Plasticity and functional recovery from brain trauma Flashcards

1
Q

good day

A

ok move on im done

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2
Q

Denervation

A

Loss of nerve supply inactivity and atrophy of muscle fibres

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3
Q

Plasticity

A

The brain’s tendency to change and adoptas a result of experience and new learning

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4
Q

Denervation supersensitivity/hypersensitivity

A

Is the sharp increase of sensitivity of post-synaptic membranes to a chemical transmitter after denervation
A compensatory change

yh idk either man

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5
Q

What happens in the brain during recovery

A

Brain is able to reduce and reorganise by forming new synaptic connections close to the area of damage
Secondary neural pathways that would not typically be used to carry out certain functions are ‘unmasked’ to enable functioning to continue
Process is supported by a number of structural changes

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6
Q

What are the structural changes that occur during brain recovery

A

Axon sprouting - new nerve endings grow and connect with undamaged areas
Reformation of blood vessels
Recruitment of homologous (similar) areas - on the opposite hemisphere to do specific tasks, e.g. if Broca’s area was damaged then an area on the right might take over

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7
Q

What is increased brain stimulation as functional recovery of the brain after trauma: an example of plasticity

A

If neurons are damaged, neighbouring neurons are also affected (works the same for the hemispheres)
Therefore you need to simulate the undamaged neighbouring neurons or healthy hemisphere to aid plasticity
After trauma this can happen very quickly (spontaneous recovery) and then it slows down

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8
Q

What is Elanor Maguire et al’s 2000 study on plasticity

A

Studied the brains of London taxi drivers using an MRI and found significantly more grey matter in the posterior hippocampus in the matched control group
This part is associated w development of spatial and navigational skills in humans and other animals
As part of their training London Cabbies must take a complex test called ‘the knowledge’ which assesses their recall of the city streets and possible routes
Longer they had been doing job, more pronounced the structural difference was (+ve correlation)

that was long
CALL DOCTOR DOFFENSHMIRTZ

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9
Q

What is the Draganski et al 2006 support for plasticity

A

Imaged the brains of medical students 3 months b4 and after their final exams
Learning-induced changes were seen to have occurred in the posterior hippocampus and the parietal cortex presumably as a result of the exam

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10
Q

What did Mechelli et al. 2004 do in support for plasticity

A

Found larger parietal cortex in the brains of people who were bilingual compared to matched monolingual controls

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11
Q

What is the Tajiri et al 2013 research into functional recovery

A

Provided evidnece for the role of stem cells in recovery from brain injury
They randomly assigned rats with traumatic brain injury to 1 or 2 groups
One group received transplants of stem cells into the region of the brain affected by traumatic injury
The control group received a solution infused into the brain containing no stem cells
3 months after the brain injury, brains of stem cell rats showed clear development of neuron-like cells in the area of injury
Accompanied by a solid stream of stem cells migrating to the brain’s site of injury
Was not case with control group

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12
Q

What is a +ve evaluation of neuroplacitity as practical application

A

Understanding plasticity has contributed to the field of neuro-rehabilitation
Following illness or injury to the brain, spontaneous recovery tends to slow down after a number of weeks, so physical therapy may be required
-Including movement therapy and electrical stimulation to counter the deficits and/or cognitive function
-Shows brain has ability to fix itself

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13
Q

What is a -ve evaluation about negative plasticity

A

Brain’s ability to require itself can have maladaptive behavioural consequences
Prolonged drug use has been shown to result in poorer cognitive function as well as increased risk of dementia (Medina et al 2007)
60-80% of amputees have been known to develop phantom limb syndrome - they experience sensations in the missing limb)
so what if u got a missing fuckin leg u try n walk, face plant into the concrete and just go oh yh shi i forgot again
These sensations are unpleasant, painful and are thought to be due to cortical reorganisation in the somatosensory cortex (Ramachandran & Hirstein 1998)
well u cant call psych names boring thats 4 sure

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14
Q

What is a +ve evaluation about age and plasticity

A

Brain has a greater propensity for reorganisation in childhood, as it is constantly adapting to new experiences and learning
Bezzola et al 2012 = demonstrated how 40 hrs of golf training produced changes in the neural representation of movement in participants aged 40-60
Using fMRI researches observed reduced motor cortex activity in novice golfers than controls, suggesting more efficient neural representations after training
yh
idk
me neither
ok
i just told avani i need to poo in psych
imma go poo now

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15
Q

What is +ve support for plasticity with animal studies

A

Hubel and Wiesel 1963
Sewing one eye of a kitten shit and analysing the brain’s cortical responses
Was found that the area of visual cortex associated w shut eye was not idle but continued to process info from the open eye
WHY DIDNT THEY JUST GIVE EM MF BLIDNFOLDS

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16
Q

How is the concept of cognitive reserve a +ve evaluation

A

idk
but sure sounds fancy tho
here u go

There is evidence to suggest a person’s educational attainment may influence how well the brain adapts after injury
Schneider et al 2014 discovered the more time brain injury patients spent in education (taken as their cognitive reserve), the greater their chances of disability-free recovery (DFR, in short ofc)
2/5 of patients studied who achieved DFR had more than 16 yrs education compared to about 10% who had less than 12

well obviously

17
Q

What is lateralisation of cortical function

A

Some functions, such as speech and language, are controlled by a particular function

18
Q

What is localisation of cortical function

A

Paul Broca and Karl Wernicke discovered in 19th century that certain areas of the brain were responsible for different functions

19
Q

What is the rat study which provides research into function recovery

A

Tajiri et al (2013)
Provided evidence for the role of stem cells in recovery from brain injury
Randomly assigned rats w traumatic brain injury to one of 2 groups
One group received transplants of stem cells into the region of the brain affected by traumatic injury
Control group received solution infused into brain containing no stem cells
3 months after brain injury, brains of stem cell rats showed clear development of neuron-like cells in area of injury
Was accompanied by a solid stream of stem cells migrating to brain’s site of injury (not case of control group)
a rat study?! and no one invited me?!

20
Q

When is the time of greatest growth of synaptic connections

A

Infancy

21
Q

What happens when it becomes established that some of the synaptic connections are not used

A

A process of synaptic pruning occurs which involves their removal
In addition new neural connections can be formed and existing ones changed as a result of learning and experiences

22
Q

What is neurorehabilitation

A

The process of supporting people after brain trauma to regain as much function as possible
does this include
um
emotional trauma

23
Q

What does functional recovery involve

A

Unaffected areas of the brain taking over from damaged areas, which will usually occur quickly after the trauma = spontaneous recovery (slows down later)
Due to slowing down, at that point therapies need to take over to continue the rehabilitation, e.g. electrical stimulation of brain or phantom therapy
soo…fake therapy??

24
Q

What did Schneider et al find out in 2014 to do with adapting after a brain injury and eduction

A

That the ability of people to adapt after brain injury was associated w the time they had spent in education
stay in skl kids

25
Q

What are some downsides of plasticity

A

Phantom limb disorder - thought to result from re-organisation in somatosensory cortex and prolonged drug use impacts negatively on cognitive functioning and is associated w dementia in later life

26
Q

Who was Gabby Gifford

A

Politician shot in head
Placed in waking coma
Made staggering progress in months
Physical rehabilitation helped her walk under supervision w perfect control of her left arm and leg and write w her left hand
Could read, understand and speak in short phrases
Progress placed her in top 5% of recovery from serious brain injury
Aphasia
some very cool beans here

27
Q
A