The Effect of Direct Functional Magnetic Stimulation of the Lesion on Functional Motor Recovery in Spinal Cord Injured Rat

척수손상 흰 쥐의 운동기능 회복에 미치는 손상부위 직접자극을 통한 기능적 자기자극치료 효과

  • Cho, Yun-Woo (Department of Rehabilitation Medicine, College of Medicine, Yeungnam University) ;
  • Kim, Su-Jeong (Institute of Medical Science, Yeungnam University) ;
  • Park, Hea-Woon (Department of Rehabilitation Medicine, School of Medicine, Catholic University of Deagu) ;
  • Seo, Jeong-Min (Institute of Biomedical Engineering, Yeungnam University) ;
  • Hwang, Se-Jin (Department of Anatomy and Cell Biology, College of Medicine, Hanyang University) ;
  • Jang, Sung-Ho (Department of Rehabilitation Medicine, College of Medicine, Yeungnam University) ;
  • Lee, Dong-Gyu (Department of Rehabilitation Medicine, College of Medicine, Yeungnam University) ;
  • Ahn, Sang-Ho (Department of Rehabilitation Medicine, College of Medicine, Yeungnam University)
  • 조윤우 (영남대학교 의과대학 재활의학교실) ;
  • 김수정 (영남대학교 의과학연구소) ;
  • 박해운 (대구카톨릭대학교 의과대학 재활의학교실) ;
  • 서정민 (영남대학교 의료공학연구소) ;
  • 황세진 (한양대학교 의과대학 해부 및 세포생물학교실) ;
  • 장성호 (영남대학교 의과대학 재활의학교실) ;
  • 이동규 (영남대학교 의과대학 재활의학교실) ;
  • 안상호 (영남대학교 의과대학 재활의학교실)
  • Received : 2010.12.29
  • Accepted : 2011.02.07
  • Published : 2011.02.25

Abstract

Purpose: The purpose of this study was to determine the effect of direct functional magnetic stimulation (FMS) of affected spinal cord on motor recovery following spinal cord injury in rats. Methods: After a contusion injury at the spinal level T9 using an NYU Impactor, functional magnetic stimulation was delivered by a magnetic stimulator through a round prototype coil (7 cm in diameter). Stimulation parameters were set as follows: repetition rate = 50 Hz (stimulus intensity 100% = 0.18 T), stimulation time = 20 min. Functional magnetic stimulation was administered twice a day, 5 days per week for 8 weeks starting 4 days after spinal cord injury. Functional magnetic stimulationwas delivered directly to the affected spinal cord. Outcomes of locomotor performance were assessed by the Basso Beattie Bresnahan (BBB) locomotor rating scale and by an inclined plane test weekly for 8 weeks. Results: In the BBB test, hindlimb motor function in the Functional magnetic stimulation group improved significantly more compared to the control group at 3, 4, 6, 7, and 8 weeks (p<0.05). In the inclined plane test, the angle of the plane in the functional magnetic stimulation group increased significantly more compared to the control group at 4, 5, 7, and 8 weeks (p<0.05). Conclusion: Our results demonstrate that direct Functional magnetic stimulation of the lesional site may have beneficial effects on motor improvement after spinal cord injury.

Keywords

References

  1. Lim PA, Tow AM. Recovery and regeneration after spinal cord injury: a review and summary of recent literature. Ann Acad Med Singapore. 2007;36(1):49-57.
  2. Okano H, Kaneko S, Okada S et al. Regeneration-based therapies for spinal cord injuries. Neurochem Int. 2007; 51(2-4):68-73. https://doi.org/10.1016/j.neuint.2007.04.013
  3. Lin VW. Spinal cord medicine: principle and practice. New York, Demos, 2003:749-63.
  4. Yamanishi T, Yasuda K, Suda S et al. Effect of functional continuous magnetic stimulation on urethral closure in healthy volunteers. Urology. 1999;54(4):652-5. https://doi.org/10.1016/S0090-4295(99)00194-6
  5. Poirrier AL, Nyssen Y, Scholters F et al. Repetitive transcranical magnetic stimulation improves open field locomotor recovery after low but not high thoracic spinal cord compression-injury in adult rats. J Neurosci Res. 2004;75(2):253-61. https://doi.org/10.1002/jnr.10852
  6. Davey NJ, Smith HC, Wells E et al. Responses of thenar muscles to transcranial magnetic stimulation of the motor cortex in incomplete spinal cord injury patients. J Neurol Neurosurg Psychiatry. 1998;65(1):80-7. https://doi.org/10.1136/jnnp.65.1.80
  7. Park HW, Kim SJ, Seo JM et al. Effects of Functional Magnetic Stimulation on the Functional Recovery in a Rat Model of Spinal Cord Injury. J Korean Acad Rehab Med. 2008;32(6):612-8.
  8. Wassermann EM. Risk and safety of repetitive transcranial magnetic stimulation: report and suggested guidelines from the International Workshop on the Safety of Repetitive Transcranial Magnetic Stimulation, June 5-7, Electroencephalogr Clin Neurophysiol. 1998;108(1):1-16. https://doi.org/10.1016/S0168-5597(97)00096-8
  9. Pascual-Leone A, Houser CM, Reese K et al. Safety of rapid-rate transcranial magnetic stimulation in normal volunteers. Electroencephalogr Clin Neurophysiol. 1993; 89(2):120-30. https://doi.org/10.1016/0168-5597(93)90094-6
  10. Epstein CM, Lah JJ, Meador K et al. Optimum stimulus parameters for lateralized suppression of speech with magnetic brain stimulation. Neurology. 1996;47(6):1590-3. https://doi.org/10.1212/WNL.47.6.1590
  11. Crowe MJ, Sun ZP, Battocletti JH et al. Exposure to pulsed magnetic fields enhances motor recovery in cats after spinal cord injury. Spine (Phila Pa 1976). 2003;28(24):2660-6. https://doi.org/10.1097/01.BRS.0000099385.46102.0D
  12. Young W. Spinal cord contusion models. Prog Brain Res. 2002;137:231-55.
  13. Gruner JA. A monitored contusion model of spinal cord injury in the rat. J Neurotrauma. 1992;9(2):123-6. https://doi.org/10.1089/neu.1992.9.123
  14. Basso DM, Beattie MS, Bresnahan JC. Graded histological and locomotor outcomes after spinal cord contusion using the NYU weight-drop device versus transection. Exp Neurol. 1996;139(2):244-56. https://doi.org/10.1006/exnr.1996.0098
  15. Rivlin AS, Tator CH. Objective clinical assessment of motor function after experimental spinal cord injury in the rat. J Neurosurg. 1977;47(4):577-81. https://doi.org/10.3171/jns.1977.47.4.0577
  16. Barker AT, Jalinous R, Freeston IL. Non-invasive magnetic stimulation of human motor cortex. Lancet. 1985; 1(8437):1106-7.
  17. George MS, Nahas Z, Kozel FA et al. Mechanisms and state of the art of transcranial magnetic stimulation. J ECT. 2002;18(4):170-81. https://doi.org/10.1097/00124509-200212000-00002
  18. Wassermann EM, Lisanby SH. Therapeutic application of repetitive transcranial magnetic stimulation: a review. Clin Neurophysiol. 2001;112(8):1367-77. https://doi.org/10.1016/S1388-2457(01)00585-5
  19. Fitzgerald PB, Brown TL, Marston NA et al. Motor cortical excitability and clinical response to rTMS in depression. J Affect Disord. 2004;82(1):71-6. https://doi.org/10.1016/j.jad.2003.09.014
  20. Kumru H, Murillo N, Samso JV et al. Reduction of spasticity with repetitive transcranial magnetic stimulation in patients with spinal cord injury. Neurorehabil Neural Repair. 2010;24(5):435-41. https://doi.org/10.1177/1545968309356095
  21. Mori F, Koch G, Foti C et al. The use of repetitive transcranial magnetic stimulation (rTMS) for the treatment of spasticity. Prog Brain Res. 2009;175:429-39.
  22. Defrin R, Grunhaus L, Zamir D et al. The effect of a series of repetitive transcranial magnetic stimulations of the motor cortex on central pain after spinal cord injury. Arch Phys Med Rehabil. 2007;88(12):1574-80. https://doi.org/10.1016/j.apmr.2007.07.025
  23. Kang BS, Shin HI, Bang MS. Effect of repetitive transcranial magnetic stimulation over the hand motor cortical area on central pain after spinal cord injury.Arch Phys Med Rehabil. 2009;90(10):1766-71. https://doi.org/10.1016/j.apmr.2009.04.008
  24. Belci M, Catley M, Husain M et al. Magnetic brain stimulation can improve clinical outcome in incomplete spinal cord injured patients. Spinal Cord. 2004;42(7):417-9. https://doi.org/10.1038/sj.sc.3101613
  25. Wassermann EM, Cohen LG, Flitman SS et al.Seizures in healthy people with repeated "safe" trains of transcranial magnetic stimuli. Lancet. 1996;347(9004):825-6.
  26. Bersani F, Marinelli F, Ognibene A et al. Intramembrane protein distribution in cell cultures is affected by 50 Hz pulsed magnetic fields. Bioelectromagnetics. 1997;18(7): 463-9. https://doi.org/10.1002/(SICI)1521-186X(1997)18:7<463::AID-BEM1>3.0.CO;2-0
  27. Roman A, Zyss T, Nalepa I. Magnetic field inhibits isolated lymphocytes' proliferative response to mitogen stimulation. Bioelectromagnetics. 2005;26(3):201-6. https://doi.org/10.1002/bem.20066
  28. Tenuzzo B, Chionna A, Panzarini E et al. Biological effects of 6 mT static magnetic fields: a comparative study in different cell types. Bioelectromagnetics. 2006;27(7):560-77. https://doi.org/10.1002/bem.20252
  29. Greenebaum B, Sutton CH, Vadula MS et al. Effects of pulsed magnetic fields on neurite outgrowth from chick embryo dorsal root ganglia. Bioelectromagnetics. 1996; 17(4):293-302. https://doi.org/10.1002/(SICI)1521-186X(1996)17:4<293::AID-BEM5>3.0.CO;2-Z
  30. Longo FM, Yang T, Hamilton S et al. Electromagnetic fields influence NGF activity and levels following sciatic nerve transection. J Neurosci Res. 1999;55(2):230-7. https://doi.org/10.1002/(SICI)1097-4547(19990115)55:2<230::AID-JNR10>3.0.CO;2-3
  31. Macias MY, Battocletti JH, Sutton CH et al. Directed and enhanced neurite growth with pulsed magnetic field stimulation. Bioelectromagnetics. 2000;21(4):272-86. https://doi.org/10.1002/(SICI)1521-186X(200005)21:4<272::AID-BEM4>3.0.CO;2-5
  32. Raji AR, Bowden RE. Effects of high-peak pulsed electromagnetic field on the degeneration and regeneration of the common peroneal nerve in rats. J Bone Joint Surg Br. 1983;65(4):478-92.
  33. Simpson RK, Baskin DS. Corticomotor evoked potentials in acute and chronic blunt spinal cord injury in the rat: correlation with neurological outcome and histological damage. Neurosurgery. 1987;20(1):131-7.
  34. Pridmore S, Oberoi G. Transcranial magnetic stimulation applications and potential use in chronic pain: studies in waiting. J Neurol Sci. 2000;182(1):1-4. https://doi.org/10.1016/S0022-510X(00)00451-2
  35. Romero JR, Anschel D, Sparing R et al. Subthreshold low frequency repetitive transcranial magnetic stimulation selectively decreases facilitation in the motor cortex. Clin Neurophysiol. 2002;113(1):101-7. https://doi.org/10.1016/S1388-2457(01)00693-9
  36. Shimada Y, Sakuraba T, Matsunaga T et al. Effects of therapeutic magnetic stimulation on acute muscle atrophy in rats after hindlimb suspension. Biomed Res. 2006; 27(1):23-7. https://doi.org/10.2220/biomedres.27.23