Effects of high vs moderate-intensity training on neuroplasticity and functional recovery after focal ischemia

TL;DR

This study compares high-intensity interval training and moderate-intensity training in rats post-cerebral ischemia, finding HIT more effective in improving functional recovery and promoting neuroplasticity within two weeks.

Contribution

It demonstrates that low-volume high-intensity training enhances recovery and neuroplasticity after stroke more effectively than moderate training.

Findings

HIT improves endurance and grip strength faster.

HIT reduces microglia activation and cytokine expression.

HIT restores neuroplasticity markers like p75NTR and NKCC1/KCC2 ratio.

Abstract

Background and Purpose: This study was designed to compare the effects of high-intensity interval training (HIT) and moderate-intensity continuous training (MOD) on functional recovery and cerebral plasticity during the first 2 weeks following cerebral ischemia. Methods: Rats were randomized as follows: Control (n=15), SHAM (n=9), MCAO (n=13), MCAO-D1 (n=7), MOD (n=13) and HIT (n=13). Incremental tests were performed at day 1 (D1) and 14 (D14) to identify the running speed associated with the lactate threshold (SLT) and the maximal speed (Smax). Functional tests were performed at D1, D7 and D14. Microglia form, cytokines, p75NTR, KCC2 and NKCC1 expression were made at D15. Results-HIT was more effective to improve the endurance performance than MOD and induced a fast recovery of the impaired forelimb grip force. The Iba-1 positive cells with amoeboid form and the pro- and anti-inflammatory cytokine expression were lower in HIT group, mainly in the ipsilesional hemisphere. A p75NTR overexpression is observed on the ipsilesional side together with a restored NKCC1/KCC2 ratio on the contralesional side. Conclusions-Low-volume HIT based on lactate threshold appears to be more effective after cerebral ischemia than work-matched MOD to improve aerobic fitness, grip strength and might promote cerebral plasticity.