Psychosocial and Environmental Factors in Recovery of Function

Family support, mood, the environment, resistance to change, the attitudes of the rehabilitation professionals, and hope and expectations for recovery are some of the factors related to recovery. These factors appear to be intimately related to neurotransmitters and to the effectiveness of rehabilitation programs. The type of physical environment in which the brain-damaged person is placed may be closely related to the recovery.

The most important functional gains in the animal model of traumatic brain injury were obtained with an enriched environment. Most animal studies are undertaken with environmentally deprived laboratory animals, which may distort the experimental results. For example, in beam-walking studies, laboratory rats had difficulty crossing a gap on a 2-cm-wide strip of wood, whereas rats in the wild can scamper across much narrower strips. In addition to the physical environment for rehabilitation, and the content and timing of the rehabilitation programs, psychosocial factors and fitness level can affect outcome of rehabilitation programs. Fitness also affects many functional measures: Physically active men have been shown to have shorter event-related cortical potentials, stronger central inhibition, better neurocognitive performance, and better visual sensitivity.

The excellent functional recovery noted in some unusual cases of recovery from brain damage with home rehabilitation programs may be related not only to neuroplasticity factors but also to psychosocial and environmental considerations and to the functionality of the rehabilitation program.

Breaking Bulimia

Breaking Bulimia

We have all been there: turning to the refrigerator if feeling lonely or bored or indulging in seconds or thirds if strained. But if you suffer from bulimia, the from time to time urge to overeat is more like an obsession.

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