Transdisciplinary Team in Rehabilitation of Unconscious Brain-Damaged Persons: Grounds and Practice  

作　　者：Olga Maksakova Ludmila Zhavoronkova Olga Maksakova;Ludmila Zhavoronkova(N.N.Burdenko National Medical Research Center of Neurosurgery, Moscow, Russia;Institute of Higher Nervous Activity and Neurophysiology, Russian Academy of Sciences, Moscow, Russian)

机构地区：[1]N.N.Burdenko National Medical Research Center of Neurosurgery, Moscow, Russia [2]Institute of Higher Nervous Activity and Neurophysiology, Russian Academy of Sciences, Moscow, Russian

出　　处：《Journal of Behavioral and Brain Science》2020年第8期323-343,共21页行为与脑科学期刊（英文）

摘　　要：The main features of early rehabilitation after severe brain damage are discussed in the article. The most important component for the entire rehabilitation process and the subsequent life of the patient is considered restoration of consciousness. Team seems to be a key factor in regaining consciousness along with the restoration of vital functions, movement, cognition, and behavior in these patients. The basic working principle is feedback to any minimal movement, or vegetative signal of a patient, beyond specific professional targets. A network of feedbacks with a patient and between professionals, that is, free flow of information, can be built only through work in a transdisciplinary team mode. The net of feedbacks with the patient and inter-professional ones builds up the team as Non-linear Complex System. Characteristics of “Team-Patient” system status are energy, entropy, and complexity. Teamwork techniques are individualized for resulting optimization of system condition. Increase of complexity is a powerful tool for propulsion of recovery process. Then consciousness may appear as a result of system self-organization. The article reflects the authors’ view on interdisciplinary studies of the phenomenon of consciousness through its impairment and recovery. It focuses on the work of the “proper rehabilitation team”, the mechanisms of its action and methods for researching the occurring phenomena.The main features of early rehabilitation after severe brain damage are discussed in the article. The most important component for the entire rehabilitation process and the subsequent life of the patient is considered restoration of consciousness. Team seems to be a key factor in regaining consciousness along with the restoration of vital functions, movement, cognition, and behavior in these patients. The basic working principle is feedback to any minimal movement, or vegetative signal of a patient, beyond specific professional targets. A network of feedbacks with a patient and between professionals, that is, free flow of information, can be built only through work in a transdisciplinary team mode. The net of feedbacks with the patient and inter-professional ones builds up the team as Non-linear Complex System. Characteristics of “Team-Patient” system status are energy, entropy, and complexity. Teamwork techniques are individualized for resulting optimization of system condition. Increase of complexity is a powerful tool for propulsion of recovery process. Then consciousness may appear as a result of system self-organization. The article reflects the authors’ view on interdisciplinary studies of the phenomenon of consciousness through its impairment and recovery. It focuses on the work of the “proper rehabilitation team”, the mechanisms of its action and methods for researching the occurring phenomena.

关 键 词：Severe Brain Damage UNCONSCIOUSNESS NEUROREHABILITATION Team as Complex System Mind-Body Problem 

分 类 号：TP3[自动化与计算机技术—计算机科学与技术]