Frontal Lobe Plasticity and Process of Rehabilitation

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  • Akio Tsubahara
    Department of Physical Therapy, Fuculty of Rehabilitation, Kawasaki University of Medical Welfare.

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  • 前頭葉の可塑性と社会復帰への道

Abstract

<p>  We have participated in the Model Project to Support People with Higher Brain Dysfunctions, which started in 2001, as the representative of Okayama Prefecture from the beginning. Even now, active involvement is being carried out as the prefecture-based Support and Dissemination Project. Although higher brain dysfunctions such as memory dysfunction, executive dysfunction, attention dysfunction, and social behavior dysfunction have been discussed as cortical localization theory or dynamic localization theory, existence of functional brain networks and their plasticity cannot be ignored when considering pathophysiology of diffuse axonal injury and functional improvement by treatment. Networks related to frontal lobe function include the superior longitudinal fasciculus II (caudal part of the inferior parietal lobe - DLPFC) , the superior longitudinal fasciculus III (supramarginal gyrus - VLPC) , the inferior fronto-occipital fasciculus (occipital pole - frontal pole) , the uncinate fasciculus (OFC - temporal pole) , and the cingulum bundle (cingulate gyrus - parahippocampal gyrus) . Regarding improvement of higher brain dysfunction, not only learning as functional training but also environmental stimulation and guidance by treatment staff are considered to have many effects. It seems to be important to carry out the Support and Dissemination Project to promote reinstatement and continuous employment support, in order to improve higher brain dysfunction.</p>

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