Persistant vegetative state
A persistent vegetative state and a minimally conscious state are the severest forms of impairment of consciousness that can occur following a major craniocerebral injury or an oxygen deficiency in the brain. Those affected remain in a coma-like state and do not (or barely) react to their surroundings, yet their eyes are open for long periods of time.
In our ward for patients in a vegetative state, an interprofessional rehabilitation team works with patients using a multimodal treatment concept specialised for this group of patients.
Multimodal treatment concept
- Continuous medical support (in cooperation with the University Hospital of Basel [Universitätsspital Basel])
- Therapeutic care
- Physiotherapy and occupational therapy following Bobath and Affolter’s techniques
- Early mobility using robotics
- Speech therapy (facial-oral tract therapy as developed by Kay Coombes, F.O.T.T.®)
- Music therapy
- Social counselling
- Integration and psychological support for family members
We treat our patients using innovative methods such as
- Therapy with intrathecal baclofen pump
- Botox therapy
- Structured pharmacological treatment to encourage consciousness
Upon admission and to evaluate the progress achieved, we carry out rehabilitation-specific diagnostics (such as event-related potential P300). An assessment, developed here in Basel, measures the subtlest changes in consciousness.