Showing posts with label Neuroplasticity. Show all posts
Showing posts with label Neuroplasticity. Show all posts

Saturday, July 18, 2009

A Book Review: Knowledge, Ginkgo, Software & Brain Fitness

Varied, novel and challenging: the recipe for good mental exercise!

Does the new book “The Sharpbrains guide to Brain Fitness” meet these criteria?


A common happening in China today:


As the cock crowed, the grandfather left the house on his half mile walk to the little park by the river for his morning Tai Chi with a group of seniors. He was in fact the leader of the group and it fell upon him, a young looking 83 year old to go through the sequence of Tai Chi moves that had been passed down by his grandfather and others before him. His wife sometimes accompanied him but today she had to baby sit the grand-children as their parents were on an early shift. When they finished they sat around for some social chat and drank green tea from their thermal flasks. He walked home refreshed from the morning’s exercise and social gossips. As he neared home he could hear his grand-daughter practicing the piano. What lovely Mozart! He stepped into the house to find his grandson busy at a Nintendo game.

“Why aren’t you practicing your violin? If you just play computer games, your brain will turn into water.”

His grandson shut down the Nintendo, “Grandma, you should try it some time. It will be good for your brain.”

“I am too old for it. My brain is all water anyway, according to grandpa!” She just remembered that she had to take her Ginkgo capsules.

The grandson played some scales on the violin and then the Vivaldi A minor. From memory, as that was how he was trained.

At breakfast, the young children listened to Grandpa reciting ancient classical Chinese poems - a long standing family tradition.

Soon the grand-children left for school.

Grandma now cracked some walnuts while grandpa got ready to go to the market to see what fresh fish he could buy that day. The walnut was to go with their home reared free range chicken. They grew their own vegetables too.

Later that day they would be having a good game of Majong with a retired couple.


These people could well have read “The Sharpbrains guide to Brain Fitness” by Alvaro Fernandez and Dr. Elkhonon Goldberg.

SharpBrains

Much of what they did would help to maintain their brain fitness.

The grandfather’s comment on computer game and grandma’s consumption of Ginkgo were “give-aways” that they had not read the new book after all. Ginkgo biloba with its romantic botanical history is no longer the Dementia buster it promised to be. (Those who know of the village in Japan where there are loads of Ginkgo trees could have told you that. The village has the highest Alzheimer rates in Japan.)


I was reminded of Woody Allen’s film, Radio Days, where the young Allen (who else) was brought before the Rabbi by his mother for his advice because Allen was hooked onto the radio. The Rabbi’s skepticism was perhaps not that dissimilar to ours nowadays about computer games and brain exercises. Indeed the young boy should be concentrating on his upcoming Bar Mitzvah and the Torah memorizing.


When I was training in London in the 70s, I spent some time at Queen Square. Those in the know will recognize it as the place for neurology this side of the Atlantic. It was drilled into us then that sadly we were given a number of brain cells when we were born and it was all downhill from then on or something to that effect. It was well known that neurologists were great diagnosticians but for most neurological conditions, not much could be done. How depressing indeed. Even as recently as four weeks ago, I heard a young doctor told his father that there was nothing he could do with his brain cells. One is given so many at birth and no more can be expected. Lord Brain (1895-1966) would have been so proud.


Yet it was also London that shook the world with new discoveries about the brain, and the study was on the most unlikely group of people: Taxi drivers. Their “KNOWLEDGE” was the basis of our knowledge on brain plasticity today. The “KNOWLEDGE” is a term officially used to describe the test the Taxi Drivers had to take to get the licence to drive Taxis in London. Streets in London have evolved over time and are not on any grid system at all. Early postmortem examinations led some pathologists to note the small size of the Taxi drivers’ frontal lobes. Yet actual weight measurement showed that size was all relative. It was the enlarged hippocampal region that created that impression. Later work using modern scanning techniques confirmed the early impressions.


If two to four years of “KNOWLEDGE” acquisition can change the size of the brain in a grown adult, what else could we do?


The rest, as they say, is history.


I have been a regular visitor to the SharpBrain blog and have enjoyed the musings and scientific material presented on the site. When Mr. Fernandez offered the newly published book: The SharpBrains Guide To Brain Fitness for review, I jumped at the chance.


Yes, London Taxi driver is mentioned in the book, and so I thought that is a good sign.


The book also covers the changes to the brains of musicians and medical students. It tells us that just three months of memory work can have noticeable effect on the brain of medical students, and music memory work has similar impact on musicians. I was pleased to learn that Bilingualism helps too. From infancy, I and my siblings were brought up with speaking two Chinese dialects at home.


Will medical schools that have abandoned traditional teachings please bring back Anatomy-the old way?


Did the 300,000 or so that took up piano this year in China know a thing or two about brain plasticity? Currently 30 million children are reported to be learning the piano in China.


The skeptics would see the primary purpose of “The Sharpbrains guide to Brain Fitness” as the promotion of some computer training software. There is no obvious conflict of interest I could detect and the book is a convenient place to look at various software under one roof so to speak. The interviews are interesting but nearly all interviewees have some vested interest in some software. As a child psychiatrist, I find the ones on ADHD showed great promise but I doubt if we are ever going to see the end of the stimulants’ hold on the condition in the West. It is interesting to note that Stimulants never took off in China, a country with a fifth of the world’s population. Computer games, on the other hand, have really taken off there.


The book is easy to read, and has a clear structure, although I found it difficult to look for specific references. Later I discovered that these are to be found on their website.


Bridge and Sudoku were mentioned in passing, along with other favourites like crosswords. There is no mention of Majong although in the East it is all the rage, nor the memory work required in some religions. Their gods might know a thing or two about the brain.

In conclusion, “The Sharpbrains guide to Brain Fitness” is indeed varied, novel and challenging. You might think you can get most of the information on the Web for free (in fact only 30-40%), but the book does conveniently give you all you need to know (for now and perhaps six more months), all in one place.


©2009 Am Ang Zhang

Dr Am Ang Zhang is the author of The Cockroach Catcher.

The SharpBrains Guide To Brain Fitness---Alvaro Fernandez and Dr. Elkhonon Goldberg.

Book Club Discussion

Other Posts:

Nobel: Kandel and Lohengrin

Lohengrin: Speech Disability, Design & Hypertension

Autism, the Brain and Tiger Woods

'The Knowledge' and the Brain



Thursday, July 16, 2009

Golf & Neuroplasticity: The Open 2009

It was about a year a go in a post called The Open and The Brain at Royal Birkdale I said when Greg Norman at 53 led into the final of The Open:

“……Yet on the first two days he single putted 17 holes including a 50 footer. Perhaps his brain has been well primed by years of putting, more years than any of the other players……”



Tome Watson The Open 2009 Robert Beck/SI



Looks like neuroplasticity is at play again on the exciting start of The Open at Turnberry: 5 birdies and no bogey put 59 year old Tom Watson at the top. Nothing beats years of green reading and putting.

Welcome back.

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Tom Watson: The old fogey nearly did it! End of Dream

Turnberry: 1977,Tiger Woods

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Nobel: Kandel and Lohengrin

Lohengrin: Speech Disability, Design & Hypertension

Autism, the Brain and Tiger Woods

'The Knowledge' and the Brain


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Golf and Disability

Golf, Cholera and Tiger Woods

The Open and The Brain

Tiger Woods and Breathing

Ancient Remedy: Modern Outlook


Friday, May 15, 2009

Nobel: Kandel and Lohengrin




Eric Kandel, M.D.:
"We are what we are through what we have experienced and what we have remembered."

In 2001 I was fortunate enough to be in New Orleans for the American Psychiatric Association Annual Conference. One of the lectures attracted a long queue and it turned out that the Nobel Laureate Eric Kandel was giving his lecture. I was fortunate enough to be able to secure a seat.


"What learning does is to change the strength of the synaptic connections in the brain," Kandel explained, "and this has held true for every form of learning so far analyzed. So, what genetic and developmental processes do is specify the cells that connect to each other, but what they do not specify is the exact strength of those connections. Environmental contingencies, such as learning, play a significant part in the strength of those connections."

"Different forms of learning result in memories by changing that strength in different ways. Short-term memory results from transient changes that last minutes and does not require any new synthesis of proteins, Kandel said. However, long-term memories are based in more lasting changes of days to weeks that do require new brain protein to be synthesized. And this synthesis requires the input of the neuron’s genes."



Lohengrin Royal Opera House
Readers would have noted that a week ago I was at the Royal Opera House Lohengrin.

I have always maintained that there is something fundamentally enjoyable about a piece of music that you are familiar with. It is of course the case with many pop songs. But they were only a few minutes long. Lohengrin runs to nearly four hours.

Yet to me it is one of Wagner’s most wonderful piece of music. On the 8th of May the musical performance was amazing. You can feel the brain re-activating the proteins.

The set was of course from 1977 and bits of it smack of a school play. The costume was extraordinary even after 32 years. Adherence to the classical Grail story is deceptive especially with the unexpected kissing of Elsa and her brother on the lips. I know incest is covered in the Ring cycle but sex seems to be the new black now in opera. Or was Wagner dropping hints on Nietzsche’s relationship with his sister? I did not think it helped the opera Lohengrin.

There is no question though: Lohengrin has one of the best music of all the Wagners including Götterdämmerung.

Autobiography: Eric Kandel
Wagner website.
Synopsis:
Lohengrin
Other Opera Posts:Lohengrin: Speech Disability, Design & Hypertension
The Dark Side: Il TrovatoreDoctor Atomic
Illness and Morality
Lunar Eclipse
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Picasso, Medicine and Lloyds
Picasso and Tradition

Thursday, April 30, 2009

Lohengrin: Speech Disability, Design & Hypertension

The Cockroach Catcher and his wife were fortunate enough to have seen the controversial production by Robert Wilson at The Met in 1998.


Wagner Opera Website

“Out of the silence rises the shimmer of violins, ethereal yet alive with wonder, tracing a melody of sublime beauty. A soft bar of light ascends across a huge, empty stage, soon crossed by a hard, vertical light box that descends as the music grows richer and more complex, swelling to a rapturous climax before fading back into the stillness from which it arose.

“Characters with masklike faces dressed in sculptural sheaths stand in hieratic poses or glide slowly across the stage, sometimes seeming to float. An immense, blood-red mass – a stage curtain unfurled slowly but inexorably – pursues the cool shades of blue, white and gray in a stately wedding procession.

These are some of the images in Wagner’s opera Lohengrin, as staged by visionary director and artist Robert Wilson. Wilson’s Lohengrin returns to the Metropolitan Opera.” Marion Rosenberg writing for
Panache Privee.

It had the worst booing in Met’s history.

“At its opening night in 1998, Wilson’s Lohengrin earned one of the ugliest receptions in Met history. Playwright and critic Albert Innaurato wrote of ‘banshee shrieks of apparently homicidal intent aimed at the director,’ though lusty cheers greeted the production when the Met revived it the following season. Reached by phone in Baden-Baden, Germany, where he was rehearsing Verdi’s Aida, the soft-spoken Wilson sighed when asked to recall the Lohengrin premiere.

‘I think that, for the most part, we’re quite provincial in the United States. You’ve got some of the world’s greatest directors working right here in Europe, and their work is not known in the United States. By and large, the productions at the Met are still in the 19th century.’ Wilson’s method of taking the production’s visual book as his starting point was perceived as ‘very radical’ in New York, though he pointed out that his basic conceit – a frame that gradually shrinks to enclose Lohengrin and Elsa’s bridal chamber, then expands for the opera’s final, public scene – echoed Wagner’s original pen-and-ink sketches for Lohengrin.”

From the
Design Museum Website:
“Born in Waco, Texas in 1941, Robert Wilson struggled as a child to overcome a speech disability which he finally conquered in his late teens with the help of the dancer, Byrd Hoffman. After studying business administration at the University of Texas in Austin, he switched to architecture and in 1963 he enrolled on a course at Brooklyn’s Pratt Institute. During his time there, Wilson attended lectures by Sibyl Moholy-Nagy, widow of the Bauhaus designer, László, and studied painting with George McNeill at the American Center in Paris as well as working with learning disabled children back in New York.



Some well known architects and designers seem to have speech or other disabilities. I have often wondered if classifying these disabilities as handicaps is itself a hindrance to their development. Richard Rogers, the famous architect, was dismissed as stupid and sent to a school for backward children.


"Having graduated from Pratt, Wilson moved to Phoenix, Arizona to assist the visionary architect, Paolo Soleri. Increasingly he was drawn to the theatre, particularly to the experimental dance scene, which was flourishing in New York.”





The New York Times on the film Absolute Wilson: Austere, Enigmatic Innovator. And Charming Fellow, Really.



Listening to the Prelude to Act 1 of Lohengrin twice will give between 18 to 20 minutes of music for slow breathing that is good for lowering blood pressure and relaxation. Now you know.



Lohengrin opened in
London a few days ago and I plan to be there on the 8th of May.

Wilson’s own website.






Wagner website.


Synopsis: Lohengrin










Other arts posts:







Grand Rounds: Ausmed

Saturday, July 19, 2008

The Open and The Brain

“If you have a 10 handicap you would have shot 130 today.”



Credit: John Biever/SI

That was the comment made today by one of the Golf Channel commentators at Royal Birkdale on the third day of the 137th Open Championship. The wind was brutal on this Links course. A real test not of strength and distance but of skill and course management.


Credit: John Biever/SI


Greg Norman, the 53 year old newly wed will be going into the final day as the leader, seeking golf’s most sought after title.


Credit: John Biever/SI

He is of course married to Chris Evert the tennis legend and if he should win tomorrow he would become the oldest man to have won a Major, not to say The Open. He has not even played that much golf recently. Yet on the first two days he single putted 17 holes including a 50 footer. Perhaps his brain has been well primed by years of putting, more years than any of the other players.

We shall know soon enough.

Golf Posts:

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Ancient Remedy: Modern Outlook
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Tiger Woods and Breathing
Autism, the Brain and Tiger Woods

Wednesday, July 2, 2008

Golf and Disability

Many disabled people overcome their disability and compete in sport events to a high level – a testament to the power of human resilience.

Stacey Lewis - Scott Halleran / Getty Images

In the US Women Open last week, Stacey Lewis, who led into the final day and in the end just missed being joint second by one stroke, suffers from scoliosis and has a metal rod and five screws to support her vertebrae. You may think it is not so bad except golf is all about twisting your spine. For four months after surgery, she was only allowed to chip and putt and nothing else. That must have improved her short game a lot.

Unfortunately she had such a bad break on the final hole, landing her ball in the bunker such that it was impossible to get any stance that would have enabled her to get the ball to any reasonable proximity to the hole. She did her best under the circumstances, managed a par.

Inbee Park US Women Open 2008 - Golf Channel

Inbee Park made history by being the youngest to win the US Open at the age of 19, just under ten years after starting golf. On one of LPGA’s longest tournament course, Park, herself not a long hitter, proved yet again that one putts for dole. I feel sorry for some talented players that shall remain nameless being pushed to drive some further yards by their coach. For what, I asked: for show, obviously.

The other Park, Angela, who I followed on the second day of the recent Ginn Tribute, led on the first day and was joint third with Stacey and In-Kyung Kim. Her short game was good too.

Kelli Kuehne on Diabetes Treatment - LPGA

One of the veterans, Kelli Kuehne, suffers from diabetes from age 10 and she now wears an insulin pump. She has not done too well for a while but seems to have got better recently.

And then there is Butch Lumpkin, the Thalidomide sufferer. Here is the video from the Golf Channel.

He plays off an eight handicap and drives 260 yards. But watch his putts. He is known as the man with no arm. He plays tennis too. He just does not complain and rises to every challenge. "Life is all about adapting to what lies ahead," he said.

His ambition is to play Tiger Woods for his usual wager, a Chipote ice cream. Come on, Tiger, for charity.

Golf Posts:
Golf, Cholera and Tiger Woods
The Open and The Brain
Ancient Remedy: Modern Outlook
Golf and Health
Tiger Woods and Breathing

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Monday, February 25, 2008

Autism, the Brain and Tiger Woods

If London “Cabbies” can train themselves to remember 25,000 London Streets and navigate them and make their brains develop, we too must be able to do much in enhance ours.
If this can happen with adult brain in this very specific visual spatial area we must be able to do the same with other areas of brain functioning.

In the chapter “Miracles” of my book "The Cockroach Catcher”, I highlighted the case of how a boy who was considered beyond the then accepted critical age for language acquisition managed to acquire not one but two languages after intensive input. This was after half his brain was removed to treat a specific neurological condition.

In another chapter, I told the story of how one mother managed to get her autistic boy to speak by giving him her intensive input, against all predictions that he would have great difficulties in that area.

Be warned: there are no short cuts. Great commitment and dedication is required. But believe you me – often the results surprised even The Cockroach Catcher.

Many new parents tend to parent by responding to cues given to them. There is nothing wrong with that. We talk to our kids when they talk to us and we leave them alone if they want to play on their own. Sometimes parents insist that quiet play is actually good for their children when they themselves want some peace and quiet…..
……With autistic children one may have to wait a very long time for those cues and they may never come……
…… there is something you can start if you are not doing already. Do not stop talking to Anthony. Give him running commentaries on what you are doing even if it is about tidying the place, getting his dinner or doing his laundry…...’Don’t wait for his response,’ I emphasized……”
Then,
“……At three years and four months Anthony spoke. He did not just speak. He was in full sentences.
I said to mother, you have delivered……”


Tiger Woods:
As I wrote, Tiger Woods just won the Accenture Match Play World Championship, his fourth tour win this year alone. It is a tribute to the commitment of Tiger’s parents and especially to his father Earl Wood’s induction of Tiger into golf from an early age. The same goes for parents of many successful sportsmen and musicians. There is no doubt all these pursuits also require manual dexterity, accuracy and concentration from the individual. They all have regular and long practices – regular feed-back to the brain.
Even when we cannot drive long drives like Tiger, the Cockroach Catcher contends that if a golfer wants to improve his brain, he should concentrate on the short game, especially putting. The visual spatial computation required is what will keep the brain cells “wriggling”.
Congratulations to Tiger on his success. I must book my next week’s Tee time now.
Golf Posts:



Autism posts:

Sunday, February 24, 2008

'The Knowledge' and the Brain

Early on in my neurological training at one of the world’s top centres, we were told in no uncertain terms that we were born with a fixed number of brain cells which would not be replenished whatever we might do.  At the time and for a long time afterwards I believed them.  So did most doctors and neurologists and the public in general.  Now I realise that in life what you and a lot of people have always believed in may turn out to be not true.


‘The Knowledge’ unique to London is what blew that belief into pieces. All London taxi-driver have to go through two to five years of training to learn and memorise all the London streets (about 25,000 in total within a six-mile radius of Charing Cross) and one-way systems.   In the licence examination they have to answer questions on how to drive from A to B along the shortest possible route.  The scientists in London did MRI studies of these London taxi-drivers and confirmed that the specific part of their brains that is responsible for this visual-spatial memory had indeed become bigger and more complex than average. What we previously knew about the brain had to be deleted and a new chapter was re-written.   Brain injured people began to have new hope.
In my travels I have come across minority ethnic groups that give their children very specific motor skill training in the form of traditional dances and games, and on the small island of Taquile in Peru, even knitting for boys – perhaps they know a thing or two.

Island of Tequile, Peru

Peruvian boys in Tequile

One can argue that computer games are the modern equivalent.
Playing musical instruments requires both manual dexterity and memory work, and musicians are often good mathematicians, possibly because of the proximity of the areas in the brain for these functions, although it may not be that clear cut. Making children recite poems is not a bad idea either, nor indeed the study of Latin, as these activities all help to exercise their brain. 


The Jewish have probably known for a long time the benefit of studying the Torah for Bar Mitzvah:
“……It is most common for the celebrant to learn the entire haftarah portion, including its traditional chant, and recite that.”

Now lessons in music instruments are no longer offered in most state schools in the U.K., nor is Latin. Medical schools are moving away from rote learning. Good intentions may indeed have major drawbacks that could affect generations to come.

By the way, if you have been trained to have a good memory, that ability will transfer easily to the remembering of the taste of wine! Think about it, the brain is very economical in its application, and is still the best computer around.

Mmmm….perhaps that is why two of my friends started learning the piano when they retired. They too might know a thing or two.

If we want our children to have a future, bring back music, rote learning and poetry, and let medical students toil through anatomy. Our world will be better.