Department of Rehabilitation Medicine, Huashan Hospital, Fudan University, No 12 Wulumuqi Middle Road, Shanghai 200040, China.
H. Ben Taub Department of Physical Medicine and Rehabilitation, Baylor College of Medicine, 7200 Cambridge Street, Houston, TX 77030, USA.
Phys Med Rehabil Clin N Am. 2024 Feb;35(1):109-126. doi: 10.1016/j.pmr.2023.07.005. Epub 2023 Aug 17.
Over the last 10 years, there have been rapid advances made in technologies that can be utilized in the diagnosis and treatment of patients with a disorder of consciousness (DoC). This article provides a comprehensive review of these modalities including the evidence supporting their potential use in DoC. This review specifically addresses diagnostic, non-invasive therapeutic, and invasive therapeutic technological modalities except for neuroimaging, which is discussed in another article. While technologic advances appear promising for both assessment and treatment of patients with a DoC, high-quality evidence supporting widespread clinical adoption remains limited.
在过去的 10 年中,用于诊断和治疗意识障碍(DOC)患者的技术取得了快速进展。本文全面回顾了这些方法,包括支持它们在 DOC 中应用的潜在证据。本综述特别涉及诊断、非侵入性治疗和侵入性治疗技术方法,但神经影像学除外,神经影像学在另一篇文章中讨论。虽然技术进步似乎为评估和治疗意识障碍患者提供了希望,但支持广泛临床应用的高质量证据仍然有限。