Intensive treadmill training promotes cognitive recovery after cerebral ischemia-reperfusion in juvenile rats

Guoyuan Pan1, Jingyan Cheng2, Weimin Shen3

  • 1The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, No. 109, Xueyuanxi Road, Wenzhou, Zhejiang, China; Tongde Hospital of Zhejiang Province, No. 234, Gucui Road, Hangzhou, Zhejiang, China.

Behavioural Brain Research
|December 28, 2020
PubMed

Insights

Medium-intensity treadmill training promotes hippocampal synaptic plasticity and neuroprotection in juvenile rats after stroke. This rehabilitation strategy effectively improved cognitive function and reduced brain damage, highlighting optimal exercise parameters for recovery.

Area of Science:

  • Neuroscience
  • Rehabilitation Medicine
  • Pediatric Neurology

Background:

  • Childhood stroke rehabilitation lacks clear understanding of protective mechanisms.
  • Cerebral ischemia in young individuals can lead to significant neurobehavioral and cognitive deficits.
  • Hippocampal synaptic plasticity is crucial for cognitive function and recovery post-stroke.

Purpose of the Study:

  • To investigate the impact of varying treadmill training intensities on hippocampal synaptic plasticity following cerebral ischemia in juvenile rats.
  • To determine the optimal intensity of treadmill exercise for neuroprotection and functional recovery after ischemic stroke.

Main Methods:

  • A middle cerebral artery occlusion (MCAO) model was used in juvenile rats to simulate ischemic stroke.
  • Rats were subjected to low, medium, or high-intensity treadmill training for 14 days post-MCAO.
  • Neurobehavioral tests, infarct volume measurement, hippocampal neuron density, synaptic protein expression (Synapsin I, PSD95), and synapse morphology were assessed.

Main Results:

  • MCAO induced cognitive deficits, reduced hippocampal neuron density, and altered synaptic protein expression and morphology.
  • Treadmill training, particularly medium-intensity, significantly improved neurobehavioral scores, reduced infarct volume, and enhanced spatial learning and memory.
  • Medium-intensity training optimally increased hippocampal neuron density, Synapsin I and PSD95 expression, and improved synapse microstructure.

Conclusions:

  • Treadmill training confers neuroprotection by enhancing hippocampal synaptic plasticity in juvenile rats post-ischemic stroke.
  • Medium-intensity treadmill exercise demonstrates the most optimal effects on cognitive recovery and synaptic plasticity.
  • Findings suggest tailored exercise intensity is critical for effective rehabilitation after childhood stroke.

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