MODERN VISION AND PRACTICAL ASPECTS OF THE NEUROPLASTICITY MECHANISM IN REHABILITATION

Authors

DOI:

https://doi.org/10.11603/1811-2471.2025.v.i3.15570

Keywords:

neuroplasticity, nervous system, rehabilitation, neurodevelopmental disorders

Abstract

SUMMARY. Neuroplasticity is a key mechanism for restoring function after nervous system damage. Modern rehabilitation is based on the principle that the nervous system is able to change and adapt - and this can be stimulated by special interventions.

The aim – to  summarize the current understanding of the biological basis and mechanisms of neuroplasticity, as well as to highlight their role in the recovery of the nervous system during rehabilitation.

Material and Methods. The methods of systematic analysis and generalization of data from the literature, in particular from the PubMed database, were used. The biological bases, cellular and neurophysiological mechanisms of neuroplasticity, as well as the principles of its use in rehabilitation are covered.

Results. The study of how synaptic plasticity occurs and how it is modified during certain time windows of development will provide key information about how the brain develops. Furthermore, a better understanding of how synaptic modifications occur during learning and memory and/or development may help to shape and improve the effectiveness of current protocols in the early stages of learning.

Rehabilitation interventions (motor activity, training, stimulation) activate synaptic plasticity, neurogenesis, axon regeneration, and the release of neurotrophic factors. These changes increase the adaptability and compensatory capacity of the nervous system. The modern approach emphasizes the importance of an individualized rehabilitation strategy that maximizes the neuroplasticity of a particular patient.

Studies have shown that neurorehabilitation itself can be considered as a part of neuroplasticity or as a means of enhancing it, thus establishing a symbiotic relationship between them.

Conclusions. The modern view of the problem of neuroplasticity is not just a theoretical basis, but the main tool that should be actively used to restore the patient. Rehabilitation should be “adjusted” to these mechanisms in order to maximize the result.

References

Mateos-Aparicio P, Rodríguez-Moreno A. The Impact of Studying Brain Plasticity. Frontiers in cellular neuroscience. 2019;13:66. DOI: 10.3389/fncel.2019.00066 DOI: https://doi.org/10.3389/fncel.2019.00066

May A. Experience-dependent structural plasticity in the adult human brain. Trends in cognitive sciences. 2011;15(10):475–482. DOI: 10.1016/j.tics.2011.08.002 DOI: https://doi.org/10.1016/j.tics.2011.08.002

Fauth M, Tetzlaff C. Opposing Effects of Neuronal Activity on Structural Plasticity. Frontiers in neuroanatomy. 2016;10:75. DOI: 10.3389/fnana.2016.00075 DOI: https://doi.org/10.3389/fnana.2016.00075

Kirk RW, Sun L, Xiao R, Clark EA, Nelson S. Multiplexed CRISPRi Reveals a Transcriptional Switch Between KLF Activators and Repressors in the Maturing Neocortex. bioRxiv : the preprint server for biology. 2025;2025.02.07.636951. DOI: 10.1101/2025.02.07.636951 DOI: https://doi.org/10.7554/eLife.106510.1

Diniz CRAF, Crestani AP. The times they are a-changin': a proposal on how brain flexibility goes beyond the obvious to include the concepts of "upward" and "downward" to neuroplasticity. Molecular psychiatry. 2023;28(3):977–992. DOI: 10.1038/s41380-022-01931-x DOI: https://doi.org/10.1038/s41380-022-01931-x

Pérez-Rodríguez M, Arroyo-García LE, Prius-Mengual J, Andrade-Talavera Y, Armengol JA, Pérez-Villegas EM, Duque-Feria P, Flores G, & Rodríguez-Moreno A. Adenosine Receptor-Mediated Developmental Loss of Spike Timing-Dependent Depression in the Hippocampus. Cerebral cortex (New York, N.Y.:1991). 2019;29(8):3266–3281. DOI: 10.1093/cercor/bhy194 DOI: https://doi.org/10.1093/cercor/bhy194

Cramer SC, Sur M, Dobkin BH, O'Brien C, Sanger TD, Trojanowski JQ, Rumsey JM, Hicks R, Cameron J, Chen D, Chen WG, Cohen LG, deCharms C, Duffy CJ, Eden GF, Fetz EE, Filart R, Freund M, Grant SJ, Haber S, … Vinogradov S. Harnessing neuroplasticity for clinical applications. Brain: a journal of neurology. 2011;134(Pt 6):1591–1609. DOI: 10.1093/brain/awr039 DOI: https://doi.org/10.1093/brain/awr039

Khan F, Amatya B, Galea MP, Gonzenbach R, & Kesselring J. Neurorehabilitation: applied neuroplasticity. Journal of neurology. 2017;264(3): 603–615. DOI: 10.1007/s00415-016-8307-9 DOI: https://doi.org/10.1007/s00415-016-8307-9

Chatterjee D, Hegde S, & Thaut M. Neural plasticity: The substratum of music-based interventions in neurorehabilitation. NeuroRehabilitation. 2021;48(2): 155–166. DOI: 10.3233/NRE-208011 DOI: https://doi.org/10.3233/NRE-208011

Published

2025-09-22

How to Cite

Chen, I. B., Bodnar, O. I., Vakulenko, L. O., Khrabra, S. Z., Stelmakh, H. O., & Fedorov, S. M. (2025). MODERN VISION AND PRACTICAL ASPECTS OF THE NEUROPLASTICITY MECHANISM IN REHABILITATION. Achievements of Clinical and Experimental Medicine, (3), 186–189. https://doi.org/10.11603/1811-2471.2025.v.i3.15570

Issue

Section

A view on a problem