Development of paradigms for the diagnosis of "covert cognition" and cognitive motor dissociation in patients with chronic disorders of consciousness

Physical and rehabilitation medicine, medical rehabilitation Pub Date : 2021-09-13 DOI:10.36425/rehab72308

A. Cherkasova, K. Ilina, M. Kovyazina, N. Varako, M. Krotenkova, E. Kremneva, A. Broutian, Y. Ryabinkina, A. Belkin, V. Belkin, N. Suponeva, M. Piradov

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引用次数: 1

Abstract

The detection of signs of consciousness in patients with chronic disorders of consciousness is a complex clinical task. In recent decades, instrumental methods have been used to improve the accuracy of diagnostics. The phenomenon of covert cognition and cognitive-motor dissociation have been demonstrated in a small proportion of patients in studies using instrumental methods in combination with different paradigms. This article describes the main features of the diagnostic paradigms used for such purposes. Currently, the development of its own complex of paradigms is held at the Research Center of Neurology collaboratively with group of neuropsychologists from Lomonosov Moscow State University. The general characteristics of this complex of paradigms are indicated. The practical significance of detecting the phenomenon of covert cognition and cognitive-motor dissociation in patients with chronic disorders of consciousness is discussed.

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慢性意识障碍患者“隐性认知”和认知运动分离诊断范式的发展

慢性意识障碍患者意识体征的检测是一项复杂的临床任务。近几十年来，仪器方法已被用于提高诊断的准确性。利用工具方法结合不同的研究范式，在一小部分患者中发现了隐蔽认知和认知运动分离现象。本文描述了用于此类目的的诊断范例的主要特性。目前，神经学研究中心与莫斯科国立罗蒙诺索夫大学的神经心理学家团队合作开发了自己的复杂范式。指出了这种范式复合体的一般特征。探讨了检测慢性意识障碍患者隐性认知和认知运动分离现象的现实意义。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Physical and rehabilitation medicine, medical rehabilitation

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