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Aging is associated with poorer locomotor recovery after traumatic spinal cord injury in preclinical modelsOlder rats recover less from spinal cord injury, but exercise helps them catch up

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Key Takeaway
Consider that aging is associated with poorer locomotor recovery in preclinical spinal cord injury models, with exercise showing potential benefit.

This is a systematic review of preclinical studies examining the impact of aging on locomotor recovery after traumatic spinal cord injury in animal models. The review synthesized findings from studies comparing young, intermediate, and aged rats and mice. The authors found that older animals consistently demonstrated significantly lower Basso, Beattie, Bresnahan locomotor scores post-injury, with this effect reported in 7 of 7 studies. One study reported that pre-injury and post-injury exercise improved locomotor recovery in aged rats to levels comparable with young rats. The authors acknowledge that the impact of aging on locomotor outcomes remains underexplored. They suggest the importance of age as a biological variable in spinal cord injury research and the potential of rehabilitative interventions like exercise, while noting that mechanistic pathways require future study. Practice relevance is restrained, as the findings are from preclinical models and do not infer clinical outcomes.

Getting older changes how the body handles injury. A new review of animal studies shows that older rats and mice recover less movement after a spinal cord injury than their younger counterparts. This difference was seen in seven separate studies that looked at this specific problem. The animals used were young, intermediate, and aged rats and mice. Researchers measured how well they could move using standard scores. The results were clear: age made the recovery worse. This matters because many medical tests use animals that are not old enough to represent human aging. Ignoring age could lead to misleading conclusions about treatments.

However, there is hope. One study found that exercise training changed the outcome. When rats exercised before and after the injury, older animals recovered movement skills just as well as young ones. This suggests that physical activity can counteract the natural decline that comes with age. The review looked at several ways to measure movement, including scales for mouse behavior and digital tracking of steps. All these methods pointed to the same conclusion: age slows recovery, but movement helps.

The researchers note that the impact of aging on these outcomes is still not fully understood. More work is needed to explain exactly why older animals struggle and how to fix it. Because these results come from lab animals, we cannot say for sure what will happen in humans. Still, the message is important. It highlights the need to include older animals in research and shows that rehabilitation like exercise might be a powerful tool for everyone.

What this means for you:
Exercise helps older rats recover movement after spinal cord injury just like young ones.

Study Details

Study typeMeta analysis
EvidenceLevel 1
PublishedJun 2026
View Original Abstract ↓
IntroductionAging is known to influence recovery following spinal cord injury (SCI) however its specific impact on locomotor outcomes remains underexplored. Understanding these age-related differences is critical for developing targeted rehabilitation strategies and improving the translational relevance of SCI research. This systematic review aimed to evaluate the effect of aging on locomotor recovery in animal models of traumatic SCI.MethodsA systematic search of MEDLINE and Embase was conducted to identify studies assessing the impact of aging on post-SCI locomotor outcomes. Inclusion criteria encompassed preclinical studies comparing locomotor recovery between young and aged animals following SCI. Extracted data included sample characteristics, SCI model, locomotor outcome measures, timing of evaluation, and key findings. Risk of bias was assessed using the SYRCLE checklist.ResultsOf 3,118 unique records screened, nine studies met inclusion criteria. Included animals were grouped into young (mean 2.5 months), intermediate (mean 11.4 months), and aged (mean 21.5 months) categories, with individual ages ranging from 4 weeks to 28 months. Six studies used rats and three studies used mice. In total, more than 340 animals were studied. SCI models included cord contusion (6/9, 66.7%), hemisection (2/9, 22.2%), and clip compression (1/9, 11.1%). Seven (7/9, 77.8%) studies employed the Basso, Beattie, Bresnahan (BBB) locomotor score as the primary outcome measure. Older animals demonstrated significantly lower BBB scores post-injury compared to younger counterparts in 100% (7/7) of studies using this outcome. Other measures of locomotor outcomes included the Basso Mouse Scale, CatWalk, and Digigait. Notably, one study reported that pre-injury and post-injury exercise improved locomotor recovery in aged rats to levels comparable with young rats.ConclusionAging is associated with poorer locomotor recovery following traumatic SCI in preclinical models. These findings underscore the importance of age as a biological variable in SCI research and suggest that rehabilitative interventions, such as exercise, may have potential to mitigate age-related deficits. Future studies should seek to define the mechanistic pathways underlying impaired recovery with age and evaluate targeted therapies that enhance neuroplasticity and functional recovery.Systematic review registrationhttps://www.crd.york.ac.uk/PROSPERO/view/CRD42022230021.
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