Rehabilitation of patients with сhronic disorders of consciousness

M. M. Kanarskii , J. Yu. Nekrasova , I. V. Borisov , M. M. Borodin , S. F. Roshka , V. A. Bondar , S. N. Matafonova

Medical and Social Expert Evaluation and Rehabilitation ›› 2020, Vol. 23 ›› Issue (3) : 37 -41.

PDF
Medical and Social Expert Evaluation and Rehabilitation ›› 2020, Vol. 23 ›› Issue (3) : 37 -41. DOI: 10.17816/MSER47036
For the practitioner
research-article

Rehabilitation of patients with сhronic disorders of consciousness

Author information +
History +
PDF

Abstract

Chronic disorders of consciousness is a complex medical and social problem. Rehabilitation of these patients is one of the most important tasks from both practical and scientific points of view. The lack of a standardized approach and techniques with a large evidence base in the restoration of consciousness, the need for multidisciplinary teams in the rehabilitation process, difficulties in creating a rehabilitation environment, as well as many other problems are acutely faced by patients’ relatives, doctors, healthcare organizers, scientists. In this article, we will consider approaches to the rehabilitation of patients with chronically impaired consciousness.

Keywords

rehabilitation / vegetative state / minimally conscious state / rehabilitation environment

Cite this article

Download citation ▾
M. M. Kanarskii, J. Yu. Nekrasova, I. V. Borisov, M. M. Borodin, S. F. Roshka, V. A. Bondar, S. N. Matafonova. Rehabilitation of patients with сhronic disorders of consciousness. Medical and Social Expert Evaluation and Rehabilitation, 2020, 23(3): 37-41 DOI:10.17816/MSER47036

登录浏览全文

4963

注册一个新账户 忘记密码

References

[1]

Owen M. Detecting consciousness: a unique role for neuroimaging. Annual Review of Psychology. 2013;64(1):109−133. https://doi.org/10.1146/annurev-psych-113011-143729.

[2]

Laureys S, Celesia GG, Cohadon F, et al. Unresponsive wakefulness syndrome: a new name for the vegetative state or apallic syndrome. BMC Medicine. 2010;68(8).

[3]

https://doi.org/10.1186/1741-7015-8-68.

[4]

Van Erp W, Aben A, Lavrijsen J, et al. Unexpected emergence from the vegetative state: delayed discovery rather than late recovery of consciousness. J Neurol. 2019;266(12):3144−3149. https://doi.org/10.1007/s00415-019-09542-3.

[5]

Fernández-Espejo D, Bekinschtein T, Monti M, et al. Diffusion weighted imaging distinguishes the vegetative state from the minimally conscious state. Neuroimage. 2011;54(1):103−112. https://doi.org/10.1016/j.neuroimage.2010.08.035.

[6]

Laureys S, Boly M, Maquet P. Tracking the recovery of consciousness from coma. J Clin Invest. 2006;116(7):1823−1825. https://doi.org/10.1172/JCI29172.

[7]

Owen M. Disorders of consciousness. Ann N Y Acad Sci. 2008;1124(1):225−238. https://doi.org/10.1196/annals.1440.013.

[8]

Bruno M, Vanhaudenhuyse A, Thibaut A, et al. From unresponsive wakefulness to minimally conscious PLUS and functional locked-in syndromes: recent advances in our understanding of disorders of consciousness. J Neurol. 2011;258(7):1373−1384. https://doi.org/10.1007/s00415-011-6114-x.

[9]

Giacino J, Fins J, Laureys S, Schiff N. Disorders of consciousness after acquired brain injury: the state of the science. Nat Rev Neurol. 2014;10(2):99−114.

[10]

https://doi.org/10.1038/nrneurol.2013.279.

[11]

Giacino J, Ashwal S, Childs N, et al. The minimally conscious state: definition and diagnostic criteria. Neurology. 2002;58(3):349−353. https://doi.org/10.1212/wnl.58.3.349.

[12]

Luauté J, Maucort-Boulch D, Tell L, et al. Long-term outcomes of chronic minimally conscious and vegetative states. Neurology. 2010;75(3):246−252.

[13]

https://doi.org/10.1212/WNL.0b013e3181e8e8df.

[14]

Биркун А.А., Самарин С.А. Остановка кровообращения и сердечно-легочная реанимация: учебное пособие. ― Симферополь, 2019. ― 54 с. [Birkun AA, Samarin SA. Ostanovka krovoobrashcheniya i serdechno-legochnaya reanimaciya: uchebnoe posobie. Simferopol’; 2019. 54 р. (In Russ.)]

[15]

Белкин А.А. Синдром последствий интенсивной терапии (ПИТ-синдром) // Вестник интенсивной терапии имени А.И. Салтанова. ― 2018. ― №2. ― С. 12–23. [Belkin AA. Syndrome effects of intensive therapy − post intensive care syndrome. Alexander Saltanov intensive care herald. 2018;(2):12–23. (In Russ.)].

[16]

https://doi.org/10.21320/1818-474X-2018-2-12-23.

[17]

Illman N, Crawford S. Late-recovery from “permanent” vegetative state in the context of severe traumatic brain injury: a case report exploring objective and subjective aspects of recovery and rehabilitation. Neuropsychol Rehabil. 2018;28(8):1360−1374. https://doi.org/10.1080/09602011.2017.1313167.

[18]

La Buzetta J, Rosand J, Vranceanu A. Review: post-intensive care syndrome: unique challenges in the neurointensive care unit. Neurocrit Care. 2019;31(3):534−545.

[19]

https://doi.org/10.1007/s12028-019-00826-0.

[20]

Rawal G, Yadav S, Kumar R. Post-intensive care syndrome: an overview. J Transl Int Med. 2017;5(2):90−92.

[21]

https://doi.org/10.1515/jtim-2016-0016.

[22]

Giacino J, Whyte J, Bagiella E, et al. Placebo-controlled trial of amantadine for severe traumatic brain injury. N Engl J Med. 2012;366(9):819−826. https://doi.org/10.1056/NEJMoa1102609.

[23]

Du B, Shan A, Zhang Y, et al. Zolpidem arouses patients in vegetative state after brain injury: quantitative evaluation and indications. Am J Med Sci. 2014;347(3):178−182.

[24]

https://doi.org/10.1097/MAJ.0b013e318287c79c.

[25]

Bourdillon P, Hermann B, Sitt J, Naccache L. Electromagnetic brain stimulation in patients with disorders of consciousness. Front Neurosci. 2019;13:223.

[26]

https://doi.org/10.3389/fnins.2019.00223.

[27]

Thibaut A, Bruno M, Ledoux D, et al. tDCS in patients with disorders of consciousness: sham-controlled randomized double-blind study. Neurology. 2014;82(13):1112−1118.

[28]

https://doi.org/10.1212/WNL.0000000000000260.

[29]

Estraneo A, Pascarella A, Moretta P, et al. Repeated transcranial direct current stimulation in prolonged disorders of consciousness: A double-blind cross-over study. J Neurol Sci. 2017;375:464−470. https://doi.org/10.1016/j.jns.2017.02.036.

[30]

Мельникова Е.А. Транскраниальная магнитная стимуляция в реабилитации больных, перенесших инсульт // Вопросы курортологии, физиотерапии и лечебной физкультуры. ― 2016. ― Т.93. ― №2-2. ― С. 105−106. [Melnikova EA. Transkranial’naya magnitnaya stimulyatsiya v reabilitatsii bol’nykh, perenesshikh insul’t. Problems of balneology, physiotherapy and exercise therapy. 2016;93(2-2):105−106. (In Russ.)]

[31]

Ершов В.И., Сяткина Е.Л., Смагина Т.Н. Состояние первичной инвалидности взрослого населения Оренбурга вследствие острых нарушений мозгового кровообращения в 2009−2011 гг. // Медико-социальная экспертиза и реабилитация. ― 2013. ― №1. ― С. 22−25. [Ershov VI, Syatkina EL, Smagina TN. State of primary disability due to stroke among adult population of Orenburg in 2009−2011. Medical and social expert evaluation and rehabilitation. 2013;(1):22−25. (In Russ.)]

[32]

Войтенков В.Б., Скрипченко Н.В., Климкин А.В., Mally J. Транскраниальная магнитная стимуляция как диагностическая и терапевтическая методика // Неврологический журнал. ― 2015. ― Т.20. ― №5. ― С. 4–13. [Voytenkov VB, Skripchenko NV, Klimkin AV, Mally J. Transcranial magnetic stimulation as a diagnostic and therapeutic tool. Neurological journal. 2015;20(5):4–13. (In Russ.)]

[33]

Xia X, Bai Y, Zhou Y, et al. Effects of 10 Hz repetitive transcranial magnetic stimulation of the left dorsolateral prefrontal cortex in disorders of consciousness. Front Neurol. 2017;8:182. https://doi.org/10.3389/fneur.2017.00182.

[34]

He F, Wu M, Meng F, et al. Effects of 20 Hz repetitive transcranial magnetic stimulation on disorders of consciousness: a resting-state electroencephalography study. Neural Plast. 2018;2018:1−8. https://doi.org/10.1155/2018/5036184.

RIGHTS & PERMISSIONS

Eco-Vector

AI Summary AI Mindmap
PDF

67

Accesses

0

Citation

Detail

Sections
Recommended

AI思维导图

/