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J Appl Physiol (November 21, 2003). doi:10.1152/japplphysiol.00775.2003
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Submitted on July 24, 2003
Accepted on November 14, 2003

Neuromuscular Rehabilitation by Treadmill Running or Electrical Stimulation after Peripheral Nerve Injury and Repair

Tanguy Marqueste1, Jean-Roch Alliez2, Olivier Alluin3, Yves Jammes2, and Patrick Decherchi3*

1 UPRES EA 3285, Faculty of Sciences and Sport, Marseille, Bouches-du-Rhone, France; UPRES EA 2201, Faculty of Medicine Nord, Marseille, Bouches-du-Rhone, France
2 UPRES EA 2201, Faculty of Medicine Nord, Marseille, Bouches-du-Rhone, France
3 UPRES EA 3285, Faculty of Sciences and Sport, Marseille, Bouches-du-Rhone, France

* To whom correspondence should be addressed. E-mail: decherchi{at}staps.univ-mrs.fr.

Numerous studies were devoted to the regeneration of the motor pathway toward a denervated muscle after nerve injury. However, the regeneration of sensory muscle endings after repair by self-anastomosis was few studied. In previous electrophysiological studies, we showed that the functional characteristics of tibialis anterior muscle afferents are differentially affected after injury and repair of the peroneal nerve with and without chronically electrostimulation. The present study focuses on the axonal regeneration of mechano- (fibers I and II) and metabosensitive (fibers III and IV) muscle afferents by evaluating the recovery of their response to different test agents after nerve injury, repair by self-anastomosis, during 10 weeks of treadmill running (LSR group). Data were compared to control animals (C), animals with nerve lesion and suture (LS), and animals with lesion, suture and chronic muscle rehabilitation by electrostimulation (LSE) with a biphasic current modulated in pulse duration and frequency, eliciting a pattern mimicking the activity delivered by the nerve to the muscle. Compared to the C group, results indicated that, 1) muscle weight was smaller in LS and LSR groups, 2) the fatigue index was greater in LS group and smaller in LSE group, 3) metabosensibility remained altered in the LS and LSE groups, and 4) mechanosensitivity presented a large increase of the activation pattern in the LS and LSE groups. Our data indicated that chronic muscle electrostimulation partially favors the recovery of muscle properties (i.e. muscle weight and twitch response were close to the controls) and that rehabilitation by treadmill running also efficiently induced a better functional muscle afferent recovery (i.e. the discharge pattern was similar to the controls). The effectiveness of the chronic electromyostimulation and the treadmill exercise on afferent recovery is discussed with regard to parameters listed above, is discussed.




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