Rewiring the brain for recovery after stroke and brain injury

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Rewiring the brain for recovery after stroke and brain injury

Neuroplasticity is important for the recovery of motor, cognitive and sensory functions after stroke or brain injury. Read on to see what the expert has to say.

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neuroplasticity Refers to the brain’s ability to reorganize itself by forming new neural connections throughout life, especially after injury or damage. This adaptive process allows the brain to compensate for lost functions or reorganize its activities, and it plays an important role in recovery after events such as stroke or brain injury,
The role of neuroplasticity in stroke and brain injury recovery.
Reorganization of brain functions: After a stroke or brain injury, the affected brain area can no longer function as before. “Neuroplasticity enables other parts of the brain to take over the functions of damaged areas. For example, if the part of the brain responsible for speaking is damaged, other areas of the brain may adapt to help in language processing,” Dr Rajesh, director of neurosciences and neurology at Max Super Specialty Hospital, Patparganj. Gupta explains.
restoration of motor function:One of the most important effects of neuroplasticity in stroke recovery is the restoration of motor function. According to Dr. Gupta, when a stroke damages motor areas of the brain, neuroplasticity facilitates the rewiring of neural pathways, allowing the brain to recruit other areas to regain some level of movement or dexterity. Is.
He added, “Rehabilitative therapies such as physical, occupational and speech therapy stimulate neuroplasticity, which promotes the brain’s ability to form new pathways for movement.”
cognitive recovery: Stroke or brain injury can affect cognitive functions such as memory, attention and problem-solving. Dr. Gupta says that neuroplasticity helps in restructuring of neural networks affected by injury. “With therapeutic interventions, patients can strengthen cognitive functions and improve mental agility by stimulating neuroplastic changes in the brain,” he says.
Critical period for plasticity: While neuroplasticity can occur at any stage of life, Dr. Gupta says, it is stronger during certain periods of recovery, especially in the early stages after a stroke or brain injury. He added, “The brain is more adaptable and responsive to rehabilitation efforts soon after injury, which is why early intervention can significantly improve recovery outcomes.”
Intensive rehabilitation and neuroplasticity: The process of neuroplasticity is enhanced through intensive and repetitive rehabilitation exercises. According to Dr. Gupta, techniques like Constraint-induced movement therapyFunctional electrical stimulation, and mental exercises encourage the brain to “retrain” itself. This intense activity, he says, can promote restructuring of neural circuits, helping patients recover physical, emotional and cognitive functions.
Limitations and variability: While neuroplasticity provides significant capacity for recovery, it is not always sufficient to restore all function, especially in severe brain injuries. “The degree of neuroplastic recovery may vary depending on factors such as location and extent brain damageThe patient’s age, pre-existing brain health, and the time and intensity of rehabilitation. Additionally, reconstitution may not completely replicate native brain function,” explains Dr. Gupta.
Brain stimulation and neuroplasticity: Recent studies have shown that certain forms of brain stimulation, such as transcranial magnetic stimulation (TMS) or transcranial direct current stimulation (tDCS), can enhance neuroplasticity. “These non-invasive techniques stimulate the brain to promote neural recovery and functional reorganization, providing additional support during the recovery process,” he says.
In short, through treatments and rehabilitation, the brain can adapt and form new neural pathways to compensate for damaged areas, providing patients with hope in their recovery journey. However, the extent of recovery varies, and the success of neuroplasticity often depends on early, targeted interventions.
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