Mechanical Loading for Peripheral Nerve Stabilization and Regeneration

Abstract

Peripheral nerve damage is one consequence of injury to the extremities of soldiers by improvised explosive devices (IEDs). The degree of functional recovery from peripheral nerve damage is often poor, particularly for severed nerves. The result can be impaired motor function, sensory loss, and chronic pain with inappropriate autonomic responses. Consequently, strategies for enhancing nervous function are of high military relevance. Towards the development of more effective nerve regeneration strategies, this proposal addresses the hypothesis that moderate tensile loading (stretch) of peripheral nerves can stabilize nerve degradation and also promote accelerated regeneration. Our project aims are to 1) To examine the impact of low levels of tensile loading on the Wallerian degeneration of proximal and distal stumps of severed peripheral nerves and 2) To examine the impact of moderate levels of tensile loading on promoting the outgrowth and functional connectivity of severed peripheral nerves. To meet these aims, in the second project period, based on results from initial in vivo implantations, we modified our two nerve lengthening devices, one a fixed length and one extensible, and are currently performing long-term implantations to test the effectiveness of these devices for nerve regeneration.

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Document Details

Document Type
Technical Report
Publication Date
Oct 01, 2012
Accession Number
ADA581724

Entities

People

  • Robin E. Wilson
  • Sameer B Shah
  • Ting-hsien Chuang

Organizations

  • University of California, San Diego

Tags

DTIC Thesaurus Topics

  • Adhesives
  • Bioengineering
  • Biomedical And Dental Materials
  • Biomedical Engineering
  • Cells
  • Cellular Structures
  • Fabrication
  • Implantation
  • Materials
  • Microscopes
  • Microscopy
  • Nerve Degeneration
  • Pain
  • Peripheral Nervous System
  • Prostheses And Implants
  • Sciatic Nerve
  • Stainless Steel

Readers

  • Neuroscience