急性脊髓损伤犬的低强度电刺激和干细胞

E. Krueger, L. M. S. Magri, A. S. Botelho, F. Bach, C. Rebellato, L. Fracaro, F. Fragoso, J. Villanova, P. Brofman, L. Popović-Maneski
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引用次数: 5

摘要

脊髓损伤(SCI)是一种影响损伤水平以下运动和感觉功能的神经系统疾病。研究表明,应用低强度电刺激(LIES)对神经组织增加神经化学因子负责再生作为神经生长因子。干细胞(SC)治疗脊髓损伤患者可导致创伤后损伤神经元的替代。机电延迟(EMD)被定义为肌肉电激活开始和力产生开始之间所经过的时间。一只被诊断为不完全性胸腰椎脊髓损伤的狗,在LI和L2节段之间出现椎间盘突出,在手术减压、1例SC移植和LIES后,通过肌电图和肌力图进行评估。我们观察到运动反应和EMD从8.25ms下降到5.75ms。肌电信号的小波分解显示手术后30天股外侧肌活动恢复。此外,EMGRMS从3.3µVRMS增加到157µVRMS。本病例报告的初步结果表明,在手术减压后,干细胞和低强度电刺激的混合治疗有积极的效果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Low-intensity electrical stimulation and stem cells in a dog with acute spinal cord injury
Spinal cord injury (SCI) is classified as neurological disorder that affects motor and sensory function below the injury level. Studies show that application of low-intensity electrical stimulation (LIES) to neural tissue increases neurochemical factors responsible for regeneration as nerve growth factor. Stem cell (SC) therapy for patients with SCI can result in the replacement of injured neurons after trauma. The electromechanical delay (EMD) is defined as time elapsed between the onset of muscle electrical activation and onset of force production. A dog diagnosed with incomplete thoracolumbar SCI followed by disc hernia between the vertebral segments LI and L2, was evaluated by electromyography and mechanomyography after surgical decompression procedure, one SC transplantation and LIES. We observed motor response and decrease in the EMD from 8.25ms to 5.75ms after the procedures. The wavelet decomposition of EMG signals showed reestablishment of vastus lateralis muscle activity 30 days after the procedure. In addition, the EMGRMS increased from 3.3 µVRMS to 157 µVRMS. The preliminary results of this case report indicate positive effects of the hybrid therapy involving stem cells and low-intensity electrical stimulation after surgical decompression.
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