Restoration of postural control after spinal cord injury

Information

  • Research Project
  • 8681555
  • ApplicationId
    8681555
  • Core Project Number
    R01NS064964
  • Full Project Number
    5R01NS064964-04
  • Serial Number
    064964
  • FOA Number
    PA-10-067
  • Sub Project Id
  • Project Start Date
    7/1/2011 - 13 years ago
  • Project End Date
    6/30/2016 - 8 years ago
  • Program Officer Name
    JAKEMAN, LYN B
  • Budget Start Date
    7/1/2014 - 10 years ago
  • Budget End Date
    6/30/2015 - 9 years ago
  • Fiscal Year
    2014
  • Support Year
    04
  • Suffix
  • Award Notice Date
    6/11/2014 - 10 years ago
Organizations

Restoration of postural control after spinal cord injury

DESCRIPTION (provided by applicant): Inability to maintain upright body posture and equilibrium is one of the major motor disorders following traumatic spinal cord injury (SCI). In our previous, NIH-supported studies, impairment and recovery of postural functions after SCI were characterized in an animal model (rabbit). A general goal of the present project is to explain these phenomena on the basis of SCI-caused changes in the operation of the corresponding neuronal postural mechanisms (networks). Complete SCI abolishes all brain influences on the spinal cord, which results in spinal shock (a dramatic decrease of muscle tone and spinal reflexes). Our Aim 1 is to analyze the effect of complete SCI on the operation of spinal postural networks, and to explain spinal shock by the changes in activity of specific groups of spinal neurons. We have developed a novel technique for studying neuronal mechanisms of spinal shock. Cooling the spinal cord at T12 causes a temporary blockade of signal transmission in spinal pathways - reversible spinalization, which can be done repeatedly many times. This allows studying postural responses and activity of individual spinal neurons under two conditions: (i) when the spinal cord is connected with the brain, and (ii) during spinal shock, when the spinal cord is temporarily disconnected from the brain. Spinal shock is followed by a period of gradually developing spasticity (including abnormal reflex responsiveness, clonus, and hypertonus). Our Aim 2 is to analyze activity of spinal postural networks during this period, and to explain the development of different aspects of spasticity by the changes in activity of specific groups of spinal neurons. For this purpose, we will (i) record postural reflexes and activity of individual spinal neurons at different stages of spasticity, and (ii) correlate the changes in neuronal activity with the changes in postural performance. Previously we have shown that, after incomplete SCI (lateral hemisection), postural functions recover in a few weeks. Our Aim 3 is to reveal the contribution of plastic changes in the spinal and supraspinal mechanisms to functional recovery. This will be done by comparing postural reflexes and activity of individual spinal neurons in animals at different degrees of compensation (i) before and (ii) during the cold block of spinal pathways on the undamaged side. This study will provide unique information about the SCI-caused changes in the activity of spinal neuronal networks, which are responsible for the motor deficits, as well as about the changes underlying functional recovery in subjects with incomplete SCI. This information is clinically relevant as a basis for designing new rehabilitation strategies in SCI subjects. These strategies can be focused on restoration of normal activity in specific groups of spinal neurons.

IC Name
NATIONAL INSTITUTE OF NEUROLOGICAL DISORDERS AND STROKE
  • Activity
    R01
  • Administering IC
    NS
  • Application Type
    5
  • Direct Cost Amount
    220250
  • Indirect Cost Amount
    17620
  • Total Cost
    237870
  • Sub Project Total Cost
  • ARRA Funded
    False
  • CFDA Code
    853
  • Ed Inst. Type
  • Funding ICs
    NINDS:237870\
  • Funding Mechanism
    Non-SBIR/STTR RPGs
  • Study Section
    ANIE
  • Study Section Name
    Acute Neural Injury and Epilepsy Study Section
  • Organization Name
    KAROLINSKA INSTITUTE
  • Organization Department
  • Organization DUNS
    350582235
  • Organization City
    STOCKHOLM
  • Organization State
  • Organization Country
    SWEDEN
  • Organization Zip Code
    171 77
  • Organization District
    SWEDEN