The Effects of Methylphenidate on the Classroom Behavior of Elementary School—Age Children With Cerebral Palsy: A Preliminary Observational Analysis

Author:

Symons Frank J.1,Tervo Raymond C.2,Kim Ockjean3,Hoch John4

Affiliation:

1. Department of Educational Psychology, University of Minnesota, Minneapolis,

2. Department of Pediatrics, University of Minnesota, Minneapolis, Pediatric Section, Gillette Children's Specialty Healthcare, St Paul, Minnesota

3. Department of Special Education, Minnesota State University, Mankato

4. College of Education and Human Development University of Minnesota, Minneapolis

Abstract

High- and low-dose methylphenidate administration was evaluated prospectively for 3 elementary school—age children with cerebral palsy, cognitive impairments, and attention-deficit hyperactivity disorder (ADHD) symptoms using single-case, randomized, double-blind, placebo-controlled designs. An observational time sampling protocol was used to directly measure and quantify classroom behavior. Summary level analysis showed that (1) low-dose (0.3 mg/kg/dose) administration was associated with clinically significant (>50%) reductions in stereotyped and disruptive behavior relative to baseline and placebo conditions, (2) high-dose (0.5 mg/kg/dose) administration was associated with exacerbated amounts of stereotyped and disruptive behavior, and (3) no changes were directly observed for task-related behavior at either dose. Results are discussed with respect to previous research with methylphenidate administration and cerebral palsy, and the suggestion is made that further work using larger, randomly selected study samples with complementary measures of behavior and performance appears warranted.

Publisher

SAGE Publications

Subject

Clinical Neurology,Pediatrics, Perinatology, and Child Health

Reference25 articles.

1. Harris J. Cerebral palsy. In: Howlin P, ed. Behavior Approaches to Problems in Childhood. London, UK: MacKeith Press; 1998 : 136-151.

2. Cerebral Palsy

3. Palmer FB, Hoon AH Cerebral palsy. In: Parker S, Zuckerman B, eds. Behavioral and Developmental Pediatrics: A Handbook for Primary Care. Boston, Mass: Little, Brown; 1995:88-94.

4. Psychiatric Disorder in Children with Physical Disabilities

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