Functional evaluation outcomes correlate with histomorphometric changes in the rat sciatic nerve crush injury model: A comparison between sciatic functional index and kinematic analysis

Elucidating whether there is a correlation between biomechanical functions and histomorphometric data in the rat sciatic nerve crush injury model would contribute to an accurate evaluation of the regeneration state without sacrificing animals. The gold standard for functional evaluation is the sciat...

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Veröffentlicht in:PloS one 2018-12, Vol.13 (12), p.e0208985-e0208985
Hauptverfasser: Wang, Tianshu, Ito, Akira, Aoyama, Tomoki, Nakahara, Ryo, Nakahata, Akihiro, Ji, Xiang, Zhang, Jue, Kawai, Hideki, Kuroki, Hiroshi
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creator Wang, Tianshu
Ito, Akira
Aoyama, Tomoki
Nakahara, Ryo
Nakahata, Akihiro
Ji, Xiang
Zhang, Jue
Kawai, Hideki
Kuroki, Hiroshi
description Elucidating whether there is a correlation between biomechanical functions and histomorphometric data in the rat sciatic nerve crush injury model would contribute to an accurate evaluation of the regeneration state without sacrificing animals. The gold standard for functional evaluation is the sciatic functional index (SFI) despite there being intrinsic shortcomings. Kinematic analysis is considered a reliable and sensitive approach for functional evaluation, most commonly assessed as ankle angle at various phases of a gait cycle. Studies utilizing the toe angle for functional evaluation are scarce, and changes in the toe angle following surgery remain unknown. The present study assessed correlations of ankle angle, toe angle and SFI with histomorphometric data, aiming to determine which parameters most accurately reflect changes in histomorphometric data over time. Six Lewis rats were designated as the control group. 30 animals received surgery, six of them were randomly selected on the first, second, third, fourth, and sixth week after surgery for measurements of ankle and toe angles in the "toe-off" phase, and for evaluation of SFI. Histomorphometric analysis were also performed, to determine the number of myelinated nerve fibers, diameters of myelinated nerve fibers, axon diameters, and myelin sheath thicknesses. Furthermore, we investigated changes in ankle angle, toe angle, SFI, and histomorphometric data over time, as well as correlations between ankle angle, toe angle, and SFI with histomorphometric data. The results revealed that changes in SFI, ankle angle, and toe angle highly correlate with histomorphometric data in the rat sciatic nerve crush injury model. Toe angle reflected changes in histomorphometric data with time more precisely than ankle angle or SFI did, and ankle angle was a better prognostic parameter than SFI.
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The gold standard for functional evaluation is the sciatic functional index (SFI) despite there being intrinsic shortcomings. Kinematic analysis is considered a reliable and sensitive approach for functional evaluation, most commonly assessed as ankle angle at various phases of a gait cycle. Studies utilizing the toe angle for functional evaluation are scarce, and changes in the toe angle following surgery remain unknown. The present study assessed correlations of ankle angle, toe angle and SFI with histomorphometric data, aiming to determine which parameters most accurately reflect changes in histomorphometric data over time. Six Lewis rats were designated as the control group. 30 animals received surgery, six of them were randomly selected on the first, second, third, fourth, and sixth week after surgery for measurements of ankle and toe angles in the "toe-off" phase, and for evaluation of SFI. Histomorphometric analysis were also performed, to determine the number of myelinated nerve fibers, diameters of myelinated nerve fibers, axon diameters, and myelin sheath thicknesses. Furthermore, we investigated changes in ankle angle, toe angle, SFI, and histomorphometric data over time, as well as correlations between ankle angle, toe angle, and SFI with histomorphometric data. The results revealed that changes in SFI, ankle angle, and toe angle highly correlate with histomorphometric data in the rat sciatic nerve crush injury model. Toe angle reflected changes in histomorphometric data with time more precisely than ankle angle or SFI did, and ankle angle was a better prognostic parameter than SFI.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>30540822</pmid><doi>10.1371/journal.pone.0208985</doi><orcidid>https://orcid.org/0000-0002-9645-9777</orcidid><oa>free_for_read</oa></addata></record>
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subjects Animals
Ankle
Axons - physiology
Biology and Life Sciences
Biomechanical engineering
Biomechanical Phenomena
Biomechanics
Correlation
Correlation analysis
Crush tests
Disease Models, Animal
Evaluation
Fibers
Gait
Health sciences
Injuries
Injury analysis
Kinematics
Male
Mathematical models
Medicine
Medicine and Health Sciences
Methods
Microsurgery
Myelin
Myelin Sheath - pathology
Myelin Sheath - physiology
Nerve Fibers, Myelinated - pathology
Nerve Fibers, Myelinated - physiology
Parameters
Physical Sciences
Rats
Rats, Inbred Lew
Recovery of Function
Regeneration
Rehabilitation
Sciatic nerve
Sciatic Nerve - injuries
Sciatic Nerve - pathology
Sheaths
Surgery
Tarsus, Animal - pathology
Tarsus, Animal - physiology
Toe
Toes - physiology
Ultrasonic imaging
Walking
title Functional evaluation outcomes correlate with histomorphometric changes in the rat sciatic nerve crush injury model: A comparison between sciatic functional index and kinematic analysis
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