Sensory Modality Assessment and Rehabilitation Technique (SMART) for Disorders of Consciousness after Brain Injury

  • ZHANG Yi ,
  • ZHANG Hao ,
  • LU Hai-tao ,
  • ZHANG Xiao-nian ,
  • ZHANG Yu
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  • 1. Department of Rehabilitation, the First People's Hospital of Changzhou, Changzhou, Jiangsu 213000;
    2. Department of Neurology Rehabilitation, Beijing Bo'ai Hospital, China Rehabilitation Research Center, Beijing 100068, China;
    3. Capital Medical University School of Rehabilitation Medcine, Beijing 100068, China

Received date: 2018-06-29

  Revised date: 2018-08-09

  Online published: 2018-09-27

Abstract

Sensory Modality Assessment and Rehabilitation Technique (SMART) is one of the tools for assessing patients with disorders of consciousness (DOC) after brain injury, to detect signs and meaningful responses to the conscious presence of DOC patients, and to optimize the patient's potential communication and motor function through the development of a treatment plan, that can be used in the assessment, treatment, and long-term prognosis of patients with DOC. SMART can effectively reduce the misdiagnosis of DOC due to the environment, long observation and evaluation, the incorporation of family and care teams in the evaluation, and the normalization of the evaluation content. Besides an assessment tool, SMART provides treatment options. At present, the SMART treatment stage has been formalized, which can create personalized treatment plan for patients. The intervention after DOC evaluation can be divided into exploration, strengthening and education. SMART is advantaged in evaluation, treatment and prognosis, that can benefit the standardization of diagnosis and intervention of DOC in China.

Cite this article

ZHANG Yi , ZHANG Hao , LU Hai-tao , ZHANG Xiao-nian , ZHANG Yu . Sensory Modality Assessment and Rehabilitation Technique (SMART) for Disorders of Consciousness after Brain Injury[J]. Chinese Journal of Rehabilitation Theory and Practice, 2018 , 24(9) : 1114 -1116 . DOI: 10.3969/j.issn.1006-9771.2018.09.026

References

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[2] Gill-Thwaites H, Elliott KE, Munday R.SMART–Recognising the value of existing practice and introducing recent developments: leaving no stone unturned in the assessment and treatment of the PDOC patient[J]. Neuropsycho Rehabil, 2017, 40(2): 1-12.
[3] Tennant A, Gill-Thwaites H.A study of the internal construct and predictive validity of the SMART assessment for emergence from vegetative state[J]. Brain Inj, 2017, 31(2): 185-192.
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