Disorder of Consciousness Clinical Trial
Official title:
Effectiveness Research for Severe Disorders of Consciousness Patients Treated With Spinal Cord Stimulation (SCS)
Disorders of consciousness(DOC) is the most serious complications and has been widely paid attention to by the government. DOC patients cause large social and economic burden to our society for there has no effective cure so far. Spinal cord stimulation(SCS) for wake-promoting therapy has aroused scholars' attention and become a hot area recently. There was much debate about the effectiveness of SCS therapy, but because of the limitation of our understanding of consciousness and the uncertainty of parameters of the stimulation, So, to figure out the indications and effectiveness of neuromodulation therapy should be the first step, and finding individual treatment and parameter may have important implications for DOC patients.
The spinal cord stimulation therapy is explorative at best at the moment. Attempts to improve
the level of consciousness of patients in the different stages of DOC have shown some
promise. Spinal cord stimulation(SCS) seem promising in some studies, suggesting that further
research is needed. Current publications of DOC spinal cord stimulation therapy was not
convincing because of the small number of patients and no randomized controlled trial.
Therefore, there was much debate about the effectiveness of spinal cord stimulation therapy
because of the limitation of our understanding of consciousness and the uncertainty of
parameters of neuromodulation. The better understanding of brain function and large
randomized trials are necessary. Future research should also focus on identifying specific
neuro-biomarkers (i.e. neural network). So, to figure out the indications and effectiveness
of neuromodulation therapy should be the first step, and finding individual treatment and
parameter may have important implications for DOC patients.
Scientific Issues Targeted:1) To figure out the effectiveness of spinal cord stimulation
therapy using random controlled trial. 2) To explore individual parameters of SCS techniques.
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