Saturday, July 4, 2015

Let’s Take Neuroplasticity Seriously For The Sake Of Students with Learning Disabilities



 by Prima Breuer

 According to the fifth and latest edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM), “learning disorders” as doctors call them, and “learning disabilities” as teachers call them are classified as neurodevelopmental disorders. Neurodevelopmental disorders are impairments of the growth, functioning or development of the brain. Currently in American and many different countries, students with learning disabilities are considered to be eligible to received special education. By laws, the schools are also required to create an individualized educational program (IEP) for students with learning disabilities, in order to ensure that they are receiving a quality education that will meet their needs and help them reach their full potential.
Apart from educational interventions, doctors often treat students with learning disabilities with similar medications as individuals with attention deficit disorders or attention deficit hyperactivity disorders. A few common medications are Ritalin, Adderall, and Concerta. These medications prevent the reuptake of dopamine and norepinephrine, which allows more dopamine and norepinephrine to be available for the brain to use. The idea of giving students with learning disabilities these drugs was to help increase their brain functioning and attention for learning. However these household named drugs did come with quite a slew of short and long term side effects.
There are four major types of learning disabilities which are dyslexia, dysgraphia, dyscalculia, and dyspraxia. Some people can even have more than one learning disabilities. Furthermore the degree of severity and the symptoms of each learning disabilities can be different from one individual to another. For example, a student with dyslexia, which is a learning disability in reading, might see only the lower half of the words on a page, while another student with dyslexia might see only the top half of the words on a page.
Nowadays, there are many educational programs and tools that have been created to help students with learning disabilities overcome academic difficulties. Special education teachers have more sources and strategies available to them when dealing with students that have one or more learning disabilities. Parents now are conveniently able to download applications on their iPad  that are designed to help with specific learning disabilities that way either parent can work with their children at home. But considering that the degree of severity and symptoms of learning disabilities varies so much, these brilliant well-designed educational programs and tools only work for some of the students. So, how about the rest?
I want to introduce you to a woman named Barbara Arrowsmith-Young, the author of the book “The Woman Who Changed Her Brain”. Barbara had severe learning disabilities that made it challenging for her to understand abstract concepts, three-dimensional space, cause and effect, grammar, and relationships of things. It was extremely difficult for her to understand or even have a conversation with others.
In her book, she mentions that after she comes across research study dealing with neuroplasticity in rats by Mark Rosenzweig, at the University of California at Berkeley, she had a thought that if a rat can change its brain through brain stimulation, then maybe humans can do the same. After analyzing Marks research, Barbara then decided to design her own cognitive exercises that would stimulate the cortical region or the junction in the brain of the parietal-occipital-temporal lobes of her brain that might be related to her learning disabilities. Her first set of exercises were designed to help the part of her brain that deals with interpreting the relationships of things. She used flashcards of clocks, because in order to understand how to read time from clocks, she has to understand the relationships between the hour hand and the minute hand, which she didn’t at the time. As the clock-reading exercise started to become easier for her, she continuously increased the difficulty. Apart from being able to understand the relationship of the hour hand and minute hand, Barbara also began to realize that she could now also understand grammar and conversations. This means that the part of her brain that deals with interpreting relationships was stimulated by the clock exercises and now working better than before. Barbara can now understand the relationships and associations of words just as she can read clocks (Arrowsmith-Young, 2012). You probably would not be surprise that Barbara ended up starting her own schooling program for students with learning disabilities. The program stems from the idea of neuroplasticity and is focused on using cognitive exercises to build connections in the brain, the program was thus dubbed the Arrowsmith Program.
Considering that Barbara discovered the potential of neuroplasticity in the year 1978, which means that the idea of neuroplasticity has been around for at the very least 37 years. Neuroplasticity refers “to the brain’s ability to rewire itself, rerouting information or processing functions to different areas of the brain and/or neural networks to compensate for damaged brain pathways and lost functions (Johnston, 2014).” We used to believe that our brain was fixed. We all have been told that we had certain amount of brain cells and if any of them died, there is no getting those cells back. The idea of neuroplasticity changes everything we used to think about the brain. This means that the brain over time has the ability to improve, change, and heal itself, not just degenerate. And guess what, our brain cells do regenerate, maybe at a slower rate than regular cells in the human body, but they do regenerate and this knowledge came out in the year 1999, after the research team at Princeton University discovered that “new neurons are continually added to the cerebral cortex of adult monkey (Princeton.edu, 2015).”
So for the past 37 years, what have we really done with this idea of neuroplasticity? How have we tried to apply this idea in education? The answer is not very much. One of the reason, is that most people are not even aware of this idea. Scientists are more interested in applying this idea in the medical field preferably for brain injuries over students with disabilities. There has not been a lot of research done on neuroplasticity and neurodevelopmental disorders. Teachers, as well as, special education teachers, are not really thinking about neuroplasticity when they are working with students who has learning disabilities. Most special education teachers have not even heard of Barbara Arrowsmith-Young or the Arrowsmith Program.
So why is this a problem and how does that relate to students with learning disabilities? It relates to students diagnosed with learning disabilities because the root of learning disabilities stems from the brain. Hint: Remember that it is a neurodevelopmental disorders! And it is a problem because if we are truly trying to help these students with learning disabilities overcome their difficulties and reach their full potential, shouldn’t we try to solve it from the root of the problem? If cognitive exercises have potential to stimulate certain parts of the brain that are not working very well, and the exercises are proven to trigger those parts so that they will work better taking accord that your brain is plastic, shouldn’t we be using these exercises in school? Barbara has already demonstrated that these exercises can be easily done even just through the use of flashcards. So should special education teachers be using these exercises with their students? You can argue that it’s hard to know which cognitive exercises stimulate which part of the brain. It is true, but we could easily fix that by doing more research. We are now living in the era where there are technologies that allow us to look at the brain and its’ activities without having to cut it open. We can even pinpoint which type of activity triggers certain parts of the brain, so that means that through these technologies we can also pinpoint which cognitive exercise trigger which parts of the brain.
This is a call for action to scientists and people working in the field of education to aim their research towards using the idea of neuroplasticity to help students with learning disabilities better their brain. Questions like: How can neuroplasticity help students achieve certain learning goals? How do cognitive exercises affect the brain of students with learning disabilities? Can be answer through research. The answers to these questions would greatly help educators create a better learning program to provide a quality education for students with learning disabilities. Looking at the brain with the idea of neuroplasticity in mind could also be of great benefits to students with other neurodevelopmental disorders such as attention deficit disorders, attention deficit hyperactivity disorders, and autism spectrum disorders.
This is also a call for action to increase the awareness of neuroplasticity to scientists, educators, parents and students everywhere. People should know that their brains have potential to improve and even heal itself. Parents should know that the brains of their children who have learning disabilities are not fixed and they are still able to change dramatically. Educators should understand and be aware of the potential in the learning capacity of students with or without learning disabilities. Brains can be worked with in schools not just in the surgery rooms anymore. Although educators treat the brain like an untouchable organ that should be left for the doctors, educators have always been working with the students’ brains so isn’t it about time that educators are more aware of their influence and their ability to help improve the students’ brain?
Neuroplasticity also means that the brain behaves more like a muscle than just another organ. Just like muscles, the brain can become weak or strong through exercising. If educators adopt this mindset of looking at the brain as muscles, working with the students’ brain will not be that intimidating anymore. When we feel that certain muscle in our body is weak, we can work on getting that muscle to become stronger by starting with lowers weights and the right exercise that focus on that muscle. As that muscle gets stronger, we add more weights and make the exercise even harder. We can easily apply this concept to our brain. When certain part of the brain is weak, we can choose to work on that part by starting from the most basic level and choosing the right cognitive exercise that will trigger stimulation in that specific part of the brain. Once that part starts functioning better, then we can move on to a harder level and more difficult exercise. The steps of starting from basic and slowly increasing the difficulty of the exercise is something that all educators are familiar with when they teach the students. Now instead of thinking about which content to teach students with learning disabilities, educators can think of which part of the brain they should work on with students with learning disabilities.  
Neuroplasticity gives new hope to people with brain impairments, it is about time that we explore it in the realm of education, in order to provide the right help for students with neurodevelopment disorders. It is time that we change our mindset about the limitations of the brain and adopt the thinking that our brain is an amazing ever changing muscle. It is time that we take neuroplasticity seriously for the sake of students with learning disabilities.
           


References:
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders
(5th ed.). Washington, DC: Author.
Anon, (2015). [online] Available at:
[Accessed 30 Jun. 2015].
Arrowsmith-Young, B. (2012). The woman who changed her brain. New York City: Free Press.
Johnston, J. (2014). Idiot's Guides Psychology. 5th ed. New York: Penguin Group (USA) Inc.
Ldaamerica.org, (2015). Learning Disabilities and The Law: After High School: An Overview for
Students. [online] Available at: http://ldaamerica.org/learning-disabilities-and-the-law-after-high-school-an-overview-for-students-2/ [Accessed 30 Jun. 2015].
Nichd.nih.gov, (2015). What are the treatments for learning disabilities?. [online] Available at:
Princeton.edu, (2015). Princeton - News - Scientists Discover Addition of New Brain Cells in
Highest Brain Area. [online] Available at: http://www.princeton.edu/pr/news/99/q4/1014-brain.htm [Accessed 30 Jun. 2015].


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