1 / 5

Preliminary framework for Familiar Auditory Sensory Training (FAST) provided during coma recovery

Preliminary framework for Familiar Auditory Sensory Training (FAST) provided during coma recovery.

demarcusa
Download Presentation

Preliminary framework for Familiar Auditory Sensory Training (FAST) provided during coma recovery

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Preliminary framework for Familiar Auditory Sensory Training (FAST) provided during coma recovery Theresa Louise-Bender Pape, DrPH, MA, CCC-SLP/L; Joshua M. Rosenow, MD, FACS; Brett Harton, BS; Vijaya Patil, MD; Ann Guernon, MS; Todd Parrish, PhD; Kathleen Froehlich, OTR/L; Catherine Burress, DPT; Shane McNamee, MD; Amy A. Herrold, PhD; Bessie Weiss, RN, MS, CCNS, CCRN, CNRN; Xue Wang, PhD

  2. Aim • Describe preliminary framework for Familiar Auditory Sensory Training (FAST) protocol, which synthesizes principles of plasticity and capabilities of brain to automatically and covertly process sensory input. • Relevance • Despite scarce evidence regarding therapeutic efficacy, sensory stimulation is customarily provided to patients in states of seriously impaired consciousness.

  3. Description of Experimental Intervention • Researcher initiates dialog with 3 storytellers (identified by participant’s legal representative). • Stories are recorded using handheld digital voice recorder, then edited for length and sound quality (volume level: 50 to 75 dB). • Total duration of FAST protocol is 1,680 min of familiar auditory sensory material provided daily for 6 weeks. • 40 min of stories provided 4 times daily in 10 min segments at least 2 h apart.

  4. Results: Lessons Learned • Each patient/family circumstance is unique, so creating stories is not always simple. • Challenges include: • Potential storytellers’ stage of coping with traumatic event that caused participant’s injuries. • Quality of relationships between storytellers. • Having enough content for stories. • Motivation to generate stories. • Engagement • Storytellers felt like they contributed and had some control over participant’s rehabilitation.

  5. Conclusion • FAST protocol theorized to extract consistent response across subjects, but only constants are duration, familiarity, and emotion. • FAST protocol is customized for each subject and differs according to structure of auditory stimulation (e.g., speech rate, prosody). • We theorize that customized structure will therapeutically affect how injured brain processes and responds to stimulation. • Ongoing trial will identify whether brain responds and how this relates to neurobehavioral changes. • Future research should identify FAST parameters that promote behavioral gains.

More Related