COMMUNICATIVE ACTIVITY OF CHILDREN IN THE STATE OF SUPPRESSED CONSCIOUSNESS AFTER SEVERE TRAUMATIC BRAIN INJURY
Journal Title: Acta Neuropsychologica - Year 2014, Vol 12, Issue 4
Abstract
Background: The aim of the study was to show the consistency and compatibility of a fixed assessment of a patient’s suppressed consciousness on the basis of two scales: the SCABL and RLAS-LCF-R, and to reveal the peculiarities of the restoration of signal communication systems in a group of patients without a “clear” consciousness (RLAS < VI).Material/Methods: 28 children were taken into the study aged 3-16 who had survived severe traumatic brain injury and who suffered from the consequences of brain hypoxia and arterivenous malformation ruptures. It describes a large number of communicative signals as well as their intensity. The Scale of Communicative Activity by Bykova, Lukianov (SCABL) has an important correlation with the RANCHO LOS AMIGOS MEDICAL CENTER LEVELS OF COGNITIVE FUNC TIONING (RLAS-LCF-R) for the fixation of the consciousness suppression level.Results: It was found that in Group A the recovery was significantly lower during the first stages than it was in Group B. In Group A the speed of SCABL changes was significantly lower than in Group B. The second objective of this study was to identify the peculiarities of the signal (communication) system recovery in the group of patients with severe injuries and in the group of patients with a clear consciousness. In Group A the dynamics of communication signal recovery had a non-linear dependence. The correlation by Spearman at each time slice in this group was 0.75 (p<0.05) on average and covered all of the SCABL parameters. The Kendell concordance ratio for all stages exceeded 0.73, which indicates a correlation for all the signal processes recovery.Conclusions: The SCABL scale performs a more differentiated and more precise quantitative and qualitative evaluation of the communication signals in children after brain injury of various etiology and may constitute a new objective approach for psychological studies in this group of patients.
Authors and Affiliations
Valentina Bykova, Valeriy Lukianov, Ekaterina Fufaeva
Keywords
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