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Exercise after spinal cord injury as an agent for neuroprotection, regeneration and rehabilitation
Journal article   Open access   Peer reviewed

Exercise after spinal cord injury as an agent for neuroprotection, regeneration and rehabilitation

Harra R Sandrow-Feinberg and John D Houlé
Brain research, v 1619
04 Sep 2015
PMID: 25866284
url
https://doi.org/10.5772/50285View
Published, Version of Record (VoR)CC BY V4.0 Open

Abstract

Animals Exercise Therapy Gray Matter - metabolism Humans MicroRNAs - metabolism Motor Neurons - metabolism Neuronal Plasticity Neuroprotection Recovery of Function Spinal Cord Injuries - physiopathology Spinal Cord Injuries - rehabilitation Spinal Cord Injuries - therapy Spinal Cord Regeneration
Spinal cord injury (SCI) is a traumatic event from which there is limited recovery of function, despite the best efforts of many investigators to devise realistic therapeutic treatments. Partly this is due to the multifaceted nature of SCI, where there is considerable disarray and dysfunction secondary to the initial injury. Contributing to this secondary degeneration is neurotoxicity, vascular dysfunction, glial scarring, neuroinflammation, apoptosis and demyelination. It seems logical that addressing the need for neuroprotection, regeneration and rehabilitation will require different treatment strategies that may be applied at varied stages of the post-injury response. Here we focus on a single strategy, exercise/physical training, which appears to have multiple applications and benefits for an acute or chronic SCI. Exercise has been demonstrated to be advantageous at cellular and biochemical levels, as well as being of benefit for the whole animal or human subject. Data from our lab and others will be discussed to further elucidate the many positive aspects of implementing exercise following injury and to suggest that rehabilitation is not the sole target of a training regimen following SCI. This article is part of a Special Issue entitled SI: Spinal cord injury.

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