Clinical trial NCT06664463: Impact of Sensory Stimulation Techniques on Consciousness Levels
Official title: Reviving Hope: Rehabilitation of Traumatic Brain Injury: Nursing Approaches for Arousal Enhancement
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Trumatic Brain Injury
Keywords: stimulation techniques
Recovery
nursing role
Lead sponsor: Cairo University
Sponsor class: OTHER
First posted: 2024-10-29
Enrollment: 60
Sex: ALL
Minimum age (years): 18
Maximum age (years): 60
Standard ages: ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: SUPPORTIVE_CARE

Brief summary: Traumatic brain injury is a leading cause of long-term disability, necessitating innovative rehabilitation methods. This study evaluates the effectiveness of integrating nursing techniques with arousal enhancement protocol to promote neurological recovery in traumatic brain injury patients.

Detailed description: Traumatic brain injury (TBI) is a significant global health concern, often leading to long-term disabilities that severely impact daily functioning and quality of life. Patients with traumatic brain injury frequently experience altered states of consciousness, complicating rehabilitation efforts and necessitating innovative approaches to care. Traditional rehabilitation strategies often emphasize physical recovery and may overlook the potential of sensory stimulation in enhancing cognitive function and arousal.

The arousal enhancement protocol represents a promising framework that integrates sensory modalities to actively engage patients in their rehabilitation. By focusing on personalized, nurse-led interventions, this protocol aims to foster greater patient involvement and optimize recovery outcomes. However, there is a pressing need for systematic evaluation of these approaches to better understand their efficacy and long-term impact on patient recovery.

Background Traumatic brain injury is a leading cause of long-term disability, significantly impacting patients' quality of life and daily functioning. Despite advancements in medical care, many individuals with TBI remain in a state of impaired consciousness, complicating their rehabilitation and recovery. Current rehabilitation strategies often lack the integration of nursing approaches specifically aimed at enhancing arousal and responsiveness in these patients. This gap highlights the need for innovative nursing interventions that incorporate structured sensory stimulation techniques to promote neurological recovery. The effectiveness of such approaches in improving arousal levels and cognitive function in patients with traumatic brain injury has not been thoroughly evaluated, necessitating research that explores the role of nursing in implementing arousal enhancement protocols. This study aims to address this issue by assessing the impact of nursing-led sensory stimulation interventions on the recovery outcomes of patients with traumatic brain injury, thereby reinforcing the critical role of nursing in optimizing rehabilitation strategies for this vulnerable population.

The arousal enhancement protocol refers to a series of structured interventions aimed at promoting the recovery of patients with traumatic brain injury who have reduced levels of consciousness. The protocol includes sensory, cognitive, and physical stimulation techniques administered to engage the patient's senses and stimulate brain activity. In this study, techniques such as auditory, visual, olfactory, and tactile stimulation were utilized to increase the responsiveness of patients with traumatic brain injury, ultimately enhancing their cognitive and neurological recovery.

The arousal enhancement protocol encompasses a diverse range of interventions aimed at awakening and engaging individuals who have lapsed into a coma following a traumatic brain injury. These techniques are designed to promote arousal, sensory awareness, and cognitive responsiveness in patients with impaired consciousness. Common approaches include sensory stimulation, such as auditory, visual, olfactory, and tactile stimuli, which were applied in this study in a structured and systematic manner to evoke responses and increase arousal levels.

At the heart of this intervention lies the pivotal role of nursing professionals, whose expertise, compassion, and dedication are instrumental in driving the success of the program. Nursing involvement in the arousal enhancement protocol for traumatic brain injury rehabilitation represents a fusion of clinical skill, therapeutic insight, and patient-centered care. The application of the arousal enhancement protocol in traumatic brain injury rehabilitation represents a pioneering frontier in nursing practice. Throughout the implementation of the arousal enhancement protocol, nurses play a central role in the delivery of sensory stimuli tailored to each patient's unique preferences and responses. From gentle touch and therapeutic massage to auditory stimulation and olfactory cues, nurses harness a diverse array of modalities to engage patients in the rehabilitation process. Their adeptness in therapeutic communication fosters a nurturing and supportive environment conducive to patient participation and progress.

Moreover, nurses play a critical role in the rehabilitation process. They meticulously document changes in arousal levels, vital signs, and behavioral indicators, ensuring that these observations guide timely adjustments to the stimulation protocol. This data-driven approach optimizes the effectiveness of the intervention while mitigating potential risks. Additionally, nurses implement targeted rehabilitation techniques, such as sensory re-education and motor relearning exercises, tailored to the patient's specific needs. They collaborate closely with interdisciplinary team members, including physicians, therapists, and caregivers, to ensure seamless coordination of care and holistic support for patients and their families, thus facilitating a comprehensive and integrated rehabilitation strategy.

Eligibility criteria: Inclusion Criteria:

* Aged between 18 and 60 years.
* Suffering from traumatic brain injury.
* With stable vital signs within normal ranges.
* Having a Glasgow Coma Scale (GCS) score of 9 or more.
* Admitted to the inpatient neurology department.

Exclusion Criteria:

* Individuals with a GCS score of less than 9.
* Individuals with deafness, blindness, aphasia, hemiplegia, or quadriplegia.

Primary outcomes:
measure: Glasgo Coma Scale
timeFrame: 2 weeks
Secondary outcomes:
measure: Western Neuro Sensory Stimulation Profile
timeFrame: 2 weeks
Other outcomes:
Locations:
city: Cairo
country: Egypt
facility: Faculy of Nursing Cairo University
state: Giza
Study officials:
References:
citation: Seo NJ, Ramakrishnan V, Woodbury ML, Bonilha L, Finetto C, Schranz C, Scronce G, Coupland K, Blaschke J, Baker A, Howard K, Meinzer C, Velozo CA, Adams RJ. Concomitant sensory stimulation during therapy to enhance hand functional recovery post stroke. Trials. 2022 Apr 5;23(1):262. doi: 10.1186/s13063-022-06241-9.