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Journal of the Korean Academy of Rehabilitation Medicine 1999;23(6):1063-1075.
Effect of Exercise on Reinnervating Soleus Muscle after Sciatic Nerve Injury in Rats.
Pyun, Sung Bom , Kwon, Hee Kyu , Uhm, Chang Sub
1Department of Rehabilitation Medicine, Samyook Rehabilitation Hospital.
2Department of Rehabilitation Medicine, Korea University College of Medicine.
3Department of Anatomy, Korea University College of Medicine.
백서에서 좌골신경손상후 운동이 가자미근에 미치는 영향
편성범, 권희규1, 엄창섭2
삼육재활병원 재활의학과, 1고려대학교 의과대학 재활의학교실 및 2해부학교실
Abstract

Objective
To determine the effect of exercise in the early phase of reinnervation after sciatic nerve injuries in the rat.


Method
Thirty six rats, Sprague-Dawley (weight, 200 to 220 g), were divided into the normal control and experimental groups. Using a haemostatic forceps, crushing injuries to the bilateral sciatic nerves were induced in the experimental group. The experimental group was further divided into exercise groups by the duration of daily swimming and initiation (duration since injury) of exercise after nerve injury (A, 2 hours/day and day 1; B, 30 minutes/day and day 1; C, 2 hours/day and week 2; D, 30 minutes/day and week 2) and non-exercise group (E). After completion of 5-week program the test results were evaluated by 1) sciatic nerve motor conduction study recorded at the gastro-soleus muscles, 2) measurement of soleus muscle tension, and 3) hematoxylin-eosin stain & alkaline ATPase stain (pH 9.4) of the soleus muscles.


Results
Nerve conduction study revealed significantly prolonged latency in group C and decreased amplitude in the group C, D. Peak twich tension decreased significantly in group C, D & E. Maximal tetanic tension was increased significantly in the group A compared to C. Both type I and II muscle fibers atrophied significantly in all the experimental groups compared to the normal control group with no changes of the composition of two muscle fibers.


Conclusion
Swimming applied from the early phase after sciatic nerve injury may be beneficial in early recovery of muscle tension. Overexercise in the early stage of reinnervation, however, may hamper the functional return of the damaged muscle by nerve injury.

Key Words: Swimming, Exercise, Nerve injury, Contractility, Nerve conduction, Muscles


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