Plasticity of the Central Nervous System Involving Peripheral Nerve Transfer

Peripheral nerve injury can lead to partial or complete loss of limb function, and nerve transfer is an effective surgical salvage for patients with these injuries. The inability of deprived cortical regions representing damaged nerves to overcome corresponding maladaptive plasticity after the reinn...

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Main Author: Jun Shen
Format: Article
Language:English
Published: Wiley 2022-01-01
Series:Neural Plasticity
Online Access:http://dx.doi.org/10.1155/2022/5345269
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author Jun Shen
author_facet Jun Shen
author_sort Jun Shen
collection DOAJ
description Peripheral nerve injury can lead to partial or complete loss of limb function, and nerve transfer is an effective surgical salvage for patients with these injuries. The inability of deprived cortical regions representing damaged nerves to overcome corresponding maladaptive plasticity after the reinnervation of muscle fibers and sensory receptors is thought to be correlated with lasting and unfavorable functional recovery. However, the concept of central nervous system plasticity is rarely elucidated in classical textbooks involving peripheral nerve injury, let alone peripheral nerve transfer. This article is aimed at providing a comprehensive understanding of central nervous system plasticity involving peripheral nerve injury by reviewing studies mainly in human or nonhuman primate and by highlighting the functional and structural modifications in the central nervous system after peripheral nerve transfer. Hopefully, it will help surgeons perform successful nerve transfer under the guidance of modern concepts in neuroplasticity.
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spelling doaj-art-a96a0561ebfe4799907c4e1e2fecd9722025-02-03T06:01:51ZengWileyNeural Plasticity1687-54432022-01-01202210.1155/2022/5345269Plasticity of the Central Nervous System Involving Peripheral Nerve TransferJun Shen0Department of Orthopaedic OncologyPeripheral nerve injury can lead to partial or complete loss of limb function, and nerve transfer is an effective surgical salvage for patients with these injuries. The inability of deprived cortical regions representing damaged nerves to overcome corresponding maladaptive plasticity after the reinnervation of muscle fibers and sensory receptors is thought to be correlated with lasting and unfavorable functional recovery. However, the concept of central nervous system plasticity is rarely elucidated in classical textbooks involving peripheral nerve injury, let alone peripheral nerve transfer. This article is aimed at providing a comprehensive understanding of central nervous system plasticity involving peripheral nerve injury by reviewing studies mainly in human or nonhuman primate and by highlighting the functional and structural modifications in the central nervous system after peripheral nerve transfer. Hopefully, it will help surgeons perform successful nerve transfer under the guidance of modern concepts in neuroplasticity.http://dx.doi.org/10.1155/2022/5345269
spellingShingle Jun Shen
Plasticity of the Central Nervous System Involving Peripheral Nerve Transfer
Neural Plasticity
title Plasticity of the Central Nervous System Involving Peripheral Nerve Transfer
title_full Plasticity of the Central Nervous System Involving Peripheral Nerve Transfer
title_fullStr Plasticity of the Central Nervous System Involving Peripheral Nerve Transfer
title_full_unstemmed Plasticity of the Central Nervous System Involving Peripheral Nerve Transfer
title_short Plasticity of the Central Nervous System Involving Peripheral Nerve Transfer
title_sort plasticity of the central nervous system involving peripheral nerve transfer
url http://dx.doi.org/10.1155/2022/5345269
work_keys_str_mv AT junshen plasticityofthecentralnervoussysteminvolvingperipheralnervetransfer