Psychological intervention

Marketing

Aphasia

Function (biology)

Cognitive psychology

Engineering

Neuroscience

Biology

Cognition

Spare part

Degeneracy (biology)

Psychiatry

Computer science

Business

Evolutionary biology

Cognitive science

Mechanical engineering

Bioinformatics

Psychology

Stroke (engine)

Artificial intelligence

Medicine

Artificial neural network

Nature Reviews Neurology

Language impairment, or aphasia, is a disabling symptom that affects at least one third of individuals after stroke. Some affected individuals will spontaneously recover partial language function. However, despite a growing number of investigations, our understanding of how and why this recovery occurs is very limited. This Review proposes that existing hypotheses about language recovery after stroke can be conceptualized as specific examples of two fundamental principles. The first principle, degeneracy, dictates that different neural networks are able to adapt to perform similar cognitive functions, which would enable the brain to compensate for damage to any individual network. The second principle, variable neuro-displacement, dictates that there is spare capacity within or between neural networks, which, to save energy, is not used under standard levels of performance demand, but can be engaged under certain situations. These two principles are not mutually exclusive and might involve neural networks in both hemispheres. Most existing hypotheses are descriptive and lack a clear mechanistic account or concrete experimental evidence. Therefore, a better neurocomputational, mechanistic understanding of language recovery is required to inform research into new therapeutic interventions. Some individuals with post-stroke language impairment, or aphasia, will spontaneously recover partial language function. In this Review, the authors propose that existing hypotheses about this recovery from aphasia can be considered as examples of two principles: degeneracy and variable neuro-displacement.

The neural and neurocomputational bases of recovery from post-stroke aphasia