The Brain - Plasticity and Functional Recovery Flashcards

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1
Q

WHAT IS MEANT BY THE TERM BRAIN PLASTICITY?

A

The brain’s ability to change and adapt as a result of experience.

Research shows that the brain continues to create new neural pathways and
alter existing ones in order to adapt to new experiences as a result of
learning.

There are many different factors known to affect neuronal structure and
function, including life experience, video games and meditation.

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2
Q

Neuroplasticity?

A

During infancy, the brain experience a rapid growth in the number of
synaptic connections it has, peaking at approximately 15,000 by the
age of 2-3 years old. This equates to twice as many as there are in
the adult brain. As we age rarely used connections are deleted and
frequently used connections are strengthened in a process known as
cognitive pruning.

This shows that the brain is in a continual state of change from
growth in early years to change and refinement in adulthood as we
learn and experience.

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3
Q

Plasticity - Real World Application

A

In recent years, it’s become clear not only that neural
organization is changed as a result of experience, but
also that there are many different types of experience
that can do this. Areas investigated have included
video games and meditation.

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4
Q

PLASTICITY AS A RESULT OF LIFE EXPERIENCE

A

The brain constantly adapts to a changing environment; as we gain new experiences, neuronal pathways that are used frequently develop stronger connections whereas those that are rarely or never used eventually die

However there is also a decline in cognitive ability due to age, which
can be attributed to changes in the brain – can this effect be reversed?

Boyke et al. (2008) – found evidence of brain plasticity in 60 year-olds taught a new skill – juggling. They found increases in grey matter in the visual cortex (although when practising stopped this was
reversed)

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5
Q

PLAYING VIDEO GAMES

A

Playing video games makes many complex cognitive and motor demands

Kuhn et al. (2014) – participants trained for at least 30 mins a day for 2
months on Super Mario. Significant increase in grey matter in several areas
of the brain (this did not happen for a control group). Video game training
resulted in new synaptic connections in brain areas involved in spatial navigation, strategic planning, working memory and motor performance.

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6
Q

MEDITATION

A

Davidson et al. (2004) – 8 Tibetan monks and 10 volunteers who had never
meditated before were asked to meditate for short periods

Measured gamma wave activity (important because they coordinate
neuron activity) and found much greater gamma wave activity in the monks than the students, even before meditation began.

They concluded that meditation not only affects the brain in the short-term but may also produce permanent changes

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7
Q

Plasticity can be negative.

A

Examples of this would include prolonged drug use
leading to poorer cognitive functioning and old age
being associated with dementia .Both are due to
changes in the brain.

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8
Q

PLASTICITY EVALUATION 1

A

Animal Studies : Studies using rats have shown that
environment and life experience positively influence plasticity
in relevant areas of the brain.

Kempermann (1998) found that rats living in complex
environments showed increased neuronal activity in the hippocampus, responsible for spatial awareness and new
memory formation, compared to rats living in lab cages.

This research suggests the brain will adapt and become active in response to environmental pressures, showing direct evidence
for plasticity in rat brains.

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9
Q

PLASTICITY EVALUATION 2

A

Furthermore, research has found a similar relationship in humans, between neural response and our environment.

Maguire’s (2000) research showed London taxi drivers had increased grey
matter and neural activity in the hippocampus, which is responsible for spatial awareness, navigation and other skills they will have in abundance
due to the demands of their job. Increasing the importance of this evidence, was the finding that time working as a taxi driver was positively correlated with hippocampal volume.

This is significant evidence that the brain changes and develops in response to environment and that plasticity continues to occur to meet the specific demands of our individual lifestyles.

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10
Q

RESEARCH

A

Maguire et al (2000) studied the brains of London taxi drivers using an MRI
and found significantly more 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’, which assesses their recall of the city streets and possible routes. It is also noteworthy that the longer they had been doing the job the more pronounced was the structural difference (a positive correlation).

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11
Q

EVALUATION OF MAGUIRE

A

+ Control group allows us to say that there is a significant difference between taxi drivers and others. (good design).

+ Use of scientific, objective measurements (MRI)

+ An attempt to study a real world phenomena.

  • We can’t be sure that the difference is due to the ‘knowledge’, as they
    weren’t tested before. They could have been taxi drivers because of their
    already existing difference. (although the positive correlation between
    experience and structure makes this less likely)
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12
Q

EVALUATION OF PLASTICITY

A

+ Understanding the processes involved in plasticity has contributed to the field of neurorehabilitation. Techniques for physical therapy can maintain
improvements.

+ Support from animal studies

  • Negative plasticity – the brain’s ability to rewire can have maladaptive
    behavioural consequences, e.g. poorer cognitive functioning due to
    prolonged drug use or phantom limb syndrome.
  • Functional plasticity reduces with age
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13
Q

FUNCTIONAL RECOVERY

A

Following physical injury or other forms of trauma such as infection or the experience of a stroke, unaffected areas are
sometimes able to adapt or compensate for those areas that are damaged.

The functional recovery that occurs in these cases is an example of neural plasticity. Neuro scientists suggest that this can happen quickly after trauma (spontaneous recovery) and then slow down after several weeks or months. Therapy may then be needed.

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14
Q

WHAT HAPPENS IN THE BRAIN DURING RECOVERY?

A

The brain is able to rewire and reorganise it’s self 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. This process is supported by a number of
structural changes.

  1. Axon sprouting: new nerve endings grow and connect with undamaged areas.
  2. Denervation supersensitivty axons that do a similar job become more sensitive to allow them to also do that job (compensating for lost connections)
  3. Recruitment of homologous (similar) areas on the opposite hemisphere to do specific tasks. E.g if Brocas area was damaged then an area on the right might take over
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15
Q

FUNCTIONAL RECOVERY AFTER TRAUMA

A

Research has shown that when brain cells are destroyed or damaged (due
to stroke or other trauma) the brain rewires itself over time so that some
level of function can be regained. Neurons next to damaged brain areas
can form new circuits that resume some of the lost function.

Two ways in which the brain is able to recover are neuronal unmasking
and stem cells

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16
Q

NEURONAL UNMASKING

A

Wall (1977) first identified ‘dormant synapses’ which are synaptic connections
that exist anatomically but their function is blocked. Normally these are
ineffective because the rate of neural activity is too low for them to be activated

However, if there is damage to a surrounding brain area this can increase the
rate of input to these synapses sufficiently to open (or ‘unmask’) these dormant synapses.

This can open connections to areas of the brain not normally activated; which
can in time lead to a development of new structures.

17
Q

STEM CELLS

A

Stem cells are unspecialised cells that can take on the characteristics of
different cells including nerve cells.

Stem cells may provide treatment for brain damage; there are three possible views on how:

Stem cells implanted into the brain directly replace dead/dying cells

Transplanted stem cells secrete growth factors that ‘rescue’ the damaged cells

Transplanted cells create a network linking an uninjured brain site,
where new stem cells are made, to the damaged region

18
Q

EVALUATION OF FUNCTIONAL RECOVERY 1

A

Animal studies support theories of functional recovery due to stem cell
treatment. Tajiri (2013) showed that rats who had incurred brain injury and
received stem cell treatment showed development of neuronal cells in
injured area, three months after beginning treatment. This was supported by
evidence that the injected stem cells were travelling directly to the injured
site.

This research suggests stem cell treatment is potentially highly effective at
encouraging functional recovery after trauma to the brain and has positive
and hopeful implications for the treatment of brain injury.

19
Q

EVALUATION OF FUNCTIONAL RECOVERY 2

A

Educational Attainment & FR: Schneider (2014) found years spent in education to be important in how far the brain can recover after trauma. Using retrospective data from the US Traumatic Brain Injury Systems database, they found that 40% of people who had been in education for 16 years or more had achieved Disability Free Status following their injury, compared to 30% of those with 12-15years of ed. And under 10% for those who had lower than 12 years.

This suggests a positive relationship may be evident between years spent in
education and functional recovery, but retrospective data comparison is unable to suggest a causal link here.

20
Q

RESEARCH INTO FUNCTIONAL RECOVERY 3

A

Tajiri et al (2013) provided evidence for the role of stem cells in recovery from
brain injury.

They randomly assigned rats with 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.

The control group received a solution infused into the brain containing no stem cells.

Three months after the brain injury, the brains of stem cell rats showed clear
development of neuron-like cells in the area of injury. This was accompanied by a
solid stream of stem cells migrating to the brain’s site of injury. This was not the
case with the control group.

21
Q

EVALUATION OF FUNCTIONAL RECOVERY 4

A
  • Animal study so hard to generalise to humans

+ Animal studies enable us to monitor the function of the brain before and
after trauma because we cause it. Ethically we couldn’t do this in humans
and it’s unlikely that we would have measured their function before a
natural event (because we didn’t know it was going to happen).

22
Q

ECHOLOCATION

A

Human echolocation is a learned ability for humans to sense their environment from echoes.

This ability is used by some blind people to navigate their environment and sense their surroundings in detail.

Studies in 2010 and 2011 using fMRI have shown that parts of the brain
associated with visual processing are adapted for the new skill of echolocation.

Studies with blind patients, for example, suggest that the click-echoes heard by
these patients were processed by brain regions devoted to vision rather than audition.

In human’s evidence is restricted to small scale studies of people who
already have issues, it is unclear whether what we are seeing is due to
recovery or an individual difference.

23
Q

AGE DIFFERENCES IN FUNCTIONAL RECOVERY

A

Functional plasticity reduces with age

According to this view, the only option following traumatic brain injury
beyond childhood is to develop compensatory behavioural strategies to
work around the deficit (such as seeking social support or to develop
strategies to deal with cognitive deficits).

However, some studies have suggested that even abilities
commonly thought to be fixed in childhood can still be modified in adults with intense retraining.

However, the capacity for neural reorganization is much greater in
children than in adults, as demonstrated by the extended practice that
adults require in order to produce changes.

24
Q

EDUCATIONAL ATTAINMENT AND
FUNCTIONAL RECOVERY

A

Schneider et al (2014) found that patients with the equivalent of a college education are seven times more likely than those who didn’t finish high school to be disability-free one year after a moderate to severe traumatic brain injury.

They carried out a retrospective study based on data from the US
Traumatic Brain Injury Systems Database.

Of the 769 patients studied, 214 had achieved disability-free recovery (DFR) after one year.

Of these, 39.2% of the patients with 16 or more years of education had achieved DFR, as had 30.8% of those with 12-15 years of education, and just 9.7% of those with less than 12 years of education achieved DFR after just one year.

The researchers concluded that ‘cognitive reserve’ (associated with greater
educational attainment) could be a factor in neural adaptation during
recovery from traumatic brain injury.

25
Q
A