Effect of Early Coma Arousal Therapy on Conscious Level Recovery and Cognition in Traumatic Brain Injury

Effect of Early Coma Arousal Therapy on Conscious Level Recovery and Cognition in Traumatic Brain Injury

Effect of Early Coma Arousal Therapy on Conscious Level Recovery and Cognition in Traumatic Brain Injury

PURPOSE: The aim of this study is to investigate the effect of early coma arousal therapy on conscious level and cognitive function in sever traumatic brain injury patients. BACKGROUND: Traumatic brain injury (TBI) could be simply defined as an alteration in brain function due to external forces and is considered as one of the leading cause of death and disability worldwide, especially among young adults and the elderly. Current estimates imply that annual incidence of TBI is 50-60 million worldwide, and specifically for Europe and USA, 0.5% of Europeans and 1.1% of Americans are experiencing a TBI each year. The original scale has since been revised and is known as the Rancho Los Amigos Revised Scale (RLAS-R). One of the limitations of the original eight level scale was that it did not accurately reflect the individuals with higher levels of recovery. Two more levels were added to the initial eight level Ranchos Scale to create a more comprehensive ten level scale named the Rancho Los Amigos Revised Scale (RLAS-R).

Effect of Early Coma Arousal Therapy on Conscious Level and Cognitive Function in Traumatic Brain Injury

early coma arousal therapy program in addition to selected physical therapy program (positioning, breathing exercise, passive movement of the four limbs).

selected physiotherapy program only (positioning, breathing exercise, passive movement of the four limbs).

Glasgow coma scale assessment through out the one and half year for the patients, its a scale used to determine the conscious level in patients post traumatic brain injury where lower score present that the patient conscious lev is deteriorated and higher scores mean that the patient conscious level is good

Rancho los amigos scale, to assess the cognitive state of patients post traumatic brain injury, it consists of 10 levels, and lower level represent bad cognitive state while higher level represent good cognitive state

Inclusion criteria: Both genders. Traumatic brain injury with GCS score 3-12. Age range from 20-50 years old. Must be medically stable post trauma 29 Exclusion Criteria: Patient with other neurological deficits or orthopedic abnormalities that causing disability. Patients with pre injury psychiatric disorders. Patients with pre injury cognitive disorders. Patients who performed surgery post traumatic brain injury. Patients not taking the same medications.