Early motor predictors of recovery in patients with severe traumatic brain injury.

Abstract:

RESEARCH DESIGN:Retrospective observational study. OBJECTIVE:To compare motor variables between patients with severe traumatic brain injury who emerge and patients who do not emerge from vegetative state, in an attempt to identify early motor manifestations associated with consistent patient improvement. METHODS AND PROCEDURES:Patients were divided into two groups: group 1, patients who emerged from vegetative state attaining at least a state of functional interactive communication and/or functional use of two different objects (n = 8); and group 2, patients who did not emerge (n = 7). Twenty-one motor variables were compared weekly between groups until the end of the treatment programme. RESULTS:Significant differences were observed in head control (p = 0.051) and head turning (p = 0.002) variables, as well as in visual fixation and pursuit (p = 0.051) after a median of 41 days of therapy; and in head control and head turning; visual fixation and pursuit; phonation; pain localization, reach and grasp, and trunk movement (p ≤ 0.051) after a median of 212 days of programme duration. CONCLUSIONS:Head turning, together with or immediately followed by visual pursuit and fixation, proved to be clinically significant variables associated with recovery from vegetative state to higher states of consciousness beyond minimally conscious state.

journal_name

Brain Inj

journal_title

Brain injury

authors

Tamashiro M,Cozzo D,Mattei M,Salierno F,Rivas ME,Alzúa O,Olmos L,Bonamico L,Leiguarda R

doi

10.3109/02699052.2012.661911

subject

Has Abstract

pub_date

2012-01-01 00:00:00

pages

921-6

issue

7-8

eissn

0269-9052

issn

1362-301X

journal_volume

26

pub_type

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