Neurons, signals & neuroplasticity
How brain cells send messages, and how the brain rewires itself with practice - the science of neuroplasticity that makes rehabilitation work.
Everything the brain does comes down to tiny cells passing messages. Understanding this helps explain the single most hopeful idea in rehabilitation: the brain can change.
Meet the neuron
A neuron is a nerve cell with three parts:
- Dendrites - branches that receive signals from other cells.
- Cell body - which adds them up and decides whether to fire.
- Axon - a long cable that passes the signal on, often wrapped in fatty myelin that speeds it up.
You have roughly 86 billion neurons, each connecting to thousands of others - more connections than there are stars in the Milky Way.
How signals travel
Inside a neuron, the message is electrical - a fast pulse racing down the axon. Between neurons, it turns chemical: the pulse releases messengers called neurotransmitters (like dopamine, serotonin, and acetylcholine) across a tiny gap - the synapse - to the next cell. Many medicines and symptoms come down to these chemical messengers being too high, too low, or out of balance.
Neuroplasticity - the brain that rewires
Connections aren’t fixed. Neuroplasticity is the brain’s lifelong ability to reshape itself:
- Strengthening the synapses you use often (“cells that fire together, wire together”).
- Pruning connections you rarely use.
- Rerouting - healthy areas taking on jobs from damaged ones after injury.
This is exactly why therapy and practice work. Recovery isn’t about willpower alone; it’s about giving the brain the right, repeated experiences so it rebuilds useful pathways.
What helps the brain rewire
Research points to a few reliable ingredients:
- Repetition and intensity - many correct repetitions, not just a few.
- Specific, meaningful practice - training the exact skill you want back.
- Challenge at the right level - hard enough to stretch, easy enough to succeed.
- Sleep, movement, and mood - the conditions that let learning stick.
Our Practice activities and the external games player are built on these principles - short, repeatable, just-hard-enough tasks.