scholarly journals Communication Abilities of Children with DoC after Severe Brain Injury in ICF Frames

2021 ◽  
Vol 18 (8) ◽  
pp. 4267
Author(s):  
Anna Rasmus ◽  
Edyta Orłowska
Keyword(s):  
Brain Injury ◽  
Holistic Approach ◽  
Conscious State ◽  
Disorders Of Consciousness ◽  
International Classification Of Functioning ◽  
Human Relationships ◽  
Minimal Conscious State ◽  
Communication Ability ◽  
Communication Activity

Introduction: The ability to communicate is one of the fundamental factors underlying human relationships. Severe brain damage and disorders of consciousness may indispose a person to participate in everyday social and family life. In spite of this fact, however, the issue of holistic approach to communication in the context of severe traumatic brain injury is still not well explained and described. The goal of this article is to introduce a profile of nonverbal behavior of children with disorders of consciousness. Materials and methods: The study included 30 children with minimal conscious state after severe brain trauma, aged between 7 and 16 years old. Research was conducted using the Coma Recovery Scale—Revised and the Bykova–Lukyanov Scale of Communication Activity. Results: Significant differences in communication level between investigated groups were demonstrated, both in Body Function (F = 9.184; p < 0.001) and Activity and Participation (F = 13.100; p < 0.001). Conclusions: It is possible to map and classify communication ability of children with minimal conscious state by using International Classification of Functioning, Disability and Health (ICF) protocol and the Bykova–Lukyanov Scale of Communication Activity, with specific consideration of Activities and Participation factors. This approach reveals differences in communication and disability level between children with minimal conscious state plus (MSC+) and minimal conscious state minus (MSC−).

Disorders of Consciousness and Neuro-Palliative Care

2015 ◽  
Author(s):  
Joseph J. Fins ◽  
Maria Masters
Keyword(s):  
Palliative Care ◽  
Brain Injury ◽  
Minimally Conscious State ◽  
Conscious State ◽  
Disorders Of Consciousness ◽  
Right To Die ◽  
Severe Brain Injury ◽  
Brain States ◽  
The Right ◽  
Minimally Conscious

This chapter explains how neuro-palliative care can be provided to patients with severe brain injury. Before arguing that the right to die must be preserved and that the right to care for patients who are minimally conscious must be supported, it defines and reviews brain states that constitute disorders of consciousness along with their differential biology. It then gives an overview of palliative care for patients with severe brain injury and the challenges involved in diagnosing the minimally conscious state. It proceeds by discussing advances in technology, particularly neuroimaging, that may help meet the needs of such patients. It also considers the neuroethics of diagnosis and concludes by suggesting ways to integrate the needs of individuals suffering from disorders of consciousness in both the local and national palliative care infrastructure.

scholarly journals Social Environmental Factors Related to Resuming Driving after Brain Injury: A Multicenter Retrospective Cohort Study

Healthcare ◽  
2021 ◽  
Vol 9 (11) ◽  
pp. 1469
Author(s):  
Mamiko Sato ◽  
Yasutaka Kobayashi ◽  
Kazuki Fujita ◽  
Masahito Hitosugi
Keyword(s):  
Cohort Study ◽  
Brain Injury ◽  
Environmental Factors ◽  
Retrospective Cohort Study ◽  
Retrospective Cohort ◽  
Associated Factors ◽  
International Classification Of Functioning ◽  
Social Environmental ◽  
Social Environmental Factors

Many patients resume driving after brain injury regardless of their ability to drive safely. Predictors for resuming driving in terms of actual resumption status and environmental factors are unclear. We evaluated the reasons for resuming driving after brain injury and examined whether social environmental factors are useful predictors of resuming driving. This retrospective cohort study was based on a multicenter questionnaire survey at least 18 months after discharge of brain injury patients with rehabilitation. A total of 206 brain injury patients (cerebrovascular disease and traumatic brain injury) were included in the study, which was conducted according to the International Classification of Functioning (ICF) items using log-binominal regression analysis, evaluating social environmental factors as associated factors of resuming driving after brain injury. Social environmental factors, inadequate public transport (risk ratio (RR), 1.38), and no alternative driver (RR, 1.53) were included as significant independent associated factors. We found that models using ICF categories were effective for investigating factors associated with resuming driving in patients after brain injury and significant association between resuming driving and social environmental factors. Therefore, social environmental factors should be considered when predicting driving resumption in patients after brain injury, which may lead to better counseling and environmental adjustment.

scholarly journals Developing Core Sets for Persons With Traumatic Brain Injury Based on the International Classification of Functioning, Disability, and Health

2009 ◽  
Vol 23 (5) ◽  
pp. 464-467 ◽  
Author(s):  
Montserrat Bernabeu ◽  
Sara Laxe ◽  
Raquel Lopez ◽  
Gerold Stucki ◽  
Anthony Ward ◽  
...  
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Consensus Conference ◽  
International Classification ◽  
International Classification Of Functioning ◽  
Disability And Health ◽  
Rehabilitation Professionals ◽  
Core Sets ◽  
Icf Core Sets

The authors outline the process for developing the International Classification of Functioning, Disability, and Health (ICF) Core Sets for traumatic brain injury (TBI). ICF Core Sets are selections of categories of the ICF that identify relevant categories of patients affected by specific diseases. Comprehensive and brief ICF Core Sets for TBI should become useful for clinical practice and for research. The final definition of the ICF Core Sets for TBI will be determined at an ICF Core Sets Consensus Conference, which will integrate evidence from preliminary studies. The development of ICF Core Sets is an inclusive and open process and rehabilitation professionals are invited to participate.

Deep brain stimulation for prolonged disorders of consciousness

2016 ◽  
Vol 11 (4) ◽  
pp. 105-111
Author(s):  
Gilberto KK Leung
Keyword(s):  
Deep Brain Stimulation ◽  
Brain Stimulation ◽  
Functional Neuroimaging ◽  
Vegetative State ◽  
Persistent Vegetative State ◽  
Conscious State ◽  
Disorders Of Consciousness ◽  
Minimal Conscious State ◽  
Wide Range ◽  
Deep Brain

Deep brain stimulation has emerged as a “last resort” therapy for patients with prolonged disorders of consciousness. The latter encompasses a range of conditions including minimal conscious state and persistent vegetative state. Functional neuroimaging studies have shown that minimal conscious state and persistent vegetative state have different patterns of residual brain function and may therefore respond differently to deep brain stimulation. The failure to distinguish between the two conditions in this context can give rise to false expectation, misunderstanding and ill-guided treatment. As a halfway technology for prolonged disorders of consciousness, deep brain stimulation could also produce improvement in awareness that is in fact harm, and its impact may involve a wide range of public interests. This paper will discuss related ethical and legal issues with an emphasis on the distinction between minimal conscious state and persistent vegetative state in the application of deep brain stimulation.

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