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- W2044802988 startingPage "78" @default.
- W2044802988 abstract "Plasticity constitutes the basis of behavioral changes as a result of experience. It refers to neural network shaping and re-shaping at the global level and to synaptic contacts remodeling at the local level, either during learning or memory encoding, or as a result of acute or chronic pathological conditions. 'Plastic' brain reorganization after central nervous system lesions has a pivotal role in the recovery and rehabilitation of sensory and motor dysfunction, but can also be maladaptive. Moreover, it is clear that brain reorganization is not a static phenomenon but rather a very dynamic process. Spinal cord injury immediately initiates a change in brain state and starts cortical reorganization. In the long term, the impact of injury - with or without accompanying therapy - on the brain is a complex balance between supraspinal reorganization and spinal recovery. The degree of cortical reorganization after spinal cord injury is highly variable, and can range from no reorganization (i.e. silencing) to massive cortical remapping. This variability critically depends on the species, the age of the animal when the injury occurs, the time after the injury has occurred, and the behavioral activity and possible therapy regimes after the injury. We will briefly discuss these dependencies, trying to highlight their translational value. Overall, it is not only necessary to better understand how the brain can reorganize after injury with or without therapy, it is also necessary to clarify when and why brain reorganization can be either good or bad in terms of its clinical consequences. This information is critical in order to develop and optimize cost-effective therapies to maximize functional recovery while minimizing maladaptive states after spinal cord injury." @default.
- W2044802988 created "2016-06-24" @default.
- W2044802988 creator A5035522485 @default.
- W2044802988 creator A5043361536 @default.
- W2044802988 creator A5047969875 @default.
- W2044802988 creator A5088180752 @default.
- W2044802988 date "2014-12-01" @default.
- W2044802988 modified "2023-09-29" @default.
- W2044802988 title "Cortical reorganization after spinal cord injury: Always for good?" @default.
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