Evidence-based stroke rehabilitation: an expanded guidance document from the european stroke organisation (ESO) guidelines for management of ischaemic stroke and transient ischaemic attack 2008

Abstract

Objective: Despite recent high-profile advances in our understanding of rehabilitation post-stroke, the evidence base remains weaker than in other areas of stroke management. Under the aegis of the European Stroke Organisation a select committee was assembled to collate and appraise the evidence base for rehabilitation interventions. Methods: Following systematic literature searching, relevant abstracts were screened for data quality and relevance. These data were summarized and presented to the members of the expert panel, who, both individually and across group discussions, modified the content. The process was repeated until a final document was produced that all members of the panel and the European Stroke Organisation editorial group were happy with. Results: The final guidelines offer a comprehensive review of post-stroke rehabilitation, incorporating discussion of optimal timing, setting and duration of therapy as well as individual sections on the role of professions allied to medicine; use of assistive technologies and dealing with the common complications encountered during the rehabilitation period. Conclusion: There is a lack of robust evidence for many of the prevalent post-stroke rehabilitation interventions. Available data are discussed and presented as key points; more importantly, specific areas that require further study are also highlighted.

A Community-Based, Bionic Leg Rehabilitation Program for Patients with Chronic Stroke: Clinical Trial Protocol

“…With physical therapists often using manual therapeutic approaches to improve upper and lower limb function during face-to-face rehabilitation sessions, the integration of robotic devices within home-based rehabilitation programs may elicit greater improvements in stroke survivors functional health (2,15). Due to the increasing emphasis on moving stroke rehabilitation resources to community-based settings (25), and the overall lack of community-based stroke-rehabilitation research (26,27), there is a need to undertake randomized controlled trials within the community setting to evaluate the importance of using robotic devices.…”

Comprehensive versus consultative rehabilitation services postacute stroke: Outcomes differ

“…Evidence is growing for stroke. As for effective models of care, it is noteworthy that VHA and Canadian best practice standards for stroke recognize the importance of standard functional assessment and rehabilitative potential evaluation early during hospitalization [51][52]. It is also supported by resources and the use of facilities at the University of Pennsylvania, Philadelphia, Pennsylvania; the Samuel S. Stratton VAMC, Albany, New York; and the North Florida/South Georgia VA Health System, Gainesville, Florida.…”

After Stroke: Guidelines Of Turkish Society Of Cerebrovascular Diseases – 2015

“…10 Hastane ve toplum tabanlı iş terapisi, inme sonrası fonksiyonel sonuçları düzeltebilir ancak herhangi bir spesifik yaklaşıma dair çok az kanıt mevcuttur. Giyinme ve dışarıya çıkma gibi hedeflenen göreve özel uygulamalar fonksiyonel sonuçları düzeltmede etkilidir.…”

“…Giyinme ve dışarıya çıkma gibi hedeflenen göreve özel uygulamalar fonksiyonel sonuçları düzeltmede etkilidir. 10 Uğraşı terapisi (UT) yoluyla GYA terapisinin, genel bakım ile karşılaştırıldığı dokuz çalışmanın sistemik değerlendirmesi, aktif UT gören grupta fonksiyonel düzelme olduğunu göstermiştir. Ancak veriler, optimum UT yöntemi hakkında sonuç çıkarmak için yetersizdir.…”