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首页> 外文期刊>Neuropsychological rehabilitation >The complementary role of music therapy in the detection of awareness in disorders of consciousness: An audit of concurrent SMART and MATADOC assessments
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The complementary role of music therapy in the detection of awareness in disorders of consciousness: An audit of concurrent SMART and MATADOC assessments

机译：音乐疗法在意识障碍意识检测中的补充作用：同时进行的SMART和MATADOC评估的审核

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摘要

In the behavioural assessment of disorders of consciousness (DOC), best practice is for several different assessment tools to be used to encourage a variety of different responses indicative of awareness. Anecdotal evidence suggests a range of musical stimuli may be particularly effective in eliciting responses to guide the assessment process, although comparative data regarding behavioural domains is lacking. This study examined 42 concurrent records of patients assessed using the Sensory Modality Assessment and Rehabilitation Technique (SMART), and the Music Therapy Assessment Tool for Awareness in Disorders of Consciousness (MATADOC) to explore the relationship between diagnosis and behavioural characteristics of the cohort. Whilst the two tools produced a high level of agreement in diagnostic outcome (Spearman Rho .80), divergent diagnosis and weaker correlations between behavioural response items highlight contrasting sensitivities of the tools. Whilst MATADOC has higher sensitivity within auditory and visual domains relative to SMART, SMART has higher sensitivity in the motor domain. The significant contribution of musical response items in MATADOC, and the tactile response item in SMART, indicates both tools provide unique behavioural data predictive of awareness. Multidisciplinary assessment using SMART and MATADOC provides complementary data contributing to a fuller understanding of a patient's level of awareness.
机译：在意识障碍的行为评估（DOC）中，最佳实践是使用几种不同的评估工具来鼓励各种不同的表示意识的反应。轶事证据表明，尽管缺乏有关行为领域的比较数据，但一定范围的音乐刺激可能在诱发反应以指导评估过程方面特别有效。这项研究检查了使用感官模态评估和康复技术（SMART）以及意识障碍意识音乐治疗评估工具（MATADOC）评估的42例患者并发记录，以探讨该队列的诊断与行为特征之间的关系。尽管这两种工具在诊断结果上达成了很高的共识（Spearman Rho .80），但诊断的分歧和行为反应项目之间的较弱相关性突出了工具的敏感性。相对于SMART，虽然MATADOC在听觉和视觉领域具有更高的灵敏度，但SMART在运动领域具有更高的灵敏度。 MATADOC中的音乐响应项和SMART中的触觉响应项的重大贡献表明，这两种工具都提供了可预测意识的独特行为数据。使用SMART和MATADOC进行的多学科评估提供了补充数据，有助于更全面地了解患者的意识水平。

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