School of Health & Rehabilitation Sciences, MGH Institute of Health Professions, 36 1st Avenue, Boston, MA 02129, USA.
Department of Physical Medicine and Rehabilitation, Spaulding Rehabilitation Hospital, 300 1st Avenue, Charlestown, MA, 02129, USA; Center for Neurotechnology and Neurorecovery, Department of Neurology, Massachusetts General Hospital and Harvard Medical School, 55 Fruit Street, Boston, MA 02114, USA; Department of Physical Medicine and Rehabilitation, Harvard Medical School, 25 Shattuck Street, Boston, MA, USA.
Phys Med Rehabil Clin N Am. 2024 Feb;35(1):15-33. doi: 10.1016/j.pmr.2023.06.011. Epub 2023 Jul 27.
In this article, we discuss the taxonomy associated with the four major disorders of consciousness (DoC): coma, vegetative state or unresponsive wakefulness syndrome, minimally conscious state, and post-traumatic confusional state. We briefly review the history of each disorder and then provide operational definitions and diagnostic criteria for each one. We rely heavily on recently released practice guidelines and, where appropriate, identify knowledge gaps and discuss future directions to advance DoC research and practice.
在这篇文章中，我们讨论了与四大意识障碍（DoC）相关的分类法：昏迷、植物状态或无反应觉醒综合征、最小意识状态和创伤后意识混乱状态。我们简要回顾了每种疾病的历史，然后提供了每种疾病的操作定义和诊断标准。我们主要依赖于最近发布的实践指南，并在适当的情况下，确定知识空白并讨论未来的方向，以推进 DoC 的研究和实践。
