1 00:00:14,626 --> 00:00:16,293 So how do we learn? 2 00:00:16,812 --> 00:00:21,005 And why does some of us learn things more easily than others? 3 00:00:21,445 --> 00:00:24,595 So, as I just mentioned, I'm Dr. Lara Boyd. 4 00:00:24,617 --> 00:00:27,974 I am a brain researcher here at the University of British Columbia. 5 00:00:28,254 --> 00:00:31,147 These are the questions that fascinate me. 6 00:00:31,148 --> 00:00:34,038 (Cheers) (Applause) 7 00:00:35,458 --> 00:00:38,725 So brain research is one of the great frontiers 8 00:00:38,726 --> 00:00:41,244 in the understanding of human physiology, 9 00:00:41,245 --> 00:00:45,278 and also in the consideration of what makes us who we are. 10 00:00:45,618 --> 00:00:47,904 It's an amazing time to be a brain researcher, 11 00:00:47,905 --> 00:00:49,173 and I would argue to you 12 00:00:49,174 --> 00:00:51,944 that I have the most interesting job in the world. 13 00:00:52,434 --> 00:00:56,328 What we know about the brain is changing at a breathtaking pace. 14 00:00:56,329 --> 00:00:59,534 And much of what we thought we knew and understood about the brain 15 00:00:59,535 --> 00:01:02,745 turns out to be not true or incomplete. 16 00:01:03,433 --> 00:01:06,974 Some of these misconceptions are more obvious than others. 17 00:01:06,975 --> 00:01:09,577 For example, we used to think 18 00:01:09,578 --> 00:01:14,068 that after childhood the brain did not, really could not change. 19 00:01:14,069 --> 00:01:18,017 And it turns out that nothing could be farther from the truth. 20 00:01:18,018 --> 00:01:19,957 Another misconception about the brain 21 00:01:19,958 --> 00:01:23,136 is that you only use parts of it at any given time 22 00:01:23,137 --> 00:01:25,716 and it's silent when you do nothing. 23 00:01:25,717 --> 00:01:27,534 Well, this is also untrue. 24 00:01:27,535 --> 00:01:29,761 It turns out that even when you're at a rest 25 00:01:29,762 --> 00:01:33,473 and thinking of nothing, your brain is highly active. 26 00:01:33,953 --> 00:01:37,244 So it's been advances in technology, such as MRI, 27 00:01:37,245 --> 00:01:40,532 that's allowed us to make these and many other important discoveries. 28 00:01:40,982 --> 00:01:42,601 And perhaps the most exciting, 29 00:01:42,602 --> 00:01:45,618 the most interesting and transformative of these discoveries 30 00:01:45,619 --> 00:01:49,351 is that, every time you learn a new fact or skill, 31 00:01:49,352 --> 00:01:51,231 you change your brain. 32 00:01:51,584 --> 00:01:54,251 It's something we call neuroplasticity. 33 00:01:54,649 --> 00:01:58,737 So as little as 25 years ago, we thought that after about puberty, 34 00:01:58,738 --> 00:02:01,784 the only changes that took place in the brain were negative: 35 00:02:01,785 --> 00:02:03,994 the loss of brain cells with aging, 36 00:02:03,995 --> 00:02:06,636 the result of damage, like a stroke. 37 00:02:06,637 --> 00:02:09,899 And then, studies began to show remarkable amounts 38 00:02:09,900 --> 00:02:12,978 of reorganization in the adult brain. 39 00:02:13,668 --> 00:02:15,844 And the ensuing research has shown us 40 00:02:15,845 --> 00:02:19,366 that all of our behaviors change our brain. 41 00:02:19,946 --> 00:02:23,015 That these changes are not limited by age, 42 00:02:23,016 --> 00:02:24,723 it's a good news right? 43 00:02:24,724 --> 00:02:27,397 And in fact, they are taking place all the time. 44 00:02:27,398 --> 00:02:29,529 And very importantly, 45 00:02:29,530 --> 00:02:32,398 brain reorganization helps to support recovery 46 00:02:32,399 --> 00:02:34,474 after you damage your brain. 47 00:02:34,959 --> 00:02:38,668 The key to each of these changes is neuroplasticity. 48 00:02:39,556 --> 00:02:41,204 So what does it look like? 49 00:02:41,205 --> 00:02:44,201 So your brain can change in three very basic ways 50 00:02:44,202 --> 00:02:45,961 to support learning. 51 00:02:45,962 --> 00:02:48,001 And the first is chemical. 52 00:02:48,002 --> 00:02:51,574 So your brain actually functions by transferring chemicals signals 53 00:02:51,584 --> 00:02:53,709 between brain cells, what we call neurons, 54 00:02:53,710 --> 00:02:57,148 and this triggered a series of actions and reactions. 55 00:02:57,539 --> 00:03:00,267 So to support learning, your brain can increase the amount 56 00:03:00,268 --> 00:03:03,454 or the concentrations of these chemical signaling 57 00:03:03,459 --> 00:03:06,459 that's taking place between neurons. 58 00:03:06,462 --> 00:03:09,021 Because this change can happen rapidly, 59 00:03:09,022 --> 00:03:10,979 this supports short-term memory 60 00:03:10,980 --> 00:03:15,020 or the short-term improvement in the performance of a motor skill. 61 00:03:15,550 --> 00:03:18,799 The second way that the brain can change to support learning 62 00:03:18,800 --> 00:03:20,934 is by altering its structure. 63 00:03:21,375 --> 00:03:25,493 So during learning, the brain can change the connections between neurons. 64 00:03:25,494 --> 00:03:28,742 Here, the physical structure of the brain is actually changing 65 00:03:28,752 --> 00:03:30,899 so this takes a bit more time. 66 00:03:30,900 --> 00:03:33,685 These type of changes are related to long-term memory, 67 00:03:33,686 --> 00:03:37,037 the long-term improvement in a motor skill. 68 00:03:37,038 --> 00:03:41,004 These processes interact, and let me give you an example of how. 69 00:03:41,604 --> 00:03:44,742 We've all tried to learn a new motor skill, 70 00:03:44,743 --> 00:03:46,382 maybe playing the piano, 71 00:03:46,383 --> 00:03:48,243 maybe learning to juggle. 72 00:03:48,244 --> 00:03:50,923 You've had the experience of getting better and better 73 00:03:50,924 --> 00:03:53,201 within a single session of practice, 74 00:03:53,202 --> 00:03:55,700 and thinking "I have got it." 75 00:03:55,701 --> 00:03:57,840 And then, maybe you return the next day, 76 00:03:57,841 --> 00:04:01,292 and all those improvements from the day before are lost. 77 00:04:01,293 --> 00:04:02,792 What happened? 78 00:04:02,793 --> 00:04:05,822 Well, in the short-term, your brain was able to increase 79 00:04:05,834 --> 00:04:08,585 the chemical signaling between your neurons. 80 00:04:08,586 --> 00:04:13,480 But for some reason, those changes did not induce the structural changes 81 00:04:13,481 --> 00:04:16,507 that are necessary to support long-term memory. 82 00:04:17,257 --> 00:04:20,591 Remember that long-term memories take time. 83 00:04:20,593 --> 00:04:23,725 And what you see in the short term does not reflect learning, 84 00:04:23,726 --> 00:04:25,473 It's these physical changes 85 00:04:25,474 --> 00:04:27,853 that are now going to support long-term memories, 86 00:04:27,854 --> 00:04:31,764 and chemical changes that support short-term memories. 87 00:04:32,734 --> 00:04:36,876 Structural changes also can lead to integrated networks of brain regions 88 00:04:36,877 --> 00:04:39,225 that function together to support learning. 89 00:04:39,226 --> 00:04:41,572 And they can also lead to certain brain regions 90 00:04:41,573 --> 00:04:44,212 that are important for very specific behaviors 91 00:04:44,213 --> 00:04:46,808 to change your structure or to enlarge. 92 00:04:46,809 --> 00:04:49,318 So here's some examples of that. 93 00:04:49,319 --> 00:04:51,201 People who read Braille 94 00:04:51,202 --> 00:04:56,616 have larger hand sensory areas in their brain than those of us who don't. 95 00:04:56,617 --> 00:05:00,934 Your dominant hand motor region, which is on the left side of your brain, 96 00:05:00,935 --> 00:05:04,797 if you are right-handed, is larger than the other side. 97 00:05:04,798 --> 00:05:07,781 And research shows the London taxi cab drivers 98 00:05:07,782 --> 00:05:12,424 who actually have to memorize a map of London to get their taxi cab license, 99 00:05:12,425 --> 00:05:17,210 they have larger brain regions devoted to spatial, or mapping memories. 100 00:05:17,810 --> 00:05:20,808 The last way that your brain can change to support learning 101 00:05:20,809 --> 00:05:22,539 is by altering its function. 102 00:05:23,679 --> 00:05:25,551 As you use a brain region, 103 00:05:25,552 --> 00:05:29,311 It becomes more and more excitable and easy to use again. 104 00:05:29,312 --> 00:05:32,883 And as your brain has these areas that increase their excitability, 105 00:05:32,884 --> 00:05:35,949 the brain shifts how and when they are activated. 106 00:05:35,950 --> 00:05:37,600 With learning, we see 107 00:05:37,601 --> 00:05:41,611 that whole networks of brain activity are shifting and changing. 108 00:05:42,459 --> 00:05:44,377 So neuroplasticity is supported 109 00:05:44,378 --> 00:05:48,752 by chemical, by structural, and by functional changes, 110 00:05:48,753 --> 00:05:51,601 and these are happening across the whole brain. 111 00:05:51,602 --> 00:05:53,952 They can occur in isolation from one or another, 112 00:05:53,953 --> 00:05:57,334 but most often, they take place in concert. 113 00:05:57,335 --> 00:05:59,662 Together, they support learning. 114 00:05:59,663 --> 00:06:02,354 And they're taking place all the time. 115 00:06:04,167 --> 00:06:08,914 I just told you really how awesomely neuroplastic your brain is. 116 00:06:08,915 --> 00:06:13,094 Why can't you learn anything you choose to with ease? 117 00:06:13,095 --> 00:06:16,311 Why do our kids sometimes fail in school? 118 00:06:16,941 --> 00:06:20,634 Why as we age do we tend to forget things? 119 00:06:20,635 --> 00:06:23,948 And why don't people fully recover from brain damage? 120 00:06:23,959 --> 00:06:29,397 That is: what is it that limits and facilitates neuroplasticity? 121 00:06:29,398 --> 00:06:31,407 And so this is what I study. 122 00:06:31,408 --> 00:06:35,691 I study specifically how it relates to recovery from stroke. 123 00:06:35,692 --> 00:06:36,936 Recently, stroke dropped 124 00:06:36,937 --> 00:06:40,386 from being the third leading cause of death in the United States 125 00:06:40,387 --> 00:06:42,496 to be the forth leading cause of death. 126 00:06:42,497 --> 00:06:44,237 Great news, right? 127 00:06:44,937 --> 00:06:46,319 But actually, it turns out 128 00:06:46,320 --> 00:06:49,359 that the number of people having a stroke has not declined. 129 00:06:49,360 --> 00:06:52,699 We are just better at keeping people alive after a severe stroke. 130 00:06:53,299 --> 00:06:58,095 It turns out to be very difficult to help the brain recover from stroke. 131 00:06:58,096 --> 00:06:59,372 And frankly, 132 00:06:59,373 --> 00:07:03,463 we have failed to develop effective rehabilitation interventions. 133 00:07:05,433 --> 00:07:09,568 The net result of this is that stroke is the leading cause 134 00:07:09,569 --> 00:07:13,739 of long-term disability in adults in the world; 135 00:07:13,740 --> 00:07:15,818 individuals with stroke are younger 136 00:07:15,819 --> 00:07:18,938 and tending to live longer with that disability, 137 00:07:18,939 --> 00:07:21,143 and research from my group actually shows 138 00:07:21,144 --> 00:07:25,952 that the health-related quality of life of Canadians with stroke has declined. 139 00:07:26,462 --> 00:07:28,219 So clearly we need to be better 140 00:07:28,220 --> 00:07:30,306 at helping people recover from stroke. 141 00:07:30,307 --> 00:07:33,708 This is an enormous societal problem, 142 00:07:33,709 --> 00:07:36,273 and it's one that we are not solving. 143 00:07:36,653 --> 00:07:38,504 So what can be done? 144 00:07:38,944 --> 00:07:41,291 One thing is absolutely clear: 145 00:07:41,292 --> 00:07:45,793 the best driver of neuroplastic change in your brain is your behavior. 146 00:07:46,625 --> 00:07:50,332 The problem is that the dose of behavior, the dose of practice 147 00:07:50,333 --> 00:07:53,935 that's required to learn new and relearn old motor skills, 148 00:07:53,936 --> 00:07:55,551 is very large. 149 00:07:55,552 --> 00:07:58,827 And how to effectively deliver these large doses of practice 150 00:07:58,828 --> 00:08:03,209 is a very difficult problem; It's also a very expensive problem. 151 00:08:03,210 --> 00:08:05,389 So the approach that my research has taken 152 00:08:05,390 --> 00:08:09,297 is to develop therapies that prime or that prepare the brain to learn. 153 00:08:09,298 --> 00:08:14,031 And these have included brain simulation, exercise, and robotics. 154 00:08:14,351 --> 00:08:18,220 But through my research, I've realized that a major limitation 155 00:08:18,221 --> 00:08:21,764 to the development of therapies that speed recovery from stroke 156 00:08:21,765 --> 00:08:27,751 is that patterns of neuroplasticity are highly variable from person to person. 157 00:08:28,555 --> 00:08:32,596 As a researcher, variability used to drive me crazy. 158 00:08:32,597 --> 00:08:35,866 It makes it very difficult to use the statistics 159 00:08:35,866 --> 00:08:38,390 to test your data and your ideas. 160 00:08:38,392 --> 00:08:41,347 And because of this, medical intervention studies are 161 00:08:41,349 --> 00:08:45,089 specifically designed to minimize variability. 162 00:08:45,090 --> 00:08:48,334 But in my research, it's becoming really clear 163 00:08:48,335 --> 00:08:52,688 that the most important, the most informative data we collect 164 00:08:52,689 --> 00:08:55,061 is showing this variability. 165 00:08:56,571 --> 00:09:00,972 So by studying the brain after stroke, we've learned a lot, 166 00:09:00,973 --> 00:09:05,782 and I think these lessons are very valuable in other areas. 167 00:09:06,572 --> 00:09:07,881 The first lesson is 168 00:09:07,882 --> 00:09:11,973 that the primary driver of change in your brain is your behavior, 169 00:09:11,974 --> 00:09:15,334 so there is no neuroplasticity drug you can take. 170 00:09:15,907 --> 00:09:19,367 Nothing is more effective than practice at helping you learn, 171 00:09:19,368 --> 00:09:23,164 and the bottom line is you have to do the work. 172 00:09:23,844 --> 00:09:25,593 And in fact, my research has shown 173 00:09:25,594 --> 00:09:30,767 increased difficulty, increased struggle if you will, during practice, 174 00:09:30,768 --> 00:09:32,934 actually leads to both more learning, 175 00:09:32,935 --> 00:09:36,335 and greater structural change in the brain. 176 00:09:37,751 --> 00:09:42,524 The problem here is that neuroplastcity can work both ways. 177 00:09:42,525 --> 00:09:45,338 It can be positive, you learn something new, 178 00:09:45,339 --> 00:09:47,928 and you refine a motor skill. 179 00:09:47,929 --> 00:09:51,692 And it also can be negative though, you forgot something you once knew, 180 00:09:51,693 --> 00:09:53,908 you become addicted to drugs, 181 00:09:53,909 --> 00:09:55,937 maybe you have chronic pain. 182 00:09:56,147 --> 00:09:58,614 So your brain is tremendously plastic, 183 00:09:58,615 --> 00:10:03,314 and it's been shaped both structurally and functionally by everything you do, 184 00:10:03,315 --> 00:10:06,470 but also by everything that you don't do. 185 00:10:07,070 --> 00:10:09,801 The second lesson we've learned about the brain 186 00:10:09,802 --> 00:10:13,722 is that there is no one-size-fits-all approach to learning. 187 00:10:14,342 --> 00:10:16,587 So there is no recipe for learning. 188 00:10:16,588 --> 00:10:20,515 Consider the popular belief that it takes 10,000 hours of practice 189 00:10:20,516 --> 00:10:23,725 to learn and to master a new motor skill. 190 00:10:23,726 --> 00:10:27,065 I can assure you it's not quite that simple. 191 00:10:27,066 --> 00:10:28,198 For some of us, 192 00:10:28,199 --> 00:10:32,818 it's going to take a lot more practice, and for others it may take far less. 193 00:10:32,819 --> 00:10:36,767 So the shaping of our plastic brains is far too unique 194 00:10:36,768 --> 00:10:41,237 for there to be any single intervention that's going to work for all of us. 195 00:10:41,238 --> 00:10:46,258 This realization has forced us to consider something call personalized medicine. 196 00:10:46,259 --> 00:10:49,227 This is the idea that to optimize outcomes 197 00:10:49,228 --> 00:10:53,007 each individual requires their own intervention. 198 00:10:53,008 --> 00:10:55,752 And the idea actually comes from cancer treatments. 199 00:10:55,753 --> 00:10:59,338 And here it turns out that genetics are very important in matching 200 00:10:59,339 --> 00:11:03,739 certain types of chemotherapy with specific forms of cancer. 201 00:11:04,459 --> 00:11:08,223 My research is showing that this also applies to recovery from stroke. 202 00:11:08,224 --> 00:11:11,317 There're certain characteristics of brain structure and function 203 00:11:11,334 --> 00:11:12,584 we called biomarkers. 204 00:11:12,585 --> 00:11:15,168 And these biomarkers are proving to be very helpful 205 00:11:15,169 --> 00:11:17,092 and helping us to match 206 00:11:17,093 --> 00:11:20,958 specific therapies with individual patients. 207 00:11:20,959 --> 00:11:24,793 The data from my lab suggests it's a combination of biomarkers 208 00:11:24,794 --> 00:11:29,584 that best predicts neuroplastic change and patterns of recovery after stroke. 209 00:11:29,588 --> 00:11:34,170 And that's not surprising, given how complicated the human brain is. 210 00:11:34,171 --> 00:11:38,661 But I also think we can consider this concept much more broadly. 211 00:11:39,831 --> 00:11:43,776 Given the unique structure and function of each of our brains 212 00:11:43,792 --> 00:11:49,042 what we've learned about neuroplasticity after stroke applies to everyone. 213 00:11:50,306 --> 00:11:54,804 Behaviors that you employ in your everyday life are important. 214 00:11:54,805 --> 00:11:57,533 Each of them is changing your brain. 215 00:11:57,534 --> 00:11:59,275 And I believe we have to consider 216 00:11:59,276 --> 00:12:03,355 not just personalized medicine but personalized learning. 217 00:12:03,356 --> 00:12:05,831 The uniqueness of your brain will affect you 218 00:12:05,832 --> 00:12:08,981 both as a learner and also as a teacher. 219 00:12:08,982 --> 00:12:11,938 This idea helps us to understand 220 00:12:11,939 --> 00:12:15,738 why some children can thrive in tradition education settings 221 00:12:15,739 --> 00:12:17,348 and others don't; 222 00:12:17,349 --> 00:12:19,719 why some of us can learn languages easily 223 00:12:19,720 --> 00:12:23,730 and yet, others can pick up any sport and excel. 224 00:12:25,330 --> 00:12:28,381 So when you leave this room today, 225 00:12:28,382 --> 00:12:32,891 your brain will not be the same as when you entered this morning. 226 00:12:32,892 --> 00:12:35,549 And I think that's pretty amazing. 227 00:12:36,389 --> 00:12:40,002 But each of you is going to have changed your brain differently. 228 00:12:40,552 --> 00:12:42,706 Understanding these differences, 229 00:12:42,707 --> 00:12:46,335 these individual patterns, this variability and change 230 00:12:46,336 --> 00:12:49,835 is going to enable the next great advance in neuroscience; 231 00:12:49,847 --> 00:12:53,596 it's going to allow us to develop new and more effective interventions, 232 00:12:53,597 --> 00:12:57,906 and allow for matches between learners and teachers, 233 00:12:57,907 --> 00:13:00,906 and patients and interventions. 234 00:13:00,907 --> 00:13:03,986 And this does not just apply the recovery from stroke, 235 00:13:03,987 --> 00:13:08,488 it applies to each of us, as a parent, as a teacher, as a manager, 236 00:13:08,489 --> 00:13:12,869 and also because you are at TEDx today, as a lifelong learner. 237 00:13:13,439 --> 00:13:16,898 Study how and what you learn best. 238 00:13:16,899 --> 00:13:20,738 Repeat those behaviors that are healthy for your brain, 239 00:13:20,739 --> 00:13:23,936 and break those behaviors and habits that are not. 240 00:13:24,446 --> 00:13:25,518 Practice. 241 00:13:26,078 --> 00:13:30,487 Learning is about doing the work that your brain requires. 242 00:13:30,488 --> 00:13:34,320 So the best strategies are going to vary between individuals. 243 00:13:34,321 --> 00:13:37,537 You know what, they're even going to vary within individuals. 244 00:13:37,538 --> 00:13:40,508 So for you, learning music may come very easily, 245 00:13:40,509 --> 00:13:43,748 but learning to snowboard, much harder. 246 00:13:44,478 --> 00:13:46,288 I hope that you leave today 247 00:13:46,289 --> 00:13:49,908 with a new appreciation of how magnificent your brain is. 248 00:13:49,909 --> 00:13:54,681 You and your plastic brain are constantly being shaped by the world around you. 249 00:13:54,682 --> 00:13:57,136 Understand that everything you do, 250 00:13:57,137 --> 00:14:01,656 everything you encounter, and everything you experience is changing your brain. 251 00:14:01,657 --> 00:14:05,856 And that can be for better, but it can also be for worse. 252 00:14:05,857 --> 00:14:10,328 So when you leave today, go out and build the brain you want. 253 00:14:10,329 --> 00:14:11,547 Thank you very much. 254 00:14:11,548 --> 00:14:13,251 (Applause)