Journal of Rehabilitation Research & Development (JRRD)

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Volume 49 Number 7, 2012
   Pages 1137 — 1152

Abstract — Preliminary framework for Familiar Auditory Sensory Training (FAST) provided during coma recovery


Theresa Louise-Bender Pape, DrPH, MA, CCC-SLP/L;1-3* Joshua M. Rosenow, MD, FACS;4-5 Brett Harton, BS;1 Vijaya Patil, MD;6 Ann Guernon, MS;1,3 Todd Parrish, PhD;7 Kathleen Froehlich, OTR/L;8 Catherine Burress, DPT;8 Shane McNamee, MD;9 Amy A. Herrold, PhD;1 Bessie Weiss, RN, MS, CCNS, CCRN, CNRN;5 Xue Wang, PhD7

1Department of Veterans Affairs (VA) Center for Management of Complex Chronic Care, Center of Excellence, and Research Service, Edward Hines Jr VA Hospital, Hines, IL; 2Department of Physical Medicine and Rehabilitation, Northwestern University Feinberg School of Medicine, Chicago, IL; 3Marianjoy Rehabilitation Hospital, Wheaton, IL; 4Department of Neurological Surgery, Northwestern University Feinberg School of Medicine, Chicago, IL;5 Northwestern Memorial Hospital, Chicago, IL; 6Neurology, Edward Hines Jr. VA Hospital, Hines, IL; and Department of Neurology, Loyola University Chicago, Stritch School of Medicine, Maywood, IL; 7Department of Radiology, Northwestern University Feinberg School of Medicine, Chicago, IL; 8Brain Injury Program, The Rehabilitation Institute of Chicago, Chicago, IL; 9Physical Medicine and Rehabilitation Service, Hunter Holmes McGuire VA Medical Center, Richmond, VA

Abstract — Since there remains a need to examine the nature of the neural effect and therapeutic efficacy/effectiveness of sensory stimulation provided to persons in states of seriously impaired consciousness, a passive sensory stimulation intervention, referred to as the Familiar Auditory Sensory Training (FAST) protocol, was developed for examination in an ongoing, double-blind, randomized clinical trial (RCT). The FAST protocol is described in this article according to the preliminary framework, which is a synthesis of knowledge regarding principles of plasticity and capabilities of the human brain to automatically and covertly process sensory input. Feasibility issues considered during the development of the intervention are also described. To enable replication of this intervention, we describe procedures to create the intervention and lessons learned regarding the creation process. The potential effect of the intervention is illustrated using functional brain imaging of nondisabled subjects. This illustration also demonstrates the relevance of the rationale for designing the FAST protocol. To put the intervention within the context of the scientific development process, the article culminates with a description of the study design for the ongoing RCT examining the efficacy of the FAST protocol.

Key words: auditory stimulation, coma, disordered or impaired consciousness, minimally conscious state, plasticity, rehabilitation, story, traumatic brain injury, treatment, vegetative state.

View HTML  ¦  View PDF  ¦  Contents Vol. 49, No. 7

This article and any supplementary material should be cited as follows:
Pape TL, 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.

ResearcherID: Theresa Louise-Bender Pape, DrPH, MA, CCC-SLP/L: G-3591-2012


Last Reviewed or Updated  Wednesday, October 24, 2012 12:26 PM

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