Trajectoires de récupération au cours d'une réhabilitation aiguë dans le cadre d'une condition de dissociation cognitivo- motrice : une analyse multiniveau des résultats fonctionnels, cognitifs et moteurs

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UNIL restricted access
State: Public
Version: After imprimatur
License: Not specified
Serval ID
serval:BIB_0F53736B8284
Type
A Master's thesis.
Publication sub-type
Master (thesis) (master)
Collection
Publications
Institution
Title
Trajectoires de récupération au cours d'une réhabilitation aiguë dans le cadre d'une condition de dissociation cognitivo- motrice : une analyse multiniveau des résultats fonctionnels, cognitifs et moteurs
Author(s)
JORDI V.
Director(s)
DISERENS K.
Codirector(s)
JOHR J.
Institution details
Université de Lausanne, Faculté de biologie et médecine
Publication state
Accepted
Issued date
2024
Language
english
Number of pages
54
Abstract
Objective: The objective of this study was to identify subgroups of cCMD patients with
different recovery trajectories, based on factors such as etiology, lesion location and extent,
and other associated factors. By analyzing these subgroups, we aimed to create a
multifactorial index that could more accurately predict the prognosis of recovery in cCMD
patients.
Methods: This retrospective study includes 241 patients who were admitted to the
neurorehabilitation unit at CHUV between November 2011 and October 2023. Patients
underwent clinical assessment at both entry and discharge using the following scales: CRS-R
(Coma recovery scale-revised), ERBI (Early rehabilitation Barthel index), DRS (Disability
rating scale), FAC (Functional ambulation categories), GOS (Glasgow outcome scale),
Rancho Los Amigos Revised Scale), and MBT-R.
Results: The findings underscore that etiology and age are important factors influencing
recovery in cCMD patients. Younger patients, particularly those with TBI, and those with
focal lesions tend to have better recovery outcomes. In contrast, older patients and those with
widespread lesions experience more challenges. Gender did not significantly affect outcomes,
but the type of lesion did, with widespread lesions generally leading to poorer recovery. These
insights suggest the need for tailored rehabilitation approaches considering these variables.
Conclusion: This study highlights the significant role of etiology, age, and lesion type in
predicting recovery outcomes for cCMD patients. These findings suggest that rehabilitation
strategies should be individualized based on these factors to optimize recovery for cCMD
patients. Further research is needed to refine prognostic models and enhance clinical
strategies.
Create date
21/10/2024 10:56
Last modification date
22/10/2024 6:04
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