Article

This paper comments on the report by a committee of La Societe Francaise de
Medecine Physique et de Readaptation (SOFMER) in response to the Haute Autorite
de sante in France concerning the classification and clinical management of
disorders of comportment following moderate to severe traumatic brain injury
(TBI). In view of the large number of patients and families affected by these
disorders, there is a strong rationale for these guidelines to ensure that
clinical assessment and treatment is evidence-based.
The report is viewed from
the perspective of current research on disorders of comportment and in relation
to recent reviews and meta-analyses on this topic. Comments on the classification
draw on pathophysiology and brain imaging in addition to the clinical literature.
The SOFMER report and recent projects in North America are compared for trends in
the development of recommended assessment scales and standard, evidence-based
treatment protocols for pharmacologic and non-pharmacologic interventions.
Collaborative, multinational investigations of TBI are also noted, which are
advancing progress toward guidelines for clinical management.
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Langue : ANGLAIS