Teasell Robert, Salbach Nancy M, Foley Norine, Mountain Anita, Cameron Jill I, Jong Andrea de, Acerra Nicole E, Bastasi Diana, Carter Sherri L, Fung Joyce, Halabi Mary-Lou, Iruthayarajah Jerome, Harris Jocelyn, Kim Esther, Noland Andrea, Pooyania Sepideh, Rochette Annie, Stack Bridget D, Symcox Erin, Timpson Debbie, Varghese Suja, Verrilli Sue, Gubitz Gord, Casaubon Leanne K, Dowlatshahi Dar, Lindsay M Patrice
Stroke Rehabilitation Program, 60446Parkwood Hospital, London, Canada.
Western University, London, Canada.
Int J Stroke. 2020 Oct;15(7):763-788. doi: 10.1177/1747493019897843. Epub 2020 Jan 27.
The sixth update of the 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, .
《[具体指南名称]》的第六次更新是一套全面的循证指南,涉及卒中后损伤、活动受限和参与限制等相关问题。康复是恢复的关键组成部分,对于帮助患者重拾丧失的技能、重新学习任务并恢复独立至关重要。卒中后,许多人通常需要针对偏瘫、上肢功能障碍、疼痛、平衡受损、吞咽及视力问题、忽视以及移动、日常生活活动和沟通方面的限制等持续存在的缺陷进行康复治疗。本模块阐述了与这些问题相关的干预措施以及提供这些干预措施的结构,因为康复治疗可在住院、门诊或社区环境中进行。这些指南还认识到卒中患者的康复需求可能随时间变化,因此定期重新评估很重要。这些建议适用于所有医疗保健提供者以及在广泛环境中为卒中后患者组织和提供护理的系统规划者。与之前包含儿科卒中的建议集不同,本建议集主要涵盖成人康复,同时认识到其中许多疗法可能适用于儿童。之前包含在本康复模块中的与社区重新融入相关的建议,现可在配套模块《[具体模块名称]》中找到。