Promoting the use of personally relevant stimuli for investigating patients with disorders of consciousness
Identifieur interne : 000002 ( France/Analysis ); précédent : 000001; suivant : 000003Promoting the use of personally relevant stimuli for investigating patients with disorders of consciousness
Auteurs : Fabien Perrin [France] ; Maïté Castro [France] ; Barbara Tillmann [France] ; Jacques Luauté [France]Source :
- Frontiers in Psychology ; 2015.
Abstract
Sensory stimuli are used to evaluate and to restore cognitive functions and consciousness in patients with a disorder of consciousness (DOC) following a severe brain injury. Although sophisticated protocols can help assessing higher order cognitive functions and awareness, one major drawback is their lack of sensitivity. The aim of the present review is to show that stimulus selection is crucial for an accurate evaluation of the state of patients with disorders of consciousness as it determines the levels of processing that the patient can have with stimulation from his/her environment. The probability to observe a behavioral response or a cerebral response is increased when her/his personal history and/or her/his personal preferences are taken into account. We show that personally relevant stimuli (i.e., with emotional, autobiographical, or self-related characteristics) are associated with clearer signs of perception than are irrelevant stimuli in patients with DOC. Among personally relevant stimuli, music appears to be a promising clinical tool as it boosts perception and cognition in patients with DOC and could also serve as a prognostic tool. We suggest that the effect of music on cerebral processes in patients might reflect the music’s capacity to act both on the external and internal neural networks supporting consciousness.
Url:
DOI: 10.3389/fpsyg.2015.01102
PubMed: 26284020
PubMed Central: 4519656
Affiliations:
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PMC:4519656Le document en format XML
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Fabien" sort="Perrin, Fabien" uniqKey="Perrin F" first="Fabien" last="Perrin">Fabien Perrin</name><affiliation wicri:level="1"><nlm:aff id="aff1"><institution>Auditory Cognition and Psychoacoustics Team, Lyon Neuroscience Research Center (UCBL, CNRS UMR5292, Inserm U1028)</institution><country>Lyon, France</country></nlm:aff><country xml:lang="fr">France</country><wicri:regionArea></wicri:regionArea><wicri:regionArea># see nlm:aff region in country</wicri:regionArea></affiliation></author><author><name sortKey="Castro, Maite" sort="Castro, Maite" uniqKey="Castro M" first="Maïté" last="Castro">Maïté Castro</name><affiliation wicri:level="1"><nlm:aff id="aff1"><institution>Auditory Cognition and Psychoacoustics Team, Lyon Neuroscience Research Center (UCBL, CNRS UMR5292, Inserm U1028)</institution><country>Lyon, France</country></nlm:aff><country xml:lang="fr">France</country><wicri:regionArea></wicri:regionArea><wicri:regionArea># see nlm:aff region in country</wicri:regionArea></affiliation></author><author><name sortKey="Tillmann, Barbara" sort="Tillmann, Barbara" uniqKey="Tillmann B" first="Barbara" last="Tillmann">Barbara Tillmann</name><affiliation wicri:level="1"><nlm:aff id="aff1"><institution>Auditory Cognition and Psychoacoustics Team, Lyon Neuroscience Research Center (UCBL, CNRS UMR5292, Inserm U1028)</institution><country>Lyon, France</country></nlm:aff><country xml:lang="fr">France</country><wicri:regionArea></wicri:regionArea><wicri:regionArea># see nlm:aff region in country</wicri:regionArea></affiliation></author><author><name sortKey="Luaute, Jacques" sort="Luaute, Jacques" uniqKey="Luaute J" first="Jacques" last="Luauté">Jacques Luauté</name><affiliation wicri:level="1"><nlm:aff id="aff2"><institution>Henry Gabrielle Hospital, Hospices Civils de Lyon</institution><country>Lyon, France</country></nlm:aff><country xml:lang="fr">France</country><wicri:regionArea></wicri:regionArea><wicri:regionArea># see nlm:aff region in country</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="aff3"><institution>Neurological Hospital, Hospices Civils de Lyon</institution><country>Lyon, France</country></nlm:aff><country xml:lang="fr">France</country><wicri:regionArea></wicri:regionArea><wicri:regionArea># see nlm:aff region in country</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="aff4"><institution>IMPACT, Lyon Neuroscience Research Center (UCBL, CNRS UMR5292, Inserm U1028)</institution><country>Lyon, France</country></nlm:aff><country xml:lang="fr">France</country><wicri:regionArea></wicri:regionArea><wicri:regionArea># see nlm:aff region in country</wicri:regionArea></affiliation></author></analytic><series><title level="j">Frontiers in Psychology</title><idno type="e-ISSN">1664-1078</idno><imprint><date when="2015">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>Sensory stimuli are used to evaluate and to restore cognitive functions and consciousness in patients with a disorder of consciousness (DOC) following a severe brain injury. Although sophisticated protocols can help assessing higher order cognitive functions and awareness, one major drawback is their lack of sensitivity. The aim of the present review is to show that stimulus selection is crucial for an accurate evaluation of the state of patients with disorders of consciousness as it determines the levels of processing that the patient can have with stimulation from his/her environment. The probability to observe a behavioral response or a cerebral response is increased when her/his personal history and/or her/his personal preferences are taken into account. We show that personally relevant stimuli (i.e., with emotional, autobiographical, or self-related characteristics) are associated with clearer signs of perception than are irrelevant stimuli in patients with DOC. Among personally relevant stimuli, music appears to be a promising clinical tool as it boosts perception and cognition in patients with DOC and could also serve as a prognostic tool. We suggest that the effect of music on cerebral processes in patients might reflect the music’s capacity to act both on the external and internal neural networks supporting consciousness.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Aldridge, D" uniqKey="Aldridge D">D. Aldridge</name></author><author><name sortKey="Gustorff, D" uniqKey="Gustorff D">D. Gustorff</name></author><author><name sortKey="Hannich, H J" uniqKey="Hannich H">H. J. Hannich</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Bekinschtein, T A" uniqKey="Bekinschtein T">T. A. Bekinschtein</name></author><author><name sortKey="Dehaene, S" uniqKey="Dehaene S">S. Dehaene</name></author><author><name sortKey="Rohaut, B" uniqKey="Rohaut B">B. Rohaut</name></author><author><name sortKey="Tadel, F" uniqKey="Tadel F">F. Tadel</name></author><author><name sortKey="Cohen, L" uniqKey="Cohen L">L. 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Winkowski</name></author><author><name sortKey="Miller, J L" uniqKey="Miller J">J. L. Miller</name></author><author><name sortKey="Tierney, L" uniqKey="Tierney L">L. Tierney</name></author><author><name sortKey="Goldman, L" uniqKey="Goldman L">L. Goldman</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Yingling, C D" uniqKey="Yingling C">C. D. Yingling</name></author><author><name sortKey="Hosobuchi, Y" uniqKey="Hosobuchi Y">Y. Hosobuchi</name></author><author><name sortKey="Harrington, M" uniqKey="Harrington M">M. Harrington</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Zatorre, R J" uniqKey="Zatorre R">R. J. Zatorre</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Zatorre, R J" uniqKey="Zatorre R">R. J. Zatorre</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>France</li></country></list><tree><country name="France"><noRegion><name sortKey="Perrin, Fabien" sort="Perrin, Fabien" uniqKey="Perrin F" first="Fabien" last="Perrin">Fabien Perrin</name></noRegion><name sortKey="Castro, Maite" sort="Castro, Maite" uniqKey="Castro M" first="Maïté" last="Castro">Maïté Castro</name><name sortKey="Luaute, Jacques" sort="Luaute, Jacques" uniqKey="Luaute J" first="Jacques" last="Luauté">Jacques Luauté</name><name sortKey="Luaute, Jacques" sort="Luaute, Jacques" uniqKey="Luaute J" first="Jacques" last="Luauté">Jacques Luauté</name><name sortKey="Luaute, Jacques" sort="Luaute, Jacques" uniqKey="Luaute J" first="Jacques" last="Luauté">Jacques Luauté</name><name sortKey="Tillmann, Barbara" sort="Tillmann, Barbara" uniqKey="Tillmann B" first="Barbara" last="Tillmann">Barbara Tillmann</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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