Repeated Clinical Assessment Using Sensory Modality Assessment and Rehabilitation Technique for Diagnosis in Prolonged Disorders of Consciousness

Purpose: The recommended way to assess consciousness in prolonged disorders of consciousness is to observe the patient’s responses to sensory stimulation. Multiple assessment sessions have to be completed in order to reach a correct diagnosis. There is, however, a lack of data on how many sessions a...

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Autores principales:	Liliana da Conceição Teixeira, Danielle Blacker, Carlos Campos, Carolina Garrett, Sophie Duport, Nuno Barbosa Rocha
Formato:	article
Lenguaje:	EN
Publicado:	Frontiers Media S.A. 2021
Materias:	assessment diagnosis disorders of consciousness minimally conscious state vegetative state (unresponsive wakefulness syndrome) Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571
Acceso en línea:	https://doaj.org/article/1f39411629c04a36baeee14734848b5c
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spelling	oai:doaj.org-article:1f39411629c04a36baeee14734848b5c2021-12-01T23:44:18ZRepeated Clinical Assessment Using Sensory Modality Assessment and Rehabilitation Technique for Diagnosis in Prolonged Disorders of Consciousness1662-516110.3389/fnhum.2021.728637https://doaj.org/article/1f39411629c04a36baeee14734848b5c2021-12-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fnhum.2021.728637/fullhttps://doaj.org/toc/1662-5161Purpose: The recommended way to assess consciousness in prolonged disorders of consciousness is to observe the patient’s responses to sensory stimulation. Multiple assessment sessions have to be completed in order to reach a correct diagnosis. There is, however, a lack of data on how many sessions are sufficient for validity and reliability. The aim of this study was to identify the number of Sensory Modality Assessment and Rehabilitation Technique (SMART) assessment sessions needed to reach a reliable diagnosis. A secondary objective was to identify which sensory stimulation modalities are more useful to reach a diagnosis.Materials and Methods: A retrospective analysis of all the adult patients (who received a SMART assessment) admitted to a specialist brain injury unit over the course of 4 years was conducted (n = 35). An independent rater analyzed the SMART levels for each modality and session and provided a suggestive diagnosis based on the highest SMART level per session.Results: For the vast majority of patients between 5 and 6 sessions was sufficient to reach the final clinical diagnosis. The visual, auditory, tactile, and motor function modalities were found to be more associated with the final diagnosis than the olfactory and gustatory modalities.Conclusion: These findings provide for the first time a rationale for optimizing the time spent on assessing patients using SMART.Liliana da Conceição TeixeiraLiliana da Conceição TeixeiraLiliana da Conceição TeixeiraDanielle BlackerCarlos CamposCarlos CamposCarlos CamposCarolina GarrettSophie DuportNuno Barbosa RochaFrontiers Media S.A.articleassessmentdiagnosisdisorders of consciousnessminimally conscious statevegetative state (unresponsive wakefulness syndrome)Neurosciences. Biological psychiatry. NeuropsychiatryRC321-571ENFrontiers in Human Neuroscience, Vol 15 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	assessment diagnosis disorders of consciousness minimally conscious state vegetative state (unresponsive wakefulness syndrome) Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571
spellingShingle	assessment diagnosis disorders of consciousness minimally conscious state vegetative state (unresponsive wakefulness syndrome) Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Liliana da Conceição Teixeira Liliana da Conceição Teixeira Liliana da Conceição Teixeira Danielle Blacker Carlos Campos Carlos Campos Carlos Campos Carolina Garrett Sophie Duport Nuno Barbosa Rocha Repeated Clinical Assessment Using Sensory Modality Assessment and Rehabilitation Technique for Diagnosis in Prolonged Disorders of Consciousness
description	Purpose: The recommended way to assess consciousness in prolonged disorders of consciousness is to observe the patient’s responses to sensory stimulation. Multiple assessment sessions have to be completed in order to reach a correct diagnosis. There is, however, a lack of data on how many sessions are sufficient for validity and reliability. The aim of this study was to identify the number of Sensory Modality Assessment and Rehabilitation Technique (SMART) assessment sessions needed to reach a reliable diagnosis. A secondary objective was to identify which sensory stimulation modalities are more useful to reach a diagnosis.Materials and Methods: A retrospective analysis of all the adult patients (who received a SMART assessment) admitted to a specialist brain injury unit over the course of 4 years was conducted (n = 35). An independent rater analyzed the SMART levels for each modality and session and provided a suggestive diagnosis based on the highest SMART level per session.Results: For the vast majority of patients between 5 and 6 sessions was sufficient to reach the final clinical diagnosis. The visual, auditory, tactile, and motor function modalities were found to be more associated with the final diagnosis than the olfactory and gustatory modalities.Conclusion: These findings provide for the first time a rationale for optimizing the time spent on assessing patients using SMART.
format	article
author	Liliana da Conceição Teixeira Liliana da Conceição Teixeira Liliana da Conceição Teixeira Danielle Blacker Carlos Campos Carlos Campos Carlos Campos Carolina Garrett Sophie Duport Nuno Barbosa Rocha
author_facet	Liliana da Conceição Teixeira Liliana da Conceição Teixeira Liliana da Conceição Teixeira Danielle Blacker Carlos Campos Carlos Campos Carlos Campos Carolina Garrett Sophie Duport Nuno Barbosa Rocha
author_sort	Liliana da Conceição Teixeira
title	Repeated Clinical Assessment Using Sensory Modality Assessment and Rehabilitation Technique for Diagnosis in Prolonged Disorders of Consciousness
title_short	Repeated Clinical Assessment Using Sensory Modality Assessment and Rehabilitation Technique for Diagnosis in Prolonged Disorders of Consciousness
title_full	Repeated Clinical Assessment Using Sensory Modality Assessment and Rehabilitation Technique for Diagnosis in Prolonged Disorders of Consciousness
title_fullStr	Repeated Clinical Assessment Using Sensory Modality Assessment and Rehabilitation Technique for Diagnosis in Prolonged Disorders of Consciousness
title_full_unstemmed	Repeated Clinical Assessment Using Sensory Modality Assessment and Rehabilitation Technique for Diagnosis in Prolonged Disorders of Consciousness
title_sort	repeated clinical assessment using sensory modality assessment and rehabilitation technique for diagnosis in prolonged disorders of consciousness
publisher	Frontiers Media S.A.
publishDate	2021
url	https://doaj.org/article/1f39411629c04a36baeee14734848b5c
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Repeated Clinical Assessment Using Sensory Modality Assessment and Rehabilitation Technique for Diagnosis in Prolonged Disorders of Consciousness

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