Factors influencing recovery Flashcards
Anosognosia
lack of awareness or recognition of dysfunction
patients with bilateral lesions show ________ recovery than patients with unilateral lesions
less
edema
swelling in brain; secondary effect
i.e. after stroke (affecting healthy tissue not damaged by stroke)
restitution vs. substitution
recovery may not represent true restitution of function, but substitution of a new behaviour (and possibly brain region)
Diaschisis
secondary effect; brain lesion in one area can affect another area if it has strong connection to it. recovery can occur in spontaneous reduction of diaschisis (metabolic depression)
predictors of recovery
rich environment, social network
Compensatory strategies
a patient learns strategies to adapt to new motor, sensory or cognitive impairments
“Poor club” of neurons
reserve: less firing, more weakly connected, but is more plastic.
“Rich club” of neurons
the ones used the most; highly connected, active
restitution is only possible…
for secondary effects
recovery plateau
idea that there is a limit to recovery; 1st year is considered the critical period (and plateau after)