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This article and any supplementary material should be cited as follows: Rosenow JM, Harton B, Patil V, Guernon A, Parrish T, Froehlich K, Burress C, McNamee.

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Presentation on theme: "This article and any supplementary material should be cited as follows: Rosenow JM, Harton B, Patil V, Guernon A, Parrish T, Froehlich K, Burress C, McNamee."— Presentation transcript:

1 This article and any supplementary material should be cited as follows: Rosenow JM, Harton B, Patil V, Guernon A, Parrish T, Froehlich K, Burress C, McNamee S, Herrold AA, Weiss B, Wang X. Preliminary framework for Familiar Auditory Sensory Training (FAST) provided during coma recovery. J Rehabil Res Dev. 2012;49(7):1137–52. http://dx.doi.org/JRRD.2011.08.0154 Slideshow Project DOI:10.1682/JRRD.2011.08.0154JSP Preliminary framework for Familiar Auditory Sensory Training (FAST) provided during coma recovery Theresa Louise-Bender Pape, DrPH, MA, CCC-SLP/L; Joshua M. Rosenow, MD, FACS; Brett Harton, BS; Vijaya Patil, MD; Ann Guernon, MS; Todd Parrish, PhD; Kathleen Froehlich, OTR/L; Catherine Burress, DPT; Shane McNamee, MD; Amy A. Herrold, PhD; Bessie Weiss, RN, MS, CCNS, CCRN, CNRN; Xue Wang, PhD

2 This article and any supplementary material should be cited as follows: Rosenow JM, Harton B, Patil V, Guernon A, Parrish T, Froehlich K, Burress C, McNamee S, Herrold AA, Weiss B, Wang X. Preliminary framework for Familiar Auditory Sensory Training (FAST) provided during coma recovery. J Rehabil Res Dev. 2012;49(7):1137–52. http://dx.doi.org/JRRD.2011.08.0154 Slideshow Project DOI:10.1682/JRRD.2011.08.0154JSP Aim – Describe preliminary framework for Familiar Auditory Sensory Training (FAST) protocol, which synthesizes principles of plasticity and capabilities of brain to automatically and covertly process sensory input. Relevance – Despite scarce evidence regarding therapeutic efficacy, sensory stimulation is customarily provided to patients in states of seriously impaired consciousness.

3 This article and any supplementary material should be cited as follows: Rosenow JM, Harton B, Patil V, Guernon A, Parrish T, Froehlich K, Burress C, McNamee S, Herrold AA, Weiss B, Wang X. Preliminary framework for Familiar Auditory Sensory Training (FAST) provided during coma recovery. J Rehabil Res Dev. 2012;49(7):1137–52. http://dx.doi.org/JRRD.2011.08.0154 Slideshow Project DOI:10.1682/JRRD.2011.08.0154JSP Description of Experimental Intervention Researcher initiates dialog with 3 storytellers (identified by participant’s legal representative). Stories are recorded using handheld digital voice recorder, then edited for length and sound quality (volume level: 50 to 75 dB). Total duration of FAST protocol is 1,680 min of familiar auditory sensory material provided daily for 6 weeks. – 40 min of stories provided 4 times daily in 10 min segments at least 2 h apart.

4 This article and any supplementary material should be cited as follows: Rosenow JM, Harton B, Patil V, Guernon A, Parrish T, Froehlich K, Burress C, McNamee S, Herrold AA, Weiss B, Wang X. Preliminary framework for Familiar Auditory Sensory Training (FAST) provided during coma recovery. J Rehabil Res Dev. 2012;49(7):1137–52. http://dx.doi.org/JRRD.2011.08.0154 Slideshow Project DOI:10.1682/JRRD.2011.08.0154JSP Results: Lessons Learned Each patient/family circumstance is unique, so creating stories is not always simple. Challenges include: – Potential storytellers’ stage of coping with traumatic event that caused participant’s injuries. – Quality of relationships between storytellers. – Having enough content for stories. – Motivation to generate stories. Engagement – Storytellers felt like they contributed and had some control over participant’s rehabilitation.

5 This article and any supplementary material should be cited as follows: Rosenow JM, Harton B, Patil V, Guernon A, Parrish T, Froehlich K, Burress C, McNamee S, Herrold AA, Weiss B, Wang X. Preliminary framework for Familiar Auditory Sensory Training (FAST) provided during coma recovery. J Rehabil Res Dev. 2012;49(7):1137–52. http://dx.doi.org/JRRD.2011.08.0154 Slideshow Project DOI:10.1682/JRRD.2011.08.0154JSP Conclusion FAST protocol theorized to extract consistent response across subjects, but only constants are duration, familiarity, and emotion. FAST protocol is customized for each subject and differs according to structure of auditory stimulation (e.g., speech rate, prosody). – We theorize that customized structure will therapeutically affect how injured brain processes and responds to stimulation. Ongoing trial will identify whether brain responds and how this relates to neurobehavioral changes. Future research should identify FAST parameters that promote behavioral gains.

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