Assistive technology to help persons in a minimally conscious state develop responding and stimulation control: Performance assessment and social rating

2015 ◽  
Vol 37 (3) ◽  
pp. 393-403 ◽  
Author(s):  
Giulio E. Lancioni ◽  
Nirbhay N. Singh ◽  
Mark F. O’Reilly ◽  
Jeff Sigafoos ◽  
Fiora D’Amico ◽  
...  
Keyword(s):  
Assistive Technology ◽  
Performance Assessment ◽  
Minimally Conscious State ◽  
Conscious State ◽  
Control Performance ◽  
Minimally Conscious ◽  
Control Performance Assessment ◽  
Stimulation Control ◽  
Social Rating

scholarly journals Helping people in a minimally conscious state develop responding and stimulation control through a microswitch-aided program

2017 ◽  
Vol 53 (3) ◽  
Author(s):  
Giulio E. Lancioni ◽  
Nirbhay N. Singh ◽  
Mark F. O'''''Reilly ◽  
Jeff Sigafoos ◽  
Fiora D'''''Amico ◽  
...  
Keyword(s):  
Minimally Conscious State ◽  
Conscious State ◽  
Minimally Conscious ◽  
Stimulation Control

A Further Evaluation of Microswitch-Aided Intervention for Fostering Responding and Stimulation Control in Persons in a Minimally Conscious State

2018 ◽  
Vol 2 (3) ◽  
pp. 322-331 ◽  
Author(s):  
Giulio E. Lancioni ◽  
Mark F. O’Reilly ◽  
Jeff Sigafoos ◽  
Fiora D’Amico ◽  
Francesca Buonocunto ◽  
...  
Keyword(s):  
Minimally Conscious State ◽  
Conscious State ◽  
Minimally Conscious ◽  
Stimulation Control

Disabilities and Well-Being

2019 ◽  
pp. 121-137
Author(s):  
Joshua Shepherd
Keyword(s):  
Broad Class ◽  
Minimally Conscious State ◽  
Well Being ◽  
Conscious State ◽  
Minimally Conscious

This chapter argues for a normative distinction between disabilities that are inherently negative with respect to well-being and disabilities that are inherently neutral. After clarifying terms, the author discusses recent arguments according to which possession of a disability is inherently neutral with respect to well-being. He notes that although these arguments are compelling, they are only intended to cover certain disabilities and, in fact, that there exists a broad class regarding which they do not apply. He then discusses two problem cases: locked-in syndrome and the minimally conscious state, and explains why these are cases in which possession of these disabilities makes one worse off overall. He argues that disabilities that significantly impair control over one’s situation tend to be inherently negative with respect to well-being; other disabilities do not. The upshot is that we must draw an important normative distinction between disabilities that undermine this kind of control and disabilities that do not.

scholarly journals When, How, and to What Extent Are Individuals with Unresponsive Wakefulness Syndrome Able to Progress? Neurobehavioral Progress

2021 ◽  
Vol 11 (1) ◽  
pp. 126
Author(s):  
Enrique Noé ◽  
Joan Ferri ◽  
José Olaya ◽  
María Dolores Navarro ◽  
Myrtha O’Valle ◽  
...  
Keyword(s):  
Clinical Decision Making ◽  
Minimally Conscious State ◽  
Clinical Decision ◽  
Total Sample ◽  
Conscious State ◽  
Accurate Estimation ◽  
Functional Communication ◽  
Unresponsive Wakefulness Syndrome ◽  
Object Use ◽  
Minimally Conscious

Accurate estimation of the neurobehavioral progress of patients with unresponsive wakefulness syndrome (UWS) is essential to anticipate their most likely clinical course and guide clinical decision making. Although different studies have described this progress and possible predictors of neurobehavioral improvement in these patients, they have methodological limitations that could restrict the validity and generalization of the results. This study investigates the neurobehavioral progress of 100 patients with UWS consecutively admitted to a neurorehabilitation center using systematic weekly assessments based on standardized measures, and the prognostic factors of changes in their neurobehavioral condition. Our results showed that, during the analyzed period, 34% of the patients were able to progress from UWS to minimally conscious state (MCS), 12% of the total sample (near one third from those who progressed to MCS) were able to emerge from MCS, and 10% of the patients died. Transition to MCS was mostly denoted by visual signs, which appeared either alone or in combination with motor signs, and was predicted by etiology and the score on the Coma Recovery Scale-Revised at admission with an accuracy of 75%. Emergence from MCS was denoted in the same proportion by functional communication and object use. Predictive models of emergence from MCS and mortality were not valid and the identified predictors could not be accounted for.

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