plasticty and fucntional recovery of the brain after trauma Flashcards
Plasticity - brain plasticity
ability to change throughout life
during infancy the brain experiences a rapid growth in the number of synaptic connections it has
peaking at about 15000 per neuron at 2-3 years - Gopnick et al
Twice as many as the adult brain
as we age rarely sued connections are deleted
frequently used connections are strengthened - called synaptic pruning
syanptic pruning enables lifelong plasticity where new neural connections are formed in response to new demands on the brain
plasticity - research into plasticity
Maguire et al
studied the brains of london taxi drivers and found significantly more volume of grey matter in the posterior hippocampus than in the matched control group
this part of the brain is associated with the 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 test
assesses their recall of their recall of the city streets and possible routes
Maguire found that this learning experiences alters the structure of the taxi drivers brains
also found that the longer the taxi drivers have been in the job the more pronounced was the structural difference (positive correlation)
limitation
Negative plasticity
plasticity may have negative behavioural consequences
evidence has shown that the brains adaption to prolonged drug use leads to poorer cognitive functioning in later life
as well as an increased risk of dementia (medina et al)
60-80% of amputees have been known to develop phantom limb syndrome
theses sensations are usually unpleasant, painful and are thought to be due to cortical reorganisation in the somatosensory coretex that occurs as a result of limb loss
this suggests that the brains ability to adapt to damage is not always beneficial
strength
age and plasticity
brain plasticity may be a life-long ability
In general plasticity rescued with age
Bezzola demonstrated how 40 hours og golf training produced changes in the neural representations of movement in participants aged 40-60
Using fMRI the researchers observed increased motor cortex activity in the novice golfers compared to a control group
suggesting more efficient neural respresentaitons after training
shows that neural plasticity can continue throughout the lifespan
functional recovery - after brain trauma
following physical injury or other forms of trauma such as the experience of a stroke unaffected areas of the brain are often ab,e to adapt and compensate for those areas that are damaged
Functional recovery that may occur in the brain after trauma is an example of neural plasticity
healthy brain areas may take over the functions of those areas that are damaged destroyed or even missing
Neuroscientists suggest that this process can occur quickly after trauma (spontaneous recovery) and then slow down after several weeks or months
At this point the individual may require rehabilitative therapy to further their recovery
functional recovery - what happens in the brain during recovery
brain is able to rewire and reorganise itself 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 activated to enable functioning to continue , often in the same way as before
functional recovery - structural changes
axonal sprouting - the growth of new nerve endings which connect with other unmanaged nerve cells to form new neuronal pathways
Denervation supersentivity- this occurs when axons that do a similar job become aroused to a higher level to compensate for the ones that are lost
yet can have the negative consequence of oversentivity to messages such as pain
recruitment of homologous - similar areas on the opposite side of the brain
means that specific task can stilll be performed
an example - if the broca’s area was damaged on the left aide of the brain the right sided equivalent would carry out its functions
after a period of time functionality may then shift back on to the left side
strength
real world application
understanding the processes involved in plasticity has contributed to to the field of nero rehabilitation
understanding that axonal growth is possible encourages new therapies to be tried
for example - constraint-indicted movement therapy is used with stoke patients whereby they repeatedly practice using the affected part of the body while the unaffected arm is restrained
shows that research into functional recovery is useful as it helps medical professionals know when interventions need to be made
limitation
cognitive reserve
level of education may influence recovery rates
Schneider revelead that the more time people with a brain injury had spent in education the greater their chances of a having a disability free recovery DFR
40% of those who archived DFR has more than 16 years of education
10% of those who has less than 12 years of education
this would imply that people with brain damage who have insufficient DFR are less likely to achieve full recovery