Jornal Internacional de Neurorreabilitação

Effectiveness of Coma Stimulation Program in Traumatic Brain Injury

Abstract

Anjali Sharma*

Background and purpose: Coma is the prolonged period of unconsciousness immediately following traumatic brain injury. Coma is one of the results of brain injuries on the other hand; sensory deprivation is one of the complications, which have a high risk in Intensive Care Unit (ICU) wards for these patients. Cause of nature of illness they are keeping in emphatic environments that it could lead to decreasing sensory inputs and in this condition brain does not have a normal level of brain activity and consequently would lead to sensory deprivation. The study was done to find out the effectiveness of coma stimulation program in traumatic brain injuries.

Design and setting: A randomized control trial study. The study was conducted at Sri Aurbindo Institute of Medical Sciences Indore.

Subjects: The traumatic brain injury patients who admitted at study center and further met the inclusion criteria selected as subjects during specified schedule. A total of 15 traumatic head injury patients who were diagnosed as specified types of traumatic brain injury were purposively selected from the in-door patient department at Sri Aurobindo institute of medical sciences. To all the subjects one session of coma stimulation program with two sessions of conventional physiotherapy were given for 4 weeks.

Outcome measure: Glasgow coma scale.

Results: Statistical analysis results showed significant improvement in level of consciousness in all the cases of traumatic brain injury received coma stimulation program. Frontal contusion injuries showed higher gain followed by temporoparietal contusion and parietal contusion injuries.

Conclusion: The results suggest that coma stimulation program is better treatment in frontal contusion injuries followed by temporoparietal and parietal contusion injuries.