title: Changes during long-term management of locked-in syndrome: a case report.
abstract: This paper describes various approaches of treatment to a male client suffering from the locked-in syndrome following closed head injury. During the course of therapy, which started more than 5 years after onset and lasted for as much as 11 years, the client progressed from the so-called classical to the incomplete locked-in state. The different approaches as well as the outcomes are presented in detail, followed by a discussion about interdisciplinary issues, duration of treatment and the impact of a patient's personality on the course and goals of the treatment as well as on the mode of communication.
authors.affiliation: Sonderpädagogisches Zentrum Graz und Pädagogische Akademie der Diözese Graz-Seckau, Graz, Osterreich.
authors.forename: G B
authors.initials: GB
authors.lastname: Pickl
mesh_terms: D000063:Accidents, Traffic; D019050:Acupressure; D000328:Adult; D001676:Biofeedback, Psychology; D006259:Craniocerebral Trauma / Q000150:complications; D003679:Deglutition; D005133:Eye Movements; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008409:Mastication; D010699:Phonation; D026741:Physical Therapy Modalities; D011379:Prognosis; D011434:Proprioception; D011782:Quadriplegia / Q000209:etiology / Q000503:physiopathology / Q000628:therapy*; D013997:Time Factors; D016896:Treatment Outcome; D014831:Voice