Deprecated: Implicit conversion from float 213.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 213.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 213.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 213.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 213.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 213.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 213.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 213.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Warning: imagejpeg(C:\Inetpub\vhosts\kidney.de\httpdocs\phplern\26623651
.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 PLoS+One
2015 ; 10
(12
): e0143180
Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
Tilt Table Therapies for Patients with Severe Disorders of Consciousness: A
Randomized, Controlled Trial
#MMPMID26623651
Krewer C
; Luther M
; Koenig E
; Müller F
PLoS One
2015[]; 10
(12
): e0143180
PMID26623651
show ga
One major aim of the neurological rehabilitation of patients with severe
disorders of consciousness (DOC) is to enhance patients' arousal and ability to
communicate. Mobilization into a standing position by means of a tilt table has
been shown to improve their arousal and awareness. However, due to the frequent
occurrence of syncopes on a tilt table, it is easier to accomplish
verticalization using a tilt table with an integrated stepping device. The
objective of this randomized controlled clinical trial was to evaluate the
effectiveness of a tilt table therapy with or without an integrated stepping
device on the level of consciousness. A total of 50 participants in vegetative or
minimally conscious states 4 weeks to 6 month after injury were treated with
verticalization during this randomized controlled trial. Interventions involved
ten 1-hour sessions of the specific treatment over a 3-week period. Blinded
assessors made measurements before and after the intervention period, as well as
after a 3-week follow-up period. The coma recovery scale-revised (CRS-R) showed
an improvement by a median of 2 points for the group receiving tilt table with
integrated stepping (Erigo). The rate of recovery of the group receiving the
conventional tilt table therapy significantly increased by 5 points during
treatment and by an additional 2 points during the 3-week follow-up period.
Changes in spasticity did not significantly differ between the two intervention
groups. Compared to the conventional tilt table, the tilt table with integrated
stepping device failed to have any additional benefit for DOC patients.
Verticalization itself seems to be beneficial though and should be administered
to patients in DOC in early rehabilitation. Trial Registration: Current
Controlled Trials Ltd (www.controlled-trials.com), identifier number
ISRCTN72853718.