Lancioni Giulio E, O'Reilly Mark F, Singh Nirbhay N, Buonocunto Francesca, Sacco Valentina, Colonna Fabio, Navarro Jorge, Oliva Doretta, Megna Gianfranco, Bosco Andrea
University of Bari, Bari, Italy.
Dev Neurorehabil. 2009 Feb;12(1):24-31. doi: 10.1080/17518420902776995.
Intervention strategies, based on learning principles and assistive technology, were assessed with four post-coma persons with minimally conscious state and pervasive motor disabilities.
The first study taught a man to access environmental stimulation through a response-microswitch combination and another man to access environmental stimulation and request social contact through responses combined with a microswitch or a Voice Output Communication Aid (VOCA). The second study taught a man to access two forms of environmental stimulation via two response-microswitch combinations and another man to request two forms of contact via two response-VOCA combinations.
Data showed that all participants had significant increases in response levels (independent of whether the responses were combined with microswitch or VOCA devices) during the intervention phases of the studies.
Intervention strategies based on learning principles and technology may be largely helpful for persons with minimally conscious state and pervasive motor disabilities.
基于学习原则和辅助技术的干预策略，在四名处于最小意识状态且存在广泛性运动障碍的昏迷后患者身上进行了评估。
第一项研究教会一名男子通过反应 - 微动开关组合来获取环境刺激，教会另一名男子通过与微动开关或语音输出通讯辅助设备（VOCA）相结合的反应来获取环境刺激并请求社交接触。第二项研究教会一名男子通过两种反应 - 微动开关组合来获取两种形式的环境刺激，教会另一名男子通过两种反应 - VOCA组合来请求两种形式的接触。
数据显示，在研究的干预阶段，所有参与者的反应水平均有显著提高（无论反应是与微动开关还是VOCA设备相结合）。
基于学习原则和技术的干预策略可能对处于最小意识状态且存在广泛性运动障碍的患者有很大帮助。
