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Wa0004.
Wa0004.
Topic- Neuroplasticity
CLASS / BATCH - N1 / 1
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INDEX
I. Introduction …3
A. Definition of Neural Plasticity
B. Importance of Studying Neural Plasticity
V. Mechanisms of Neuroplasticity …4
A. Neuronal Regeneration/Collateral Sprouting:
1. Synaptic Plasticity
2. Adult Neurogenesis
B. Functional Reorganization:
1. Equipotentiality and Vicariation
2. Diaschisis
VIII. Conclusion …7
A. Recap of Neuroplasticity's Significance
B. Summary of Key Points
References …7
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I. INTRODUCTION
Neural plasticity, known also as neuroplasticity or brain plasticity, describes the ability of the
nervous system to adapt its behaviour in response to various stimuli by restructuring its
organization, functions, or connections.
Neurons possess the remarkable capability to adjust the strength and effectiveness of synaptic
communication through diverse activity-dependent processes, commonly termed synaptic
plasticity.
Over the course of the last century, research has consistently demonstrated that neural
plasticity is an intrinsic property of nervous systems across a wide spectrum of species.
Studies focusing on synaptic plasticity have not only advanced our understanding of
neuroscience but have also yielded insights with practical implications for societal well-
being, as this phenomenon is involved in numerous aspects such as learning and memory,
brain development, sensory training, and recovery from brain injuries.
Neuroplasticity, also known as neural plasticity or brain plasticity, is a process that involves
adaptive structural and functional changes to the brain. A good definition is “the ability of the
nervous system to change its activity in response to intrinsic or extrinsic stimuli by
reorganizing its structure, functions, or connections.”
Clinically, it is the process of brain changes after injury, such as a stroke or traumatic brain
injury (TBI). These changes can either be beneficial (restoration of function after injury),
neutral (no change), or negative (can have pathological consequences).
Neuroplasticity can be broken down into two major mechanisms:
The first mention of the term plasticity in regards to the nervous system was by William
James in 1890. However, the term neural plasticity is credited to Jerzy Konorski in 1948 and
was popularized by Donald Hebb in 1949.
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Neuroplasticity is traditionally thought of as occurring in 3 phases or epochs.
1. First 48 hours: Depending on the mechanism of the injury (such as stroke or TBI), there is
initial damage that cumulates as cell death with the loss of certain cortical pathways
associated with the lost neurons. The brain attempts to use secondary neuronal networks to
maintain function.
2. The following weeks: Recruitment of support cells occurs in this period as the cortical
pathways shift from inhibitory to excitatory. Synaptic plasticity and new connections are
made during this period.
3. Weeks to months afterward: The brain continues to remodel itself via axonal sprouting and
further reorganization around the damage.
V. MECHANISMS OF NEUROPLASTICTY
Adult Neurogenesis: Adult neurogenesis, the generation of new neurons in the adult brain,
represents another facet of neuroplasticity.
While historically contentious, evidence from animal models supports the existence of adult
neurogenesis in specific brain regions, including the hippocampus and olfactory bulb.
However, its occurrence in humans remains debated, with challenges in identifying
definitive biomarkers.
Studies utilizing specific biomarkers have provided insights into the potential role of adult
neurogenesis in brain plasticity, although further research is needed to elucidate its
functional significance and therapeutic implications.
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2. Functional Reorganization
Functional reorganization encompasses adaptive changes in neural circuits and functional
connectivity, facilitating the redistribution of cognitive and motor functions following injury
or environmental changes.
Diaschisis: Diaschisis refers to the phenomenon whereby damage to one brain region induces
alterations in distant but interconnected areas, influencing neural function. Initially proposed
by Constantin von Monakow, diaschisis reflects the complex interplay between neural
networks and functional connectivity.
Modern interpretations encompass diverse forms, including classic diaschisis, functional
diaschisis, connectional diaschisis, and connectome diaschisis, underscoring the multifaceted
nature of brain plasticity and its implications for neurological function.
Practical Applications:
Neuroplasticity-based rehabilitation strategies, such as constraint-induced movement therapy
(CIMT), harness the brain's adaptive capacity to promote recovery from stroke and traumatic
brain injury. Educational practices informed by neuroplasticity principles optimize learning
outcomes and cognitive development across the lifespan.
Clinical Integration:
Knowledge of neuroplasticity informs therapeutic approaches and pharmacological
interventions targeting synaptic plasticity mechanisms. Non-invasive brain stimulation
techniques offer promising avenues for modulating neuroplasticity and enhancing neural
repair in clinical populations.
Future Directions:
Continued research into neuroplasticity mechanisms holds promise for uncovering novel
therapeutic targets and advancing personalized interventions for neurological disorders.
Collaborative efforts across disciplines are essential for translating research findings into
effective treatments that enhance brain function and promote neurorecovery.
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VII. CHALLENGES AND FUTURE DIRECTIONS
Future Directions: Future research should focus on bridging the gap between basic research
and clinical applications, elucidating the natural history of neuroplasticity, and promoting
public awareness of brain health. By fostering synergistic partnerships and promoting
innovation, the scientific community can drive transformative advances in neuroplasticity
research and its applications.
Stroke: Following a stroke, neuroplasticity mechanisms are activated as the brain attempts to
reorganize and compensate for damaged areas. Synaptic plasticity, axonal sprouting, and
functional reorganization contribute to recovery processes, with rehabilitation strategies
leveraging these mechanisms to promote motor and cognitive rehabilitation.
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Disruptions in synaptic plasticity, neurogenesis, and functional connectivity contribute to
cognitive impairments, highlighting the potential therapeutic value of enhancing
neuroplasticity in Alzheimer's disease treatment.
Understanding the neuroplastic basis of psychiatric disorders may inform the development of
novel treatment approaches targeting neuroplasticity pathways.
Overall, elucidating the role of neuroplasticity in neurological disorders offers insights into
disease mechanisms and therapeutic strategies aimed at enhancing neural repair, functional
recovery, and symptom management.
VIII. CONCLUSION
REFERENCES
4. Hara Y. Brain plasticity and rehabilitation in stroke patients. J Nippon Med Sch.
2015;82(1):4-13. [PubMed]
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5. Berlucchi G, Buchtel HA. Neuronal plasticity: historical roots and evolution of
meaning. Exp Brain Res. 2009 Jan;192(3):307-19. [PubMed]
6. Miyamoto E. Molecular mechanism of neuronal plasticity: induction and maintenance
of long-term potentiation in the hippocampus. J Pharmacol Sci. 2006;100(5):433-42.
[PubMed]
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