Plasticity and Activation of Spared Intraspinal Respiratory Circuits Following Spinal Cord Injury

Abstract

The goal of this project is to determine whether electrical stimulation of the spinal cord can reduce respiratory dysfunctions occurring after mid-to-high cervical spinal cord injuries (cSCI). Our primary focus is intraspinal microstimulation (ISMS) of the phrenic circuit using physiologically-appropriate, endogenous respiratory signals to trigger activation of the phrenic motoneuron (PhMN) pool following either cSCIs above or at the level of the phrenicnucleus in adult rats. A manuscript providing an important proof of concept demonstration has just been published. Our studies have established that ISMS at the level of the PhMN can effectively activate diaphragm motor units following high cSCI even beyond when stimulation ended. Another manuscript demonstrating independent verification of those findings is to be submitted by our colleagues at the University of Washington. Per comments from our proposals initial review, we also examined the efficacy of high frequency spinal stimulation. Our data indicate this approach is not effective at selectively activating inspiratory diaphragm (phrenic) motor units. A manuscript describing those results has been accepted pending revisions suggested by the reviewers. We are now testing chronic ISMS for improving breathing and promoting new synaptic connections following cSCI.

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Document Details

Document Type
Technical Report
Publication Date
Oct 01, 2016
Accession Number
AD1031937

Entities

People

  • Paul J. Reier

Organizations

  • University of Florida

Tags

Communities of Interest

  • Advanced Electronics
  • C4I

DTIC Thesaurus Topics

  • Airway Management
  • Brain
  • Cells
  • Central Nervous System
  • Health Services
  • Information Science
  • Medical Personnel
  • Neurons
  • Peripheral Nervous System
  • Skeletal Muscle
  • Spinal Cord
  • Spinal Injuries

Fields of Study

  • Medicine

Readers

  • Neuroscience
  • Neurotrauma and Rehabilitation Medicine.
  • Technical Research and Report Writing.