While spinal cord injuries (SCIs) result in a vast array of functional deficits, many of which are life threatening, the majority of SCIs are anatomically incomplete. Spared neural pathways contribute to functional and anatomical neuroplasticity that can occur spontaneously, or can be harnessed using rehabilitative, electrophysiological, or pharmacological strategies. With a focus on respiratory networks that are affected by cervical level SCI, the present review summarizes how non-invasive respiratory treatments can be used to harness this neuroplastic potential and enhance long-term recovery. Specific attention is given to "respiratory training" strategies currently used clinically (e.g., strength training) and those being developed through pre-clinical and early clinical testing [e.g., intermittent chemical stimulation via altering inhaled oxygen (hypoxia) or carbon dioxide stimulation]. Consideration is also given to the effect of training on non-respiratory (e.g., locomotor) networks. This review highlights advances in this area of pre-clinical and translational research, with insight into future directions for enhancing plasticity and improving functional outcomes after SCI.
Respiratory Training and Plasticity After Cervical Spinal Cord Injury
Creators
Margo Randelman - Drexel University
Lyandysha V. Zholudeva - Gladstone Institutes
Stephane Vinit - University of Paris-Saclay
Michael A. Lane - Drexel University
Publication Details
Frontiers in cellular neuroscience, v 15, pp 700821-700821
Publisher
Frontiers Media Sa
Number of pages
16
Grant note
INSERM; Institut National de la Sante et de la Recherche Medicale (Inserm); European Commission
R01 NS104291 / National Institutes of Health; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA
Wings for Life Spinal Cord Research Foundation
Universite de Versailles Saint-Quentin-en-Yvelines
Fondation de France
Fondation Medisite
Lisa Dean Moseley Foundation
Resource Type
Journal article
Language
English
Academic Unit
Neurobiology and Anatomy
Web of Science ID
WOS:000703462000001
Scopus ID
2-s2.0-85116782980
Other Identifier
991019168878204721
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