International Journal of Head and Neck Surgery

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VOLUME 3 , ISSUE 3 ( September-December, 2012 ) > List of Articles

RESEARCH ARTICLE

Effectiveness of Early Intervention of Coma Arousal Therapy in Traumatic Head Injury Patients

Mandeep

Citation Information : M. Effectiveness of Early Intervention of Coma Arousal Therapy in Traumatic Head Injury Patients. Int J Head Neck Surg 2012; 3 (3):137-142.

DOI: 10.5005/jp-journals-10001-1114

Published Online: 00-12-2012

Copyright Statement:  Copyright © 2012; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Objective

To find out efficacy and benefits of early intervention of coma arousal therapy on coma patients after sustaining traumatic head injury.

Materials and methods

Thirty comatose patients with traumatic head injury were systematic randomly selected. Both experimental group and control group were having 15 patients each. Patients in experimental group were given coma arousal therapy while those in control group did not receive any coma arousal therapy. Glasgow coma scale (GCS) and coma recovery scale (CRS) were assessed before and after 1 and 2 weeks protocol.

Results

The independent t-test was used for between the group data analysis. Repeated measure ANOVA and post hoc paired t-test were used in within the group analysis. Group A, mean of GCS on 1st, 7th and 14th day of coma arousal therapy was 3.93 (±1.09), 6.33 (±1.04) and 8.46 (±0.91) respectively and for Group B was 3.93 (±1.27), 4.80 (±1.26) and 5.93 (±1.94) respectively, which showed significant improvement (p < 0.05). Group A, mean of CRS on 1st, 7th and 14th day of coma arousal therapy was 2.06 (±1.03), 4.86 (±1.24) and 9.66 (±1.83) respectively and for Group B was 2.33 (±1.11), 2.93 (±1.09) and 4.73 (±2.18) respectively, which showed significant improvement (p < 0.05). When compared between the groups, experimental group showed significant improvement.

Conclusion

This is concluded from the result of this study that coma arousal therapy is having significant effect on GCS and CRS in traumatic head injury patients when compared to the patients who did not receive coma arousal therapy.

How to cite this article

Mandeep, Kumar P. Effectiveness of Early Intervention of Coma Arousal Therapy in Traumatic Head Injury Patients. Int J Head and Neck Surg 2012;3(3): 137-142.


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  1. The burden of traumatic brain injury in Asia: A call for research. Pak J Neurol Sci 2009;4(1): 27-32.
  2. The profile of head injuries and traumatic brain injury deaths in Kashmir. J Trauma Manag Outcomes 2008;2:5.
  3. Epidemiology of traumatic brain injuries: Indian scenario. Neurol Res 2002;24(1):24-28.
  4. Clinical neurology (5th ed). Chapter 10: Coma. McGraw-Hill/Appleton & Lange 2000;5: 199-236.
  5. Coma stimulation. Journal of Knowledge Synthesis for Nursing 1997;4:1-6.
  6. Effects of the sensory stimulation program on recovery in unconscious patients with traumatic brain injury. J Neurosci Nurs 2009;41(3);10-16.
  7. Response of head-injured patients to sensory stimulation. West J Nurs Res 1989;11(1):20-33.
  8. Coma arousal procedure: A therapeutic intervention in the treatment of head injury. Brain Inj 1990;4(3):273-79.
  9. The JFK coma recovery scale-revised: Measurement characteristics and diagnostic utility. Arch Phys Med Rehabil 2004;85(12):2020-29.
  10. Physical therapy management of the minimally-responsive patient following traumatic brain injury: Coma stimulation. J Neurol Phys Ther 1993;17(1): 10-17.
  11. Snoezelen: A controlled multi-sensory stimulation therapy for children recovering from severe brain injury. Brain Inj 2006;20(8): 879-88.
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