Evidence map›Paper›PMID 31037040›Full record

ArticleJournal of central nervous system disease2019

Application of an Intensive Rehabilitation Program After Very Late Recovery of Consciousness: A Single-Case Neurorehabilitation and Neuroimaging Study.

Antonino Errante, Donatella Saviola, Fabrizio Fasano, Benedetta Basagni, Serena Alinovi, Sara Bosetti, Margherita Chiari, Rita Minardi, Chiara Pinardi, Girolamo Crisi and 2 more

Open access · goldAbstract readCase Reports
In one paragraph

Article in Journal of central nervous system disease, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.3field-weighted citation impact, top 39% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 5 citations in OpenAlex.

  1. Review
  2. Article
  3. Towards modern post-coma care based on neuroscientific evidence.International journal of clinical and health psychology : IJCHP
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 3 institutions in 2 countries.

Antonino ErranteDepartment of Medicine and Surgery, University of Parma, Parma, Italy.ORCID https://orcid.org/0000-0002-8847-7019
Donatella SaviolaCardinal Ferrari Rehabilitation Centre, S. Stefano Institute, Fontanellato, Italy.
Fabrizio FasanoBrain Research Imaging Centre, Cardiff University, Cardiff, UK.
Benedetta BasagniCardinal Ferrari Rehabilitation Centre, S. Stefano Institute, Fontanellato, Italy.
Serena AlinoviCardinal Ferrari Rehabilitation Centre, S. Stefano Institute, Fontanellato, Italy.
Sara BosettiCardinal Ferrari Rehabilitation Centre, S. Stefano Institute, Fontanellato, Italy.
Margherita ChiariCardinal Ferrari Rehabilitation Centre, S. Stefano Institute, Fontanellato, Italy.
Rita MinardiCardinal Ferrari Rehabilitation Centre, S. Stefano Institute, Fontanellato, Italy.
Chiara PinardiDepartment of Medicine and Surgery, University of Parma, Parma, Italy.
Girolamo CrisiNeuroradiology Unit, Department of Diagnostic, Hospital and University of Parma, Parma, Italy.
Leonardo FogassiDepartment of Medicine and Surgery, University of Parma, Parma, Italy.
Antonio De TantiCardinal Ferrari Rehabilitation Centre, S. Stefano Institute, Fontanellato, Italy.
Ferrari (Italy) · ITUniversity of Parma · ITCardiff University · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Late recovery of consciousness in vegetative state is considered as an exceptional outcome and has been reported prevalently in patients who suffered a traumatic brain injury. In these patients, the benefits of prolonging the rehabilitation, aimed at the recovery of autonomy in basic everyday activities, has been demonstrated. Here, we describe the application of an intensive multi-professional rehabilitation program carried out on a young female patient, with exceptionally late recovery of consciousness, specifically, after 7 years of vegetative state due to severe brain hemorrhage. Neuropsychological and functional assessment was conducted before and after the end of the rehabilitation program. In addition, functional magnetic resonance imaging (fMRI) and diffusion tensor imaging (DTI)-based probabilistic tractography were performed. Two follow-up neuropsychological and functional assessments were also conducted 6 and 29 months after the conclusion of the program. Functional results showed an improvement, maintained over time, in walking with assistance, cognitive efficiency, visual acuity and visual field, dysarthria, and execution of activities of daily living. Moreover, functional and structural magnetic resonance imaging (MRI) data documented the existence of preserved neural networks involved in sensory, motor, and linguistic tasks, which in all likelihood support the recovery process. This report suggests the possibility of undertaking an intensive rehabilitation program in patients who remain for long periods in altered states of consciousness, in spite of early negative prognosis.

Indexed as

Disorders of consciousnessfMRIfunctional recoveryrehabilitationvegetative state

Identifiers

PMID31037040
PMCPMC6475846
OpenAlexW2936978727

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.