Wednesday, March 5, 2014

Your Plastic Brain 4—Even More Applications


“You know, Curmudge, the thing I appreciate about the neuroscientists we have studied is that they put their research findings right to work helping people.  Researchers like Merzenich, Bach-y-Rita, Taub , Pulvermüller, Ramachandran, and others mentioned in our earlier postings.  And the more we surf, the more we find.”

“Right as usual, Julie.  Just last week I learned of the Center for BrainHealth at The University of Texas at Dallas.  These quotations describe their findings: ‘This research shows that neuroplasticity can be harnessed to enhance brain performance and provides hope for individuals to improve their own mental capacity and cognitive brain health by habitually exercising higher-order thinking strategies no matter their age.’ ‘The study (on individuals aged 56 to 71 using MRI techniques) found that one-hour sessions of directed brain training per week for 12 weeks can alter brain function, inducing increased blood flow, enhanced information communication across key brain regions, and expansion of the structural connections between brain regions related to new learning.’ “

“That’s what our earlier reading would forecast, Old Guy.  It’s nice of the folks in Dallas to prove it.  They also said, ‘With upwards of 8 percent increase in brain blood flow, this research shows that participants are regaining measurable brain health. The brain and cognitive gains may help achieve a younger working brain with all the benefits of rich experience, knowledge base and wisdom as manifested in an older brain.’ “

“Wisdom.  Older brain.  That’s what I keep telling people, but they just regard my  comments as the ranting of an old geezer.  Go you Texas Longhorns!  I like what you say, but I do wish you would tell us the specifics of your brain exercises.”

“They do provide a Brain Fitness Plan for people of all ages, Curmudge.  It is described by Sandra Bond Chapman, director of the Center for BrainHealth.  ‘Making our brains stronger, healthier, and more productive requires changing the way we use them every day.’  Here is what she suggests: ‘Quiet you mind.  Take a break from whatever you’re doing five times a day for at least five minutes to reset your brain.  Translate your world.  Move away from uninspired thinking.  Synthesized thinking strengthens the connections between different areas of our brains.  Stop multi-tasking.  Allow your focus to be uninterrupted for at least 15 minutes at a time.  Move your feet.  Aerobic exercise that elevates your heart rate at least three times a week elevates blood flow to key memory centers.’ “

“Here’s some related advice for people of all ages who don’t want their brain or body to die young.  It’s from a doc at the University of Southern California.  ‘Get off your butt more.  Take your calls standing up.  Procrastinate once in a while.  Take timeouts throughout the day.  Trade alcohol for sweat.  Skip happy hour and go to the gym.  Check your e-mail less frequently.  The average working professional spends roughly 23 percent of the workday on e-mail.  Eat like your dog—at the same time every day.  If you don’t eat when your body anticipates food, it will sabotage your efforts to lose or maintain an ideal weight.’ “

“Hey, Professor, it’s great to learn something of value to someone who is not demonstrably ill, like me, as well as to someone who is demonstrably old, like you.”

“Julie, you sure know how to make a person feel good.  You are right, of course.  So let’s move on to another topic related to neuroplasticity.  The subjects are LSVT LOUD and LSVT BIG.”

“I detect an acronym.  Please explain.”

“LSVT is Lee Silverman Voice Treatment.  It is discussed in a review article by Fox et al. (1)  ‘Recent advances in neuroscience have suggested that exercise-based behavioral treatments my improve function and possibly slow progression of motor symptoms in individuals with Parkinson disease.’  LSVT LOUD and LSVT BIG are focused, respectively, on the speech motor system and the limb motor systems. ‘The unique aspects of the LSVT Programs include the combination of (a) an exclusive target on increasing amplitude (loudness in the speech motor system; bigger movements in the limb motor system), (b) a focus on sensory recalibration to help patients recognize that movements with increased amplitude are within normal limits, even if they feel “too loud” or “too big,” and (c) training self-cueing and attention to action to facilitate long-term maintenance of treatment outcomes. In addition, the intensive mode of delivery is consistent with principles that drive activity-dependent neuroplasticity and motor learning.’ “

“You wanted more specific exercises, Professor, and you’ll find them in Table 1 of that review article.  One will, however, need a certified LSVT therapist for interpretation and demonstration.  The paper does make the standardized intensity pretty clear: ‘Dosage: 4 consecutive days per week for 4 weeks.  Repetitions: minimum 15 reps/task for LOUD or 8-16 reps/task for BIG.  Effort: Push for maximum patient-perceived effort each day.’ “

“We haven’t made it very clear in our postings, Julie, but every one of the brain-and-computer or brain-and-muscle exercises that we have mentioned requires the patient’s maximum dedication and effort.  These activities don’t pay off without a lot of hard work.”

“And finally, Curmudge, one doesn’t have to go far to obtain the benefits of LSVT LOUD or BIG.  They are practiced by LSVT-certified clinicians in the St. Elizabeth Hospital Rehabilitation Department and at the Neuroscience Group in Neenah.  Tell your neighbors in the old folks home.”

“How many times do I have to tell you, young lady?  It’s not ‘the old folks home.’  And by the way, be sure to come back for our next discussion on neuroplasticity.  It will be an exploration of neuroplasticity research with a peek into the future.”

Kaizen Curmudgeon      

(1)  Fox, C., Ebersbach, G.,  Ramig, L. and Sapir, S.  Parkinson’s Disease Vol. 2012 (2012), Article ID 391946, 12
       
Link to posting from blog archives: Amazing Devices—Autoanalyzer, pulse oximeter8/05/10 http://kaizencurmudgeon.blogspot.com/2010/08/amazing-devices.html

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