The Brain That Changes Itself

A Machine to Restore the Brain's Sense of Balance

Cheryl Schiltz lived in a nightmare where the world never stopped moving. After a reaction to a common antibiotic, her internal balance system was almost entirely destroyed. She felt as though she were plummeting into an infinite abyss, even when lying flat on the floor. This condition made every step a chaotic struggle, stripping away her career, her confidence, and her basic sense of safety.

Paul Bach-y-Rita believed the brain could find new ways to process information if the primary sensors failed. He equipped Cheryl with a construction hat containing a motion sensor and a thin plastic strip for her tongue. As she tilted her head, tiny electrical pulses signaled her position to her brain. Within minutes of wearing this artificial balance system, the invisible forces pushing her vanished, and she stood perfectly still for the first time in years.

This success challenged the long-held belief of localizationism, which argued that the brain is a fixed machine with hardwired parts. If a specific area like the inner ear was damaged, conventional wisdom said the function was lost forever. However, the brain is actually a plastic, "polysensory" organ. It speaks a universal language of electrical patterns, meaning it can learn to "see" with the skin or "balance" with the tongue if given a new way to receive data.

The seeds of this discovery were planted years earlier when Bach-y-Rita’s father suffered a massive stroke. Though doctors claimed he would never recover, his sons led him through a rigorous, baby-like retraining process of crawling and reaching. An autopsy later revealed that while the physical damage to his brain remained catastrophic, he had regained full function by strengthening secondary, "unmasked" neural pathways.

Cheryl’s recovery proved that these changes could become permanent through a phenomenon called the residual effect. Initially, she could only stay balanced for a few seconds after removing the device. With practice, her brain's internal maps reorganized so effectively that the relief lasted for hours, then days, and eventually months. She eventually stopped using the machine entirely because her brain had successfully rewired itself to find stability once again. This adaptability extends far beyond balance, offering hope for the blind to see through tactile sensations and the paralyzed to regain feeling. The brain is an opportunistic system that survives by constantly changing its own structure in response to new inputs.