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  4. The swimming test is effective for evaluating spasticity after contusive spinal cord injury

The swimming test is effective for evaluating spasticity after contusive spinal cord injury

PLoS ONE, 2017 · DOI: 10.1371/journal.pone.0171937 · Published: February 9, 2017

Spinal Cord InjuryNeurologyResearch Methodology & Design

Simple Explanation

Spasticity, a common issue after spinal cord injury (SCI), varies in severity, necessitating reliable evaluation methods. This study explores the swimming test's effectiveness in assessing spasticity in a rat model of contusive SCI, which mimics clinical scenarios better than complete spinal cord transection models. Rats with SCI were categorized into 'spasticity-strong' or 'spasticity-weak' groups based on their spastic behaviors during swimming. The 'spasticity-strong' group showed more severe signs of upper motor neuron syndrome through electrophysiological and histological evaluations. The research suggests that the swimming test accurately evaluates spasticity in a contusive SCI model, offering a valuable tool for assessing spastic behaviors and advancing treatments for spasticity post-SCI.

Study Duration
3 to 6 weeks
Participants
60 female Sprague-Dawley rats
Evidence Level
Not specified

Key Findings

  • 1
    The spasticity-strong group had significantly decreased rate-dependent depression of the H-reflex compared to the spasticity-weak group, indicating more hyperexcitability of the lumbar circuit.
  • 2
    The area of 5-HT2A receptor immunoreactivity was significantly increased in the spasticity-strong group, suggesting a more severe upper motor neuron syndrome.
  • 3
    During 20-hour cage observations, the spasticity-strong group exhibited significantly more spasm and clonus episodes than the spasticity-weak group, confirming the swimming test results.

Research Summary

This study investigated the feasibility of using the swimming test to evaluate spasticity in a contusive spinal cord injury (SCI) rat model. Rats were divided into spasticity-strong and spasticity-weak groups based on their swimming performance. Electrophysiological and histological evaluations, including H-reflex measurements and immunohistochemistry for serotonin receptors, confirmed that the spasticity-strong group exhibited more severe upper motor neuron syndrome. The findings suggest that the swimming test is an effective method for evaluating spasticity symptoms and could aid in the development of treatments for spasticity following SCI.

Practical Implications

Spasticity Evaluation

The swimming test can be used as a screening tool to identify and quantify spasticity in contusive SCI models, allowing for more homogenous experimental groups.

Therapeutic Development

The swimming test offers a method for assessing the effectiveness of potential treatments targeting spasticity after SCI.

Understanding Spasticity Mechanisms

The swimming test facilitates the study of molecular mechanisms underlying the development of spasticity following SCI.

Study Limitations

  • 1
    The correlation of spastic behavior frequency during the swimming test and the H reflex test was not perfectly matched.
  • 2
    Spastic behaviors during the swimming test may not be able to be used to discriminate between voluntary attempts and involuntary movements.
  • 3
    Assessment using behavioral features may not directly reflect velocity-dependent muscle rigidity, which is the classical criterion for spasticity

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