Application of High-Tech Solution for Memory Assessment in Patients With Disorders of Consciousness

Abstract

Testing cognitive function in patients after severe brain damage is a major clinical challenge. In the absence of both verbal and motor communication, tests commonly used to assess cognitive function are completely or partially undoable for disorders of consciousness patients. The study involved 12 patients with varying degrees of impaired consciousness due to brain damage, with no verbal and motor communication. Memory was assessed in study participants using oculography. Memory tasks were presented in four categories. The total percentage of correctly completed tasks obtained across the group was 39.58%. The most difficult tasks included category C.4 with tasks involving working memory. Regardless of the subjects' level of consciousness, there was no statistically significant difference in the percentage of correct responses obtained in subgroups distinguished by CRS-R score. Eye tracking technology can be successfully used in the assessment of cognitive function, particularly when eye movements are the only channel of communication in individuals after brain damage. We suggest that the cognitive functions of people after brain damage should be further analyzed using eye tracking.

Moving toward Appropriate Motor Assessment Tools in People Affected by Severe Acquired Brain Injury: A Scoping Review with Clinical Advices

“…It is noteworthy that patients with severe acquired brain injury who are unable to communicate verbally could be assessed using eye-tracking technology especially for cognitive function, particularly when eye movements are the only channel of communication in individuals after brain damage. Notably, these tools limit the patient’s isolation and encourage the autonomy of the individual with DoC and/or SABI, also improving the cognitive outcomes [ 59 , 60 ].…”