The effect of family-centered sensory and affective stimulation on comatose patients with traumatic brain injury: A systematic review and meta-analysis

Zuo, Jiaojiao; Tao, Yanling; Liu, Min; Li, Feng; Yang, Yang; Liao, Limei

doi:10.1016/j.ijnurstu.2020.103846

Cited by 23 publications

(23 citation statements)

References 43 publications

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“…In essence, personalised approaches may result in more intense, emotion eliciting dosages that may encourage stronger cortical responses. This outcome is supported by research exploring unimodal therapies (e.g., Sullivan et al, 2018;Tavangar et al, 2015;Zuo et al, 2021). For example, a recent review found family-centred sensory stimulation for comatose patients following a TBI was more effective than clinician implemented or routine care (Zuo et al, 2021).…”

Section: Discussionmentioning

confidence: 94%

“…This outcome is supported by research exploring unimodal therapies (e.g., Sullivan et al, 2018;Tavangar et al, 2015;Zuo et al, 2021). For example, a recent review found family-centred sensory stimulation for comatose patients following a TBI was more effective than clinician implemented or routine care (Zuo et al, 2021). One recent study compared outdoor multimodal sensory stimulation with indoor (Attwell et al, 2019).…”

Section: Discussionmentioning

confidence: 96%

“…Sensory stimulation can be unimodal or multimodal, however, contemporary neuroscience research suggests that sensory modalities more effectively operate in concert with each other (i.e., multimodal) as part of a 'whole of brain' response, as opposed to in a unimodal process (e.g., Baier et al, 2006). Indeed, it would seem multimodal approaches to sensory stimulation are more effective than unimodal (Pinto et al, 2020;Zuo et al, 2021).…”

Section: Sensory Stimulationmentioning

confidence: 99%

“…Previous systematic and scoping reviews shed some light on the evidence. However, these reviews used limited search terms (Li et al, 2020;Padua et al, 2019), limited databases (Cameron et al, 2020;Li et al, 2020;Padua et al, 2019), included unimodal sense therapies (Li et al, 2020;Padua et al, 2019) or found them prevalent in their search results (Pinto et al, 2020), focused on the delivery by family members (Zuo et al, 2021), did not divide outcomes into senses stimulated (Cameron et al, 2020), or focused on methodological characteristics (Pinto et al, 2020).…”

Section: Multimodal Sensory Stimulationmentioning

confidence: 99%

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Efficacy of Multimodal Sensory Therapy in Adult Acquired Brain Injury: A Systematic Review

et al. 2022

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Adults who experience an acquired brain injury often experience disorders of consciousness, physical difficulties, and maladaptive behaviours. Multimodal sensory therapy may benefit brain injured patients, however the extent this therapy can facilitate rehabilitation is not well understood. This systematic review aimed to synthesize multimodal sensory therapy research for adults affected by acquired brain injury. PRISMA guidelines were followed and searches for work published up until July 2021 were undertaken in 5 databases, finding 1054 articles. 43 articles were included in the study. Results describe 29 studies related to coma following an acquired brain injury and 14 to no coma studies (mostly stroke). Multimodal sensory therapy was mostly used as a coma arousal technique following traumatic brain injury, finding positive effects. Multimodal sensory therapy was less applied in stroke, no coma rehabilitation, where most studies found improvement in somatosensory sensation and motor control in an affected limb. In several no coma studies, effects were maintained after several months. The most common senses stimulated in coma studies were audio (N = 30), tactile (N = 28), visual (N = 26), olfactory (N = 22), and gustatory (N = 17), while the most common senses stimulated in stroke, no coma studies were proprioception (N = 7), tactile (N = 8), and stereognosis (N = 4). Multimodal sensory therapy can be beneficial for patients, especially those in a minimally conscious state or attempting physical rehabilitation following stroke. Negative findings are infrequent in the current literature base. Multimodal sensory therapy appears to be a low-risk intervention with positive outcomes.

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Section: Discussionmentioning

confidence: 94%

Section: Discussionmentioning

confidence: 96%

Section: Sensory Stimulationmentioning

confidence: 99%

Section: Multimodal Sensory Stimulationmentioning

confidence: 99%

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Efficacy of Multimodal Sensory Therapy in Adult Acquired Brain Injury: A Systematic Review

et al. 2022

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“…Multisensory stimulation wake-up nursing is to stimulate the senses such as hearing, vision, motion, touch, and smell, so as to promote the excitability of nerve cells and accelerate the recovery of consciousness [6][7][8]. Research studies have proved that wake-up nursing is worthy of recognition in promoting the self-repair of neurological function and the recovery of consciousness state in patients with disturbance of consciousness [9,10]. Multisensory stimulation wake-up nursing indirectly suggests the feasibility of transcranial magnetic stimulation (TMS) in the application of consciousness awakening in severe disturbances of consciousness [11].…”

Section: Introductionmentioning

confidence: 99%

Awakening Effect of Transcranial Magnetic Stimulation with Multimodal Magnetic Resonance Imaging under Three-Dimensional Reconstruction Algorithm Combined with Wake-Up Nursing on Patients with Massive Cerebral Infarction

Chen

2022

Concepts in Magnetic Resonance Part A

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This study was aimed to provide arousal treatment for disturbance of consciousness in patients with massive cerebral infarction, using multimodal magnetic resonance imaging (MRI)-assisted transcranial magnetic stimulation (TMS) under three-dimensional reconstruction algorithm combined with wake-up nursing. The application effect was also evaluated. 80 patients with massive cerebral infarction were selected as the research objects. These patients were divided into the control group (routine nursing and TMS) and the experimental group (routine nursing, multisensory stimulation wake-up nursing, and TMS) according to the even- and odd-numbered admission orders. There were 40 cases in each group, and the treatment effects of the two groups were compared and analyzed. The peak signal-to-noise ratio (PSNR) (800 dB) of the bilateral filtering algorithm was higher than that of the wavelet threshold denoising (321 dB) and the nonlocal mean filtering algorithm (455 dB). The segmentation accuracy of the improved region growing method/fuzzy spatial clustering algorithm (96.21% and 97.22%) was higher than that of the unimproved ones (82.11% and 79.99%). The Glasgow Coma Scale (GCS), Coma Recovery Scale-Revised (CRS-R), and Dysfunction Scale (DFS) scores of the experimental group were significantly higher than those of the control group 1 week and 2 weeks after treatment ( P < 0.05 ). The awakening rate of patients in the experimental group (95%) was also significantly higher than that in the control group (72.5%), and the time needed for waking up was (2.28 ± 2.92) hours, lower than that in the control group (4.34 ± 3.49) hours ( P < 0.05 ). The three-dimensional reconstruction algorithm could effectively improve the display effect of MRI images and assist in the examination of diseases. Multisensory stimulation wake-up nursing combined with TMS could promote patients to wake up more quickly and help the recovery of brain function of patients in the treatment of massive cerebral infarction and disturbance of consciousness.

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Outcomes of family‐centred auditory and tactile stimulation implementation on traumatic brain injured patients

et al. 2022

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Aim To determine the outcomes of Family‐centred Auditory and Tactile Stimulation Implementation on Traumatic Brain Injured Patients in Egypt. Background Family engagement in the care of their relatives in the Intensive care units is limited due to patients' life‐threatening conditions, in addition to the use of high technology in these settings. Auditory and tactile sensory stimulations are among the diverse sensory stimulations that have received more attention in brain injured patients than other senses as being considered safe, and effective measures. Design A Quasi‐experimental design was used to test the hypotheses of this study. Methods A convenience sample of 60 adult patients suffering from Traumatic Brain Injury and admitted to the intensive care units of two University Hospitals in Egypt was included in the study. Patients were assigned into two equal groups: control and study groups (30 patients each). The auditory and tactile stimulations were provided by trained family members, once daily for 2 weeks for the study group. Whereas routine communication was provided by the family of traumatic brain injured patients in the ICU for the control group. Two tools were used for data collection; tool one, the “Glasgow Coma Scale” to assess patient's level of consciousness, and tool two the “Physiological Adverse Events Assessment” to monitor patients for the occurrence of physiological adverse events. Data collection: January to October 2019. Results The implementation of an organized auditory and tactile stimulation by trained family members is associated with highly statistically significant positive effects . Patients in the study group showed a higher mean of consciousness, lower incidence rate of physiological adverse events, and a lower mean duration of ICU stay. Conclusions Implementation of an organized auditory and tactile stimulation by trained family members enhanced the consciousness level of comatose Traumatic Brain Injured patients, decreased the occurrence of physiological adverse events, and ICU length of stay. Thus, it is recommended for use in the daily routine nursing care of comatose Traumatic Brain Injured patients. Relevance to Clinical Practice This study gives a deeper understanding of how family engagement in the care of their critically ill relative enhances their recovery and improve their level of consciousness.

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The effect of family-centered sensory and affective stimulation on comatose patients with traumatic brain injury: A systematic review and meta-analysis

Cited by 23 publications

References 43 publications

Efficacy of Multimodal Sensory Therapy in Adult Acquired Brain Injury: A Systematic Review

Efficacy of Multimodal Sensory Therapy in Adult Acquired Brain Injury: A Systematic Review

Awakening Effect of Transcranial Magnetic Stimulation with Multimodal Magnetic Resonance Imaging under Three-Dimensional Reconstruction Algorithm Combined with Wake-Up Nursing on Patients with Massive Cerebral Infarction

Outcomes of family‐centred auditory and tactile stimulation implementation on traumatic brain injured patients

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