Increased understanding of plasticity has led to the field of neurorehabilitation.
Following illness or injury to the brain, spontaneous recovery slows after a few weeks, and neurorehabilitation helps maintain improvements in functioning.
However, although this is a practical application of plasticity research, it also shows that the brain requires some external intervention to 'fix' itself.
Support from Animal Studies
Hubel and Wiesel sewed one eye shut in a kitten and analysed its cortical responses.
The visual cortex associated with the shut eye was not idle but continued processing information from the other eye.
Support from Human Studies
Maguire et al (2000) studied London taxi drivers to see if brain changes could be detected due to their extensive navigational experience.
Using MRI scans, researchers found significantly greater grey matter in the posterior hippocampi of taxi drivers compared to controls.
Plasticity Reduces with Age
Functional plasticity is thought to reduce with age.
After childhood, the brain relies more on compensatory behavioural strategies to adapt (e.g., seeking social support or developing strategies for cognitive deficits).
However, studies suggest even abilities considered fixed in childhood can be modified in adults with intense retraining.
Elbert et al (2001) concluded that neural reorganisation capacity is much greater in children than adults, as seen in the extended practice required for changes in adults.
Cognitive Reserve Affects Plasticity
Schneider et al (2014) found that education level influences recovery from brain injury.
Patients with a college education were seven times more likely to be disability-free one year after a traumatic brain injury.
A retrospective study of 769 patients showed:
40% of those with 16+years of education achieved disability-free recovery (DFR).
30% of those with 12-15 years of education achieved DFR.
Just 10% of those with less than 12 years of education achieved DFR.
The researchers concluded that 'cognitive reserve' is a factor recovery.