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  4. Trans-Spinal Direct Current Stimulation Alters Muscle Tone in Mice with and without Spinal Cord Injury with Spasticity

Trans-Spinal Direct Current Stimulation Alters Muscle Tone in Mice with and without Spinal Cord Injury with Spasticity

The Journal of Neuroscience, 2014 · DOI: 10.1523/JNEUROSCI.4445-13.2014 · Published: January 29, 2014

Spinal Cord InjuryNeurologyRehabilitation

Simple Explanation

This study investigates how direct electrical current applied to the spinal cord affects muscle tone in mice, both with and without spinal cord injuries that cause spasticity. The researchers hypothesized that current flowing from the spinal cord to the sciatic nerve would reduce muscle tone, while current flowing in the opposite direction would increase it. The study used a special setup to deliver direct current stimulation (DCS) to the spinal cord and sciatic nerve of the mice. They measured nerve discharges and muscle resistance during passive muscle stretches to see how the DCS affected muscle tone. The results showed that spinal-to-sciatic DCS reduced muscle tone, while sciatic-to-spinal DCS increased it. These findings suggest that trans-spinal DCS could be a potential method for managing muscle tone abnormalities, such as hypotonia and hypertonia, in humans.

Study Duration
4 weeks
Participants
42 adult male CD-1 mice
Evidence Level
Level 2; Animal Study

Key Findings

  • 1
    Spinal-to-sciatic DCS reduced transit and steady stretch-induced nerve and muscle responses in both control mice and those with spinal cord injuries and spasticity.
  • 2
    Sciatic-to-spinal DCS caused opposite effects, increasing nerve and muscle responses.
  • 3
    DCS effects were velocity independent, suggesting that DCS has greater effects on the tonic component of the stretch reflex.

Research Summary

This study provides direct evidence that trans-spinal DCS can alter muscle tone in mice with and without spinal cord injuries. The researchers found that spinal-to-sciatic DCS reduced muscle tone, while sciatic-to-spinal DCS increased it. The effects of DCS were observed on both transit and steady-state muscle stretches, indicating that it can modulate both dynamic and static components of muscle tone. The study also found that DCS can affect the excitability of spinal motoneurons and interneurons. These findings suggest that trans-spinal DCS could be a potential therapeutic approach for managing muscle tone abnormalities in humans. However, further research is needed to determine the optimal parameters and long-term effects of DCS.

Practical Implications

Potential Therapeutic Approach

Trans-spinal DCS could be a non-invasive method for treating muscle tone abnormalities in humans.

Management of Spastic Conditions

Trans-spinal DCS could be applied through implantable electrodes to manage severe spastic conditions.

Amplifying Muscle Tone

Spinal-to-sciatic DCS has the potential to amplify muscle tone in conditions where it is abnormally low.

Study Limitations

  • 1
    The question remains of how short-term effects of trans-spinal DCS on muscle tone could be transformed into long-term effects without reducing efficacy.
  • 2
    The safety limit remains to be established.
  • 3
    It is important to understand how trans-spinal DCS interacts with neural homoeostatic signaling systems.

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