Despite the fact that physicians have learned to distinguish the syndrome of a locked person from a coma, the therapy of a pathological condition is still at a low level. Few of the patients manage to oppose the disease. Most of the patients die within the first month of the onset of the disease.
Hope, if not for a full recovery, then at least a partial restoration of the functions of the muscular system, which allows the patient to communicate in society, is mainly for those whose illness is caused by a cause that can be corrected by the patient. With incurable diseases, the prognosis is much worse. And yet there are cases confirming the fact that with mild and moderate severity of the isolation syndrome patients are capable of more than just lying in the care of others.
Effective drugs that can lead a person out of this state and return to normal life, alas, have not yet been found. Therefore, the treatment of such patients reduces mainly to the fight against the cause of the development of the syndrome of the locked person (ie, with the pathology that caused the pseudocome condition) and the prevention of possible complications caused by prolonged immovable position of the patient (congestion in the lungs with the development of pneumonia, UTI due to lack of hygiene and etc.).
For the treatment and prevention of various complications, glucocorticosteroids, antihistamines, drugs that stimulate immunity and other drugs are used. Alternative treatment and homeopathy in this case are of little effect.
Physiotherapeutic treatment of patients with the syndrome of a locked person can include plasmaphoresis (with the use of immunoglobulins), exercise exercises to maintain the normal functioning of the joints and other procedures, electromyostimulation (functional neuromuscular stimulation to restore the work of certain muscle groups), magnetic stimulation of the motor cortex, methods of physical impact.
The prognosis becomes more favorable if the body responds to neuromuscular stimulation (for example, the patient begins to move his eyes in a horizontal direction, motor reactions appear in other muscle groups, except for the eyeballs).
In the case of incomplete and classical forms of the syndrome of the locked person, good results in restoring cognitive functions are given by exercises with a speech therapist (training the transmission of thoughts through the movement of eyeballs and blinking), watching TV programs, reading books to the sick. And people caring for such patients, it is more to communicate with them, having developed their system of codes. After all, patients with the syndrome of isolation are distinguished by good mental abilities and understanding of someone else's speech, which means they can be quickly taught by eye movement to answer questions and make their requests.
Currently, computerized systems have also been developed that allow patients with disabilities to communicate with others by computer, and develop their creative abilities by writing books.
Surgical treatment is performed either with respect to the pathology that caused the isolation syndrome, or for the restoration of physiologically conditioned functions of the body, such as breathing and nutrition. Sometimes, to help the patient to breathe, a tracheotomy is performed, and gastro- tomia is introduced into the body (a special probe is introduced into the gastric lumen, through which the frayed semi-liquid and liquid food is introduced, completely providing the body's nutritional needs).
The main emphasis in the case of limited movements in the patient is to care for him by relatives, friends or persons from the medical staff. A patient with a syndrome of a locked person requires great love, patience and attention to himself within 24 hours, because he can not call for help in case of deterioration, unable to independently service himself. But this is a living person, able to think and feel, and therefore live, even in such tough (and even cruel) conditions.