The awakening effect of standardized body position transformation combined with vestibular nerve stimulation program on patients with severe disturbance of consciousness |
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EN KeyWords: consciousness disorder wakefulness standardized body position transformation vestibular stimulation |
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EN Abstract: |
Objective: To explore the awakening effect of standardized body position transformation combined with vestibular nerve stimulation program on patients with severe disturbance of consciousness after craniocerebral injury. Methods: All 20 patients with severe conscious disturbance after craniocerebral injury were involved and randomly divided into study group (n=10) and control group (n=10). Both groups received conventional rehabilitation according to the routine procedure. The study group received additional standardized positional changes combined with vestibular nerve stimulation treatment. The modified grades standard of electroencephalogram (EEG) was used to assess the brain electrical status of patients before and after 2-month awakening treatment, and the Coma Recovery Scale-Revised (CRS-R) was used before, after treatment of two months and three months after treatment to evaluate the consciousness state. The brain function of subjects was compared and analyzed between study group and control group. Results: The CRS-R scores in the two groups were significantly increased after 2 months of treatment (P<0.01, 0.05); After 2 months, the CRS-R scores in study group were significantly higher than in control group (P<0.05). No significant difference was detected between the two groups in the CRS-R assessment after treatment for 3 months. After treatment for 2 months, the EEG grades showed significant improvement in both groups as compared with those before treatment (P<0.05). No difference of EEG grades was detected between two groups after the treatment (P>0.05). Conclusion: Standardized positional transformation combined with vestibular stimulation therapy as an intensive special treatment can improve the brain function of patients with severe disturbance of consciousness more effectively. It is a relatively good awakening method for disturbance of consciousness after craniocerebral injury. |
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