心理干预
作业疗法
创伤性脑损伤
康复
系统回顾
持续植物状态
心理学
唤醒
医学
脑刺激
临床心理学
物理医学与康复
心理治疗师
物理疗法
意识
梅德林
精神科
最小意识状态
刺激
神经科学
政治学
法学
作者
Jennifer Weaver,Kelsey Watters,Alison M. Cogan
标识
DOI:10.1177/15394492221117779
摘要
People who experience disorders of consciousness (DoC) following a severe traumatic brain injury (TBI) have complex rehabilitation needs addressed by occupational therapy. To examine the effectiveness of interventions to improve arousal and awareness of people with DoC following a TBI. For this systematic review, we followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. We searched six databases in collaboration with a research librarian. Twenty-seven studies were included and grouped thematically. Multimodal sensory stimulation, familiar voices telling structured stories, and transcranial direct current stimulation had a moderate level of evidence. Multimodal sensory stimulation had the strongest evidence in support of its use in clinical practice. Occupational therapy practitioners should administer multimodal stimuli frequently as studies reported administering these interventions at least twice daily. Occupational therapy practitioners should incorporate personally relevant, meaningful, salient stimuli into interventions when treating patients with DoC.
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