The swallow, a target to follow the restauration of consciousness in acquired brain injury.

IF 2.5 4区医学 Q1 REHABILITATION

Journal of Rehabilitation Medicine Pub Date : 2025-07-01 DOI:10.2340/jrm.v57.42692

Anne Charlotte Lerick, Eleonore Sequeira, Jean Glenisson, Nikki Sabourin, Virgil Rolland, Gregoire Prum, Eric Verin

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引用次数: 0

Abstract

Introduction: Brain injuries are the leading cause of disorders of consciousness and are often complicated by swallowing disorders. The aim of this study was to determine whether a correlation existed between swallowing and level of consciousness in patients with acquired brain injury.

Methods: This pilot and observational study was conducted in the post intensive care coma arousal rehabilitation on 10 patients with acquired brain injury with disorder of consciousness and swallowing disorder evaluated with the Coma Recovery Scale-Revised (CRS-R) CRS-R evaluation or WHIM scale and a SWallowing Disorders in Disorders of Consciousness (SWADOC) assessment, both conducted in the same timeline frame. Swallowing function was assessed using the SWADOC scale. The level of consciousness was evaluated with the CRS-R and the Wessex Head Injury Matrix (WHIM). A Pearson correlation analysis was performed to examine the potential relationship between swallowing capacity and level of consciousness.

Results: A strong correlation was identified between the CRS-R and WHIM scales with the SWADOC evaluation. Indeed, the correlation between SWADOC and CRS-R reached 0.70, while the correlation between SWADOC and WHIM was above 0.60.

Conclusion: These findings highlight the importance of integrating swallowing evaluation within the multimodal assessment of consciousness recovery.

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燕子，一个目标，跟踪意识的恢复在获得性脑损伤。

脑损伤是意识障碍的主要原因，并常伴有吞咽障碍。本研究的目的是确定在获得性脑损伤患者的吞咽和意识水平之间是否存在相关性。方法：对10例获得性脑损伤伴意识障碍和吞咽障碍患者进行重症监护后昏迷唤醒康复的试验和观察性研究，采用昏迷恢复量表（CRS-R） CRS-R评估或WHIM量表和意识障碍中的吞咽障碍（SWADOC）评估，均在同一时间框架内进行评估。吞咽功能采用SWADOC量表评估。采用CRS-R和Wessex Head Injury Matrix （WHIM）评估患者的意识水平。采用Pearson相关分析来检验吞咽能力和意识水平之间的潜在关系。结果：CRS-R和WHIM量表与SWADOC评估有很强的相关性。确实，SWADOC与CRS-R的相关性达到0.70，而SWADOC与WHIM的相关性在0.60以上。结论：这些发现强调了在意识恢复的多模态评估中整合吞咽评估的重要性。

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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来源期刊

Journal of Rehabilitation Medicine 医学-康复医学

CiteScore

5.60

自引率

5.70%

发文量

102

审稿时长

4-8 weeks

期刊介绍： Journal of Rehabilitation Medicine is an international peer-review journal published in English, with at least 10 issues published per year. Original articles, reviews, case reports, short communications, special reports and letters to the editor are published, as also are editorials and book reviews. The journal strives to provide its readers with a variety of topics, including: functional assessment and intervention studies, clinical studies in various patient groups, methodology in physical and rehabilitation medicine, epidemiological studies on disabling conditions and reports on vocational and sociomedical aspects of rehabilitation.