Indications, efficacité et tolérance des procédures à utiliser en rééducation pour améliorer la reprise de la conscience après un coma traumatique

Rigaux, Pascal; Kiefer, C

doi:10.1016/s0168-6054(03)00082-5

Cited by 12 publications

(1 citation statement)

References 22 publications

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“… Di Stefano et al (2012) have also used multisensory stimulation and showed that familiar stimuli elicited a greater range of behavioral responses. However, other studies could not bring reliable evidence to support beneficial effects of multisensory stimulation (for reviews, see Formisano et al, 2001 ; Lombardi et al, 2002 ; Rigaux and Kiefer, 2003 ; Lancioni et al, 2010 ). Sensory stimulation approaches are thus still controversial, notably because of the absence of control conditions and/or statistical analyses, but also because the fatigability of these particular patients is not considered ( Wood et al, 1992 ).…”

Section: Using Stimulation To Evaluate and Restore Cognitive Functionmentioning

confidence: 99%

Promoting the use of personally relevant stimuli for investigating patients with disorders of consciousness

et al. 2015

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Sensory stimuli are used to evaluate and to restore cognitive functions and consciousness in patients with a disorder of consciousness (DOC) following a severe brain injury. Although sophisticated protocols can help assessing higher order cognitive functions and awareness, one major drawback is their lack of sensitivity. The aim of the present review is to show that stimulus selection is crucial for an accurate evaluation of the state of patients with disorders of consciousness as it determines the levels of processing that the patient can have with stimulation from his/her environment. The probability to observe a behavioral response or a cerebral response is increased when her/his personal history and/or her/his personal preferences are taken into account. We show that personally relevant stimuli (i.e., with emotional, autobiographical, or self-related characteristics) are associated with clearer signs of perception than are irrelevant stimuli in patients with DOC. Among personally relevant stimuli, music appears to be a promising clinical tool as it boosts perception and cognition in patients with DOC and could also serve as a prognostic tool. We suggest that the effect of music on cerebral processes in patients might reflect the music’s capacity to act both on the external and internal neural networks supporting consciousness.

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