The modern concept of cognitive reserve

Author:

Koberta N.N., Tabeeva G.R.

Place of publication:

NEUROLOGY. NEUROPSYCHIATRY. Psychosomatics, 2019

The main forms of cognitive impairment (CI) are characterized by significant variability in the relationship between morphological changes and clinical manifestations. One promising concept explaining these characteristics is the modern model of cognitive reserve. The concept of cognitive reserve, most widely used in the context of dementia, is often used to explain the mechanisms by which functional brain systems are resilient to the development of neuropathological changes. The mechanisms that ensure the functioning of cognitive reserve in normal and pathological brain function involve the activation of neural connections within the brain. Therefore, individuals with higher efficiency of neural connections and the ability to form alternative neural networks and, consequently, to develop cognitive strategies in response to increased cognitive load are characterized by higher levels of cognitive reserve. The modern concept of cognitive reserve offers prospects for explaining the causes and mechanisms of CI development and also substantiates the possibility of using alternative strategies for their correction.

Key words: cognitive reserve; brain reserve; Alzheimer's disease; dementia.

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