Communication in patients with disorders of consciousness – lessons learned From InteRDoCTor project

J. Komendziński, E. Mikołajewska, D. Mikołajewski, B. Augustyńska
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Abstract

Thanks to recent advances in health care an increased number of patients may recover from  severe brain injuries, but some of them are still assessed as non-responsive. Reliance on behavioural measures in communication with DoC patients seems be too prone to errors. There is need for solutions providing more objective attempts of bidirectional communication (intentional questions/commands and adequate related responses) in patients with DoC using significant processed by the patient stimuli and novel technologies (EEG-, fMRI-, BCI-based, etc.) based on recent scientific and clinical evidences. Such communication may be fulfilled even in the absence of behavior. This article aims at assessment the extent to which current possibilities in the area of devices for extended communication has been exploited, including own experiences within InteRDoCTor project.
意识障碍患者的沟通——InteRDoCTor项目的经验教训
由于最近医疗保健的进步,越来越多的患者可能从严重的脑损伤中康复,但其中一些患者仍被评估为无反应。在与DoC患者的沟通中依赖行为措施似乎太容易出错。需要在最新的科学和临床证据的基础上,利用患者刺激的显著处理和新技术(EEG-, fMRI-, bci -等),为DoC患者提供更客观的双向交流(有意的问题/命令和适当的相关反应)的解决方案。这种交流即使在没有行为的情况下也可以实现。本文旨在评估当前扩展通信设备领域的可能性被利用的程度,包括自己在InteRDoCTor项目中的经验。
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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