The value of incorporating personally relevant stimuli into consciousness assessment with the Coma Recovery Scale – Revised: A pilot study
| Autor: | Jonas Stenberg, Alison K. Godbolt, Marika C. Möller |
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| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: | |
| Zdroj: | Journal of Rehabilitation Medicine, Vol 50, Iss 3, Pp 253-260 (2018) |
| Druh dokumentu: | article |
| ISSN: | 1650-1977 1651-2081 16501977 |
| DOI: | 10.2340/16501977-2309 |
| Popis: | Objective: To explore whether the use of personally relevant stimuli, for some tasks in the Coma Recovery Scale – Revised (CRS-R), generates more responses in patients with prolonged disorders of consciousness compared with neutral stimuli. Design: Multiple single-case design. Subjects: Three patients with prolonged disorders of consciousness recruited from an inpatient department at a regional brain injury rehabilitation clinic in Stockholm, Sweden. Methods: Patients were repeatedly assessed with the CRS-R. Randomization tests (bootstrapping) were used to compare the number of responses generated by personally relevant and neutral stimuli on 5 items in the CRS-R. Results: Compared with neutral stimuli, photographs of relatives generated significantly more visual fixations. A mirror generated visual pursuit to a significantly greater extent than other self-relevant stimuli. On other items, no significant differences between neutral and personally relevant stimuli were seen. Conclusion: Personally relevant visual stimuli may minimize the risk of missing visual fixation, compared with the neutral stimuli used in the current gold standard behavioural assessment measure (CRS-R). However, due to the single-subject design this conclusion is tentative and more research is needed. |
| Databáze: | Directory of Open Access Journals |
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