Neuro-orthopaedic assessment and management in patients with prolonged disorders of consciousness: A review
Copyright policy )Neuro-orthopaedic assessment and management in patients with prolonged disorders of consciousness: A review
BACKGROUND: Following a severe acquired brain injury, neuro-orthopaedic disorders are commonplace. While these disorders can impact patients’ functional recovery and quality of life, little is known regarding the assessment, management and treatment of neuro-orthopaedic disorders in patients with disorders of consciousness (DoC). OBJECTIVE: To describe neuro-orthopaedic disorders in the context of DoC and provide insights on their management and treatment. METHODS: A review of the literature was conducted focusing on neuro-orthopaedic disorders in patients with prolonged DoC. RESULTS: Few studies have investigated the prevalence of spastic paresis in patients with prolonged DoC, which is extremely high, as well as its correlation with pain. Pilot studies exploring the effects of pharmacological treatments and physical therapy show encouraging results yet have limited efficacy. Other neuro-orthopaedic disorders, such as heterotopic ossification, are still poorly investigated. CONCLUSION: The literature of neuro-orthopaedic disorders in patients with prolonged DoC remains scarce, mainly focusing on spastic paresis. We recommend treating neuro-orthopaedic disorders in their early phases to prevent complications such as pain and improve patients’ recovery. Additionally, this approach could enhance patients’ ability to behaviourally demonstrate signs of consciousness, especially in the context of covert awareness.
- University of Liège Belgium
- Fondazione Santa Lucia Italy
- Centre Hospitalier Universitaire de Liège Belgium
Persistent Vegetative State/rehabilitation, Consciousness, Muscle Spasticity/etiology, Pain, Physical Therapy, Sports Therapy and Rehabilitation, Muscle Spasticity/therapy, Sciences de la santé humaine, vegetative state, rehabilitation, Neurologie, Humans, Coma, Consciousness Disorders/therapy, Human health sciences, traumatic brain injury, Persistent Vegetative State, motor function, spasticity, Consciousness Disorders/etiology, minimally conscious state, Paresis, Orthopedics, Neurology, Muscle Spasticity, Consciousness Disorders/diagnosis, Quality of Life, Consciousness Disorders, Muscle Spasticity/diagnosis, Neurology (clinical)
Persistent Vegetative State/rehabilitation, Consciousness, Muscle Spasticity/etiology, Pain, Physical Therapy, Sports Therapy and Rehabilitation, Muscle Spasticity/therapy, Sciences de la santé humaine, vegetative state, rehabilitation, Neurologie, Humans, Coma, Consciousness Disorders/therapy, Human health sciences, traumatic brain injury, Persistent Vegetative State, motor function, spasticity, Consciousness Disorders/etiology, minimally conscious state, Paresis, Orthopedics, Neurology, Muscle Spasticity, Consciousness Disorders/diagnosis, Quality of Life, Consciousness Disorders, Muscle Spasticity/diagnosis, Neurology (clinical)
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