Techniques of cognitive rehabilitation in patients with disorders of consciousness: a systematic review
- 161 Downloads
Acquired brain injury can produce severe impairments of alertness, cognition, behavior, and, sometimes, an impairment of consciousness. Several studies defined the criteria to distinguish the different level of disorders of consciousness (DOC) and many tools to evaluate awareness, alertness, and response to stimuli were created. The aim of this review is to assess the advanced research of rehabilitative protocols and which rehabilitative techniques are used in the care of DOC patients.
KeywordsDisorder of consciousness Rehabilitation Coma state Minimally conscious state Vegetative state
Compliance with ethical standards
Conflict of interest
The authors declare that they have no conflict of interest.
Research involving human participants and/or animals
All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.
Informed consent was not necessary because the present study consist of a literature revision.
- 2.Gosseries O, Vanhaudenhuyse A, Bruno M-A, Demertzi A, Schnakers C, Boly MM, Maudoux A, Moonen G, Laurey S (2011) Disorders of consciousness: coma, vegetative and minimally conscious states. In: Cvetkovic D, Cosic I (eds) States of Consciousness. The Frontiers collection. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-18047-7_2 Google Scholar
- 4.Giacino JT, Ashwal S, Childs N, Cranford R, Jennett B, Katz DI, Kelly JP, Rosenberg JH, Whyte J, Zafonte RD, Zasler ND (2002) The minimally conscious state: definition and diagnostic criteria. Am Acad Neurol 58(3):349–353Google Scholar
- 11.Magee WL, Siegert RJ, Taylor SM, Daveson BA, Lenton-Smith G (2015) Music therapy assessment tool for awareness in disorders of consciousness (MATADOC): reliability and validity of a measure to assess awareness in patients with disorders of consciousness. J Music Ther 53(1):1–26. https://doi.org/10.1093/jmt/thv017 CrossRefPubMedGoogle Scholar
- 17.Holeckova I, Fisher C, Giard MH, Delpuech C, Morlet D (2006) Brain responses to a subject’s own name uttered by familiar voce. Brain Res 1082(1):142–152Google Scholar
- 23.De Salvo S, Caminiti F, Bonanno L, De Cola MC, Corallo F, Caizzone A, Rifici C, Bramanti P, Marino S (2015) Neurophysiological assessment for evaluating residual cognition in vegetative and minimally conscious state patients: a pilot study. Funct Neurol 30(4):1–8Google Scholar
- 24.Lombardi F, Taricco M, De Tanti A, Telaro E, Liberati A (2002). Sensory stimulation for brain injured individuals in coma or vegetative state. Cochrane Database Syst Rev (2):CD001427. https://doi.org/10.1002/14651858.CD001427
- 26.O’Kelly J, James L, Palaniappan R, Taborin J, Fachner J, Magee WL (2013) Neurophysiological and behavioral responses to music therapy in vegetative and minimally conscious state. Front Human Neurosci 7:884Google Scholar
- 29.Klein AM, Howell K, Straube A, Pfefferkorn T, Bender A (2013) Rehabilitation outcome of patients with severe and prolonged disorders of consciousness after aneurysmal subarachnoid hemorrhage (aSAH). Clin Neurol Neurosurg 115(10):2136–2141. https://doi.org/10.1016/j.clineuro.2013.08.004 CrossRefPubMedGoogle Scholar