The Journal of Spinal Cord Medicine, 2017 · DOI: 10.1080/10790268.2016.1142137 · Published: May 1, 2017
This study investigates whether ibuprofen, an anti-inflammatory drug, can enhance the effects of acute intermittent hypoxia (AIH) on leg strength in people with chronic spinal cord injury (SCI). AIH involves short periods of low oxygen, which can improve motor function after SCI. Researchers tested if ibuprofen could boost the benefits of AIH because inflammation might hinder the spinal cord's ability to adapt and recover after injury. They compared leg strength improvements after AIH with and without ibuprofen pretreatment. The study found that AIH increased leg strength in individuals with chronic SCI, but ibuprofen did not significantly enhance this effect. This suggests that a single dose of ibuprofen may not be sufficient to augment the benefits of AIH in this population.
AIH can be used as a valuable tool to induce further plasticity in spared neural pathways following incomplete SCI.
Future studies should investigate repeated dosing protocols of ibuprofen, alternative NSAIDs, or even corticosteroids to determine the role of inflammation in AIH-induced neuroplasticity.
Future studies should identify a population of individuals with SCI who have elevated serum markers of pro-inflammatory cytokines, to investigate this question further.