Levindale > Medical Services > Rehabilitation > Coma Emergence Program at Levindale

The RECOVER Coma Emergence Program at Levindale


The Recover Coma Emergence Program at Levindale Specialty Hospital is part of our brain injury programming. It is a comprehensive program designed to address the complex needs of patients with reduced levels of consciousness following brain injury. Our multidisciplinary team work collaboratively to improve arousal, awareness, and responsiveness in patients with severe brain injury.

Sensory stimulation, routine assessment of responsiveness, neuropharmacological management, and training for family and caregivers are essential components of our program. Our team members are trained to evaluate and treat the physical, cognitive, and behavioral consequences of brain injury. Many of Levindale’s rehabilitation therapists are Certified Brain Injury Specialists through the Academy of Certified Brain Injury Specialists (ACBIS). The multidisciplinary team involved in a patient’s care will include:

  • Rehabilitation Physician
  • Pulmonologist
  • Physical Therapist
  • Occupational Therapist
  • Speech Language Pathologist
  • Social Worker
  • Dietician
  • Respiratory Therapy
  • Nursing
  • Pharmacist

Patient’s will also have access to a wide range of LifeBridge specialists as needed, including cardiology, neuropsychology, ophthalmology, otolaryngology, and urology.

Patients We Serve

Our program serves patients recovering from both traumatic (TBI) and acquired brain injuries (ABI). Examples of traumatic brain injuries include:
  • motor vehicle accidents
  • falls
  • blows to the head
Examples of acquired brain injury include:
  • stroke
  • lack of oxygen to the brain (anoxic brain injury)
  • infectious disease

Program candidates must be less than one year from the onset of the injury, approved by our rehab Physician, score a minimum of 5 points on the JFK Coma Recovery Scale (JFK CRS-R) to be formally admitted to the Recover Program at Levindale and be financially eligible.  

Program Structure


Upon admission to the Recover program at Levindale, the multidisciplinary team of certified brain injury specialists will perform an assessment to determine the patient’s current level of responsiveness. Our team utilizes the JFK Coma Recovery Scale (JFK CRS-R) to assess responsiveness to six major sensory areas:
  • auditory (hearing)
  • olfactory (smell)
  • visual (sight)
  • tactile/motor (touch and voluntary muscle activity)
  • oromotor (mouth and tongue movements)
  • communication (sounds, language and gestures)
  • arousal (attention)

Based on this assessment, the treatment team will establish goals and the patient will receive physical, occupational, and speech therapy with an overall goal of increasing arousal and responsiveness. The team will perform weekly assessments to measure the patient’s progress and response to interventions. Continued participation in the program is dependent on measurable and consistent progress towards goals.

Family and Caregivers

We believe that families play a key role in the recovery process. Levindale encourages family engagement throughout the treatment process and strives to provide ongoing support and education loved ones impacted by brain injury. We hold a monthly support group for family members and caregivers
of brain injury survivors (link to flyer).

2018 Brain Injury Outcomes (PDF)

Helpful Brain Injury Resources

Brain Injury Association of Maryland
Brain Injury Assocation of America
The Center for Outcome Measurement in Brain Injury
BrainLine



J. Michael Anderson, M.D., Physical Medicine & Rehabilitation

J. Michael Anderson, M.D., Physical Medicine & Rehabilitation

  Melanie Brown, M.D, Physical Medicine and Rehabilitation

Melanie Brown, M.D, Physical Medicine & Rehabilitation

 
Sarah Eby, M.D., Physical Medicine & Rehabilitation

Sarah Eby, M.D., Physical Medicine & Rehabilitation

  Eric Buchner, M.D., Physical Medicine and Rehabilitation

Eric Buchner, M.D., Physical Medicine and Rehabilitation

 
Scott Brown, M D , Chief, Department of Physical Medicine & Rehab, Sinai Hospital

Scott Brown, M D , Chief, Department of Physical Medicine & Rehab, Sinai Hospital