Ultrasonic neuromodulation as a new therapy for spasticity in an animal model of spastic cerebral palsy

• Published in: Acta Cirúrgica Brasileira Vol. 39; p. e394924
• Main Authors: Pereira, Gisely de Andrade Costa, Poleto, André Luiz Oliveira, Fontes-Pereira, Aldo José, Krüger, Marco Antônio von, Pereira, Wagner Coelho de Albuquerque
• Format: Journal Article
• Language: English
• Published: Brazil Sociedade Brasileira para o Desenvolvimento da Pesquisa em Cirurgia 01-01-2024
• Subjects: Animals; Cerebral Palsy; Cerebral Palsy - therapy; Child Development; Disease Models, Animal; Male; Models, Animal; Muscle Spasticity; Muscle Spasticity - therapy; Random Allocation; Rats; Rats, Wistar; Treatment Outcome; Ultrasonic Therapy; Ultrasonic Therapy - methods
• ISSN: 1678-2674
• DOI: 10.1590/acb394924

This study aimed to evaluate a new therapeutic option for the spasticity using ultrasound neuromodulation in an animal model of spastic cerebral palsy.
Thirty-two adult male Wistar rats were randomly distributed in: negative control (NC); positive control (PC); untreated model (UTM); and treated model (TM). Rats in the control groups received sham surgery, and rats in the model groups received the spastic cerebral palsy model surgery. The rats' motor functions were evaluated by the Rotarod and CatWalk tests before and after surgery. PC and TM groups underwent ultrasonic neuromodulation by a physiotherapeutic ultrasound (intensity 0.1 W/cm2, at 1 MHz) continuous mode for 5 seconds, for seven days.
Twelve rats showed a spastic pattern (UTM = 6 and TM = 6), motor limitations (UTM = 6 and TM = 6), and ten had difficulty feeding (UTM = 5 and TM = 5). One UTM group rat could not recover its preoperative latency time, while the other rats in the model groups did. The speed at which the limbs swung reduced after surgery and increased in subsequent assessments, demonstrating greater instability and a deficit in locomotion balance.
Results were not yet sufficient to assert ultrasound neuromodulation as a possible therapy for spasticity in spastic cerebral palsy in the parameters used, and more studies are necessary.