Coma Recovery Scale (Revised): Difference between revisions

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== Objective<br>  ==
== Objective<br>  ==


The Coma Recovery Scale [CRS-R] , also known as the JFK Coma Recovery Scale - Revised, is used to assess patients with a disorder of consciousness, commonly coma<ref name="CRS-R 1">Giacino, J. T., K. Kalmar and J. Whyte (2004). "The JFK Coma Recovery Scale-Revised: measurement characteristics and diagnostic utility." Arch Phys Med Rehabil 85(12): 2020-9</ref>.  
The Coma Recovery Scale [CRS-R] , also known as the JFK Coma Recovery Scale - Revised, is used to assess patients with a disorder of consciousness, commonly coma<ref name="CRS-R 1">Giacino, J. T., K. Kalmar and J. Whyte (2004). "The JFK Coma Recovery Scale-Revised: measurement characteristics and diagnostic utility." Arch Phys Med Rehabil Dec 2004: 2020-9</ref>.  


It may be used to differentiate between vegetative state (VS) and minimally conscious state (MCS)<ref name="CRS-R 2">Diagnostic accuracy of the vegetative and minimally conscious state: Clinical consensus versus standardized neurobehavioral assessmentfckLRSchnakers C, Vanhaudenhuyse A, Giacino J, et al. "Diagnostic accuracy of the vegetative and minimally conscious state: Clinical consensus versus standardized neurobehavioral assessment". BMC Neurol. 2009; 9:35.</ref>. It can also be used to monitor emergence from minimally conscious state (EMCS or MCS+)<ref name="CRS-R 2" />.  
It may be used to differentiate between vegetative state (VS) and minimally conscious state (MCS)<ref name="CRS-R 2">Diagnostic accuracy of the vegetative and minimally conscious state: Clinical consensus versus standardized neurobehavioral assessmentfckLRSchnakers C, Vanhaudenhuyse A, Giacino J, et al. "Diagnostic accuracy of the vegetative and minimally conscious state: Clinical consensus versus standardized neurobehavioral assessment". BMC Neurol. 2009; 9:35.</ref>. It can also be used to monitor emergence from minimally conscious state (EMCS or MCS+)<ref name="CRS-R 2" />.  
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The lowest score on each subscale represents reflexive activity, and the highest respresents behaviours mediated by cognitive input.  
The lowest score on each subscale represents reflexive activity, and the highest respresents behaviours mediated by cognitive input.  


The total score ranges between 0 (worst) and 23 (best)
The total score ranges between 0 (worst) and 23 (best)  


== Reference<br>  ==
== Reference<br>  ==


Giacino,Kalmar and Whyte &nbsp;<ref name="CRS-R 1" />
Giacino,Kalmar and Whyte &nbsp;<ref name="CRS-R 1" />  


== Evidence  ==
== Evidence  ==

Revision as of 10:27, 10 March 2016

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Objective
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The Coma Recovery Scale [CRS-R] , also known as the JFK Coma Recovery Scale - Revised, is used to assess patients with a disorder of consciousness, commonly coma[1].

It may be used to differentiate between vegetative state (VS) and minimally conscious state (MCS)[2]. It can also be used to monitor emergence from minimally conscious state (EMCS or MCS+)[2].

Intended Population
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Traumatic Brain Injury (TBI)

Stroke (CVA)

Brain Tumour

Method of Use[edit | edit source]

The CRS consists of 23 items, grouped into 6 subscales:

  1. Auditory
  2. Visual
  3. Motor
  4. Oromotor
  5. Communication
  6. Arousal

The lowest score on each subscale represents reflexive activity, and the highest respresents behaviours mediated by cognitive input.

The total score ranges between 0 (worst) and 23 (best)

Reference
[edit | edit source]

Giacino,Kalmar and Whyte  [1]

Evidence[edit | edit source]

Reliability[edit | edit source]

Validity[edit | edit source]

Responsiveness[edit | edit source]

Miscellaneous
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Links[edit | edit source]

Recent Related Research (from Pubmed)[edit | edit source]

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References[edit | edit source]

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  1. 1.0 1.1 Giacino, J. T., K. Kalmar and J. Whyte (2004). "The JFK Coma Recovery Scale-Revised: measurement characteristics and diagnostic utility." Arch Phys Med Rehabil Dec 2004: 2020-9
  2. 2.0 2.1 Diagnostic accuracy of the vegetative and minimally conscious state: Clinical consensus versus standardized neurobehavioral assessmentfckLRSchnakers C, Vanhaudenhuyse A, Giacino J, et al. "Diagnostic accuracy of the vegetative and minimally conscious state: Clinical consensus versus standardized neurobehavioral assessment". BMC Neurol. 2009; 9:35.