Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.

What this blog is for:

My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.

Showing posts with label neuronal circuits. Show all posts
Showing posts with label neuronal circuits. Show all posts

Friday, September 30, 2016

Remodeling of Neuronal Circuits After Reach Training in Chronic Capsular Stroke

What protocols were created out of this research? Send your doctor after them.  I assume the pellet reaching task will need to be changed for humans.
http://nnr.sagepub.com/content/30/10/941?etoc

  1. Jongwook Cho1
  2. Dae-Hyuk Kwon, PhD1
  3. Ra Gyung Kim1
  4. Hanlim Song1
  5. Pedro Rosa-Neto, MD, PhD2
  6. Min-Cheol Lee, MD, PhD3
  7. Hyoung-Ihl Kim, MD, PhD1,4⇑
  1. 1Gwangju Institute of Science and Technology, Gwangju, Republic of Korea
  2. 2Douglas Mental Health University Institute, Montréal, Canada
  3. 3Chonnam National University Medical School, Gwangju, Republic of Korea
  4. 4Presbyterian Medical Center, Jeonju, Republic of Korea
  1. Hyoung-Ihl Kim, MD, PhD, Department of Biomedical Science and Engineering, Gwangju Institute of Science and Technology, 261 Cheomdan-gwagiro, Gwangju, 500-712, South Korea. Email: hyoungihl@gist.ac.kr

Abstract

Background. Subcortical capsular stroke has a poor prognosis, and it is not yet fully understood how and under what circumstances reach training contributes to motor recovery.  
Objective. This study was performed to investigate changes in neuronal circuits and motor recovery in a chronic capsular stroke model in the presence or absence of reach training.  
Method. We generated photothrombotic capsular lesions in 42 Sprague-Dawley rats and evaluated motor recovery with or without daily training in a single-pellet reaching task (SPRT). We used 2-deoxy-2-[18F]-fluoro-D-glucose-microPET (positron emission tomography) to assess remodeling of neuronal circuits.  
Results. SPRT training was selectively beneficial only for the group with incomplete capsular destruction (P < .05), suggesting the relevance of plasticity in the remaining capsular fibers for motor recovery. Groups that did not receive SPRT training showed no motor recovery at all. The microPET analysis demonstrated that motor recovery was correlated with a reduction in cortical diaschisis in ipsilesional motor and sensory cortices and in the contralesional sensory cortex (Pearson’s correlation, P < .05). We also observed training-dependent subcortical activation in the contralesional red nucleus, the internal capsule, and the ventral hippocampus (P < .0025; false discovery rate q < 0.05). The groups without reach training did not show the same degree of reduction in diaschisis or activation of the red nucleus.  
Conclusions. Our results suggest that motor recovery and remodeling of neuronal circuits after capsular stroke depend on the magnitude of the capsular lesion and on the presence or absence of reach training. Task-specific training is strongly indicated only when there is incomplete destruction of the capsular fibers.

Thursday, May 7, 2015

A ‘GPS’ to Navigate the Brain’s Neuronal Networks

And with a bit more research our doctors could use this mapping on us to see where our brain networks are damaged. Then we could figure out what stroke protocols will fix that damage and everybody will live happily ever after. When pigs fly. 

A ‘GPS’ to Navigate the Brain’s Neuronal Networks


In new research published today by Nature Methods, scientists from the Hebrew University of Jerusalem and Harvard University have announced a “Neuronal Positioning System” (NPS) that maps the circuitry of the brain, similar to how a Global Positioning System (GPS) receiver triangulates one’s location on the planet.
For more than a century, neuroscientists have tried to uncover the structure of the brain’s neuronal circuits in order to better understand how the brain works. These brain circuits, which perform functions such as processing information and triggering reflexes, are comprised of nervous system cells called neurons that work together to carry out a specialized function. Neurons send the messages to other neurons, or to target tissues such as skin and muscle that they innervate, via specialized wire-like processes called axons.
In the same way that we need to know the exact wiring of an electrical circuit to understand how it works, it’s necessary to map the axonal wiring of neuronal circuits to understand how they function. Therefore a fundamental goal of neuroscience research is to understand the structural and functional connections of the brain's circuits.
While numerous scientific consortiums have advanced our understanding of neuronal organization, the available mapping techniques remain imperfect: for example, serial electron microscope techniques are limited in the area they can map, and tracer-based techniques are limited in the detail resolution.
Now, scientists from Dr. Alex Binshtok's laboratory at the Hebrew University’s Faculty of Medicine and Dr. Jeff Lichtman's laboratory at Harvard University have described a method to map the location of the axonal branches (“arbors”) of many individual neurons simultaneously, at the resolution of individual axons. Thus, by “seeing” many axons in the same preparation, it becomes possible to understand how specific neurons in one region are wired to other neuronal types and other regions.
This new approach makes it possible to learn about organizational principles of neuronal networks that would otherwise be difficult or impossible to study.
The research was conducted by Dr. Shlomo Tsuriel, a postdoctoral fellow from Dr. Alex Binshtok’s lab and the study’s lead author, with help from student Sagi Gudes, under the guidance of Dr. Binshtok at the Hebrew University’s Faculty of Medicine (Department of Medical Neurobiology at the Institute for Medical Research Israel Canada) and at The Edmond and Lily Safra Center for Brain Sciences. The research was conducted in collaboration with Dr. Jeff Lichtman from Harvard University’s Center for Brain Science and Department of Molecular and Cellular Biology.
Instead of trying to trace entire neurons all the way from the axon tips to the cell body, Dr. Tsuriel labeled only the cell body, but in a way that indicates the locations of its axonal branches. To that end, he used multiple injections in overlapping regions of a target tissue, with three or more differently colored retrograde tracers.
At each point the tracer was injected in a high concentration and spread to the area between the injection points, such that each area in the target tissue had a different color combination depending on its distance from the injection site. Axons innervating each area took up the dyes and transported them in small vesicles to the cell body, such that each vesicle had a color combination reflecting the area it was taken from. A few hours after the injection, each neuronal cell body was filled with vesicles in a variety of colors reflecting the colors in the areas that these neurons innervate. Thus, based on the combinations and intensities of the colors in the individual vesicles transported to the cell, the projection sites of the axon can be outlined.
This approach is in some ways analogous to the principle used in a Global Positioning System (GPS) receiver, which uses distances from three or more satellites to triangulate its position. For this reason the new technique was called “Neuronal Positioning System” (NPS).
The description of this new method is presented today in Nature Methods as “Multispectral labeling technique to map many neighboring axonal projections in the same tissue” (Advance Online Publication, doi:10.1038/nmeth.3367).
According to Hebrew University’s Dr. Alex Binshtok: “The new method that we developed allows us to answer a ‘big question’ in neuroscience about the organizational principles of neuronal circuits. Using the NPS technique that maps many axons in same tissue, we now can study what defines the routes along which the neurons will send their projections, as well as their targets. We can also learn how the wiring of the neuronal circuits changes during development and in a variety of pathological conditions. The answers to these questions will be the first step to comprehending how the information flows and is processed in the nervous system, and how changes in the neuronal organization affect neuronal function. I believe many scientists will find the NPS approach useful to help them answer the question of how the brain works.”
Support for the research came from the Humans Frontiers Science Foundation, European Research Council (ERC) under the European Union’s Seventh Framework Programme, US National Institute of Mental Health and US National Institutes of Health.