The model of spinal cord lateral hemisection. Part II. State of the neuromuscular system, syndrome of post-injury spasticity and chronic pain syndrome

Authors

  • Vitaliy Tsymbaliuk Romodanov Neurosurgery Institute, Kyiv, Ukraine https://orcid.org/0000-0001-7544-6603
  • Volodymyr Medvedev Bogomolets National Medical University, Kyiv, Ukraine
  • Nina Grydina Romodanov Neurosurgery Institute, Kyiv, Ukraine
  • Yuriy Senchyk City Clinical Emergency Hospital, Kiev, Ukraine
  • Ludmyla Suliy Romodanov Neurosurgery Institute, Kyiv, Ukraine
  • Mykhaylo Tatarchuk Romodanov Neurosurgery Institute, Kyiv, Ukraine
  • Olga Velychko Romodanov Neurosurgery Institute, Kyiv, Ukraine
  • Sergiy Dychko Romodanov Neurosurgery Institute, Kyiv, Ukraine
  • Natalya Draguntsova Romodanov Neurosurgery Institute, Kyiv, Ukraine

DOI:

https://doi.org/10.25305/unj.78766

Keywords:

left-side rat’s spinal cord hemisection, spasticity syndrome, chronic pain syndrome

Abstract

Relevance of the topic: Spinal cord function recovery upon spinal cord injury is associated with the progress of neuroengineering and robot bionics. The effectiveness is advanced by the development of syndrome of spasticity and chronic pain. The study of their passing under the condition of neuroengineering interventions requires the involvement of appropriate models of spinal injury.

Objective: To examine changes in the neuromuscular system, peculiarities of development of spasticity syndrome and chronic pain syndrome on the model of lower thoracic left-side rat’s spinal cord hemisection (LHS).

Materials and methods: Eleсtroneuromyography (ENMG): direct stimulation of the spinal cord (M- waves amplitude), registration of Hoffmann-reflex (the ratio of H-wave amplitude to M-wave amplitude — N/M, percent); verification of spasticity according to Ashworth scale; exteroceptive sensitivity — the method of von Frey in the modification of Weinstein; hindlimb function — Basso–Beattie–Bresnahan (ВВВ) scale.

Results. The average value of the maximum amplitude of M-wave in the examined ipsilateral hindlimb (IH) muscle on the seventh week after LHS is equal to the indicator of intact animals with the dissociation of values of the function indicator (2.5 versus 21 points under the BBB scale); up to the 23rd week a reliable reduction of the indicator is observed. N/M for hindlimbs of intact animals (n=14) is 34,14±3,17 percent, for IH (n=10) is 52,44±7,27 percent (p<0.05). In young animals (LHS at the age of 3 weeks; n=8) spasticity during 2–16 weeks is within 2,2–2,5 points according to Ashworth (with a reliable decrease to 1,44±0,15 points at 28th week), in mature animals (LHS at the age of 3–6 months; n=16) spasticity during 9–26 weeks is 2,3–2,6 points. Exteroceptive IH sensitivity is reliably reduced at least to the 6th week after LHS, pain syndrome with IH autophagy have ~15 percent of animals, more frequently, mature ones.

Conclusion. LHS model allows to reproduce the spasticity syndrome and chronic pain syndrome, to study the dynamics of the neuromuscular system.

Author Biographies

Vitaliy Tsymbaliuk, Romodanov Neurosurgery Institute, Kyiv

Restorative and Functional Neurosurgery Department

Volodymyr Medvedev, Bogomolets National Medical University, Kyiv

Department of Neurosurgery

Nina Grydina, Romodanov Neurosurgery Institute, Kyiv

Laboratory of Experimental Neurosurgery

Yuriy Senchyk, City Clinical Emergency Hospital, Kiev

Department of Spinal and Vertebral Surgery

Ludmyla Suliy, Romodanov Neurosurgery Institute, Kyiv

Functional Diagnostics Department

Mykhaylo Tatarchuk, Romodanov Neurosurgery Institute, Kyiv

Restorative and Functional Neurosurgery Department

Olga Velychko, Romodanov Neurosurgery Institute, Kyiv

Laboratory of Experimental Neurosurgery

Sergiy Dychko, Romodanov Neurosurgery Institute, Kyiv

1st Anesthesiology and Intensive Care Unit

Natalya Draguntsova, Romodanov Neurosurgery Institute, Kyiv

Laboratory of Experimental Neurosurgery

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Published

2016-09-30

How to Cite

Tsymbaliuk, V., Medvedev, V., Grydina, N., Senchyk, Y., Suliy, L., Tatarchuk, M., Velychko, O., Dychko, S., & Draguntsova, N. (2016). The model of spinal cord lateral hemisection. Part II. State of the neuromuscular system, syndrome of post-injury spasticity and chronic pain syndrome. Ukrainian Neurosurgical Journal, (3), 9–17. https://doi.org/10.25305/unj.78766

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Section

Original articles