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Updated: Apr 16, 2026

Combining Peripheral Nerve Grafting and Matrix Modulation to Repair the Injured Rat Spinal Cord
Published on: November 20, 2009
Peripheral nervous system involvement in chronic spinal cord injury
Hatice Tankisi1, Kirsten Pugdahl1, Mikkel Mylius Rasmussen2,3
1Department of Clinical Neurophysiology, Aarhus University Hospital, Nørrebrogade 44, DK-8000, Aarhus C, Denmark.
Spinal cord injury (SCI) significantly impacts the peripheral nervous system (PNS), contrary to prior beliefs. Electrophysiologic changes indicate widespread PNS involvement, particularly affecting motor nerves.
Area of Science:
- Neuroscience
- Neurology
- Clinical Electrophysiology
Background:
- Upper motor neuron disorders were thought to spare the peripheral nervous system (PNS).
- Spinal cord injury (SCI) is a condition affecting the central nervous system, with potential but unconfirmed effects on the PNS.
Purpose of the Study:
- To investigate evidence of peripheral nervous system (PNS) involvement in individuals with spinal cord injury (SCI).
Main Methods:
- Prospective study of 12 subjects with chronic cervical or thoracic SCI.
- Bilateral needle electromyography in 10 muscles per subject.
- Nerve conduction studies (NCS) on specific motor and sensory nerves.
Main Results:
- Half of subjects exhibited widespread abnormal spontaneous activity (SA).
- SA correlated inversely with reflex activity and nerve length.
- Entrapment neuropathies (fibular, sciatic) were identified in some subjects, alongside predominant motor nerve NCS changes.
Conclusions:
- Widespread electrophysiologic changes beyond entrapment sites suggest significant SCI impact on the entire PNS.
- The motor component of the PNS appears predominantly affected by SCI.
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