Road to recovery: drugs used in stroke rehabilitation.
The practice of neurorehabilitation is unique in that it supplements treatments with medications which complement and expedite the rehabilitation process. In stroke rehabilitation, medications can be used not only to treat poststroke secondary complications but also to facilitate recovery. Since only thrombolytics have been demonstrated to be effective in minimizing brain damage and maximizing functional outcome, intensive rehabilitation remains the most significant and important means by which stroke survivors possibly may maximize stroke recovery. There is an opportunity to complement intensive rehabilitation with pharmacologic interventions that facilitate the recovery of damaged neurons as well as plastic responses in underutilized and unused brain tissue. However, few of these medications have been approved for these indications or have been subjected to large randomized clinical trials. Nonetheless, this review identifies areas in stroke rehabilitation that can be addressed with neuropharmacologic agents, lists specific medications currently used to treat these conditions and describes the evidence that supports the recommendations for these medications.
Zorowitz
Richard D
RD
Department of Physical Medicine and Rehabilitation, University of Pennsylvania Health System, 5 West Gates, 3400 Spruce Street, Philadelphia, PA 19104 4283, USA. rdz@mail.med.upenn.edu
D000697:Central Nervous System Stimulants / Q000494:pharmacology / Q000627:therapeutic use; D006801:Humans; D020127:Recovery of Function / Q000187:drug effects* / Q000502:physiology; D020521:Stroke / Q000188:drug therapy* / Q000503:physiopathology; D000071939:Stroke Rehabilitation
D000697:Central Nervous System Stimulants