Efeitos morfológicos do retorno da sobrecarga após imobilização em alongamento de músculo esquelético de ratas

Abstract

Background: In rehabilitation, immobilization of skeletal muscles in the elongated position is performed as a countermeasure in order to reverse the effects of severe muscle shortening and postoperative events. The return to normal functional activities is believed to stimulate mechanotransducers capable of reorganizing the normal muscle cytoarchitecture, but few data describing the histopathological changes relating to these procedures are available in the literature. Objectives: To assess and quantify histological abnormalities induced by immobilization of the extensor digitorum longus (EDL) muscle in elongation and to compare them with free movement of the animal after this procedure. Methods: Eighteen female Wistar rats were used, divided into the following groups: Control; Immobilized in plantar flexion (EDL in an elongated position) for 14 days (GI); Immobilized for 14 days and released for 10 days (GIL). EDL fragments were frozen, sectioned and processed through immunohistochemical reactions for collagens I and III and histochemical methods for myofibrillar adenosine triphosphatase using hematoxylin-eosin. Results: GI animals presented slight increases in collagen I and fiber expression in a degenerative/necrotic process, and reductions in the proportion of FT2A fibers and in the diameters of all fiber types, compared with the controls. In GIL, the quantity of collagen I returned to control conditions; the proportion of FT2D decreased; the number of centralized nuclei increased; and the fiber diameter was smaller than in GI. However, FT2B and FT2D expression did not reach the reference values. Conclusions: The data presented show that the recovery of function over a 10-day period was partially efficient with regard to recuperation of the characteristics of the EDL muscle after the period of immobilization. If the data are extrapolated to physiotherapeutic clinical practice, use of procedures directed towards primary dysfunctions of the muscle may favor a morphofunctional response in the segment and its full recovery.

Morfologia dos músculos sóleo e tibial anterior de ratos Wistar imobilizados e remobilizados em meio aquático

“…Diferentes técnicas e exercícios têm sido estudados na tentativa de reverter os danos celulares causados pela imobilização, entre eles a corrida em esteira 10,11 , ultrassom terapêutico 12 , alongamento passivo 13,14 , estimulação elétrica neuromuscular 15 e remobilização livre 16 . Apesar disso, ainda não há um modelo ideal de remobilização que permita ao músculo retornar às suas características morfológicas do momento préimobilização.…”