT with neurotrophin-releasing scaffolds may offer potential benefits, but further optimization is needed to demonstrate additional efficacy compared to BWSTT alone.
Transplantation of scaffold-releasing neurotrophins alone might not be sufficient to prevent bone loss after SCI.