RECOVERY of MYELINATION in RAT OPTIC NERVE AFTER DEVELOPMENTAL RETARDATION by Cortisoll
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Focusing on the Re-Emergence of Primitive Reflexes Following Acquired Brain Injuries
33 Focusing on The Re-Emergence of Primitive Reflexes Following Acquired Brain Injuries Resiliency Through Reconnections - Reflex Integration Following Brain Injury Alex Andrich, OD, FCOVD Scottsdale, Arizona Patti Andrich, MA, OTR/L, COVT, CINPP September 19, 2019 Alex Andrich, OD, FCOVD Patti Andrich, MA, OTR/L, COVT, CINPP © 2019 Sensory Focus No Pictures or Videos of Patients The contents of this presentation are the property of Sensory Focus / The VISION Development Team and may not be reproduced or shared in any format without express written permission. Disclosure: BINOVI The patients shown today have given us permission to use their pictures and videos for educational purposes only. They would not want their images/videos distributed or shared. We are not receiving any financial compensation for mentioning any other device, equipment, or services that are mentioned during this presentation. Objectives – Advanced Course Objectives Detail what primitive reflexes (PR) are Learn how to effectively screen for the presence of PRs Why they re-emerge following a brain injury Learn how to reintegrate these reflexes to improve patient How they affect sensory-motor integration outcomes How integration techniques can be used in the treatment Current research regarding PR integration and brain of brain injuries injuries will be highlighted Cases will be presented Pioneers to Present Day Leaders Getting Back to Life After Brain Injury (BI) Descartes (1596-1650) What is Vision? Neuro-Optometric Testing Vision writes spatial equations -
Improvement and Neuroplasticity After Combined Rehabilitation to Forced Grasping
Hindawi Case Reports in Neurological Medicine Volume 2017, Article ID 1028390, 7 pages https://doi.org/10.1155/2017/1028390 Case Report Improvement and Neuroplasticity after Combined Rehabilitation to Forced Grasping Michiko Arima, Atsuko Ogata, Kazumi Kawahira, and Megumi Shimodozono Department of Rehabilitation and Physical Medicine, Kagoshima University Graduate School of Medical and Dental Sciences, Kagoshima, Japan Correspondence should be addressed to Michiko Arima; [email protected] Received 20 September 2016; Revised 31 December 2016; Accepted 9 January 2017; Published 6 February 2017 Academic Editor: Pablo Mir Copyright © 2017 Michiko Arima et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. The grasp reflex is a distressing symptom but the need to treat or suppress it has rarely been discussed in the literature. We report the case of a 17-year-old man who had suffered cerebral infarction of the right putamen and temporal lobe 10 years previously. Forced grasping of the hemiparetic left upper limb was improved after a unique combined treatment. Botulinum toxin typeA (BTX-A) was first injected into the left biceps, wrist flexor muscles, and finger flexor muscles. Forced grasping was reduced along with spasticity of the upper limb. In addition, repetitive facilitative exercise and object-related training were performed under low-amplitude continuous neuromuscular electrical stimulation. Since this 2-week treatment improved upper limb function, we compared brain activities, as measured by near-infrared spectroscopy during finger pinching, before and after the combined treatment. -
The Grasp Reflex and Moro Reflex in Infants: Hierarchy of Primitive
Hindawi Publishing Corporation International Journal of Pediatrics Volume 2012, Article ID 191562, 10 pages doi:10.1155/2012/191562 Review Article The Grasp Reflex and Moro Reflex in Infants: Hierarchy of Primitive Reflex Responses Yasuyuki Futagi, Yasuhisa Toribe, and Yasuhiro Suzuki Department of Pediatric Neurology, Osaka Medical Center and Research Institute for Maternal and Child Health, 840 Murodo-cho, Izumi, Osaka 594-1101, Japan Correspondence should be addressed to Yasuyuki Futagi, [email protected] Received 27 October 2011; Accepted 30 March 2012 Academic Editor: Sheffali Gulati Copyright © 2012 Yasuyuki Futagi et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. The plantar grasp reflex is of great clinical significance, especially in terms of the detection of spasticity. The palmar grasp reflex also has diagnostic significance. This grasp reflex of the hands and feet is mediated by a spinal reflex mechanism, which appears to be under the regulatory control of nonprimary motor areas through the spinal interneurons. This reflex in human infants can be regarded as a rudiment of phylogenetic function. The absence of the Moro reflex during the neonatal period and early infancy is highly diagnostic, indicating a variety of compromised conditions. The center of the reflex is probably in the lower region of the pons to the medulla. The phylogenetic meaning of the reflex remains unclear. However, the hierarchical interrelation among these primitive reflexes seems to be essential for the arboreal life of monkey newborns, and the possible role of the Moro reflex in these newborns was discussed in relation to the interrelationship. -
The Concept of the Reflex in the Description of Behavior 321
THE CONCEPT OF THE REFLEX IN THE DESCRIPTION OF BEHAVIOR 321 The present paper was published in the Journal of General Psychology, I I 2 * s here the editor. ( 93 > 5' 4 7~45$) an^ reprinted by permission of INTRODUCTORY NOTE THE EXTENSION of the concept of the reflex to the description of the behavior of intact organisms is a common practice in modern theorizing. Nevertheless, we owe most of our knowledge of the reflex to investigators who have dealt only with "preparations," and who have never held themselves to be con- cerned with anything but a subsidiary function of the central nervous system. Doubtless, there is ample justification for the use of relatively simple systems in an early investigation. But it is true, nevertheless, that the concept of the reflex has not emerged unmarked by such a circumstance of its development. In its extension to the behavior of intact organisms, that is to say, the his- torical definition finds itself encumbered with what now appear to be super- fluous interpretations. The present paper examines the concept of the reflex and attempts to evaluate the historical definition. It undertakes eventually to frame an alterna- tive definition, which is not wholly in despite of the historical usage. The reader will recognize a method of criticism first formulated with respect to scientific Ernst Mach in The Science and concepts by [ of Mechanics} per- haps better stated by Henri Poincare. To the works of these men and to Bridgman's excellent application of the method [in The Logic of Modern Physics] the reader is referred for any discussion of the method qua method. -
Oligodendrocytes in Development, Myelin Generation and Beyond
cells Review Oligodendrocytes in Development, Myelin Generation and Beyond Sarah Kuhn y, Laura Gritti y, Daniel Crooks and Yvonne Dombrowski * Wellcome-Wolfson Institute for Experimental Medicine, Queen’s University Belfast, Belfast BT9 7BL, UK; [email protected] (S.K.); [email protected] (L.G.); [email protected] (D.C.) * Correspondence: [email protected]; Tel.: +0044-28-9097-6127 These authors contributed equally. y Received: 15 October 2019; Accepted: 7 November 2019; Published: 12 November 2019 Abstract: Oligodendrocytes are the myelinating cells of the central nervous system (CNS) that are generated from oligodendrocyte progenitor cells (OPC). OPC are distributed throughout the CNS and represent a pool of migratory and proliferative adult progenitor cells that can differentiate into oligodendrocytes. The central function of oligodendrocytes is to generate myelin, which is an extended membrane from the cell that wraps tightly around axons. Due to this energy consuming process and the associated high metabolic turnover oligodendrocytes are vulnerable to cytotoxic and excitotoxic factors. Oligodendrocyte pathology is therefore evident in a range of disorders including multiple sclerosis, schizophrenia and Alzheimer’s disease. Deceased oligodendrocytes can be replenished from the adult OPC pool and lost myelin can be regenerated during remyelination, which can prevent axonal degeneration and can restore function. Cell population studies have recently identified novel immunomodulatory functions of oligodendrocytes, the implications of which, e.g., for diseases with primary oligodendrocyte pathology, are not yet clear. Here, we review the journey of oligodendrocytes from the embryonic stage to their role in homeostasis and their fate in disease. We will also discuss the most common models used to study oligodendrocytes and describe newly discovered functions of oligodendrocytes. -
Classic Signs Revisited Postgrad Med J: First Published As 10.1136/Pgmj.71.841.645 on 1 November 1995
Postgrad MedJ3 1995; 71: 645-648 C The Fellowship of Postgraduate Medicine, 1995 Classic signs revisited Postgrad Med J: first published as 10.1136/pgmj.71.841.645 on 1 November 1995. Downloaded from The Babinski reflex J van Gijn Summary The information that may be deduced from scratching a patient's sole, is as The plantar response is a reflex important as a diagnostic sign as it is simple to elicit. When the great toe moves that involves not only the toes, but upward (sign of Babinski), this signifies, as everybody knows, a disturbance of all muscles that shorten the leg. In the pyramidal tract. This explains why few patients with neurological symptoms the newborn the synergy is brisk, can avoid having their plantar reflexes examined - often to their great surprise, or involving all flexor muscles of the even alarm if the trouble is in the head. Unfortunately the reality is less simple leg; these include the toe 'exten- than the theory. Often it is difficult to decide whether the great toe actually does sors', which also shorten the leg go up: the toe movements may be slight, vacillate between up and down, seem on contraction and therefore are down one day but up the next, or be interrupted by voluntary withdrawal flexors in a physiological sense. As movements. It is therefore no great surprise that such difficult plantar responses the nervous system matures and give rise to wide variations between doctors, or even between different occasions the pyramidal tract gains more with the same observer. Under these circumstances the interpretation may be control over spinal motoneurones influenced by the physician's previous expectations.' Since it is obviously the flexion synergy becomes less important for the diagnosis in individual patients whether or not a lesion of the brisk, and the toe 'extensors' are pyramidal system exists, there is a need for criteria that are both reliable and no longer part of it. -
The Brain That Changes Itself
The Brain That Changes Itself Stories of Personal Triumph from the Frontiers of Brain Science NORMAN DOIDGE, M.D. For Eugene L. Goldberg, M.D., because you said you might like to read it Contents 1 A Woman Perpetually Falling . Rescued by the Man Who Discovered the Plasticity of Our Senses 2 Building Herself a Better Brain A Woman Labeled "Retarded" Discovers How to Heal Herself 3 Redesigning the Brain A Scientist Changes Brains to Sharpen Perception and Memory, Increase Speed of Thought, and Heal Learning Problems 4 Acquiring Tastes and Loves What Neuroplasticity Teaches Us About Sexual Attraction and Love 5 Midnight Resurrections Stroke Victims Learn to Move and Speak Again 6 Brain Lock Unlocked Using Plasticity to Stop Worries, OPsessions, Compulsions, and Bad Habits 7 Pain The Dark Side of Plasticity 8 Imagination How Thinking Makes It So 9 Turning Our Ghosts into Ancestors Psychoanalysis as a Neuroplastic Therapy 10 Rejuvenation The Discovery of the Neuronal Stem Cell and Lessons for Preserving Our Brains 11 More than the Sum of Her Parts A Woman Shows Us How Radically Plastic the Brain Can Be Appendix 1 The Culturally Modified Brain Appendix 2 Plasticity and the Idea of Progress Note to the Reader All the names of people who have undergone neuroplastic transformations are real, except in the few places indicated, and in the cases of children and their families. The Notes and References section at the end of the book includes comments on both the chapters and the appendices. Preface This book is about the revolutionary discovery that the human brain can change itself, as told through the stories of the scientists, doctors, and patients who have together brought about these astonishing transformations. -
Clinical Neurophysiology Board Review Q&A
Clinical Neurophysiology Board Review Board Clinical Neurophysiology Clinical Neurophysiology Board Review Q&A Clinical Puneet K. Gupta, MD, MSE • Pradeep N. Modur, MD, MS • Srikanth Muppidi, MD his high-yield, illustrated clinical neurophysiology board review is a comprehen- Neurophysiology sive resource for assessing and refining the knowledge tested on multiple board Texaminations. Written by authors who are collectively board certified in all of the areas covered, the book is a valuable study tool for candidates preparing for certifica- tion or recertification in clinical neurophysiology, neuromuscular medicine, epilepsy, Board Review sleep medicine, and neurology. Using structured question formats typically encountered on boards, this comprehensive review allows users to assess their knowledge in a wide range of topics, provides rationales for correct answers, and explains why the other choices are incorrect. A unique “Pearls” section at the end of the book allows for quick review of the most important concepts prior to exam day. Clinical Neurophysiology Board Review Q&A contains 801 questions with answers and detailed explanations. The book is divided into eight chapters covering anatomy Q and physiology, electronics and instrumentation, nerve conduction studies and EMG, & EEG, evoked potentials and intraoperative monitoring, sleep studies, ethics and safety, and advanced topics including QEEG, MEG, TES, autonomic testing, and more. A Liberal use of image-based questions illustrating the full spectrum of neurophysiologic & tests and findings build interpretive skills. Questions are randomized and include Q A both case-related questions in series and stand-alone items to familiarize candidates Gu with the question types and formats they will find on the exam. -
The Leg Cross Flexion-Extension Reflex: Biomechanics, Neurophysiology, MNRI® Assessment, and Repatterning
Po R t a l t o n e u R o d e ve l o P m e n t a n d le a R n i n g t h e o R y a n d h i s t o R y o f m n R i ® R e f l e x i n t e g R a t i o n The Leg Cross Flexion-Extension Reflex: Biomechanics, Neurophysiology, MNRI® Assessment, and Repatterning Elvin Akhmatov, MA, Ph.D. Student, Orlando, FL, USA; Jakub Buraczewski, PT, MNRI® Core Specialist; Denis Masgutov, Director of SMEI , Poland Introduction wo separate reflexes, Phillipson’s Withdrawal and Leg Cross Flexion-Extension, are eas- ily confused because they have similar motor Tpatterns and are elicited by stimuli that can appear to be alike and usually manifest at the same time. The authors’ purpose is to distinguish clearly between these two reflexes and to present detailed information on the one they refer to as the Leg Cross Flexion-Extension Reflex. The other reflex, often con- Elvin Akhmatov Jakub Buraczewski Denis Masgutov fused with Leg Cross Flexion-Extension, goes by sev- eral names: Phillipson’s Withdrawal, Phillipson’s Leg Flexion, Crossed Extensor, and Leg Withdrawal Reflex, among others. For clarity in this paper, the other reflex will be referred to as Phillipson’s Withdrawal. On the neurophysiological level, these two reflex patterns present the work of two different nerve tracts – tactile and proprioceptive, activated and processed by different receptors. The Leg Cross Flexion-Extension Reflex is extremely important for overall sensory-motor integration, mo- tor programing and control. -
Normal Plantar Response: Integration of Flexor and Extensor Reflex Components
J Neurol Neurosurg Psychiatry: first published as 10.1136/jnnp.26.1.39 on 1 February 1963. Downloaded from J. Neurol. Neurosurg. Psychiat., 1963, 26, 39 Normal plantar response: integration of flexor and extensor reflex components LENNART GRIMBY From the Department of Neurology, Karolinska Institute, Serafimerlasarettet, Stockholm, Sweden The reflexes elicited by painful stimulation of the the suprasegmental control of the reflex centres, the plantar surface of the foot have been studied receptive field of the reflex is limited to the skin area extensively for a long time and the relation between where it is adequate for protective purposes, viz., the reflexes obtained in normal and in pathological the ball of the great toe. cases has been the subject of considerable debate. An Previous investigations (Eklund et al., 1959; excellent survey of previous investigations is to be Kugelberg et al., 1960) have shown that the main found in the review by Walshe (1956). As in most difference between the electromyographic pattern of studies of human reflexes, the technique commonly a flexor plantar response and that of an extensor used has, however, not permitted an exact deter- plantar response is that the reflex plantar flexion of mination of the latency values of the reflexes, and the great toe is associated with activity in the short it has thus not been possible to judge with certainty hallux flexor and reciprocal inhibition of the guest. Protected by copyright. to what extent the movements studied have been voluntary activity in the short hallux extensor, purely spinal and to what extent of cerebral origin. whereas, conversely, reflex dorsiflexion of the great By means of brief electric stimuli and an electro- toe is accompanied by activity in the short hallux myographic recording technique these latency values extensor and reciprocal inhibition of the voluntary can, however, be exactly determined, and in this way activity in the short hallux flexor. -
NF-Jb Signalling Requirement for Brain Myelin Formation Is Shown by Genotype/MRI Phenotype Correlations in Patients with Xq28 Duplications
European Journal of Human Genetics (2013) 21, 195–199 & 2013 Macmillan Publishers Limited All rights reserved 1018-4813/13 www.nature.com/ejhg ARTICLE NF-jB signalling requirement for brain myelin formation is shown by genotype/MRI phenotype correlations in patients with Xq28 duplications Orianne Philippe1, Marle`ne Rio1, Vale´rie Malan1, Hilde Van Esch2, Genevie`ve Baujat1, Nadia Bahi-Buisson3, Vassili Valayannopoulos4, Roseline Gesny1, Jean-Paul Bonnefont1, Arnold Munnich1,GuyFroyen5, Jeanne Amiel1, Nathalie Boddaert1,3 and Laurence Colleaux*,1 One of the key signals regulating peripheral myelin formation by Schwann cell is the activation of the transcription factor NF-jB. Yet, whether NF-jB exerts similar functions in central myelin formation by oligodendrocytes remains largely unknown. We previously reported white matter abnormalities with unusual discordance between T2 and FLAIR sequences in a patient with intellectual disability and defective NF-jB signalling. These observations prompted us to hypothesise that NF-jB signalling may have a role in the axon myelination process of central neurons. We report here on five male patients with Xq28 duplications encompassing MECP2, three of which presented white matter anomalies on brain MRI. Array-CGH and FISH analyses demonstrated that brain abnormalities correlate with additional copies of the IKBKG, a gene encoding a key regulator of NF-jB activation. Quantitative RT-PCR experiments and jB-responsive reporter gene assays provide evidence that IKBKG overexpression causes impaired NF-jB signalling in skin fibroblasts derived from patients with white matter anomalies. These data further support the role of NF-jB signalling in astroglial cells for normal myelin formation of the central nervous system. -
Integrating Brain-Based Psychoeducation Into Clinical Practice Raissa Miller Boise State University
Boise State University ScholarWorks Counselor Education Faculty Publications and Department of Counselor Education Presentations 4-1-2016 Neuroeducation: Integrating Brain-Based Psychoeducation into Clinical Practice Raissa Miller Boise State University This document was originally published in Journal of Mental Health Counseling by the American Mental Health Counselors Association. Copyright restrictions may apply. doi: 10.17744/mehc.38.2.02 Volume 38/Number 2/April 2016/Pages 103-1 IS/doi: 10. l7744/mehc.38.2.02 PRACTICE Neuroeducation: Integrating Brain- Based Psychoeducation into Clinical Practice Raissa M iller Boise State University Understanding and integrating neuroscience research into clinical practice represents a rapidly growing area in mental health. An expanding body of neuroscience literature increasingly informs clinical practice by validating theory, guiding clinical assessment and conceptualiza tion, directing effective interventions, and facilitating cross-disciplinary communication. Little attention, however, has been given to the use of neuroeducation with clients. In this article, the author provides mental health counselors with a definition of neuroeducation and a rationale for incorporating neuroeducation into clinical practice. The author identifies common neuro education topics and offers activity suggestions to illustrate their use in counseling. Finally, the author offers best practices for implementing neuroeducation, including attention to counselor competence, client readiness, and neuroscience of learning