Effect of posture on levels of arousal and awareness in vegetative and minimally conscious state patients: a preliminary investigation

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Abstract
At present, the pathophysiology underlying the vegetative and minimally conscious states is unclear, a standard treatment approach is lacking, and very little has been discovered to advance rehabilitation techniques. It is widely acknowledged that active rehabilitation should begin early in the intensive care setting, and should be applied to all patients (including those who remain mechanically ventilated). However, this is not yet routine practice. Several reports have highlighted the generic benefits of early rehabilitation,4 however, the benefits of specific interventions remain to be demonstrated. Over the last year, our group has investigated the effects of postural change on levels of arousal and awareness.

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