Bedside patient engagement monitor for rehabilitation in disorders of consciousness - demonstrative case-reports.
Disabil Rehabil Assist Technol
; 17(5): 539-548, 2022 07.
Article
en En
| MEDLINE
| ID: mdl-32730121
ABSTRACT
AIM:
A chronic disorder of consciousness (DOC) is a devastating condition for the patients and their families. Achieving improved communication with patients in this state is of utmost importance. Over recent years we have seen some progress in the development of rehabilitation protocols for patients with DOC by which the patient's limited actions impact the environment (e.g. activate music) based on the principle of contingent stimulation. However, one of the major factors, which hinders further progress, is the limited overt responsiveness of the patient, which poses a severe limitation on the ability of the therapists to evaluate whether specific interventions have an impact. In this work, we harness a novel electrophysiological marker the Brain Engagement Index (BEI), which enables simple monitoring of patient's engagement during interventions, intending to overcome this limitation.METHODS:
We combine the BEI marker with the contingent stimulation principle, to propose a 4-levels protocol for advancing communication with DOC patients.RESULTS:
The potential of the evolving protocol is demonstrated with 4 representative case reports. Each case report demonstrates one level of the protocol.CONCLUSIONS:
The protocol seems to be both feasible and effective for better clarification of the communication abilities of DOC patients. We recommend its continued evaluation employing a more structured study.IMPLICATIONS FOR REHABILITATIONWe suggest a systematic method for rehabilitation of patients with disorders of consciousnessIt is based upon monitoring patient engagement in real-time and selecting interventions accordingly.Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Estado de Conciencia
/
Trastornos de la Conciencia
Tipo de estudio:
Etiology_studies
/
Guideline
Aspecto:
Patient_preference
Límite:
Humans
Idioma:
En
Revista:
Disabil Rehabil Assist Technol
Asunto de la revista:
REABILITACAO
Año:
2022
Tipo del documento:
Article
País de afiliación:
Israel