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Technology-aided programs for post-coma patients emerged from or in a minimally conscious state.

Lancioni GE, Singh NN, O'Reilly MF, Sigafoos J, Olivetti Belardinelli M, Buonocunto F, D'Amico F, Navarro J, Lanzilotti C, Ferlisi G, Denitto F - Front Hum Neurosci (2014)

Bottom Line: In Study II, three of those participants were led to choose among leisure and social stimuli, and caregiver interventions automatically presented to them.In Study III, the remaining three participants were led to choose (a) among general stimulus/intervention options (e.g., songs, video-recordings of family members, and caregiver interventions); and then (b) among variants of those options.The results were analyzed in relation to previous data and in terms of their implications for daily contexts working with MCS and E-MCS persons affected by multiple disabilities.

View Article: PubMed Central - PubMed

Affiliation: Department of Neuroscience and Sense Organs, University of Bari Bari, Italy.

ABSTRACT
Post-coma persons in a minimally conscious state (MCS) or emerged/emerging from such state (E-MCS), who are affected by extensive motor impairment and lack of speech, may develop an active role and interact with their environment with the help of technology-aided intervention programs. Although a number of studies have been conducted in this area during the last few years, new evidence about the efficacy of those programs is warranted. These three studies were an effort in that direction. Study I assessed a technology-aided program to enable six MCS participants to access preferred environmental stimulation independently. Studies II and III assessed technology-aided programs to enable six E-MCS participants to make choices. In Study II, three of those participants were led to choose among leisure and social stimuli, and caregiver interventions automatically presented to them. In Study III, the remaining three participants were led to choose (a) among general stimulus/intervention options (e.g., songs, video-recordings of family members, and caregiver interventions); and then (b) among variants of those options. The results of all three studies were largely positive with substantial increases of independent stimulation access for the participants of Study I and independent choice behavior for the participants of Studies II and III. The results were analyzed in relation to previous data and in terms of their implications for daily contexts working with MCS and E-MCS persons affected by multiple disabilities.

No MeSH data available.


Related in: MedlinePlus

The three panels summarize the data for Harvey, Madelyn, and Lloyd, respectively. The bars in their entirety represent mean cumulative frequencies of choices made per session over blocks of sessions. The dark-gray sections of the bars represent mean frequencies for songs and videos together. The light-gray sections of the bars represent mean frequencies for audio- and video-recordings of family members, caregiver interventions, and reading items together. The number of sessions per block/bar is indicated by the numeral above it.
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Figure 8: The three panels summarize the data for Harvey, Madelyn, and Lloyd, respectively. The bars in their entirety represent mean cumulative frequencies of choices made per session over blocks of sessions. The dark-gray sections of the bars represent mean frequencies for songs and videos together. The light-gray sections of the bars represent mean frequencies for audio- and video-recordings of family members, caregiver interventions, and reading items together. The number of sessions per block/bar is indicated by the numeral above it.

Mentions: The three panels of Figure 8 summarize the data for Harvey, Madelyn, and Lloyd, respectively. The bars in their entirety represent mean cumulative frequencies of choices made per session over blocks of sessions. The dark-gray sections of the bars represent mean frequencies for songs and film clips together (i.e., leisure events). The light-gray sections of the bars represent mean frequencies for audio- and video-recordings of family members and friends, caregiver interventions, and reading items together (i.e., social and cultural events). The number of sessions included in each block/bar is indicated by the numeral above it.


Technology-aided programs for post-coma patients emerged from or in a minimally conscious state.

Lancioni GE, Singh NN, O'Reilly MF, Sigafoos J, Olivetti Belardinelli M, Buonocunto F, D'Amico F, Navarro J, Lanzilotti C, Ferlisi G, Denitto F - Front Hum Neurosci (2014)

The three panels summarize the data for Harvey, Madelyn, and Lloyd, respectively. The bars in their entirety represent mean cumulative frequencies of choices made per session over blocks of sessions. The dark-gray sections of the bars represent mean frequencies for songs and videos together. The light-gray sections of the bars represent mean frequencies for audio- and video-recordings of family members, caregiver interventions, and reading items together. The number of sessions per block/bar is indicated by the numeral above it.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4257021&req=5

Figure 8: The three panels summarize the data for Harvey, Madelyn, and Lloyd, respectively. The bars in their entirety represent mean cumulative frequencies of choices made per session over blocks of sessions. The dark-gray sections of the bars represent mean frequencies for songs and videos together. The light-gray sections of the bars represent mean frequencies for audio- and video-recordings of family members, caregiver interventions, and reading items together. The number of sessions per block/bar is indicated by the numeral above it.
Mentions: The three panels of Figure 8 summarize the data for Harvey, Madelyn, and Lloyd, respectively. The bars in their entirety represent mean cumulative frequencies of choices made per session over blocks of sessions. The dark-gray sections of the bars represent mean frequencies for songs and film clips together (i.e., leisure events). The light-gray sections of the bars represent mean frequencies for audio- and video-recordings of family members and friends, caregiver interventions, and reading items together (i.e., social and cultural events). The number of sessions included in each block/bar is indicated by the numeral above it.

Bottom Line: In Study II, three of those participants were led to choose among leisure and social stimuli, and caregiver interventions automatically presented to them.In Study III, the remaining three participants were led to choose (a) among general stimulus/intervention options (e.g., songs, video-recordings of family members, and caregiver interventions); and then (b) among variants of those options.The results were analyzed in relation to previous data and in terms of their implications for daily contexts working with MCS and E-MCS persons affected by multiple disabilities.

View Article: PubMed Central - PubMed

Affiliation: Department of Neuroscience and Sense Organs, University of Bari Bari, Italy.

ABSTRACT
Post-coma persons in a minimally conscious state (MCS) or emerged/emerging from such state (E-MCS), who are affected by extensive motor impairment and lack of speech, may develop an active role and interact with their environment with the help of technology-aided intervention programs. Although a number of studies have been conducted in this area during the last few years, new evidence about the efficacy of those programs is warranted. These three studies were an effort in that direction. Study I assessed a technology-aided program to enable six MCS participants to access preferred environmental stimulation independently. Studies II and III assessed technology-aided programs to enable six E-MCS participants to make choices. In Study II, three of those participants were led to choose among leisure and social stimuli, and caregiver interventions automatically presented to them. In Study III, the remaining three participants were led to choose (a) among general stimulus/intervention options (e.g., songs, video-recordings of family members, and caregiver interventions); and then (b) among variants of those options. The results of all three studies were largely positive with substantial increases of independent stimulation access for the participants of Study I and independent choice behavior for the participants of Studies II and III. The results were analyzed in relation to previous data and in terms of their implications for daily contexts working with MCS and E-MCS persons affected by multiple disabilities.

No MeSH data available.


Related in: MedlinePlus