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Am J Phys Med Rehabil ; 92(4): 307-11, 2013 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-23221674

RESUMO

OBJECTIVE: The aim of this study was to evaluate the role of levodopa/carbidopa as an augmenting agent to improve motor recovery after brain tumor excision. DESIGN: This case report is structured as an n-of-1 style trial. The study patient was an outpatient with residual hemiparesis secondary to removal of benign oligoastrocytoma seen in an outpatient physiatry practice at an academic center. The study intervention was levodopa/carbidopa vs. placebo, combined with a structured 6-wk physiotherapy regimen. Outcomes were measured using the motor subscale of the Fugl-Meyer Assessment to assess for motor recovery. RESULTS: The mean motor Fugl-Meyer Assessment score for the levodopa/carbidopa weeks was 6.90 points greater than the mean score for placebo. The results were significant at P < 0.05. CONCLUSIONS: Levodopa/carbidopa may have a beneficial effect on improving motor recovery after sustaining a brain injury as a result of tumor excision.


Assuntos
Neoplasias Encefálicas/reabilitação , Neoplasias Encefálicas/cirurgia , Carbidopa/uso terapêutico , Agonistas de Dopamina/uso terapêutico , Levodopa/uso terapêutico , Destreza Motora/efeitos dos fármacos , Paresia/reabilitação , Adulto , Carbidopa/farmacologia , Terapia Combinada , Agonistas de Dopamina/farmacologia , Combinação de Medicamentos , Terapia por Exercício , Feminino , Humanos , Levodopa/farmacologia , Imageamento por Ressonância Magnética , Paresia/etiologia , Complicações Pós-Operatórias/etiologia
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