Article

The aim of this study is to evaluate the effects of verticalization with or
without combined movement of the lower limbs in patients in a vegetative state or
a minimally conscious state. In particular, we aimed to study whether, in the
group with combined movement, there was better tolerance to verticalization. This
was a randomized trial conducted in a neurorehabilitation hospital. Twelve
patients with vegetative state and minimally conscious state 3-18 months after
acute acquired brain injuries were included. Patients were randomized into A and
B treatment groups. Study group A underwent verticalization with a tilt table at
65 degrees and movimentation of the lower limbs with a robotic system for 30 min
three times a week for 24 sessions. Control group B underwent the same
rehabilitation treatment, with a robotic verticalization system, but an inactive
lower-limb movement system. Systolic and diastolic blood pressure and heart rate
were determined. Robotic movement of the lower limbs can reduce the occurrence of
orthostatic hypotension in hemodynamically unstable patients. Despite the small
number of patients involved (only eight patients completed the trial), our
results indicate that blood pressures and heart rate can be stabilized better
(with) by treatment with passive leg movements in hemodynamically unstable
patients.

Langue : ANGLAIS