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Updated: Aug 1, 2026

Assessment and Communication for People with Disorders of Consciousness
Published on: August 1, 2017
Communication board in locked-in syndrome: a practical interaction method with the patient
Gabriel de Deus Vieira1, Zenóbio Cosme Gonçalves Ferreira1, Lucas Nóbrega1
1Universidade Federal de Santa Catarina, Departamento de Neurologia, Florianópolis SC, Brazil.
Abstract:
Locked-in syndrome is a neurological condition characterized by tetraplegia, mutism, preservation of vertical eye movement, superior eyelid movement, and intact consciousness, making it impossible for the patient to communicate properly. We herein describe a case to analyze the practice of developing a method of communication for a patient with locked-in syndrome. Two communication boards were created, adapted to the Portuguese language, as well as a shortcut to inquire about the physical and emotional patient's well-being. We had difficulty with the initial communication board, due to the patient's low education level, so we adapted a new one to the patient's social context, including a shortcut to inquire about physical and emotional well-being. The communication board had a positive impact on treatment development and the patient's life.
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