European journal of physical and rehabilitation medicine
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Eur J Phys Rehabil Med · Apr 2016
Case ReportsDoes pain relief influence recovery of consciousness? a case report of a patients treated with ziconotide.
For people with cervical spinal cord injury (SCI), access to computers can be difficult, thus several devices have been developed to facilitate their Disorders of consciousness (DOC) are difficult to classify. The degree of consciousness varies from coma to vegetative state or unresponsive wakefulness syndrome (UWS) and minimally conscious state. Correct diagnosis has important ethical and legal implications, and pain may be cause of misdiagnosis. ⋯ Anecdotal reports of improved consciousness with intrathecal baclofen therapy may be due to pain relief. Reduction of pain in DOC is important and drugs should not interfere with cognition, and must be effective and manageable. Ziconotide may be one of the possible candidate due to its synergistic antispastic action in combination with baclofen when an intratecal pump has been implanted.
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Eur J Phys Rehabil Med · Apr 2016
Analyzing the modified rankin scale using concepts of the international classification of functioning, disability and health.
The World Health Organization (WHO) suggests using the International Classification of Functioning, Disability and Health (ICF) as a conceptual framework for disability outcomes and the modified Rankin Scale (mRS) as an outcome measure in stroke. ⋯ In order to follow the ICF model, interpretation of mRS rating requires caution.