Journal article
Fast-Track Programming and Rehabilitation Model: A Novel Approach to Postoperative Deep Brain Stimulation Patient Care
Archives of physical medicine and rehabilitation, v 88(10), pp 1320-1324
01 Oct 2007
PMID: 17908576
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Cohen DB, Oh MY, Baser SM, Angle C, Whiting A, Birk C, Whiting DM. Fast-track programming and rehabilitation model: a novel approach to postoperative deep brain stimulation patient care.
To propose a new model of integrated, multidisciplinary postoperative care of the patients with deep brain stimulation (DBS).
Observational cohort study with follow-up at 3 months and 1 year.
Academic medical center movement disorder clinic.
Seventy-three consecutive patients with medically refractory Parkinson’s disease underwent bilateral DBS. Patients were then transferred directly to an inpatient rehabilitation facility.
DBS and inpatient programming and rehabilitation. Simultaneous programming and rehabilitation was carried out by a multidisciplinary team.
The FIM instrument, Unified Parkinson Disease Rating Scale (UPDRS), and levodopa dosage.
The average rehabilitation stay was 17.3 days, with a mean of 6.2 stimulator adjustments during that time. FIM scores improved from 62.1 (admission) to 98.5 (discharge), an average improvement of 36.4 (58.6%). Average UPDRS scores improved from 52.5 (preoperative off) and 30.1 (preoperative on) to 20.4 (3mo postoperative on-medication, on-stimulation), a 32.2% improvement from the preoperative on score. Levodopa dosages decreased by an average of 48.3% (all
P<.001).
We describe our fast-track protocol, which allows for rapid DBS programming and tapering of Parkinson’s medications. It also provides for treatment of concomitant medical and psychologic problems and optimized physical performance.
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Details
- Title
- Fast-Track Programming and Rehabilitation Model: A Novel Approach to Postoperative Deep Brain Stimulation Patient Care
- Creators
- David B. Cohen - Allegheny General HospitalMichael Y. Oh - Allegheny General HospitalSusan M. Baser - Allegheny General HospitalCindy Angle - Allegheny General HospitalAlex Whiting - Allegheny General HospitalCatherine Birk - Rehabilitation HospitalDonald M. Whiting - Allegheny General Hospital
- Publication Details
- Archives of physical medicine and rehabilitation, v 88(10), pp 1320-1324
- Publisher
- Elsevier
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- SOM Dean - Research Administration
- Web of Science ID
- WOS:000250161500015
- Scopus ID
- 2-s2.0-34748905870
- Other Identifier
- 991021448047104721
UN Sustainable Development Goals (SDGs)
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InCites Highlights
Data related to this publication, from InCites Benchmarking & Analytics tool:
- Web of Science research areas
- Rehabilitation
- Sport Sciences