Neuroplastic principles Flashcards

1
Q

what are the goals of neurorehab

A

1) compensation
2) recovery/restoration

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2
Q

what is compensation

A

learning new methods of preforming tasks to minimize the loss of motor function. EX: AFO, environmental adaptation

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3
Q

what is recovery and restoration

A

the regaining of lost motor skills

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4
Q

what are the types of neuroplasticity

A

1) experience expectant
2) experience induced

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5
Q

what is experience expectant

A

dependent upon genetics and development. EX: vision

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6
Q

what is experience induced

A

providing experiences needed to make neuroplastic changes. This is what we focus on in rehab

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7
Q

what is experence induced neuroplasticity dependent on

A

1) type of ex
2) diet
3) environment
4) stress
5) aging
6) neurotropic factor
7) brain receivers

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8
Q

what does experience induced neuroplasticity lead to

A

increased motor learning which leads to skilled motor activity which leads to skill adaptation

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9
Q

what is long term potentiation

A

persistent strengthening of synaptic connections occurring from high frequency presynaptic activity

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10
Q

what happens to to post synaptic receptors in long term potentiation

A

they increase in receptor numbers thus increasing the synaptic strength

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11
Q

benefits of aerobic and resistive exercise in memory

A

1) hippocampus neurogenesis
2) increased cerebral blood flow

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12
Q

pathological neuroplastic mechanisms that contibute to neural remodeling

A

1) modified gene expression
2) dendrite remodeling
3) myelin plasticity
4) cytogenesis
5) synaptic strengthening and LTP
6) increased circulating neurotrophins

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13
Q

motor learning impact on the cortex

A

1) increases dendritic spine density
2) increase survival of new spine

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14
Q

motor learning impact on the striatum/BG

A

1) increase cortico-striatal connectivity
2) increase responsiveness of synapses

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15
Q

what does learning a new skill (motor learning) do

A

increase the connection between the cortex and the BG/ striatum

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16
Q

what does strength training do

A

increases spinal motor neuron excitability by working at the AHC.

17
Q

what can co-activation do

A

lead to a decrease in 1a transmittion thus working on the muscle spindle

18
Q

what is multimodal stimulation

A

using 2 or more sensory inputs to target brain activity

19
Q

multimodal stimulation has been shown to enhance

A

1) speed
2) detection
3) localization
4) reaction

20
Q

what is the role of the superior colliculus

A

synthesises information from visual, auditory, and somatosensory to enhance the vigor of there responces.

21
Q

what part of the brain does attention

A

frontal lobe

22
Q

what part of the brain does motivation

23
Q

what part of the brain synthesises vision

24
Q

in PD multimodel activites have been shown to improve

A

1) turning
2) festination
3) cog. tug time

25
variable motor activities and their brain function
1) goals: premotor cotex 2) aerobic exercise: frontal lobe for executive function 3) skilled performance: cerebellum 4) learning new motor skills: parahippocampal gyrus, dendritic growth and brain reorganization
26
what intensity was shown to be the best for neuroplasticity
high intensity variable
27
benefits of TENS in SCI
increases muscle strength through increasing motor units and increasing frequency
28
best placement for TENS
nerve> muscle> acupuncture
29
what does neuropathic pain do to the spine pathology
1) increase mushroom shaped spine 2) increase neuronal exitability 3) increase spine density
30
what type of exercises to do with PD
goal based aerobic
31
what types of exercises to do with MS
task oriented to increase white matter in 2 months and gray matter in 2-6 weeks
32
what type of exercised to do with specific areas of the brain like stoke
massed and task specific practice
33
what types of ex to do with whole brain injuries like TBI
goal oriented, mirror, knowledge of results
34
what are the 8 things needed to improve recovery
1) proper dosing (5+ hours a week) 2) structured practice 3) task specific 4) variable practice 5) multisensory 6) increasing in difficulty 7) explicit feedback 8) implicit feedback