Author:
Nagappan Palaniappan Ganesh,Chen Hong,Wang De-Yun
Abstract
AbstractNeuronal networks, especially those in the central nervous system (CNS), evolved to support extensive functional capabilities while ensuring stability. Several physiological “brakes” that maintain the stability of the neuronal networks in a healthy state quickly become a hinderance postinjury. These “brakes” include inhibition from the extracellular environment, intrinsic factors of neurons and the control of neuronal plasticity. There are distinct differences between the neuronal networks in the peripheral nervous system (PNS) and the CNS. Underpinning these differences is the trade-off between reduced functional capabilities with increased adaptability through the formation of new connections and new neurons. The PNS has “facilitators” that stimulate neuroregeneration and plasticity, while the CNS has “brakes” that limit them. By studying how these “facilitators” and “brakes” work and identifying the key processes and molecules involved, we can attempt to apply these theories to the neuronal networks of the CNS to increase its adaptability. The difference in adaptability between the CNS and PNS leads to a difference in neuroregenerative properties and plasticity. Plasticity ensures quick functional recovery of abilities in the short and medium term. Neuroregeneration involves synthesizing new neurons and connections, providing extra resources in the long term to replace those damaged by the injury, and achieving a lasting functional recovery. Therefore, by understanding the factors that affect neuroregeneration and plasticity, we can combine their advantages and develop rehabilitation techniques. Rehabilitation training methods, coordinated with pharmacological interventions and/or electrical stimulation, contributes to a precise, holistic treatment plan that achieves functional recovery from nervous system injuries. Furthermore, these techniques are not limited to limb movement, as other functions lost as a result of brain injury, such as speech, can also be recovered with an appropriate training program.
Publisher
Springer Science and Business Media LLC
Reference177 articles.
1. Devivo MJ. Epidemiology of traumatic spinal cord injury: trends and future implications. Spinal Cord. 2012;50(5):365–72.
2. Center NSCIS. Facts and figures at a glance. 2019. https://www.nscisc.uab.edu/Public/Facts%20and%20Figures%202019%20-%20Final.pdf. Accessed 24 Apr 2020.
3. Defense and Veterans Brain Injury Center (DVBIC). In: Do D, editor. DVBIC worldwide totals 2000–2019 Q3. United States: Defense and Veterans Brain Injury Center (DVBIC); 2019.
4. Regasa LE, Agimi Y, Stout KC. Traumatic brain injury following military deployment: evaluation of diagnosis and cause of injury. J Head Trauma Rehabil. 2019;34(1):21–9.
5. MSMR. Causes of traumatic brain injury, 2000–2011. MSMR. 2013;20(3):9–14.
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