超声波神经调控作为痉挛性脑瘫动物模型中治疗痉挛的一种新疗法。

Acta cirurgica brasileira Pub Date : 2024-08-16 eCollection Date: 2024-01-01 DOI:10.1590/acb394924
Gisely de Andrade Costa Pereira, André Luiz Oliveira Poleto, Aldo José Fontes-Pereira, Marco Antônio von Krüger, Wagner Coelho de Albuquerque Pereira
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摘要

目的:本研究旨在评估在痉挛性脑瘫动物模型中使用超声神经调控治疗痉挛的新疗法:32只成年雄性Wistar大鼠随机分为阴性对照组(NC)、阳性对照组(PC)、未治疗模型组(UTM)和治疗模型组(TM)。对照组大鼠接受假手术,模型组大鼠接受痉挛性脑瘫模型手术。大鼠的运动功能在手术前后通过旋转和猫步测试进行评估。PC组和TM组大鼠接受了连续5秒钟、为期7天的超声波神经调控理疗(强度为0.1瓦/平方厘米,频率为1兆赫):12 只大鼠表现出痉挛模式(UTM = 6 和 TM = 6)、运动受限(UTM = 6 和 TM = 6),10 只大鼠进食困难(UTM = 5 和 TM = 5)。一只UTM组大鼠无法恢复术前的潜伏时间,而模型组的其他大鼠都能恢复。手术后四肢摆动的速度降低,在随后的评估中又有所增加,这表明大鼠的不稳定性增加,运动平衡能力下降:结论:就所使用的参数而言,结果尚不足以断定超声神经调控是治疗痉挛性脑瘫痉挛的一种可能疗法,因此有必要进行更多的研究。
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Ultrasonic neuromodulation as a new therapy for spasticity in an animal model of spastic cerebral palsy.

Purpose: This study aimed to evaluate a new therapeutic option for the spasticity using ultrasound neuromodulation in an animal model of spastic cerebral palsy.

Methods: Thirty-two adult male Wistar rats were randomly distributed in: negative control (NC); positive control (PC); untreated model (UTM); and treated model (TM). Rats in the control groups received sham surgery, and rats in the model groups received the spastic cerebral palsy model surgery. The rats' motor functions were evaluated by the Rotarod and CatWalk tests before and after surgery. PC and TM groups underwent ultrasonic neuromodulation by a physiotherapeutic ultrasound (intensity 0.1 W/cm2, at 1 MHz) continuous mode for 5 seconds, for seven days.

Results: Twelve rats showed a spastic pattern (UTM = 6 and TM = 6), motor limitations (UTM = 6 and TM = 6), and ten had difficulty feeding (UTM = 5 and TM = 5). One UTM group rat could not recover its preoperative latency time, while the other rats in the model groups did. The speed at which the limbs swung reduced after surgery and increased in subsequent assessments, demonstrating greater instability and a deficit in locomotion balance.

Conclusions: Results were not yet sufficient to assert ultrasound neuromodulation as a possible therapy for spasticity in spastic cerebral palsy in the parameters used, and more studies are necessary.

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