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

Détails

ID Serval
serval:BIB_B01425F49948
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Neurosensory stimulation outdoors enhances cognition recovery in cognitive motor dissociation: A prospective crossover study.
Périodique
NeuroRehabilitation
Auteur(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
Statut éditorial
Publié
Date de publication
2019
Peer-reviewed
Oui
Volume
44
Numéro
4
Pages
545-554
Langue
anglais
Notes
Publication types: Journal Article
Publication Status: ppublish
Résumé
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.
Mots-clé
Neurosensory stimulation, cognitive motor dissociation, covert cognition, disorders of consciousness, early rehabilitation, outdoor therapy
Pubmed
Création de la notice
13/03/2019 14:22
Dernière modification de la notice
21/08/2019 6:35
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