Rehabilitation of brain damage: Brain plasticity and Principles of guided recovery (Robertson and Murre, 1999)
3 important questions on Rehabilitation of brain damage: Brain plasticity and Principles of guided recovery (Robertson and Murre, 1999)
Serial lesion effect
The nature of autonomous recovery as a result of pattern completion of lesioned circuits.Following certain types and locations of brain damage, a given lesion created on a single occasion will have more detrimental behavioral effects than exactly the same type and size of lesion created in a stepped fashion over a number of occasions.
Principles of guided recovery
a) nonspecific stimulation,
(b) bottom-up targeted stimulation,
(c) top-down targeted stimulation,
d) manipulation of inhibitory processes, and
(e) manipulation of arousal mechanisms.
(b) bottom-up targeted stimulation,
(c) top-down targeted stimulation,
d) manipulation of inhibitory processes, and
(e) manipulation of arousal mechanisms.
Predictors of successful recovery from acquired brain damage in adults
- Age: some authors say ‘the younger the better’, others say it is better to acquire brain damage at older age because the knowledge and skills are already in place and a lesion should have less impact
- Education / IQ: cognitive reserves
- Attentional control deficits: see (c) above
- Awareness of deficits: when people are not aware of their dysfunctions will be less likely to attend to stimulation, experience or activity that might aid repair and reconnection of lesioned circuits.
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