Evaluating pain-related behavior in spinal cord injury
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Cathrine Baastrup
The spinal cord contusion (SCC) model has been shown to have high mechanistic face validity to a traumatic spinal cord injury (SCI). With the SCC model the majority animals consistently display long-lasting mechanical hypersensitivity to thoracic stimulation, i.e. corresponding to the at-level area. In the talk, the following topics will be discussed and relevant results obtained with rats in the spinal cord contusion model will be presented:
The simple paw withdrawal response to stimulation remains a frequently applied method in preclinical pain research despite the acknowledged limitations in validity and predictability. The use of methods relying on paw withdrawal, which is a spinal reflex, is particularly problematic in models of SCI due to the development of the spastic syndrome.
Development of methods that require cortical involvement may increase the predictability of preclinical research. One such method, the place escape avoidance paradigm, has been investigated as an outcome measure of evoked pain after SCI. The method relies on the rats’ natural avoidance of brightly lid areas.
Measures of pain-related behavior such as anxiety- and depression-like behavior, both known comorbidities of pain, may be indirect indications of spontaneous pain, but this behavior has not been consistently reproduced in the spinal cord injury model. One method is the elevated plus maze, which is suggested to reflect predator avoidance behavior (e.g. avoidance of open arms).
Experiments with the relatively new and ethologically relevant outcome measure ‘burrowing’ has been performed to investigate if this assay reflects a form of rodent “quality of life”, or if it may be a more specific measure of pain-related affect.
Finally, some of the challenges regarding possible experimental biases will be mentioned in relation to the spinal cord contusion model and the applied outcome measures.
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Funding: This work is part of the Innovative Medicine Initiative EUROPAIN, www.imi.europa.eu. Further support was received from the Velux Foundation.
© 2012 Scandinavian Association for the Study of Pain
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