Brain Injuries
Conditions
Keywords
Coma, Persistent Vegetative State, Sensory Stimulation
Brief summary
Appraised the empirical evidence of effectiveness of sensory stimulation to improve arousal and alertness for persons in a coma or persistent vegetative state after traumatic brain injury (TBI). Databases were searched and nine articles met inclusion criteria.
Detailed description
Background: Traumatic brain injury (TBI) accounts for approximately 50,000 deaths in the United States each year. About 17% of survivors have a period of coma. Duration of coma contributes significantly to functional outcomes. Objective: To appraise the evidence of effectiveness of sensory stimulation to improve arousal and alertness for persons in a coma or persistent vegetative state after TBI. Data Sources and Study Eligibility Criteria: Databases searched included Medline, PsycINFO, CINAHL, OTseeker, and the Cochrane Database of Systematic Reviews. The search was limited to outcomes studies in the hierarchy described by Sackett and colleagues (1996), published in English in peer-reviewed journals between 2006 and 2014.
Interventions
BEHAVIORALMultimodal or Unimodal Sensory stimulation
multimodal sensory stimulation, unimodal sensory stimulation, auditory stimulation, complex stimulation, median nerve stimulation.
Sponsors
Creighton University
Study design
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* in coma or persistent vegetative state after traumatic brain injury
Exclusion criteria
* coma or persistent vegetative state not caused by traumatic brain injury
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Glasgow Coma Scale | 0-30 days post injury |
Outcome results
None listed