The purpose of this study was to investigate whether locomotor training, in the form of treadmill training, could ameliorate neurochemical changes and behavioural deficits in the 6-hydroxydopamine (6-OHDA) rat model of Parkinsons disease. It has been recently demonstrated that rehabilitative forelimb motor training can attenuate dopamine loss and some deficits in forelimb movements in this animal model. In addition, brief locomotor treadmill training has been shown to attenuate forelimb deficits in 6-OHDA treated rats. However, it is not known whether locomotor training could result in an amelioration of locomotor deficits in these animals. Rats were lesioned with 6-OHDA injected intracerebrally. Lesioned rats were randomly assigned to one of 3 groups: early treadmill trained, late treadmill trained and untrained. Animals in the treadmill groups were trained to trot on a moving treadmill for 2 x 20 minute sessions daily for 30 days, beginning either 24 hours or 7 days after 6-OHDA injection. Untrained animals were exposed to a stationary treadmill for the same time periods. All animals were assessed on their abilities to perform several behavioural tasks designed to test locomotor and forelimb movement abilities prior to 6-OHDA injection and again at 3 and 6 weeks post-injection. These tests included measurement of ground reaction forces during overground locomotion, paw placements during a ladder crossing task, forelimb useage during exploratory behaviour and ability to initiate forelimb stepping movements. In addition, assessments of dopamine depletion in the striatum were carried out first in vivo, by measuring apomorphine-induced rotations at 2 weeks post 6-OHDA injection, and subsequently by post-mortem analysis of dopamine levels in the striatum using HPLC at the conclusion of the study. Treadmill training resulted in attenuation of dopamine depletion compared to non-treadmill trained animals, as measured by both apomorphine injection and HPLC. However, treadmill training produced no difference in behavioural deficits on a variety of tests compared to untrained animals. In some cases, early treadmill trained animals tended to display more severe behavioural deficits compared to untrained animals. Late treadmill training had a similar but smaller effect compared to early treadmill training. We conclude that treadmill training does not ameliorate locomotor deficits, in the 6-OHDA model of Parkinsons disease, even though this same training results in attenuation of dopamine loss in the striatum.

The purpose of this study was to investigate whether locomotor training, in the form of treadmill training, could ameliorate neurochemical changes and behavioural deficits in the 6-hydroxydopamine (6-OHDA) rat model of Parkinsons disease. It has been recently demonstrated that rehabilitative forelimb motor training can attenuate dopamine loss and some deficits in forelimb movements in this animal model. In addition, brief locomotor treadmill training has been shown to attenuate forelimb deficits in 6-OHDA treated rats. However, it is not known whether locomotor training could result in an amelioration of locomotor deficits in these animals. Rats were lesioned with 6-OHDA injected intracerebrally. Lesioned rats were randomly assigned to one of 3 groups: early treadmill trained, late treadmill trained and untrained. Animals in the treadmill groups were trained to trot on a moving treadmill for 2 x 20 minute sessions daily for 30 days, beginning either 24 hours or 7 days after 6-OHDA injection. Untrained animals were exposed to a stationary treadmill for the same time periods. All animals were assessed on their abilities to perform several behavioural tasks designed to test locomotor and forelimb movement abilities prior to 6-OHDA injection and again at 3 and 6 weeks post-injection. These tests included measurement of ground reaction forces during overground locomotion, paw placements during a ladder crossing task, forelimb useage during exploratory behaviour and ability to initiate forelimb stepping movements. In addition, assessments of dopamine depletion in the striatum were carried out first in vivo, by measuring apomorphine-induced rotations at 2 weeks post 6-OHDA injection, and subsequently by post-mortem analysis of dopamine levels in the striatum using HPLC at the conclusion of the study. Treadmill training resulted in attenuation of dopamine depletion compared to non-treadmill trained animals, as measured by both apomorphine injection and HPLC. However, treadmill training produced no difference in behavioural deficits on a variety of tests compared to untrained animals. In some cases, early treadmill trained animals tended to display more severe behavioural deficits compared to untrained animals. Late treadmill training had a similar but smaller effect compared to early treadmill training. We conclude that treadmill training does not ameliorate locomotor deficits, in the 6-OHDA model of Parkinsons disease, even though this same training results in attenuation of dopamine loss in the striatum.

No description available.

Skeletal muscle is the primary site of glucose disposal in the body, and consequently plays a predominant role in the regulation of blood glucose levels after the ingestion of a meal. Following spinal cord injury (SCI), skeletal muscles below the level of an upper motor neuron lesion undergo marked changes in muscular properties that affect glucose tolerance. Recent studies on individuals with a SCI have reported improved glucose tolerance following periods of electrically-stimulated training. This appears to result from improved muscle morphology and post-exercise insulin sensitivity, and increased GLUT 4 content, enzyme activity, and muscle fiber capillary number. It might be expected that the weight-bearing and greater muscular involvement associated with body-weight support treadmill training (BWSTT) would have an even more profound effect on previously observed responses. The purpose of this study was to investigate whether 6 months of BWSTT improved whole-body glucose tolerance and some of the muscular parameters that are expected to influence glucose metabolism, in a group of 9 individuals with an incomplete SCI. A leg biopsy and a resting, 3 hour oral glucose tolerance test (OGTT) were performed on each subject before and after 6 months of training. Analysis of the muscle biopsy revealed significant increases in post-training muscle fiber size for type I (P=0.01) and type IIa (P=0.05) fibers in comparison to pre-training values. A significant increase in type IIa fiber proportion (P=0.03) and a significant decrease in type IIx fiber proportion (P<0.01) were found following training. In addition, significant increases in post-training GLUT 4 protein content (P<0.01), citrate synthase protein content (P<0.01), and citrate synthase activity (P=0.01) were found in comparison with pre-training values. No change was found in the number of capillaries per fiber after training. Plasma insulin area under the time curve (AUC) during the post-training OGTT significantly decreased (P=0.04) in the subjects as a result of BWSTT. Despite the large decrease in plasma insulin concentration, blood glucose AUC also showed a significant decrease (P<0.01) during the post-training OGTT, indicating a training-induced increase in insulin sensitivity occurred in the subjects. According to the findings, we can speculate that the increase in insulin sensitivity was a result of the increase in muscle GLUT 4 content in the exercised muscles, possibly in combination with an increase in leg muscle mass, as indicated by an increased muscle fiber cross-sectional area. The results are the first in this field to provide evidence that BWSTT leads to beneficial morphological and metabolic changes in skeletal muscle fibers that improve glucose tolerance. / Thesis / Master of Science (MSc)

The purpose of this study was to determine the effects of cessation of a 12-month thrice-weekly body-weight supported treadmill training (BWSTT) program on functional ambulation and aspects of health-related quality of life (HRQL) in individuals with incomplete SCI. Twelve men and women (aged 22-55) with chronic (> 1 year post-injury) incomplete SCI (ASIA B or C) returned for follow-up (FOL) testing 37 weeks (SD 2.1) following their final scheduled BWSTT session. Functional ambulation was compared based on: i) required percentage of body-weight support (%BWS) on the treadmill, ii) preferred treadmill speed and iii) overground walking. Evaluation of HRQL included measures of: i) satisfaction with life, ii) perceived ability to perform activities of daily living (ADL), iii) perceptions of health, and iv) depressive symptomology. Participants were invited to participate in once-weekly BWSTT and twice-weekly fitness training during the FOL period (37 sessions); the actual number of BWSTT sessions attended was only 11.6 (range 0-29) and the total days of exercise was 29.1 (range 0-75). The 12-month BWSTT program resulted in a decrease in the required %BWS (73±10% to 19±12%; p<.01), an increase in treadmill speed (0.5±0.3 to 1.4±0.8 km/h; p<.01), improved overground walking in 4 individuals, and improved group satisfaction with life (p<.05). At FOL, %BWS increased to 35±14% (p<.01), but was still less than at pre-training (p<.01). There were no differences between 12-month and FOL scores on any HRQL-related measures. High exercise adherence during the FOL period had a strong correlation with a positive percent change in perceived ability to perform ADL (r = .70; p<.05), as well as non-significant trends with positive percent change in perceptions of health and negative percent change in depressive symptomology (r = .49; p=.13 and r = .51; p=.ll, respectively). Therefore, even with very limited access to the BWS treadmill, much of the improvement in treadmill walking ability and satisfaction with life following long-term BWSTT in individuals with incomplete SCI can be retained for at least 8 months. Continued exercise participation, however, may contribute to maintain or further improve aspects of HRQL in this population. / Thesis / Master of Science (MS)

Patients with severe heart failure (HF) are often excluded from exercise training studies due to their potentially unstable nature and severe exercise intolerance. Steady state cycling and walking have been the most common interventions and it is unknown whether these training modalities are appropriate and safe for patients with severe HF as they can produce significant cardiovascular stress. Body-weight supported treadmill (BWST) training may be beneficial in patients with severe HF by improving the periphery while minimizing cardiac loading. The purpose of this study was to: 1) assess the safety and feasibility of BWST training in severe HF patients and 2) to evaluate the effect of BWST training on functional capacity, health-related quality of life (HRQL ), cardiopulmonary function, and blood vessel function. Three male patients with severe HF participated in the study. On study entry and at the end of 24 sessions of physician supervised BWST training, patients completed a cardiopulmonary exercise test, two HRQL questionnaires, a 6-Minute Walk Test (6-MWT), and a Doppler ultrasound study. Although there were no study-related adverse events, only one subject (Patient 1) was able to complete post-testing. However, all three patients seemed to demonstrate a general trend towards increased exercise tolerance. By the seventeenth exercise session, the BWS was reduced to zero for Patient 1. In addition, Patient 1 achieved an average walking speed of2.0 km/hr and was completing 34 minutes ofwalking with minimal rest periods by the end of the training program. Patients 2 and 3 also responded to the training as evidenced by a slight increase in exercise duration. However due to fluctuations in their health status, they did not have any substantial improvement. Patient 1 experienced substantial increases in functional capacity: a 64% increase in V02 peak (7.2 to 11.7 ml/kg/min); a 33% increase in peak power output (300 to 400 kpm/min); a 37% increase in VE peak (28 to 39 L/min); and a 28% increase in 6-MWT distance (223. 5 to 286m). In addition, Patient 1 's NYHA-FC improved after training from class III to II. A significant training effect was also evident by reductions in HR at rest (96 to 79 bpm) and during submaximal exercise (100 kpm/min) (105 to 84 bpm). HRQL also tended to improve for Patient 1. Based on these findings and observations, two conclusions can be made. First, patients with severe HF can safely participate in BWST training and may derive considerable benefits. Second, the feasibility of training patients with severe HF is highly dependent on their cardiac condition and other co-morbidities remaining stable enough to allow consistent training. / Thesis / Master of Science (MS)

No description available.

Body weight supported treadmill training (BWSTT) is being promoted as an effective means of restoring ambulatory abilities among individuals with incomplete spinal cord injuries. The emphasis of this thesis is on the description of the metabolic demands and the EMG profiles of able-bodied persons and individuals with a spinal cord injury (SCI) while walking under the identical conditions on a body weight support (BWS) treadmill. The secondary purpose was to contrast the metabolic and muscular responses between the two groups. Two separate chapters describing the metabolic demands and EMG profiles respectively follow the review of the literature. The metabolic results indicate that raising the speed and/or decreasing the amount of BWS increase the intensity of BWS treadmill walking, with speed having a more profound effect. The SCI group was less efficient and they had greater metabolic rates of oxygen consumption than the controls for all conditions examined. This led to the conclusion that walking on the treadmill, for the SCI group can provide an effective aerobic exercise stimulus. The EMG profiles suggest that speed and BWS affect the phasic characteristics of the muscular activity while walking for both groups. Furthermore, abnormalities, omissions and inappropriate levels of activity were observed in the SCI group when compared to the controls. These irregularities suggest that the SCI participants have adopted altered motor strategies while walking, relative to the control group. Nonetheless, the SCI participants showed evidence of appropriate modulations in their EMG activity to meet the demands of the task as they changed from one condition to the next. / Thesis / Master of Science (MSc)

A remodelação óssea pode ser estimulada por forças mecânicas presentes nas atividades físicas normais. Mas, a diminuição dos estímulos mecânicos, observada em vôos espaciais (exposição dos astronautas ao ambiente de microgravidade), nas imobilizações ortopédicas e na permanência prolongada de pacientes no leito, pode causar danos significativos na estrutura óssea. Neste caso, aumenta o risco de fraturas, não durante o período de sub-carregamento, mas no retorno às atividades físicas normais. A contra medida mais estudada para evitar danos ou promover a recuperação da estrutura óssea, é o exercício físico. Portanto, um dos objetivos desta pesquisa surgiu do interesse em analisar mecanicamente e microscopicamente fêmures de ratos submetidos à hipocinesia e posterior treinamento em esteira. Outro objetivo surgiu da necessidade de desenvolver metodologias mais precisas de análises mecânicas em ossos longos de ratos. Foram utilizadas 66 ratas da raça Wistar. Os animais foram criados até a idade de 90 dias, para o início dos procedimentos experimentais. Eles foram divididos em cinco grupos, sendo dois controles e três experimentais. Os animais do grupo Cont I foram criados até completarem 118 dias de idade e serviu de controle para o grupo S (suspenso), que consistiu em suspender os animais pela cauda por 28 dias. Já no grupo Cont II os animais foram criados até 139 dias e foi o controle para os grupos S-L (suspenso e liberado) e S-T (suspenso e treinado). No grupo S-L os animais foram liberados por 21 dias, após o período de suspensão pela cauda. No grupo S-T os animais passaram por um protocolo de treinamento em esteira por 21 dias após a suspensão pela cauda. Foram analisadas algumas propriedades mecânicas do terço proximal do fêmur esquerdo e da diáfise do fêmur direito. Outra análise realizada foi a microscópica, por meio de fluorescência óssea da região do terço proximal do fêmur direito e da região da diáfise do fêmur esquerdo. A suspensão pela cauda provocou diminuição das propriedades mecânicas do terço proximal do fêmur dos animais, apesar de não apresentar diferença visível na análise microscópica. A liberação após a suspensão causou alterações no núcleo de ossificação, na esfericidade da cabeça e na placa de crescimento do terço proximal do fêmur, sem alterar o comportamento mecânico desta região. E o treinamento conservou o núcleo de ossificação e a esfericidade da cabeça após a suspensão, e também, não alterou o comportamento mecânico. A ossificação periosteal na diáfise do fêmur dos animais suspensos diminuiu, no grupo S-L foi mais acentuada no endósteo e, no grupo S-T o treinamento promoveu a recuperação do balanço osteogênico. A liberação promoveu a recuperação parcial do comportamento mecânico do osso cortical da diáfise do fêmur do rato e, o treinamento recuperou as propriedades e estimulou a formação de osso novo. / Bone remodeling can be stimulated by the mechanical solicitation from normal physical activities. Consequently, decreasing of mechanical stimuli as occurring during spatial flights, prolonged bed rest and orthopedic immobilization may cause significant weakening of the bone structure. In such cases there is an increased risk of fractures when the normal physical activities are resumed. Physical exercises are a way to try to strengthen the bone structure. Therefore, in the present research we investigated the mechanical behavior and microscopy analysis of long bones from rats that were previously maintained in tail suspension and later, submitted to physical exercise in a treadmill. An additional aim came up from the necessity to develop more precise technologies that mechanical testing in long bones of rats. Sixty-six Wistar rats were used. Firstly, the animals were raised until the age of ninety days and the divided into five groups (two controls and three experimental). The animals allocated to control I were killed at 118 days of age. In the groups S, the animals were tail suspended during 28 days. In the control group II the animals were killed at 139 days of age. In group S-R (suspended and released) the rats were keep free for 21 days after the tail suspension. In group S-T (suspended and trained) after the tail suspension period the rats were trained in treadmill during 21 days. The mechanical properties of the whole proximal third of the femur were analyzed in flexion-compression on one side and from the opposite side femur bone samples were harnested for three-point bending tests. Furthermore, the osteogeneses in different groups were studied at the mid-diaphysis of the femur and at the proximal femoral epiphysis with oxitetracycline. The suspension caused a decrease of the mechanical properties of the proximal femur. Resuming free activities in cage after the suspension period caused flattening of the femoral head and earlier closure of the growth plate, but no difference of the mechanical behavior was detected. Conversely, the treadmill training caused no alteration in the femoral head shape, but the mechanical properties did not change. The fluorescence studies showed that there was a decrease of the osteogenic activity at the subperiosteal level in suspended animals, but for suspended-released rats the diminished activity occurred at the endosteal level. The treadmill training caused recovering of the osteogenic balance. The post-suspension released in cage promoted partial recovery of the mechanical properties of the diaphyseal bone and the treadmill training besides recovering the normal mechanical properties did stimulate the new-bone formation.

A remodelação óssea pode ser estimulada por forças mecânicas presentes nas atividades físicas normais. Mas, a diminuição dos estímulos mecânicos, observada em vôos espaciais (exposição dos astronautas ao ambiente de microgravidade), nas imobilizações ortopédicas e na permanência prolongada de pacientes no leito, pode causar danos significativos na estrutura óssea. Neste caso, aumenta o risco de fraturas, não durante o período de sub-carregamento, mas no retorno às atividades físicas normais. A contra medida mais estudada para evitar danos ou promover a recuperação da estrutura óssea, é o exercício físico. Portanto, um dos objetivos desta pesquisa surgiu do interesse em analisar mecanicamente e microscopicamente fêmures de ratos submetidos à hipocinesia e posterior treinamento em esteira. Outro objetivo surgiu da necessidade de desenvolver metodologias mais precisas de análises mecânicas em ossos longos de ratos. Foram utilizadas 66 ratas da raça Wistar. Os animais foram criados até a idade de 90 dias, para o início dos procedimentos experimentais. Eles foram divididos em cinco grupos, sendo dois controles e três experimentais. Os animais do grupo Cont I foram criados até completarem 118 dias de idade e serviu de controle para o grupo S (suspenso), que consistiu em suspender os animais pela cauda por 28 dias. Já no grupo Cont II os animais foram criados até 139 dias e foi o controle para os grupos S-L (suspenso e liberado) e S-T (suspenso e treinado). No grupo S-L os animais foram liberados por 21 dias, após o período de suspensão pela cauda. No grupo S-T os animais passaram por um protocolo de treinamento em esteira por 21 dias após a suspensão pela cauda. Foram analisadas algumas propriedades mecânicas do terço proximal do fêmur esquerdo e da diáfise do fêmur direito. Outra análise realizada foi a microscópica, por meio de fluorescência óssea da região do terço proximal do fêmur direito e da região da diáfise do fêmur esquerdo. A suspensão pela cauda provocou diminuição das propriedades mecânicas do terço proximal do fêmur dos animais, apesar de não apresentar diferença visível na análise microscópica. A liberação após a suspensão causou alterações no núcleo de ossificação, na esfericidade da cabeça e na placa de crescimento do terço proximal do fêmur, sem alterar o comportamento mecânico desta região. E o treinamento conservou o núcleo de ossificação e a esfericidade da cabeça após a suspensão, e também, não alterou o comportamento mecânico. A ossificação periosteal na diáfise do fêmur dos animais suspensos diminuiu, no grupo S-L foi mais acentuada no endósteo e, no grupo S-T o treinamento promoveu a recuperação do balanço osteogênico. A liberação promoveu a recuperação parcial do comportamento mecânico do osso cortical da diáfise do fêmur do rato e, o treinamento recuperou as propriedades e estimulou a formação de osso novo. / Bone remodeling can be stimulated by the mechanical solicitation from normal physical activities. Consequently, decreasing of mechanical stimuli as occurring during spatial flights, prolonged bed rest and orthopedic immobilization may cause significant weakening of the bone structure. In such cases there is an increased risk of fractures when the normal physical activities are resumed. Physical exercises are a way to try to strengthen the bone structure. Therefore, in the present research we investigated the mechanical behavior and microscopy analysis of long bones from rats that were previously maintained in tail suspension and later, submitted to physical exercise in a treadmill. An additional aim came up from the necessity to develop more precise technologies that mechanical testing in long bones of rats. Sixty-six Wistar rats were used. Firstly, the animals were raised until the age of ninety days and the divided into five groups (two controls and three experimental). The animals allocated to control I were killed at 118 days of age. In the groups S, the animals were tail suspended during 28 days. In the control group II the animals were killed at 139 days of age. In group S-R (suspended and released) the rats were keep free for 21 days after the tail suspension. In group S-T (suspended and trained) after the tail suspension period the rats were trained in treadmill during 21 days. The mechanical properties of the whole proximal third of the femur were analyzed in flexion-compression on one side and from the opposite side femur bone samples were harnested for three-point bending tests. Furthermore, the osteogeneses in different groups were studied at the mid-diaphysis of the femur and at the proximal femoral epiphysis with oxitetracycline. The suspension caused a decrease of the mechanical properties of the proximal femur. Resuming free activities in cage after the suspension period caused flattening of the femoral head and earlier closure of the growth plate, but no difference of the mechanical behavior was detected. Conversely, the treadmill training caused no alteration in the femoral head shape, but the mechanical properties did not change. The fluorescence studies showed that there was a decrease of the osteogenic activity at the subperiosteal level in suspended animals, but for suspended-released rats the diminished activity occurred at the endosteal level. The treadmill training caused recovering of the osteogenic balance. The post-suspension released in cage promoted partial recovery of the mechanical properties of the diaphyseal bone and the treadmill training besides recovering the normal mechanical properties did stimulate the new-bone formation.