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Published in: Neuropsychology Review 4/2014

Open Access 01-12-2014 | Review

Negative Neuroplasticity in Chronic Traumatic Brain Injury and Implications for Neurorehabilitation

Authors: Jennifer C. Tomaszczyk, Nathaniel L. Green, Diana Frasca, Brenda Colella, Gary R. Turner, Bruce K. Christensen, Robin E. A. Green

Published in: Neuropsychology Review | Issue 4/2014

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Abstract

Based on growing findings of brain volume loss and deleterious white matter alterations during the chronic stages of injury, researchers posit that moderate-severe traumatic brain injury (TBI) may act to “age” the brain by reducing reserve capacity and inducing neurodegeneration. Evidence that these changes correlate with poorer cognitive and functional outcomes corroborates this progressive characterization of chronic TBI. Borrowing from a framework developed to explain cognitive aging (Mahncke et al., Progress in Brain Research, 157, 81–109, 2006a; Mahncke et al., Proceedings of the National Academy of Sciences of the United States of America, 103(33), 12523–12528, 2006b), we suggest here that environmental factors (specifically environmental impoverishment and cognitive disuse) contribute to a downward spiral of negative neuroplastic change that may modulate the brain changes described above. In this context, we review new literature supporting the original aging framework, and its extrapolation to chronic TBI. We conclude that negative neuroplasticity may be one of the mechanisms underlying cognitive and neural decline in chronic TBI, but that there are a number of points of intervention that would permit mitigation of this decline and better long-term clinical outcomes.
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Metadata
Title
Negative Neuroplasticity in Chronic Traumatic Brain Injury and Implications for Neurorehabilitation
Authors
Jennifer C. Tomaszczyk
Nathaniel L. Green
Diana Frasca
Brenda Colella
Gary R. Turner
Bruce K. Christensen
Robin E. A. Green
Publication date
01-12-2014
Publisher
Springer US
Published in
Neuropsychology Review / Issue 4/2014
Print ISSN: 1040-7308
Electronic ISSN: 1573-6660
DOI
https://doi.org/10.1007/s11065-014-9273-6

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