Open Access

Histological and functional assessment of the efficacy of constraint-induced movement therapy in rats following neonatal hypoxic-ischemic brain injury

  • Authors:
    • Hyunha Kim
    • Min Jae Kim
    • Young Soo Koo
    • Hae In Lee
    • Sae‑Won Lee
    • Myung Jun Shin
    • Soo‑Yeon Kim
    • Yong Beom Shin
    • Yong‑Il Shin
    • Byung Tae Choi
    • Young Ju Yun
    • Hwa Kyoung Shin
  • View Affiliations

  • Published online on: April 21, 2017     https://doi.org/10.3892/etm.2017.4371
  • Pages: 2775-2782
  • Copyright: © Kim et al. This is an open access article distributed under the terms of Creative Commons Attribution License.

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Abstract

Constraint-induced movement therapy (CIMT) is used in stroke rehabilitation to promote recovery of upper limb motor function. However, its efficacy in improving functional outcomes in children with hemiplegic cerebral palsy has not been clearly determined in clinical or experimental research. The aim of our study was to assess the efficacy of a new experimental model of CIMT, evaluated in terms of mortality, stress, motor and cognitive function in rats having undergone a neonatal hypoxic‑ischemic (HI) brain injury. Neonatal HI injury was induced at post‑natal day 7 through unilateral ligation of the common carotid artery followed by exposure to hypoxia for 2 h. CIMT was implemented at 3 weeks, post‑HI injury, using a pouch to constrain the unimpaired forelimb and forcing use of the affected forelimb using a motorized treadmill. After HI injury, animals demonstrated motor and cognitive deficits, as well as volumetric decreases in the ipsilateral hemisphere to arterial occlusion. CIMT yielded a modest recovery of motor and cognitive function, with no effect in reducing the size of the HI lesion or post‑HI volumetric decreases in brain tissue. Therefore, although animal models of stroke have identified benefits of CIMT, CIMT was not sufficient to enhance brain tissue development and functional outcomes in an animal model of hemiplegic cerebral palsy. Based on our outcomes, we suggest that CIMT can be used as an adjunct treatment to further enhance the efficacy of a program of rehabilitation in children with hemiplegic cerebral palsy.

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June-2017
Volume 13 Issue 6

Print ISSN: 1792-0981
Online ISSN:1792-1015

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Copy and paste a formatted citation
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Spandidos Publications style
Kim H, Kim MJ, Koo YS, Lee HI, Lee SW, Shin MJ, Kim SY, Shin YB, Shin YI, Choi BT, Choi BT, et al: Histological and functional assessment of the efficacy of constraint-induced movement therapy in rats following neonatal hypoxic-ischemic brain injury. Exp Ther Med 13: 2775-2782, 2017.
APA
Kim, H., Kim, M.J., Koo, Y.S., Lee, H.I., Lee, S., Shin, M.J. ... Shin, H.K. (2017). Histological and functional assessment of the efficacy of constraint-induced movement therapy in rats following neonatal hypoxic-ischemic brain injury. Experimental and Therapeutic Medicine, 13, 2775-2782. https://doi.org/10.3892/etm.2017.4371
MLA
Kim, H., Kim, M. J., Koo, Y. S., Lee, H. I., Lee, S., Shin, M. J., Kim, S., Shin, Y. B., Shin, Y., Choi, B. T., Yun, Y. J., Shin, H. K."Histological and functional assessment of the efficacy of constraint-induced movement therapy in rats following neonatal hypoxic-ischemic brain injury". Experimental and Therapeutic Medicine 13.6 (2017): 2775-2782.
Chicago
Kim, H., Kim, M. J., Koo, Y. S., Lee, H. I., Lee, S., Shin, M. J., Kim, S., Shin, Y. B., Shin, Y., Choi, B. T., Yun, Y. J., Shin, H. K."Histological and functional assessment of the efficacy of constraint-induced movement therapy in rats following neonatal hypoxic-ischemic brain injury". Experimental and Therapeutic Medicine 13, no. 6 (2017): 2775-2782. https://doi.org/10.3892/etm.2017.4371