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Journal of the Korean Academy of Rehabilitation Medicine 2003;27(5):701-707.
The Effect of Gabapentin on Muscle Stretch Reflex in Spinal Cord Injured Rabbit.
Sung, Duk Hyun , Jung, June Yong , Jeong, Soon Tak , Woo, Young Tae
Department of Physical Medicine and Rehabilitation, Samsung Medical Center, Sungkyunkwan University College of Medicine, Korea. puffy2@samsung.co.kr
척수 손상 토끼의 근 신장 반사에서 Gabapentin의 효과
성덕현, 정준용, 정순탁, 우영태
성균관대학교 의과대학 삼성서울병원 재활의학교실
Abstract
Objective
To document the anti-spastic effect and dose- response relationship of gabapentin (GBP) quantitatively using muscle stretch reflex in spinal cord injured rabbits.


Method
Spinal cords of 25 rabbits were contused by 20 g⁓20 cm weight drop in the 11th thoracic spine. After 2 weeks, muscle stretch reflex was measured. Triceps surae was dissected and stretched for 5 mm at the rate of 2 mm/sec and the length-tension curve were obtained. The slope in the length-tension curve was defined as stiffness index (SI). After baseline measurement, group I (n=6) received 50 mg/kg GBP IM injection and group II (n=8) received 100 mg/kg GBP IM injection, but control group (n=5) did not. Muscle stretch reflex was measured again after 30 minutes and 60 minutes, and then after sciatic nerve section. Active tension was calculated by subtracting passive tension from total tension. Proportion of SI was calculated by dividing follow-up SI with baseline SI.


Results
The proportion of SI of active tension reduced significantly at 30 minutes and 60 minutes compared to baseline (p<0.001, p<0.001). The proportion of SI of active tension in both group I and group II reduced significantly than control group (p=0.041, p<0.001). The proportion of SI of active tension in group II reduced than group I, but it was not statistically significant (p=0.166).


Conclusion
The GBP reduced significantly muscle stretch reflex in spinal cord injured rabbits and showed dose-response tendency.

Key Words: Muscle spasticity, Spinal cord injuries, Stretch reflex, Stiffness index,


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