Musical therapy, technology devices and AV aids in children with traumatic brain injury and cervical cord contusion with vocal cord paralysis

Sanyal Kumar, Sanjay Pandey, Anjani Kumar, Renu A Johnson, Subha Das
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Abstract

Road traffic accidents frequently result in head injuries, chest injuries or serious cervical spinal cord injuries. Lifesaving assistance such as endotracheal intubation is commonly used. Although vocal cord paralysis during orotracheal intubation is uncommon, it can have catastrophic implications. Very little evidence is available on rehabilitation interventions that combine music therapy, technology devices and audio-visual (AV) aids. In patients with traumatic brain injury (TBI) and cervical spinal cord injury who have vocal cord paralysis, the use of music therapy technology devices and AV aids for rehabilitation needs to be thoroughly tested with goal-oriented, targeted strategies intended to achieve a particular function or skill set. Using technology devices and AV aids help with cognition and communication. Music therapy might be regarded as just as beneficial as speech therapy in enhancing cognitive function. We report a case of a 4-year-old female child with TBI with cervical cord contusion with bilateral vocal cord paralysis successfully rehabilitation along with the incorporation of music therapy, technology devices and AV aids in the rehabilitation programme.
脑外伤和颈脊髓挫伤伴声带麻痹儿童的音乐治疗、技术设备和视听辅助设备
道路交通事故经常导致头部受伤、胸部受伤或严重的颈椎脊髓损伤。通常会使用气管插管等救生手段。虽然在气管插管过程中发生声带麻痹的情况并不常见,但却可能造成灾难性后果。有关结合音乐疗法、技术设备和视听(AV)辅助设备的康复干预措施的证据很少。对于有声带麻痹的脑外伤(TBI)和颈脊髓损伤患者,音乐治疗技术设备和视听辅助设备在康复中的应用需要通过目标导向、有针对性的策略进行全面测试,以实现特定的功能或技能。使用技术设备和视听辅助设备有助于认知和交流。在增强认知功能方面,音乐疗法可能与语言疗法一样有益。我们报告了一例因颈部脊髓挫伤而导致双侧声带麻痹的 4 岁女性创伤性脑损伤患儿,在康复计划中融入音乐疗法、科技设备和视听辅助设备,并取得了成功。
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