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Making daily life perceptible - Impacts of therapy according to the Affolter-Modell® on the consciousness and ability recovery in a patient in the Minimally Conscious State (MCS) minus

Schaub, Kerstin and Ulrich, Marisa and Zuber, Denise and Munch, Laurent and Hediger, Karin and Marcar, Valentine Leslie and Hund-Georgiadis, Margret and Huber, Marion. (2020) Making daily life perceptible - Impacts of therapy according to the Affolter-Modell® on the consciousness and ability recovery in a patient in the Minimally Conscious State (MCS) minus. Ergoscience, 15 (2). pp. 66-77.

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Official URL: https://edoc.unibas.ch/80115/

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Abstract

Introduction: Patients with severe disorders of consciousness such as those in a Minimally Con- scious State (MCS) minus after acquired brain injuries can show a recovery of consciousness (arousal and awareness) and ability. Therapy interventions close to daily life as therapy according to the Affolter-Modell® are established in rehabilitation. This study investigates how therapy according to Affolter-Modell® impacts consciousness and ability recovery in a patient in MCS minus. Methods: The impacts of therapy according to Affolter-Modell® on consciousness and ability recovery classified according to ICF will be illustrated by means of a single-case mixed-method crossover design. Over a period of three weeks, four measurement sequences consisting of a therapy intervention according to Affolter-Modell®, a control intervention as well as three measurement in state of rest take place. Brain activity is measured by nearinfrared spectroscopy (NIRS). The ability recovery is shown by a video-based behavioural analysis. Results: The patient showed enhanced brain activity, increased arousal as well as more behavioural changes during and after the intervention.Conclusion: This study shows that a therapy in- intervention according to the Affolter-Modell® can positively influence the patient's consciousness and ability recovery. Therapy according to the Affolter- Modell® which is frequently used in interprofessional teams gains evidence through these results.
Faculties and Departments:07 Faculty of Psychology > Departement Psychologie > Forschungsbereich Klinische Psychologie und Neurowissenschaften > Klinische Psychologie und Psychotherapie (Gaab)
09 Associated Institutions > Swiss Tropical and Public Health Institute (Swiss TPH) > Department of Epidemiology and Public Health (EPH)
UniBasel Contributors:Hediger, Karin
Item Type:Article, refereed
Article Subtype:Research Article
Publisher:Thieme
ISSN:1861-6348
Note:Publication type according to Uni Basel Research Database: Journal article
Identification Number:
Last Modified:03 Nov 2021 15:47
Deposited On:03 Nov 2021 15:46

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