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Official websites use. Share sensitive information only on official, secure websites. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. The present study aimed to evaluate the role of the combination treatment of methylprednisolone MP and electroacupuncture EA in regeneration of nerve fibers and functional recovery in rats with spinal cord injury SCI.
Female Wistar rats were used for an SCI model by using a weight-drop hammer at levels T 10 spinal cord segment corresponding to the 10th thoracic vertebra. The growth of nerve fibers was examined by counting fluorescein positive nerve fibers. We found that, compared to MP groups, there were more well-oriented and paralleled fluorescein positive nerve fibers in MP and EA group. Additionally, recovered hindlimb movements were sustained in most rats in the MP and EA group.
Our study indicated that combination therapies could become a powerful treatment for SCI in rats. A spinal cord injury SCI is damage or trauma to the spinal cord. SCI can be caused by accident, diseases, or degeneration. It is estimated that the incidence of SCI around the world is between , and , people every year [ 1 ]. Steroids have been used in the management of acute SCI for decades due to anti-inflammatory effects and inhibition of lipid peroxidation [ 2 ].
However, high-dose MP in acute SCI can lead to side effects including hyperglycemia, wound infections, delayed healing, gastrointestinal complications, and pulmonary embolism [ 6 ]. Acupuncture is an ancient Chinese therapy by inserting the needles at certain points of the meridians to cure disease and relieve pain [ 7 ].
Electroacupuncture EA is a form of acupuncture that involves the application of a gentle pulsating electrical current on the specific traditional acupuncture points on the body. The procedure can be done with or without the use of needles. Previous animal studies have demonstrated that EA can promote the differentiation of mesenchymal stem cells and regeneration of nerve fibers in rats with SCI [ 8 ].