Abstract

Do Sensory Stimulation Programs Have an Impact on Consciousness Recovery?

Highlights

  • To test validity of newly designed gamified cognitive-perceptual-motor assessments with individuals who report residual symptoms of acquired brain injury related to attention, memory, processing speed or executive functions and identify weak test items in the newly developed scales; To measure user acceptance of gamified assessment; To determine if autonomous computerized assessments can be used with a “clinical” population to reduce the amount of time clinicians need to evaluate clients

  • Top-down attentional processing was assessed in patients in minimally conscious (MCS) and vegetative states (VS) using an active event-related potential (ERP) paradigm

  • In patients with covert cognition, P3 amplitudes were lower in fronto-central electrodes compared to controls but did not differ from MCS+ group

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Summary

Objective

Sensory stimulation programs were introduced in 1978 as potential treatment for severely brain injured patients. Interventions: During B phases, patients underwent a sensory stimulation program (3 days a week, including auditory, visual, tactile, olfactory and gustatory stimulation). This program was not applied during A phases. In the 3 patients who underwent fMRI scanning, analysis of their amplitude of low frequency fluctuation (ALFF) revealed higher metabolic activity, after each phase of sensory stimulation, in brain regions related to consciousness (i.e., middle frontal and superior temporal gyri, and ventro-anterior thalamic nucleus). Conclusions: Our study shows that sensory stimulation programs exert an effect on the recovery of consciousness in severely brain injured patients. Catherine Wiseman-Hakes (Holland Bloorview Childrens Rehabilitation Hospital), Catherine Duclos, Pierre-Olivier Geaudreault, Julie Carrier, Helene Blais, Nadia Gosselin

Findings
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