Resources Offered by the MSKTC To Support Individuals Living with Traumatic Brain Injury.
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For more information and factsheets on Traumatic Brain Injury, visit the MSKTC-TBI website.
The Spaulding Disorders of Consciousness Comprehensive Evidence-Based Assessment Battery
The purpose of the DOC COMPASS is to create a single comprehensive resource for
administration of a systematic evidence-based neurorehabilitation program for individuals with
disorders of consciousness. This binder includes assessment and treatment tools appropriate for
both clinical and research purposes. We intend to update this manual as additional evidence
accrues in the peer-reviewed literature.
This binder contains:
An overview of the SRN DOC Program
- A compilation of assessment and treatment protocols specifically designed for use in patients with DOC.
- Data collection forms for all assessment and treatment protocols.
- A sample Neurobehavioral Profile with data display.
For additional information, please contact:
Joseph T. Giacino, PhD
Director, Spaulding Rehabilitation Network Disorders of Consciousness Program
Coma Recovery Scale-Revised (CRS-R)
The JFK Coma Recovery Scale was initially described by Giacino and colleagues in 1991. The scale was restructured by Giacino and Kalmar and republished in 2004 as the JFK Coma Recovery Scale-Revised (Giacino, Kalmar and Whyte, 2004). The purpose of the scale is to assist with differential diagnosis, prognostic assessment and treatment planning in patients with disorders of consciousness. The scale consists of 23 items that comprise six subscales addressing auditory, visual, motor, oromotor, communication and arousal functions. CRS-R subscales are comprised of heirachically-arranged items associated with brain stem, subcortical and cortical processes. The lowest item on each subscale represents reflexive activity while the highest items represent cognitively-mediated behaviors. Scoring is standardized and is based on the presence or absence of operationally-defined behavioral responses to specific sensory stimuli. Adequate interrater and test-retest reliability have been demonstrated and concurrent validity has been established relative to the Disability Rating Scale. A recently-published review of behavioral assessment methods completed by European researchers recommended use of the CRS-R as a “new promising tool” for evaluation of consciousness after severe brain injury (Majerus, et al., 2005). Spanish, Italian, German, French, Dutch and Norwegian translations of the CRS-R are available.
To request access to CRS-R training videos, please contact:
Joseph Ostrow, BS
Research Assistant, SRH Neurorehabilitation Laboratory
TBI Model System-Sponsored Stakeholder Summit Briefing Book
Rehabilitation Access and Outcome after Severe Traumatic Brain Injury
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The Neurology of Consciousness, 2nd Edition
Cognitive Neuroscience and Neuropathology
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