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A measure of neurobehavioral functioning after coma : Clinical and scientific implementation (2)
PAPE TLB; SENNO RG; GUERNON A
J REHABIL RES DEV , 2005, vol. 42, n° 1, p. 19-27 Doc n°: 118018 Localisation : Documentation IRR Descripteurs : AF3 - TRAUMATISME CRANIEN This longitudinal validation study is Part II of a two-part series. Part I focuses on the methods used to construct the neurobehavioral measure derived from the Disorders of Consciousness Scale (DOCS) as well as the evidence of reliability and validity. Part II illustrates, through a series of selected case reports, the clinical use of repeated DOCS measures to enhance and complement medical rehabilitation management. The use of repeated DOCS Measures in scientific investigations of mechanisms of injury is also described. Participants included patients at rehabilitation hospitals who were 18 years of age and older and unconscious after severe brain injury. Medical decision making regarding, short-term effects of pharmacological intervention was augmented and improved through the examination of individual neurobehavioral recovery patterns. We identified medications to treat secondary medical complications and successfully determined effective dosage, presumably improving prognosis for recovery. We facilitated and enhanced development and refinement of individualized rehabilitation programs. Two investigations of treatment effectiveness during coma recovery and examination of the relationship between behavioral changes and neural adaptation are also described. Langue : ANGLAIS |
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