Can the Brain Heal Itself After a Stroke? Yes, But It Needs Your Help

In the past, scientists believed that the adult brain was static. This meant that, after a certain point in development, the brain could no longer adapt to change.
Today, however, research shows that the brain is always in a flexible state, even in old age. This flexible state is called plasticity.
Research has also demonstrated that repetitive actions engage neuroplasticity and cause changes in the brain. Therefore, a key aspect in stroke recovery is massed practice: exercises with high repetition.
When you perform an action, your brain creates new neural pathways in response to your movement. These pathways make it easier for the brain to store and retrieve information. The more you practice that action, the more you reinforce those neural pathways, and the easier that activity becomes.
This explains why the first time a person tries to play a chord on the guitar, for instance, it feels slow and clunky. But by the hundredth time, it feels second-nature. That’s neuroplasticity in action.
Therefore, to learn how to speak again after a stroke, you will need to practice speech therapy exercises several times a day. The same principle applies if you want to improve your balance, and even your memory.
Whatever ability you want to improve, with enough practice, you will activate neuroplasticity and help your brain heal itself after stroke. Eventually, you should start to regain that function.
Preventing Learned Non-Use After Stroke
While neuroplasticity can help your brain heal itself after stroke, it also has a downside you should watch out for. Therapists call this phenomenon maladaptive plasticity.
Maladaptive plasticity occurs when you consistently repeat an action the wrong way. For example, if you can’t move your right hand to pick up a cup, you might start using your left hand instead.
However, if you continue to only use your left hand, eventually your brain will “forget” how to use your right hand. This leads to a condition known as learned non-use, and it can lead to permanent loss of function.
That’s why therapists recommend you incorporate restorative techniques into your recovery program. Restorative techniques teach you how to regain lost function, and not merely adapt.
Therefore, if your right hand is weak, try to resist the urge to do everything with your left hand. Instead, try to use your right hand as much as you can, even if you have to give it a little assistance with the other hand.
Rewiring the Brain to Restore Abilities After Stroke
By focusing on high repetition during stroke rehabilitation, you can activate neuroplasticity and help your brain heal itself after stroke.
When you activate neuroplasticity through exercise, you help your brain repair lost connections. That not only lets you relearn certain activities, it also prevents neuronal decay and keeps your condition from deteriorating.
Therefore, even if you have suffered a severe stroke, you can still make a functional recovery. Stay disciplined, work hard, and you will see results.
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