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

作     者：Olga Maksakova Ludmila Zhavoronkova Olga Maksakova;Ludmila Zhavoronkova

作者机构：N.N.Burdenko National Medical Research Center of Neurosurgery Moscow Russia Institute of Higher Nervous Activity and Neurophysiology Russian Academy of Sciences Moscow Russian 

出 版 物：《Journal of Behavioral and Brain Science》 (行为与脑科学期刊（英文）)

年 卷 期：2020年第10卷第8期

页      面：323-343页

学科分类：08[工学] 0812[工学-计算机科学与技术（可授工学、理学学位）] 

主　　题：Severe Brain Damage Unconsciousness Neurorehabilitation Team as Complex System Mind-Body Problem 

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.