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Neural Plasticity

Beverly Bishop
Published 1 September 1982
Beverly Bishop
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Part 3. Responses to Lesions in the Peripheral Nervous System

Abstract

This paper describes some of the remarkable recuperative responses that neurons of the peripheral nervous system have to injury of their axons. The initial response is a sealing of the cut ends of the axons, followed by orderly degenerative and phagocytic events in the segments lying distal and proximal to the lesion. The chromatolytic changes occurring in the cell body are adaptive responses involving the morphological, physiological, and biochemical properties of the neuron. The cell loses dendrites and synapses, its electrophysiological properties are altered, and its biochemistry is altered to prepare the neuron for synthesizing proteins needed for formation of growth cones and regeneration of the axon. During this period, the denervated muscle undergoes dramatic atrophic changes that not only modify the electrical and chemical properties of its membrane but also reduce the diameter and weight of its fibers. This denervation atrophy of muscle is reversible if reinnervation occurs before muscle material has been replaced by connective tissue. Responses to injury of sensory axons depend on the site of the lesion. Cutting a dorsal root causes Wallerian degeneration of the primary afferents' central processes. Collateral sprouts from neighboring uncut root fibers are thought to take over the vacant synapses on the second-order neurons in the dorsal horn. Cutting a sensory axon peripherally eliminates the receptive field of the primary afferent initially, but in time, collaterals from neighboring skin afferents provide the second-order neurons with a new receptive field. Synaptic reclamation and receptive field reorganization are but two dramatic examples of neuronal plasticity that lead to “rewired” neural circuitry.

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Key Words:
  • Nerve degeneration
  • Nerve regeneration
  • Nervous system
  • Neuronal plasticity
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    Vol 96 Issue 12 Table of Contents
    Physical Therapy: 96 (12)

    Issue highlights

    • Musculoskeletal Impairments Are Often Unrecognized and Underappreciated Complications From Diabetes
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    • Case Series of a Knowledge Translation Intervention to Increase Upper Limb Exercise in Stroke Rehabilitation
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    • Reliability and Validity of Force Platform Measures of Balance Impairment in Individuals With Parkinson Disease
    • Measurement Properties of Instruments for Measuring of Lymphedema: Systematic Review
    • myMoves Program: Feasibility and Acceptability Study of a Remotely Delivered Self-Management Program for Increasing Physical Activity Among Adults With Acquired Brain Injury Living in the Community
    • Application of Intervention Mapping to the Development of a Complex Physical Therapist Intervention
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    Neural Plasticity
    Beverly Bishop
    Physical Therapy Sep 1982, 62 (9) 1275-1282;

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    Neural Plasticity
    Beverly Bishop
    Physical Therapy Sep 1982, 62 (9) 1275-1282;
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    More in this TOC Section

    • Neural Plasticity
    • Introduction to Special Series
    Show more Special Series: Neural Plasticity

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