Chinese expert consensus on comprehensive rehabilitation and non-invasive neuromodulation for prolonged disorders of consciousness
摘要
Objective To develop a Chinese expert consensus on comprehensive rehabilitation and non-invasive neuromodulation awakening therapy for patients with prolonged disorders of consciousness (pDoC) using an evidence-based approach. Methods A core working group for the consensus was established. Combining the latest domestic and international advancements with clinical practice experience, preliminary recommended opinions were formulated focusing on two core topics: comprehensive rehabilitation and non-invasive neuromodulation for pDoC patients. After two rounds of online and offline expert consultation and discussion, all the final recommended opinions received up to more than 70% of agreement. Results The development of rehabilitation strategies for pDoC patients should be in team-work, led by rehabilitation physicians, involving physical therapists, occupational therapists, speech therapists, nurses, neurologists, internists, nutritionists, social workers, and other professionals. Ten consensus opinions and six recommended treatment parameters were developed for comprehensive rehabilitation and non-invasive neuromodulation for pDoC patients. Conclusion The expert consensus on comprehensive rehabilitation and non-invasive neuromodulation for pDoC patients provides a standardized guidance to promote the standardized management of clinical rehabilitation, and provide references for developing individualized rehabilitation strategies.