Canadian Stroke Best Practice Recommendations: Rehabilitation, Recovery, and Community Participation following Stroke. Part One: Rehabilitation and Recovery Following Stroke; 6th Edition Update 2019

被引:227
|
作者
Teasell, Robert [1 ,2 ]
Salbach, Nancy M. [3 ]
Foley, Norine [4 ]
Mountain, Anita [5 ,6 ]
Cameron, Jill I. [7 ]
de Jong, Andrea [8 ]
Acerra, Nicole E. [9 ]
Bastasi, Diana [10 ]
Carter, Sherri L. [11 ]
Fung, Joyce [10 ,12 ]
Halabi, Mary-Lou [13 ]
Iruthayarajah, Jerome [1 ]
Harris, Jocelyn [14 ]
Kim, Esther [15 ]
Noland, Andrea [16 ]
Pooyania, Sepideh [17 ]
Rochette, Annie [18 ]
Stack, Bridget D. [19 ]
Symcox, Erin [20 ]
Timpson, Debbie [21 ]
Varghese, Suja [22 ]
Verrilli, Sue [23 ]
Gubitz, Gord [24 ]
Casaubon, Leanne K. [25 ]
Dowlatshahi, Dar [26 ]
Lindsay, M. Patrice [8 ]
机构
[1] Parkwood Hosp, Stroke Rehabil Program, London, ON, Canada
[2] Western Univ, London, ON, Canada
[3] Univ Toronto, Dept Phys Therapy, Toronto, ON, Canada
[4] WorkHORSE Consulting, London, ON, Canada
[5] Dalhousie Univ, Div Phys Med & Rehabil, Halifax, NS, Canada
[6] Nova Scotia Rehabil Ctr Site, Queen Elizabeth II Hlth Sci Ctr, Halifax, NS, Canada
[7] Univ Toronto, Dept Occupat Sci & Occupat Therapy, Toronto, ON, Canada
[8] Heart & Stroke Fdn Canada, Toronto, ON, Canada
[9] Vancouver Coastal Hlth, Neurosci & Phys Therapy, Vancouver, BC, Canada
[10] McGill Univ, Sch Phys & Occupat Therapy, Montreal, PQ, Canada
[11] Dalhousie Univ, Dept Psychol & Neurosci, Halifax, NS, Canada
[12] Jewish Rehabil Hosp CISSS Laval Res Site CRIR, Montreal, PQ, Canada
[13] Alberta Hlth Serv, Stroke Program, Edmonton, AB, Canada
[14] McMaster Univ, Sch Rehabil Sci, Hamilton, ON, Canada
[15] Univ Alberta, Dept Commun Sci & Disorders, Edmonton, AB, Canada
[16] Univ British Columbia, Sch Audiol & Speech Sci, Vancouver, BC, Canada
[17] Univ Manitoba, Phys Med & Rehabil, Winnipeg, MB, Canada
[18] Univ Montreal, Sch Rehabil, Montreal, PQ, Canada
[19] Horizon Hlth Network, St John, NB, Canada
[20] Foothills Med Ctr, Tertiary Neuro Rehabil, Calgary, AB, Canada
[21] Pembroke Reg Hosp, Phys Med & Rehabil, Pembroke, ON, Canada
[22] Eastern Hlth, Rehabil & Palliat Care Program, St John, NF, Canada
[23] Northeastern Ontario Stroke Network, Sudbury, ON, Canada
[24] Queen Elizabeth 2 Hlth Sci Ctr, Stroke Program, Halifax, NS, Canada
[25] Univ Toronto, Div Neurol, Toronto, ON, Canada
[26] Univ Ottawa, Fac Med, Ottawa, ON, Canada
关键词
Stroke rehabilitation; practice guidelines; stroke unit; early supported discharge; spasticity; dysphagia; aphasia; visual perception; CENTRAL POSTSTROKE PAIN; SHOULDER PAIN; RISK-FACTORS; PRACTICE GUIDELINES; CONTROLLED TRIAL; BOTULINUM TOXIN; DOUBLE-BLIND; UPPER-LIMB; SPASTICITY; FALLS;
D O I
10.1177/1747493019897843
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
The sixth update of the Canadian Stroke Best Practice Recommendations: Rehabilitation, Recovery, and Reintegration following Stroke. Part one: Rehabilitation and Recovery Following Stroke is a comprehensive set of evidence-based guidelines addressing issues surrounding impairments, activity limitations, and participation restrictions following stroke. Rehabilitation is a critical component of recovery, essential for helping patients to regain lost skills, relearn tasks, and regain independence. Following a stroke, many people typically require rehabilitation for persisting deficits related to hemiparesis, upper-limb dysfunction, pain, impaired balance, swallowing, and vision, neglect, and limitations with mobility, activities of daily living, and communication. This module addresses interventions related to these issues as well as the structure in which they are provided, since rehabilitation can be provided on an inpatient, outpatient, or community basis. These guidelines also recognize that rehabilitation needs of people with stroke may change over time and therefore intermittent reassessment is important. Recommendations are appropriate for use by all healthcare providers and system planners who organize and provide care to patients following stroke across a broad range of settings. Unlike the previous set of recommendations, in which pediatric stroke was included, this set of recommendations includes primarily adult rehabilitation, recognizing many of these therapies may be applicable in children. Recommendations related to community reintegration, which were previously included within this rehabilitation module, can now be found in the companion module, Rehabilitation, Recovery, and Community Participation following Stroke. Part Two: Transitions and Community Participation Following Stroke.
引用
收藏
页码:763 / 788
页数:26
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