Effect of skilled and unskilled training on nerve regeneration and functional recovery

The most disabling aspect of human peripheral nerve injuries, the majority of which affect the upper limbs, is the loss of skilled hand movements. Activity-induced morphological and electrophysiological remodeling of the neuromuscular junction has been shown to influence nerve repair and functional...

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Main Authors: A.S. Pagnussat, S.M. Michaelsen, M. Achaval, J. Ilha, E.E.S. Hermel, F.P. Back, C.A. Netto
Format: Article
Language:English
Published: Associação Brasileira de Divulgação Científica 2012-08-01
Series:Brazilian Journal of Medical and Biological Research
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-879X2012000800010
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author A.S. Pagnussat
S.M. Michaelsen
M. Achaval
J. Ilha
E.E.S. Hermel
F.P. Back
C.A. Netto
author_facet A.S. Pagnussat
S.M. Michaelsen
M. Achaval
J. Ilha
E.E.S. Hermel
F.P. Back
C.A. Netto
author_sort A.S. Pagnussat
collection DOAJ
description The most disabling aspect of human peripheral nerve injuries, the majority of which affect the upper limbs, is the loss of skilled hand movements. Activity-induced morphological and electrophysiological remodeling of the neuromuscular junction has been shown to influence nerve repair and functional recovery. In the current study, we determined the effects of two different treatments on the functional and morphological recovery after median and ulnar nerve injury. Adult Wistar male rats weighing 280 to 330 g at the time of surgery (N = 8-10 animals/group) were submitted to nerve crush and 1 week later began a 3-week course of motor rehabilitation involving either "skilled" (reaching for small food pellets) or "unskilled" (walking on a motorized treadmill) training. During this period, functional recovery was monitored weekly using staircase and cylinder tests. Histological and morphometric nerve analyses were used to assess nerve regeneration at the end of treatment. The functional evaluation demonstrated benefits of both tasks, but found no difference between them (P > 0.05). The unskilled training, however, induced a greater degree of nerve regeneration as evidenced by histological measurement (P < 0.05). These data provide evidence that both of the forelimb training tasks used in this study can accelerate functional recovery following brachial plexus injury.
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spelling doaj.art-86443448d1864f8aaa1b790dbd81f1b62022-12-22T03:34:19ZengAssociação Brasileira de Divulgação CientíficaBrazilian Journal of Medical and Biological Research0100-879X1414-431X2012-08-01458753762Effect of skilled and unskilled training on nerve regeneration and functional recoveryA.S. PagnussatS.M. MichaelsenM. AchavalJ. IlhaE.E.S. HermelF.P. BackC.A. NettoThe most disabling aspect of human peripheral nerve injuries, the majority of which affect the upper limbs, is the loss of skilled hand movements. Activity-induced morphological and electrophysiological remodeling of the neuromuscular junction has been shown to influence nerve repair and functional recovery. In the current study, we determined the effects of two different treatments on the functional and morphological recovery after median and ulnar nerve injury. Adult Wistar male rats weighing 280 to 330 g at the time of surgery (N = 8-10 animals/group) were submitted to nerve crush and 1 week later began a 3-week course of motor rehabilitation involving either "skilled" (reaching for small food pellets) or "unskilled" (walking on a motorized treadmill) training. During this period, functional recovery was monitored weekly using staircase and cylinder tests. Histological and morphometric nerve analyses were used to assess nerve regeneration at the end of treatment. The functional evaluation demonstrated benefits of both tasks, but found no difference between them (P > 0.05). The unskilled training, however, induced a greater degree of nerve regeneration as evidenced by histological measurement (P < 0.05). These data provide evidence that both of the forelimb training tasks used in this study can accelerate functional recovery following brachial plexus injury.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-879X2012000800010Peripheral nerve injuryFunctional recoveryMedian nerveUlnar nerveNerve morphometry
spellingShingle A.S. Pagnussat
S.M. Michaelsen
M. Achaval
J. Ilha
E.E.S. Hermel
F.P. Back
C.A. Netto
Effect of skilled and unskilled training on nerve regeneration and functional recovery
Brazilian Journal of Medical and Biological Research
Peripheral nerve injury
Functional recovery
Median nerve
Ulnar nerve
Nerve morphometry
title Effect of skilled and unskilled training on nerve regeneration and functional recovery
title_full Effect of skilled and unskilled training on nerve regeneration and functional recovery
title_fullStr Effect of skilled and unskilled training on nerve regeneration and functional recovery
title_full_unstemmed Effect of skilled and unskilled training on nerve regeneration and functional recovery
title_short Effect of skilled and unskilled training on nerve regeneration and functional recovery
title_sort effect of skilled and unskilled training on nerve regeneration and functional recovery
topic Peripheral nerve injury
Functional recovery
Median nerve
Ulnar nerve
Nerve morphometry
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-879X2012000800010
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