Neurosensory stimulation outdoors enhances cognition recovery in cognitive motor dissociation: A prospective crossover study.

Details

Serval ID
serval:BIB_B01425F49948
Type
Article: article from journal or magazin.
Collection
Publications
Title
Neurosensory stimulation outdoors enhances cognition recovery in cognitive motor dissociation: A prospective crossover study.
Journal
NeuroRehabilitation
Author(s)
Attwell C., Jöhr J., Pincherle A., Pignat J.M., Kaufmann N., Knebel J.F., Berney L., Ryvlin P., Diserens K.
ISSN
1878-6448 (Electronic)
ISSN-L
1053-8135
Publication state
Published
Issued date
2019
Peer-reviewed
Oui
Volume
44
Number
4
Pages
545-554
Language
english
Notes
Publication types: Journal Article
Publication Status: ppublish
Abstract
Neurosensory stimulation is effective in enhancing the recovery process of severely brain-injured patients with disorders of consciousness. Multisensory environments are found in nature, recognized as beneficial to many medical conditions. Recent advances detected covert cognition in patients behaviorally categorized as un- or minimally responsive; a state described as cognitive motor dissociation (CMD).
To determine effectiveness of a neurosensory stimulation approach enhanced by outdoor therapy, in the early phases of recovery in patients presenting with CMD.
A prospective non-randomized crossover study was performed. A two-phase neurosensory procedure combined identical individually goal assessed indoor and outdoor protocols. All sessions were video-recorded and observations rated offline. The frequency of volitional behavior was measured using a behavioral grid.
Fifteen patients participated in this study. The outdoor group patients had statistically significant higher number of intentional behaviors than the indoor group on seven features of the grid. Additionally, for all items assessed, total amount of behaviors in the outdoor condition where higher than those in the indoor condition.
Although preliminary, this study provides robust evidence supporting the effectiveness and appropriateness of an outdoor neurosensory intervention in patients with covert cognition, to improve adaptive goal-oriented behavior. This may be a step towards helping to restore functional interactive communication.
Keywords
Adult, Aged, Brain Injuries/physiopathology, Brain Injuries/psychology, Brain Injuries/therapy, Cognition/physiology, Cognition Disorders/physiopathology, Cognition Disorders/psychology, Cognition Disorders/therapy, Consciousness/physiology, Cross-Over Studies, Female, Humans, Male, Middle Aged, Occupational Therapy/methods, Occupational Therapy/psychology, Physical Therapy Modalities/psychology, Prospective Studies, Recovery of Function/physiology, Recreation Therapy/methods, Recreation Therapy/psychology, Sensation/physiology, Young Adult, Neurosensory stimulation, cognitive motor dissociation, covert cognition, disorders of consciousness, early rehabilitation, outdoor therapy
Pubmed
Web of science
Create date
13/03/2019 14:22
Last modification date
22/10/2019 6:11
Usage data