Effect of frequency of multimodal coma stimulation on the consciousness levels of traumatic brain injury comatose patients.

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  • Author(s): Megha M;Megha M; Harpreet S; Nayeem Z
  • Source:
    Brain injury [Brain Inj] 2013; Vol. 27 (5), pp. 570-7. Date of Electronic Publication: 2013 Mar 08.
  • Publication Type:
    Comparative Study; Journal Article; Randomized Controlled Trial
  • Language:
    English
  • Additional Information
    • Source:
      Publisher: Informa Healthcare Country of Publication: England NLM ID: 8710358 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1362-301X (Electronic) Linking ISSN: 02699052 NLM ISO Abbreviation: Brain Inj Subsets: MEDLINE
    • Publication Information:
      Publication: London : Informa Healthcare
      Original Publication: London ; New York : Taylor & Francis, c1987-
    • Subject Terms:
      Evoked Potentials, Auditory* ; Evoked Potentials, Motor* ; Evoked Potentials, Somatosensory* ; Evoked Potentials, Visual* ; Transcutaneous Electric Nerve Stimulation*/methods; Brain Injuries/*physiopathology ; Coma/*physiopathology; Adult ; Arousal ; Brain Injuries/epidemiology ; Brain Injuries/rehabilitation ; Coma/epidemiology ; Coma/rehabilitation ; Female ; Glasgow Coma Scale ; Humans ; India/epidemiology ; Male ; Middle Aged ; Neurologic Examination ; Observer Variation ; Prognosis ; Treatment Outcome
    • Abstract:
      Objectives: To evaluate the effectiveness of multimodal coma stimulation on the conscious levels of head injury comatose patients and to find out which of the two protocols of coma stimulation, i.e. administrating twice a day or 5-times a day is more beneficial.
      Methods: Thirty comatose patients with traumatic head injury (GCS < 8) were selected and were divided into three groups randomly. Group A (n = 10) received multimodal coma stimulation 5-times a day (20 minutes each session), Group B (n = 10) received stimulation twice a day (50 minutes each session) and Group C (n = 10) received conventional physiotherapy twice daily. Subjects in all the three groups received treatment for 2 weeks.
      Results and Conclusion: The results showed a significant difference (p < 0.01) for Glasgow Coma Scale as well as Western Neuro Sensory Stimulation Profile scores between Groups A & C and B & C, i.e. multimodal coma stimulation is effective as compared to the control group. The results also revealed a significant difference (p < 0.01) between Groups A, B and C on the Western Neuro Sensory Stimulation Profile but a non-significant difference (p > 0.01) on the Glasgow coma scale. This indicates that short sessions of high frequency can be more beneficial.
    • Publication Date:
      Date Created: 20130312 Date Completed: 20131112 Latest Revision: 20141114
    • Publication Date:
      20240829
    • Accession Number:
      10.3109/02699052.2013.767937
    • Accession Number:
      23473238