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In recent years, promoting wakening attempts in patients with disorders of consciousness are increasing, but there are a lack of objective indicators to evaluate the efficacy and further researches on the brain mechanism during the wakening processing. So, the study first assessed the cerebral response during emotional acoustic stimuli with quantitative EEG and ERP(Event-related potential), and next, the investigators explored the relationship between brain activation and patients' recovery.
Auditory stimuli have potential beneficial effects on cognitive functions and consciousness in patients with disorders of consciousness (DOC),especially the emotional sound; however, precise and accurate quantitative indices to estimate cerebral activation to different auditory stimuli remain scarce. In this study, investigators assessed the response of different brain regions to three acoustic stimuli using quantitative electroencephalography (QEEG) and ERP(Event-related potential),and further investigated the predictive value of QEEG in the prognosis of DOC.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| patients with disorders of consciousness | Experimental | 3 minutes stimulation with music,name,and noise separately,each are separated with a 5 minutes washout period. |
|
| healthy control group | Experimental | 3 minutes stimulation with music,name,and noise separately,each are separated with a 5 minutes washout period. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| music,name,and noise sound | Device | A 5-minute baseline silence was followed by the presentation of three contrasting auditory stimuli(music,name,and noise), with a 2-minute washout silence separating each stimulus |
| Measure | Description | Time Frame |
|---|---|---|
| Glasgow Outcome Scale (GOS) | A GOS value of <3 was considered as a bad recovery, while a GOS value of ≥3 was considered as a good recovery | In one year |
| Measure | Description | Time Frame |
|---|---|---|
| quantitative electroencephalography | The power spectrum was divided into four bandwidths,an increase of delta and theta activity usually reflects encephalopathy and/or structural lesions, interpreted as poor outcome predictor of DOC. The power of α and β is related to the chance of recovery. | 30 minutes before the auditory stimualtion and 30 minutes after each stimulation |
| Measure | Description | Time Frame |
|---|---|---|
| N1,P300,LPP | The event-related potential waveforms uncover voluntary responses to external stimuli that could assist in detecting signs of consciousness to reduce the risk of misdiagnosis. | From 200 msec before the stimuli onset to 1000ms after the auditory stimulation |
Brain-damaged patients :
Inclusion Criteria:
Exclusion Criteria:
Healthy participants :
Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Benyan Luo | First Affiliated Hospital of Zhejiang University | Principal Investigator |
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| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 30233062 | Derived | Wu M, Bao WX, Zhang J, Hu YF, Gao J, Luo BY. Effect of acoustic stimuli in patients with disorders of consciousness: a quantitative electroencephalography study. Neural Regen Res. 2018 Nov;13(11):1900-1906. doi: 10.4103/1673-5374.238622. |
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| ID | Term |
|---|---|
| D003244 | Consciousness Disorders |
| ID | Term |
|---|---|
| D019954 | Neurobehavioral Manifestations |
| D009461 | Neurologic Manifestations |
| D009422 | Nervous System Diseases |
| D012816 | Signs and Symptoms |
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| D013568 | Pathological Conditions, Signs and Symptoms |
| D019965 | Neurocognitive Disorders |
| D001523 | Mental Disorders |