TY - JOUR
T1 - Neurostimulant medication usage during stroke rehabilitation
T2 - The Post-Stroke Rehabilitation Outcomes Project (PSROP)
AU - Zorowitz, Richard D.
AU - Smout, Randall J.
AU - Gassaway, Julie A.
AU - Horn, Susan D.
PY - 2005/9/1
Y1 - 2005/9/1
N2 - Motor recovery after a stroke depends upon many upon different modalities. Intensive therapy using compensatory and facilitatory techniques is the primary method to improve movement and function in affected extremities. However, medications used to modulate neurotransmitters may be useful in augmenting therapy approaches. The Post-Stroke Rehabilitation Outcomes Project (PSROP) database was used to describe the frequency of prescribing neurostimulant medications; the types of neurostimulant medications used; and how the use of neurostimulant medications affected rehabilitation length of stay, motor recovery, cognitive recovery, and discharge destination. Of the 1,161 patients in the PSROP database, 929 (80.0%) patients did not receive any treatment with methylphenidate, modafinil, levodopa, amantadine, or bromocriptine. Patients who received neurostimulant medications did not have any more significant changes in length of stay, motor recovery, cognitive recovery, or discharge destination than patients who did not receive neurostimulant medications. Much research needs to be completed before clinicians know precisely whether and how rehabilitation therapies and medications interact to assist in functional recovery.
AB - Motor recovery after a stroke depends upon many upon different modalities. Intensive therapy using compensatory and facilitatory techniques is the primary method to improve movement and function in affected extremities. However, medications used to modulate neurotransmitters may be useful in augmenting therapy approaches. The Post-Stroke Rehabilitation Outcomes Project (PSROP) database was used to describe the frequency of prescribing neurostimulant medications; the types of neurostimulant medications used; and how the use of neurostimulant medications affected rehabilitation length of stay, motor recovery, cognitive recovery, and discharge destination. Of the 1,161 patients in the PSROP database, 929 (80.0%) patients did not receive any treatment with methylphenidate, modafinil, levodopa, amantadine, or bromocriptine. Patients who received neurostimulant medications did not have any more significant changes in length of stay, motor recovery, cognitive recovery, or discharge destination than patients who did not receive neurostimulant medications. Much research needs to be completed before clinicians know precisely whether and how rehabilitation therapies and medications interact to assist in functional recovery.
KW - Amantadine
KW - Bromocriptine
KW - Cerebrovascular accident
KW - Cerebrovascular disorders
KW - Levodopa
KW - Methylphenidate
KW - Modafinil
KW - Rehabilitation
UR - http://www.scopus.com/inward/record.url?scp=31144448127&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=31144448127&partnerID=8YFLogxK
U2 - 10.1310/2403-B0CY-1UDN-4B6D
DO - 10.1310/2403-B0CY-1UDN-4B6D
M3 - Article
C2 - 16698735
AN - SCOPUS:31144448127
SN - 1074-9357
VL - 12
SP - 28
EP - 36
JO - Topics in Stroke Rehabilitation
JF - Topics in Stroke Rehabilitation
IS - 4
ER -