TIRR Disorders of Consciousness Program, TIRR Memorial Hermann Hospital, 1333 Moursund Street, Houston, TX 77030, USA; Department of Physical Medicine and Rehabilitation, McGovern Medical School, University of Texas Health Science Center at Houston, Houston, USA; H. Ben Taub Department of Physical Medicine and Rehabilitation, Baylor College of Medicine, Houston, TX 77030, USA.
Division of Physical Medicine and Rehabilitation, Department of Neurology, Texas Tech University Health Sciences Center, 3601 4th Street, STOP 8321, Lubbock, TX 79430, USA. Electronic address: https://twitter.com/BeiZhangMD.
Phys Med Rehabil Clin N Am. 2024 Feb;35(1):93-108. doi: 10.1016/j.pmr.2023.07.007. Epub 2023 Sep 4.
Behavioral assessment remains the cornerstone of the clinical evaluation of disorders of consciousness (DoC). Because the basic approach to these evaluations has been extensively reviewed elsewhere, this article focuses on special considerations in the behavioral assessment of patients with a DoC. All therapy disciplines (physical therapy/occupational therapy/speech language pathologist) have a significant role to play and other staff and family members should also be encouraged to share their observations. Finally, the assessment with standardized scales should be supplemented by qualitative behavioral observations as well as, when appropriate, an individualized quantitative behavioral assessment.
行为评估仍然是意识障碍（DoC）临床评估的基石。由于这些评估的基本方法已在其他地方进行了广泛审查，因此本文重点介绍了 DoC 患者行为评估中的特殊考虑因素。所有治疗学科（物理治疗/职业治疗/言语语言病理学家）都有重要作用，还应鼓励其他工作人员和家庭成员分享他们的观察结果。最后，应使用标准化量表进行评估，并辅以定性行为观察，以及在适当情况下进行个体化定量行为评估。
