Health Condition 1: S062- Diffuse traumatic brain injury Health Condition 2: S064- Epidural hemorrhage Health Condition 3: S063- Focal traumatic brain injury Health Condition 4: S068- Other specified intracranial injuries Health Condition 5: S061- Traumatic cerebral edema Health Condition 6: S066- Traumatic subarachnoid hemorrhage Health Condition 7: S065- Traumatic subdural hemorrhage Health Condition 8: S069- Unspecified intracranial injury
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1.Traumatic Brain injury patients with Disorders of consciousness in Vegetative state, minimally conscious state i.e. RLA stages 2 to 3 following severe traumatic brain injury and as per CRS Revised score 2. Patients admitted for rehabilitation 3. Ages 18 to 70 years 4. 2 weeks to 6 months after injury 5. Normal BAER 6. Post cranioplasty if decompressive craniectomy is done 7. Medically and neurologically stable.
Exclusion criteria
Exclusion criteria: 1. Uncontrolled seizure episodes within one month duration 2. Prior diagnosis of epilepsy 3. Post craniectomy defect 4. Medical illnesses 5. History of cardiac arrythmias or pacemaker 6. History of hearing impairment
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To evaluate whether patients with traumatic brain injury in disorders of consciousness (RLA Levels II III) in the subacute and chronic phases show superior improvements in consciousness when receiving 30 sessions of auditory stimulation with sustained alpha frequency binaural beats combined with a conventional coma stimulation programme, compared with those receiving 30 sessions of music based sham intervention plus coma stimulation, as assessed using the Glasgow Coma Scale (GCS), Coma Recovery Scale Revised (CRS-R), Wessex Head Injury Matrix (WHIM) and Disability Rating Scale (DRS).Timepoint: At baseline and end of 15 days. | — |
Secondary
| Measure | Time frame |
|---|---|
| To evaluate changes in background cerebral activity using EEG, before and after auditory stimulation with binaural beats. This will be performed using a qualitative assessment of EEG background activity, and graded using the Synek EEG grading system, which classifies EEG patterns based on predominant background frequency and degree of slowing.Timepoint: Baseline and end of 15 days. | — |
Countries
India
Contacts
CMC Vellore