Effects of Whole-Body Vibration and Manually Assisted Locomotor Therapy on Neurotrophin-3 Expression and

Diana Schaufler1,2, Maria Eleni Manthou2,3, Paschalis Theotokis3,4

  • 1Department I of Internal Medicine, Lung Cancer Group Cologne, University Hospital Cologne, 50931 Cologne, Germany.

Insights

Whole-body vibration (WBV) therapy initiated 14 days post-spinal cord injury (SCI) promoted functional recovery by increasing neurotrophin-3 (NT-3) and decreasing microglial activation, suggesting WBV as a superior rehabilitation strategy.

Area of Science:

  • Neuroscience
  • Regenerative Medicine
  • Spinal Cord Injury Research

Background:

  • Microglia/macrophages are crucial in neuroinflammation and secondary damage following spinal cord injury (SCI).
  • Neurotrophin-3 (NT-3) supports neuronal survival, synaptic function, and axon plasticity, making it a target for SCI recovery.
  • Physical therapies like whole-body vibration (WBV) and passive flexion-extension (PFE) may influence these cellular and molecular responses.

Purpose of the Study:

  • To investigate the effects of WBV and PFE therapies on neuronal and glial responses after SCI.
  • To specifically examine changes in NT-3 expression and microglia/macrophage activation profiles.
  • To determine the efficacy of WBV versus PFE in promoting functional recovery post-SCI.

Main Methods:

  • Evaluation of functional recovery in SCI models subjected to WBV or PFE therapy.
  • Assessment of NT-3 expression levels, particularly in the dorsal horn.
  • Analysis of microglia/macrophage activation markers, such as Iba1, following different therapeutic interventions.

Main Results:

  • WBV therapy, initiated 14 days post-SCI, yielded the best overall functional recovery compared to PFE.
  • WBV treatment led to a significant decrease in Iba1 expression (a marker of microglia/macrophage activation).
  • WBV therapy induced the highest increase in NT-3 expression, especially in the dorsal horn.

Conclusions:

  • WBV therapy initiated at day 14 post-SCI is superior to PFE for functional recovery.
  • Increased NT-3 expression, potentially mediated by WBV, may be a key factor in the observed neuroprotective and regenerative effects.
  • Targeting microglial/macrophage inflammatory responses and promoting NT-3 expression are promising strategies for SCI rehabilitation.

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