Neuroplasticity and Therapy

Introduction to Neuroscience: Neuroplasticity and Therapy

Overview

  • Neuroplasticity allows for brain adaptation and rewiring, even in adulthood.
  • Early critical periods exist, but plasticity continues throughout life.
  • Therapy leverages plasticity to treat neurological and psychological conditions.

Adult Neuroplasticity: Research Findings

  • Michael Merzenich’s studies on adult monkeys:
  • Cut sensory nerves in the hand → Brain areas reorganized.
  • Adjacent brain regions invaded the inactive areas.
  • Demonstrated use it or lose it principle.
  • Edward Taube’s research on deafferentation:
  • Cutting nerves in monkeys showed cortical reorganization.
  • Learned nonuse: When the good hand was available, the injured hand remained unused.
  • Constraining the good hand forced reactivation of movement in the injured hand.

Human Plasticity and Phantom Limbs

  • Phantom limb phenomenon: Amputees often feel their missing limb.
  • Somatosensory remapping:
  • Face area invaded the hand area in the brain.
  • Touching the face caused sensations in the phantom limb.
  • Mirror therapy for phantom pain:
  • Using a mirror to reflect the intact limb tricked the brain into ‘seeing’ movement.
  • Helped relieve pain and restore normal perception.

Pain and Neuroplasticity

  • Pain is modulated by psychological factors:
  • Hypnosis can reduce perceived pain.
  • The prefrontal cortex can inhibit pain perception via the limbic system.
  • Gate theory of pain:
  • Pain signals are modulated at the spinal cord and brain level.
  • Endorphins and opioids reduce pain perception.

Constraint-Induced Therapy (CI Therapy)

  • Developed based on learned nonuse in stroke patients.
  • Key principle: Constraining the good limb forces the affected limb to relearn movement.
  • Massed practice principle:
  • Intensive, short-term training is more effective than prolonged, low-frequency training.
  • Acetylcholine and dopamine facilitate learning through reinforcement.

Language and Plasticity: Critical Periods

  • Early exposure to language is essential for fluency.
  • Adults can still learn, but plasticity is reduced.
  • Immersion vs. traditional learning:
  • Total immersion leads to faster language acquisition.
  • Similar to CI therapy, restricting reliance on the native language improves learning.

Neuropeptides and Social Bonding

  • Oxytocin (the bonding hormone) enhances attachment and trust.
  • Neuroplastic role of oxytocin:
  • Helps parents adapt to caregiving roles.
  • Reduces fear response in the amygdala.
  • Applications in therapy:
  • Could be used to treat social anxiety and PTSD.

Mirror Neurons and Empathy

  • Discovered in primates:
  • Watching an action activates the same neurons as performing the action.
  • Pain and empathy:
  • Seeing someone in pain activates the observer’s pain-related brain regions.
  • Social emotions (e.g., disgust, fear) share neural circuits with physical sensations.
  • Implications for therapy:
  • Could enhance social learning and emotional understanding in disorders like autism.

Neuroplastic Therapy for OCD

  • Traditional exposure therapy:
  • Gradual exposure to triggers reduces anxiety.
  • Innovative phone-based therapy:
  • Watching videos of oneself touching contaminants reduced symptoms.
  • 20% symptom reduction, 40% increase in cognitive flexibility.
  • Implications for treatment:
  • Could be expanded for phobias, anxiety, and PTSD.

Conclusion

  • Neuroplasticity provides new therapeutic approaches.
  • Brain rewiring can occur at any age, with proper stimulus and reinforcement.
  • Next lecture will explore Memory and Genius, focusing on how neuroplasticity affects learning and intelligence.

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