The natural history of continuing improvement in an individual after a long period of impaired consciousness: The story of I.J

Dhamapurkar, Samira Kashinath; Rose, Anita; Florschutz, Gerhard; Wilson, Barbara A.

doi:10.3109/02699052.2015.1094132

Cited by 11 publications

(8 citation statements)

References 26 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The authors were contacted but no further full text was available. Further items did not meet inclusion criteria but contained information about basic principles of the Padovan-Method® ( n = 22) as primary literature ( n = 8) [25, 49-51, 131-134] or secondary literature ( n = 14) [19, 44, 48, 68, 69, 74, 135-142], recommended the Padovan-Method® context dependent ( n = 29) [10, 27, 29, 52, 65, 76, 78, 80, 82-85, 89, 93, 143-157], mentioned the therapy as a possible option for certain indications without any proof of evidence ( n = 10) [16, 79, 92, 158-164], or simply contained some unspecified information about the method ( n = 7) [91, 165-170]. Due to manuscript language, eight potentially relevant items had to be excluded [46, 86, 171-176].…”

Section: Resultsmentioning

confidence: 99%

“…For a definition of the concept of neurodevelopmental disorders see Cioni et al, 2016 [75]. The method appears in a few scientific publications in patients with orofacial or myofunctional disorders (dysphagia, closure of mouth, tongue position, and speech development in early childhood [30,[76][77][78][79]; also related to Down syndrome [10]; lack of coordination of sucking, breathing, and swallowing [31,57]), and neurological dysfunctions or development disorders with different origin (autism [52,80]; cerebral palsy [57]; microcephalia [60][61][62]81], stroke [82]; fatigue as well as mental and physical disability [29,48,83,84]; habits [85]). The Padovan-Method ® is also used in stationary settings for inpatients [31,57].…”

Section: State Of the Art And Description Of The Conditionmentioning

confidence: 99%

See 1 more Smart Citation

Recommendation of Neurorehabilitation according to the Padovan-Method Neurofunctional Reorganization® for Treating Neurodevelopmental Disorders: A Systematic Review

Vogel¹,

Ostermann²,

Vogel³

et al. 2022

Complement Med Res

View full text Add to dashboard Cite

Objective: The PADOVAN-METHOD NEUROFUNCTIONAL REORGANI¬SATION® is a promising approach in speech therapy treating neuro¬developmental disorders with traumatic or congenital origin. Its use is based on a long-time experience of certified therapists. However, its efficacy and safety has not been assessed in a systematic review. This report aims to gain evidence for the use of the therapy method. Methods and analysis: Guidelines of PRISMA, the Cochrane Collaboration Handbook, MECIR and GRADE were followed. General databases (Cochrane Library, PubMed, AWMF, Anthromedics, etc.) and further 38 databases including grey literature were searched. Hand search was done additionally and contact to experts used to retrieve unpublished manuscripts. All trials investigating the effect of the method in comparison to either no intervention, alternative as state of the art or placebo intervention in English, Portuguese and German language were included. No restriction regarding study design was applied. Data related to the intervention outcome and the study method was extracted and analysed idependently. Risk of Bias was assessed using ROBINS-I for non-RCTs, adherence to CARE-Guidelines was analysed for case series or reports and keeping the Declaration of Helsinki was checked for all items. Results are presented both in evidence profiles and summary of findings tables according to GRADE. Results: Amongst 98 records assessed for eligibility, four studies and 14 case reports were identified with a total of n = 196 participants. Duration of reported interventions was between two days and two years. Microcephalia, down-syndrome, unspecified neurological disorders and myo-functional disorders were main conditions of the patients with neurodevelopmental disorders. Only indirect overlapping of operationalised criteria was found. Conclusions are therefore limited. Conclusion: The Padovan-Method® is a holistic therapy approach claiming its feasibility to a large group of disorders making a proof of efficacy difficult. An application of therapy according to the Padovan-Method® by trained therapists might be considered by clinicians (weak recommendation) and a contribution to a relief of symptoms or improvements of condition of named conditions might be gained. Therefore, development and validation of therapy protocols and further investigation are required. PROSPERO Registration: CRD42020156124. Keywords: neurological rehabilitation, neurodevelopmental disorders, rehabilitation of speech and language disorders, systematic review

show abstract

Section: Resultsmentioning

confidence: 99%

Section: State Of the Art And Description Of The Conditionmentioning

confidence: 99%

Recommendation of Neurorehabilitation according to the Padovan-Method Neurofunctional Reorganization® for Treating Neurodevelopmental Disorders: A Systematic Review

Vogel¹,

Ostermann²,

Vogel³

et al. 2022

Complement Med Res

View full text Add to dashboard Cite

show abstract

“…Although rare, recovery from the VS occurs in some patients, as detailed in several case studies. 39,40,41,42,43 However, these reports only discuss the patients' experiences starting from the emergence from VS or minimally conscious state (MCS) 44 onwards.…”

Section: Memory and The Selfmentioning

confidence: 99%

Memory During the Presumed Vegetative State: Implications for Patient Quality of Life

Taylor¹,

Graham²,

Delargy³

et al. 2020

Camb Q Healthc Ethics

View full text Add to dashboard Cite

A growing number of studies show that a significant proportion of patients, who meet the clinical criteria for the diagnosis of the vegetative state (VS), demonstrate evidence of covert awareness through successful performance of neuroimaging tasks. Despite these important advances, the day-to-day life experiences of any such patient remain unknown. This presents a major challenge for optimizing the patient’s standard of care and quality of life (QoL). We describe a patient who, following emergence from a state of complete behavioral unresponsiveness and a clinical diagnosis of VS, reported rich memories of his experience during this time. This case demonstrates the potential for a sophisticated mental life enabled by preserved memory in a proportion of patients who, similarly, are thought to be unconscious. Therefore, it presents an important opportunity to examine the implications for patient QoL and standard of care, both during the period of presumed unconsciousness and after recovery.

show abstract

“…Three years after his initial injury he was moderately disabled and living in the community, with support. The authors emphasized the importance of early intensive multidisciplinary rehabilitation to stimulate unaffected brain areas that can substitute lost functions through neuroplasticity, [23] (a subject that also extends beyond the scope of this article).…”

Section: Treatment and Clinical Coursementioning

confidence: 99%

Minimally Conscious State: Evolution of Concept, Diagnosis and Treatment

2016

MEDICC Review

View full text Add to dashboard Cite

The study of consciousness disorders is a scientifi c challenge, and clinical differentiation among the various sorts of alterations in consciousness is diffi cult. Persistent vegetative state was defi ned in 1972, but years later cases appeared in which diagnosed patients showed signs of cognitive activity, and therefore could not be considered vegetative. Minimally conscious state was defi ned in 2002. This article discusses minimally conscious state based on a literature review and the author's clinical experience. A brief historical outline is given, starting from 1886 when Horsley analyzed level of consciousness. The article reviews criteria for defi ning minimally conscious state, as well as the differential diagnosis from persistent vegetative state, brain death, coma, locked-in syndrome and akinetic mutism. Modern discoveries of residual cognitive functioning and new neural correlates have contributed to increased knowledge of this condition. Regardless, minimally conscious state continues to be a challenge for neuroscientists around the world, with issues still to be resolved.

show abstract

The natural history of continuing improvement in an individual after a long period of impaired consciousness: The story of I.J

Abstract: This study shows that continuing recovery to a level of moderate disability is possible, even after a prolonged disorder of consciousness. Intense multi-disciplinary long-term rehabilitation and cranioplasty may be contributing factors for such an unexpected recovery.

Cited by 11 publications

References 26 publications

Recommendation of Neurorehabilitation according to the Padovan-Method Neurofunctional Reorganization® for Treating Neurodevelopmental Disorders: A Systematic Review

Recommendation of Neurorehabilitation according to the Padovan-Method Neurofunctional Reorganization® for Treating Neurodevelopmental Disorders: A Systematic Review

Memory During the Presumed Vegetative State: Implications for Patient Quality of Life

Minimally Conscious State: Evolution of Concept, Diagnosis and Treatment

Contact Info

Product

Resources

About