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Repeated clinical assessment using sensory modality assessment and rehabilitation technique for diagnosis in prolonged disorders of consciousness

2021-12-01Journal article Open access
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dc.contributor.authorda Conceição Teixeira, Liliana
dc.contributor.authorBlacker, Danielle
dc.contributor.authorCampos, Carlos
dc.contributor.authorGarrett, Carolina
dc.contributor.authorDuport, Sophie
dc.contributor.authorRocha, Nuno
dc.date.accessioned2022-02-15T11:58:14Z
dc.date.available2022-02-15T11:58:14Z
dc.date.issued2021-12-01
dc.description.abstractThe 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. 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. 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. These findings provide for the first time a rationale for optimizing the time spent on assessing patients using SMART.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationda Conceição Teixeira, L., Blacker, D., Campos, C., Garrett, C., Duport, S., & Rocha, N. B. (2021). Repeated Clinical Assessment Using Sensory Modality Assessment and Rehabilitation Technique for Diagnosis in Prolonged Disorders of Consciousness [Original Research]. Frontiers in Human Neuroscience, 15. https://doi.org/10.3389/fnhum.2021.728637pt_PT
dc.identifier.doi10.3389/fnhum.2021.728637pt_PT
dc.identifier.eissn1662-5161
dc.identifier.urihttp://hdl.handle.net/10400.22/19978
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherFrontierspt_PT
dc.relation.publisherversionhttps://www.frontiersin.org/articles/10.3389/fnhum.2021.728637/fullpt_PT
dc.subjectAssessmentpt_PT
dc.subjectDiagnosispt_PT
dc.subjectDisorders of consciousnesspt_PT
dc.subjectMinimally conscious statept_PT
dc.subjectVegetative state (unresponsive wakefulness syndrome)pt_PT
dc.titleRepeated clinical assessment using sensory modality assessment and rehabilitation technique for diagnosis in prolonged disorders of consciousnesspt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage8pt_PT
oaire.citation.startPage1pt_PT
oaire.citation.titleFrontiers in human neurosciencept_PT
oaire.citation.volume15pt_PT
person.familyNameda Conceição Teixeira
person.familyNameCampos
person.familyNameRocha
person.givenNameLiliana
person.givenNameCarlos
person.givenNameNuno
person.identifier192266
person.identifier.ciencia-id9811-DD3D-DD0F
person.identifier.ciencia-idB518-6A52-D50F
person.identifier.ciencia-idAE16-A494-5F8B
person.identifier.orcid0000-0001-9408-859X
person.identifier.orcid0000-0002-5966-4050
person.identifier.orcid0000-0002-3139-2786
person.identifier.ridM-9821-2013
person.identifier.scopus-author-id56567519500
person.identifier.scopus-author-id32867975300
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
relation.isAuthorOfPublication87d57cfb-f79b-46f2-84dc-0ecfc0480643
relation.isAuthorOfPublicationf9744770-c154-483e-b271-b58d1089d55f
relation.isAuthorOfPublication9e940914-601a-4978-8d5b-74e5ade7ada7
relation.isAuthorOfPublication.latestForDiscovery9e940914-601a-4978-8d5b-74e5ade7ada7

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