The Wessex Head Injury Matrix (WHIM) main scale: a preliminary report on a scale to assess and monitor patient recovery after severe head injury. A Shiel. The Wessex Head Injury Matrix (WHIM), developed by Shiel et al. () and based on previous work by Horn et al. (, ) and Wilson et al. (), was . of serial repeated assessments using the Wessex Head Injury Matrix. (WHIM) to identify changes in vegetative state (VS) and MCS patients. Twenty consecutive.

Author: Dailmaran Jut
Country: Gambia
Language: English (Spanish)
Genre: Health and Food
Published (Last): 27 July 2004
Pages: 420
PDF File Size: 12.96 Mb
ePub File Size: 9.52 Mb
ISBN: 589-4-70919-890-7
Downloads: 85062
Price: Free* [*Free Regsitration Required]
Uploader: Kazikinos

Rates of change for both parameters increased progressively towards the highest level of PDOC status ie, Emergedwessex head injury matrix that the trajectory of change is an important indicator of eventual outcome with respect to recovered awareness.

Manual The assessment wessex head injury matrix collection encompasses all assessments that are used in medical rehabilitation with a primary focus on physical therapy and occupational therapy. Injugy neuroanatomy underlying the clinical subcategorization of minimally conscious state patients.

Measures Wessex Matri Injury Matrix The WHIM is a item hierarchical scale, which provides a sequential framework of tightly defined categories of observation covering an individual’s level responsiveness and interaction with their environment.

Accuracy of diagnosis of persistent vegetative state. Barbara A Wilson.

Wessex Head Injury Matrix (WHIM)

With the WHIM patients can be assessed and goals for rehabilitation set from the outset wessex head injury matrix coma. The timing for admission to and discharge from the programme depended on when the patient was referred, the waiting list and any external constraints such as time-limited funding.

TOP Related Articles  ALESIS QX25 MANUAL PDF

Acknowledgments The authors would like amtrix thank all the staff and patients on the Regional Rehabilitation Unit at Northwick Park who contributed to the collection of data used matriz this analysis. Consisting of 29 standardized techniques, SMART provides opportunity for patients wessex head injury matrix exhibit their full behavioral repertoire, in each of the different sensory modalities.

Levels of Cognitive Functioning Download Eight-item scale with broad weesex. Of 68 patients admitted for evaluation of PDOC during this wessex head injury matrix, 2 had only one WHIM score and data were missing for another, leaving a total of 65 patients for analysis. BaFPE task-oriented assessment, social interaction scale 2nd ed.

For the purpose of this evaluation, subcategorisation was applied retrospectively for admissions prior to The mean time from onset to admission was Wessex head injury matrix Consecutive admissions to a tertiary in-patient neurorehabilitation service for evaluation of PDOC in real-life clinical practice, over a year period — A significant interaction would suggest that the change in values over time varied between groups.

A preliminary report on a scale to assess and monitor patients recovery after severe head injury.

In recent years, the research group from Liege has proposed separation of MCS into two subgroups: What are the patterns of change in WHIM scores recorded serially over time? For example, other structured wessex head injury matrix have gradually been introduced within in our clinical assessment process:. A scale to assess patients and monitor cognitive recovery after severe head injury has been developed.

Search for this keyword. Wilson et al 17 reported serial assessment wessex head injury matrix the WHIM as a tool to detect subtle changes in cognitive and communicative function over time. Emergence from MCS was also defined according to the Aspen criteria 3 —namely reliable and consistent demonstration of one or both of the following:.


Coma Science Group

Neurology ; The proposed new hierarchical order requires further evaluation in future multicentre analyses. The terms included in the model were time as a continuous variablepatient group and the interaction between time and group.

The results of multilevel linear regression to examine rate of change over wessex head injury matrix for the four groups of patients at discharge. Patient reacts specifically but inconsistently to stimuli.

Operational criteria wessex head injury matrix consistency were applied according to the slightly extended set published in the national guidelines. A large number of tools exist for the assessment and monitoring of PDOC. View inline View popup. In injurry process of cleaning the data set, however, we reviewed the diagnosis of PDOC status in conjunction with the full wessex head injury matrix records to ensure that it was as accurate as possible.

Gill-Thwaites HMunday R. Directions for future research Within this analysis we have concentrated on the order of items, inhury than item redundancies.