Plasticity and Functional Recovery of the Brain After Trauma Flashcards

1
Q

What is plasticity?

A

The apparent ability of the brain to change and adapt its structures and processes as a result of experience and new learning. ​

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2
Q

What was the past view on plasticity? What is now said to be the cause of neural adaption?

A

Researchers used to believe that changes in the brain only happen in infancy/childhood.

More recent research has demonstrated that the brain continues to create new neural pathways and alter existing ones to adapt to new experiences as a result of learning.​

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3
Q

Outline Machin’s study from 2018.

A

Found that when men become fathers, their brain changes as a result.

The areas associated with planning and problem solving (in the cortex) become more active, and in the unconscious brain we see changes in areas related to risk-assessment and nurturing.

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4
Q

How does plasticity link to functional recovery?

A

The way certain abilities of the brain may be moved or redistributed rather than lost following damage or trauma to the brain.

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5
Q

Give 2 case studies that show how plasticity has assisted with the functional recovery process.

A

Cameron Mott and Jodie Miller: Left hemisphere, being so plastic due to their ages, was able to compensate for the loss of her right hemisphere. Language was not affected, but motor functions of the left of her body was.

EB: Loss his left hemisphere, so also speech functions. This was compensated by the right hemisphere.

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6
Q

What are 3 different types of brain trauma/ injury?

A

Traumatic brain injuries from traffic accidents.

Traumatic brain injuries from assaults.

Traumatic brain injuries from falls.

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7
Q

Can everyone recover from brain injuries? What does this depend on though?

A

Almost all people who suffer brain injury can make some recovery.

The extent of this depends on the trauma itself and subsequent care of the patient.

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8
Q

What is the most common way the brain can recover after injury or trauma? What can happen instead?

A

New branches of axons and dendrites grow within neurons.

In some cases the brain adapts to the trauma and finds another way to complete a function. ​

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9
Q

Is recovery always complete? What does this depend on? Give an example.

A

Recovery is not always complete and depends on the level and type of damage.

E.g. the size of the stroke/the part of the brain infected - deprived of oxygen - therefore resulting in tissue death.

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10
Q

What did Maguire noticed when comparing the brain structures of taxi drivers and a control group?

(Maguire et al, 2000)

A

Noticed a significantly greater volume of grey matter in the posterior hippocampus of taxi drivers than in a matched control group. ​

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11
Q

What is the posterior hippocampus associated with?

(Maguire et al, 2000)

A

Spatial and navigational skills in humans and other animals.

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12
Q

What do taxi drivers have to pass to complete their training? Explain what it is.

(Maguire et al, 2000)

A

Drivers have to undertake intense training and take a test called “The Knowledge”.

This assesses their recall of city streets and possible routes. ​

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13
Q

What (supposedly) happens as the taxi drivers learn ‘The Knowledge’ training test?

(Maguire et al, 2000)

A

The result of having this learning experience is to alter the structure of the taxi drivers’ brains.

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14
Q

What correlation was their between time in job and the pronouncement of the structural differences?

(Maguire et al, 2000)

A

A positive correlation.

(Denser grey matter in hippocampus). ​

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15
Q

Outline the 2006 study completed by Draganski et al.

A

Imaged the brains of medical students 3 months prior to and after their final exams.

Learning-induced changes were seen to have occurred in the same location (posterior hippocampus) and also the parietal cortex, presumable as a result of learning for their exams. ​

Supports Maguire et al.

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16
Q

Outline the 2004 study completed by Mechelli et al.

A

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

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17
Q

Outline the 2014 study completed by Kuhn.

A

PPs played Super Mario for at least 30 minutes per day over a 2-month period.

Compared their brain development to a control group who were not playing video games.

Found significant differences in the grey matter of the video-gaming participants, particularly in the cortex, hippocampus and cerebellum.

These improved spatial navigation, strategic planning, working memory and motor performance.​

E.g. Used as a form of rehab, or for those who are retired to increase plasticity.

The presented video game training could therefore be used to counteract known risk factors for mental disease such as smaller hippocampus and prefrontal cortex volume in, for example, post-traumatic stress disorder, schizophrenia, and neurodegenerative diseases.

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18
Q

How can the case study of EB be applied to brain plasticity?

A

This case study can be used to provide a sensible commentary on brain plasticity.

Show that the brain is able to adapt to profound injury, at least in early childhood.

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19
Q

How can the brain learn to function again?

A

Through compensation.

The brain can be taught how to use the working faculties (i.e the undamaged parts of the brain) to compensate the ones that are lost forever (e.g. by ablation).

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20
Q

Much recovery after trauma is due to anatomical compensation, brought about by what process?

A

Intensive rehabilitation. ​

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21
Q

Outline 2 points about the case study of Scotty Cranmer.

A

Rehab was quick intensive.

Motivated to get back to his past position in life. Passionate about what he did with his life, so taking that way meant that we did have a focus to have a goal to get back to where he was.

22
Q

What happens in the brain during recovery?

A

Our brain is able to rewire and reorganise itself by forming new synaptic connections close to the area of damage.

23
Q

Outline Doidge’s study from 2007.

A

Secondary neural pathways that would not typically be used to carry out a function are activated or “unmasked” to enable functioning to continue, often in the same way as before.

24
Q

What is axonal sprouting sometimes referred to as?

A

Neuronal regeneration.

25
Q

What is axonal sprouting? (Neuronal regeneration).

A

The growth of new nerve endings will connect with other undamaged nerve cells to form new neural pathways ​

26
Q

Why is the process of axonal sprouting important?

A

Strengthens existing connections or to repair damaged parts of the nervous system by repairing damaged neural pathways and restoring them to full functionality.

27
Q

What are the 3 process that happen in the brain during recovery?

A

Axonal Sprouting.

Reformation of blood vessels, nourishing brain and strengthening connections.

Recruitment of homologous areas on the opposite side of the brain to perform specific tasks.

28
Q

Give an example of how homologous areas on the opposite side of the brain may be required to perform a specific task.

A

If Broca’s area was damaged, the right-sided equivalent would carry out its functions. After a period of time, functionality may then shift back to the left side.

29
Q

Name 4 factors affecting recovery/ trauma. Give an example for each.

A

Prior health: Physical exhaustion, stress, alcohol consumptions.

Location of injury: If the injury is in the frontal lobe, it may be less severe as there is lots of skull protection. (Weakest in temporal lobe).

Age: Deterioration of the brain in old age and therefore affects the extent and speed of recovery.

Rehab type: Whether that be intense or passive.

Motivation: Constraint induced therapy ( deafferented limbs).

30
Q

What does the term ‘homo’ mean?

A

Same

31
Q

What does the term ‘logus’ mean?

A

Location

32
Q

What happens to functional plasticity as the brain ages? Why is better when it’s younger?

A

Functional plasticity tends to decline with age.

The brain has greater propensity for reorganisation in childhood as it is constantly adapting to new learning and experiences.

33
Q

Outline the 2012 study by Bezzola et al.

A

Demonstrated how 40 hours of golf training produced changes in the neural representation of movement in Ps aged 40-60.

Using fMRI, the researchers observed reduced motor cortex activity in novice golfers compared to a control group, suggesting more efficient neural representations after training.

This shows that neural plasticity does continue through life span.

34
Q

What psychological field has grown as a result of increased understandings of plasticity and functional recovery?

(Practical Applications of Functional Recovery)

A

The field of neurorehabilitation.

35
Q

Following trauma to the brain, spontaneous recovery tends to slow after a number of weeks so forms of rehabilitation may be required to maintain improvements in functioning.

What does this demonstrate?

(Practical Applications of Functional Recovery)

A

Demonstrates that although the brain (to some extent) can fix itself, this process does require further intervention if it is to be completed successfully.

36
Q

What are 2 positive economical implications of functional recovery?

(Economical Implications of Functional Recovery)

A

People work more due to positive rehab, chances are higher that they return to previous work place, pay taxes, contribute to the economy.

More jobs for people in neurorehabilitation areas, they are trained to be professional and qualified.

37
Q

What are 3 negative economical implications of functional recovery?

(Economical Implications of Functional Recovery)

A

Equipment used for longer periods of times becomes more costly, also applicable to time.

Healthcare may need to be purchased if healthcare is not free.

Someone would also have to take their place if they do not come back for an extended period of time.

38
Q

What is an example of negative plasticity and functional recovery?

(Negative plasticity and Functional recovery)

A

Phantom limb syndrome.

39
Q

What percentage of amputees experience Phantom Limb Syndrome?

(Negative plasticity and Functional recovery)

A

60-80% of amputees.

40
Q

What did Ramachandran and Hirstein say about Phantom limb Syndrome in 1998?

(Negative plasticity and Functional recovery)

A

The sensations are usually painful and are thought to be to do with cortical reorganisation in the somatosensory cortex that occurs as a result of limb loss.

41
Q

What did Schneider et al discover in 2014?

(Cognitive Reserve)

A

Discovered that the more time brain injury patients spent in education – which was taken as an indication of their ‘cognitive reserve’ – the greater their chances of a disability-free recovery (DFR) they had.

42
Q

In Schneider’s 2014 study, what percentage of PPs who had achieved DFR had more than 16 years of education?

(Cognitive Reserve)

A

40% of PPs.

43
Q

In Schneider’s 2014 study, what percentage of PPs who had achieved DFR had more than 12 years of education?

(Cognitive Reserve)

A

10% of PPs.

44
Q

What does CTE stand for?

A

Chronic Traumatic Encephalopathy

45
Q

What is Chronic Traumatic Encephalopathy?

A

A brain condition thought to be linked to repeated head injuries and blows to the head.

46
Q

Does the brain always recover to CTE?

A

There is no cure or treatment for CTE.

Certain medicines may be used to temporarily treat the cognitive (memory and thinking) and behavioural symptoms.

47
Q

Who does CTE effect the most? Why?

A

Athletes who play contact sports (e.g., boxers, football players, etc.), military veterans.

They have increased chances of enduring repeated blows to the head.

48
Q

Name 3 long-term consequences of CTE.

A

Progressive decline of memory and cognition.

Depression.

Suicidal behaviour.

Poor impulse control.

Aggressiveness.

Dementia similar to Alzheimer’s disease.

49
Q

How is CTE diagnosed?

A

Doctors with a specialty in brain diseases slice brain tissue and use special chemicals to make the abnormality visible.

They then systematically search areas of the brain for abnormal patterns specific to CTE.

50
Q

When can CTE be diagnosed?

A

After death, through brain tissue analysis.