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Journal of the Korean Academy of Rehabilitation Medicine 2002;26(1):37-45.
Change of Stretch Reflex in Spinal Cord Injured Rabbit: Experimental Spasticity Model.
Sung, Duk Hyun , Lee, Kyung Moo , Chung, Seung Hyun , Kim, Jong Moon
1Department of Physical Medicine & Rehabilitation, Samsung Medical Center, Sungkyunkwan University School of Medicine, Korea.
2Department of Rehabilitation Medicine, College of Medicine, Chungbuk National University, Korea.
3Department of Physical Medicine & Rehabilitation, Kangbuk Samsung Hospital, Korea.
척수 손상 토끼의 신장 반사의 변화 경직의 동물 모델
성덕현, 이경무1, 정승현, 김종문2
성균관대학교 의과대학 삼성서울병원 재활의학교실, 1충북대학교 의과대학 재활의학교실, 2강북삼성병원 재활의학교실
Abstract

Objective
The purpose of this study is to develop an experimental spinal cord injury spasticity model using rabbits and to evaluate a quantitative spasticity measure.


Method
After an general anesthesia, 19 rabbits out of total 24 rabbits were laminectomized posteriorly and the spinal cords contused with 15 g⁓20 cm weight drop around 11th and 12th thoracic cord. After two weeks, behavioral analysis and clinical measurements of hindlimb spasticity were assessed. After that, rabbits' triceps surae was dissected and the length-tension plot was obtained by stretching it 5 mm, 2 mm/sec. And then the stiffenss of stretch reflex was determined from the length-tension plot. The stiffness of stretch reflex of the five normal control group was measured.


Results
1) The measure was possible among 15 out of 19 spinal cord injured rabbits. One out of 19 rabbits was died

from urinary infection. Two rabbits was died from intraop-

erative bleeding at 2 weeks. Another one was excluded from the measurement due to joint contracture. 2) All of 15 rabbits showed clinical spasticity of hindlimb in 2 weeks. The spasticity was increased after the 4th day. 3) On the length-tension plot, the stiffness of stretch reflex of 15 rabbits significantly increased more than that of 5 normal group. 4) The total stiffness is correlated with the deep tendon reflex of knee and muscle tone of ankle. The stiffness of stretch reflex is weakly correlated with the deep tendon reflex of knee, digital hyperreflexia and ankle clonus.


Conclusion
The experimental spinal cord injury model and the quantitative spasticity measure method would contribute to measure the effect of the new therapy of spasticity more accurately, and to establish a principle of the new therapy. In addition, the study is expected to contribute to establish pathophysiology of spasticity. (J Korean Acad Rehab Med 2002; 26: 37-45)

Key Words: Spasticity, Spinal cord injury, Stretch reflex, Rabbit


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