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Study aim
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Determination of the effect of family-centered purposeful early sensory stimulation of function and cognition rehabilitation in patients with disorder of consciousness after stroke
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Design
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Two parallel group randomised trial with blocking and blinded
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Settings and conduct
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Visual stimulation is done by moving the flash light in patient's visibility and showing the colorful cards and telling him/her the name of the color, smelling stimulation is done with coffee or a known smell, tasting stimulation is done with blobbing lemon juice to sides of the patient's glossa, tactile stimulation is done by blobbing cotton on the hand's skin and then drawing simple shapes by finger and telling the patients the name of the shapes and hearing stimulation is done with sweet reminisceces. all of these stimulation are done by family member for 15 days and use the scales in days of 0, 5, 10 and 15. patients and analyst and person who collect the data with scales are blind.
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Participants/Inclusion and exclusion criteria
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72 hours after stroke age more than 18, GCS 5-10, without any brain attack, without visual and hearing problem, family adhesion, having a family member for doing the stimulations, not being pregnant women,without former stroke, not being under ventilation, not use t-pa therapy ( tissue plasminogen activator)
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Intervention groups
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case group: patients are stimulated 5 sense: visual, hearing, tactile, tasting and smelling by family member.
control group: patients are cared with routine care in ICU ward
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Main outcome variables
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Function and cognition rehabilitation by use of GCS, FOUR Score and DRS