Neuro-orthopaedic assessment and management in patients with prolonged disorders of consciousness: A review.
NeuroRehabilitation
; 54(1): 75-90, 2024.
Article
em En
| MEDLINE
| ID: mdl-38251069
ABSTRACT
BACKGROUND:
Following a severe acquired brain injury, neuro-orthopaedic disorders are commonplace. While these disorders can impact patients' functional recovery and quality of life, little is known regarding the assessment, management and treatment of neuro-orthopaedic disorders in patients with disorders of consciousness (DoC).OBJECTIVE:
To describe neuro-orthopaedic disorders in the context of DoC and provide insights on their management and treatment.METHODS:
A review of the literature was conducted focusing on neuro-orthopaedic disorders in patients with prolonged DoC.RESULTS:
Few studies have investigated the prevalence of spastic paresis in patients with prolonged DoC, which is extremely high, as well as its correlation with pain. Pilot studies exploring the effects of pharmacological treatments and physical therapy show encouraging results yet have limited efficacy. Other neuro-orthopaedic disorders, such as heterotopic ossification, are still poorly investigated.CONCLUSION:
The literature of neuro-orthopaedic disorders in patients with prolonged DoC remains scarce, mainly focusing on spastic paresis. We recommend treating neuro-orthopaedic disorders in their early phases to prevent complications such as pain and improve patients' recovery. Additionally, this approach could enhance patients' ability to behaviourally demonstrate signs of consciousness, especially in the context of covert awareness.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Ortopedia
/
Transtornos da Consciência
Tipo de estudo:
Diagnostic_studies
/
Etiology_studies
/
Risk_factors_studies
Limite:
Humans
Idioma:
En
Revista:
NeuroRehabilitation
Assunto da revista:
NEUROLOGIA
/
REABILITACAO
Ano de publicação:
2024
Tipo de documento:
Article
País de afiliação:
Bélgica