Auditory stimulation effect on a comatose survivor of traumatic brain injury

Jones, Rebecca S.; Hux, Karen; Morton-Anderson, K. Anne; Knepper, Lisa

doi:10.1016/0003-9993(94)90390-5

Cited by 40 publications

(21 citation statements)

References 8 publications

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“…These findings support previous studies that showed auditory stimuli increase arousal and responsiveness in coma patients. 7,12,13,23,24 One possible explanation for these results is that auditory stimulation might improve cognitive function by increasing ventricular fluid drainage without any negative physical outcomes, such as increased ICP and cerebral perfusion pressure. 13 Another possible explanation might be related to nervous system plasticity.…”

Section: Discussionmentioning

confidence: 99%

Effectiveness of direct and non‐direct auditory stimulation on coma arousal after traumatic brain injury

Park

Davis

2016

Int J of Nursing Practice

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The aim of this study was to evaluate the effect of direct and non-direct auditory stimulation on arousal in coma patients with severe traumatic brain injury and to compare the effects of direct vs. non-direct auditory stimulation. A crossover intervention study design was used. Nine participants who were comatose after a severe traumatic brain injury underwent direct and non-direct auditory stimulation. Direct auditory stimulation requires a higher level of interpersonal interaction between the patient and stimuli such as voices of family members, orientation by a nurse or family member and familiar music. In contrast, non-direct auditory stimuli were characterized as more general, less familiar, less interactive, indirect and not lively such as general music and TV sounds. Participants received both direct and non-direct auditory stimulation in randomized order for 15 minutes. Recovery of consciousness was measured with the Glasgow Coma Scale (GCS) and Sensory Stimulation Assessment Measure (SSAM). The Friedman test with post hoc analysis by Wilcoxon's signed-rank test comparisons was used for data analysis. Patients who received both direct and non-direct auditory stimulation exhibited significantly increased GCS (p = 0.008) and SSAM scores (p = 0.008) over baseline. The improvement in SSAM scores after direct auditory stimulation was significantly greater than that after non-direct auditory stimulation (p = 0.021), but there was no statistically significant difference in GCS scores (p = 0.139). Auditory stimulation, in particular direct auditory stimulation, might be useful for improving the recovery of consciousness and increasing the arousal of comatose patients. The SSAM is more useful for detecting subtle changes from stimulation intervention than the GCS.

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Section: Discussionmentioning

confidence: 99%

Effectiveness of direct and non‐direct auditory stimulation on coma arousal after traumatic brain injury

Park

Davis

2016

Int J of Nursing Practice

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“…Stimulation is usually provided by the staff caring for these patients or their family members. The effectiveness of auditory stimulation on brain activity 5,[12][13][14][15][16] and patient recovery 4,17 are well reported. Auditory stimulation may affect the RAS and increase arousal and attention to the incoming stimuli.…”

Section: Discussionmentioning

confidence: 99%

“…5,18,19 Intervention was started within 72 hour of injury as coma stimulation should be provided as soon as the patient is hemodynamically stable as the evidences emphasize that early and repetitive sensory stimulation enhances the relearning in damaged brain. 5,15,16 Though a number of studies have reported positive outcome even when the auditory stimulation was started after 72 hour of injury, [20][21][22] various types of auditory stimulations have been reported in previous studies such as music, 13,23 recorded MP3 sound, and recorded familiar voice of family member or friend. 4,5,14,24,25 In present study, close family members directly talked to the comatose patients by addressing the patient by name 26 based on the individualized script that was prepared for the patient.…”

Section: Discussionmentioning

confidence: 99%

A Randomized Controlled Trial to Assess the Efficacy of Auditory Stimulation on Selected Parameters of Comatose Patients with Traumatic Brain Injury

Parveen

Dhandapani

et al. 2015

IJNT

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Problem Considered?Prevention of sensory deprivation and early sensory stimulation are essential to enhance optimal recovery in patients with traumatic brain injury (TBI). This was an RCT to assess the efficacy of auditory stimulation on various physiologic parameters and level of consciousness in comatose patients of TBI. Methods?A total of 80 comatose patients with TBI were enrolled and 40 were assigned using computer-generated random table in each intervention and control group. In intervention group, auditory stimulation was provided by a family member talking to the patient for 10 minutes, twice daily for 2 weeks. Physiologic parameters such as heart rate, respiratory rate, blood pressure, Spo 2, and level of consciousness were recorded before, during and after each intervention. Parameters in the control group were recorded on days 1, 7, and 14. Results?Baseline characteristics in both the groups were comparable. On day 7, GCS was significantly higher (7.26???2.39) in intervention group as compared with (5.54???1.75) control group. On day 14, GCS was again significantly higher (8.17???2.06) in intervention group as compared with (6.34???2.36) control group. There was significant increase in PR and Spo 2 during and after intervention. Conclusion?Auditory stimulation by family members appears to be effective in improving level of consciousness in comatose patients with TBI.

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“…(3) A primary goal of professionals who advocate coma stimulation as a treatment is to increase a patient's responsiveness and, thus, foster recovery (Jones, Hux, Morton-Anderson, & Knepper, 1994 [6]). The rationale is that exposure to frequent and various sensory stimulation will facilitate both dendritic growth and improve synaptic connectivity in those with damaged nervous systems (Ansell, 1991 [1]; Kater, 1989 [7]).…”

Section: Statement Of the Practice Problemmentioning

confidence: 99%

“…One case study used diagnosis of a vegetative state as the definition of coma (Wilson, Powell, Elliott, & Thwaites, 1991 [14]) . (6) In the vegetative state, as defined by Jennett and Plum (1972 [5]), the patient may have periods of wakefulness when their eyes are open and they move. However, patient responsiveness is limited to postural and reflex movements, and they never speak (Jennett & Plum, 1972 [5]).…”

Section: Statement Of the Practice Problemmentioning

confidence: 99%

Coma Stimulation

Bos¹

1997

Worldviews on Evidence-based Nursing presents the archives of O

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(1) Coma stimulation is a treatment in which a health care professional or a patient's family member systematically applies stimulation to one or more of the patient's five senses, for the purpose of increasing patient responsiveness. The rationale is that exposure to frequent and various sensory stimulation will facilitate both dendritic growth and improve synaptic connectivity in those with damaged nervous systems (Ansell, 1991 [1]; Kater, 1989 [7]). This review was conducted to determine whether research supports the incorporation of a coma stimulation program into routine nursing care. Included studies were of stimulation programs in inpatient settings, analyzing both multimodal and unimodal sensory stimulation. Implications for nursing practice are given, including specific prescriptives for implementing a coma stimulation program and areas for further research.

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Auditory stimulation effect on a comatose survivor of traumatic brain injury

Cited by 40 publications

References 8 publications

Effectiveness of direct and non‐direct auditory stimulation on coma arousal after traumatic brain injury

Effectiveness of direct and non‐direct auditory stimulation on coma arousal after traumatic brain injury

A Randomized Controlled Trial to Assess the Efficacy of Auditory Stimulation on Selected Parameters of Comatose Patients with Traumatic Brain Injury

Coma Stimulation

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