Salbach Nancy M, Mountain Anita, Lindsay M Patrice, Blacquiere Dylan, McGuff Rebecca, Foley Norine, Corriveau Hélène, Fung Joyce, Gierman Natalie, Inness Elizabeth, Linkewich Elizabeth, O'Connell Colleen, Sakakibara Brodie, Smith Eric E, Tang Ada, Timpson Debbie, Vallentin Tina, White Katie, Yao Jennifer
From the Department of Physical Therapy, Rehabilitation Sciences Institute, University of Toronto, Toronto, Canada (NMS); The KITE Research Institute, University Health Network, Toronto, Canada (NMS, EI); Acquired Brain Injury Program, Queen Elizabeth II Health Sciences Centre, Halifax, Canada (AM); Division of Physical Medicine and Rehabilitation, Dalhousie University, Halifax, Canada (AM); Heart and Stroke Foundation of Canada, Toronto, Canada (MPL, RM, NG); Ottawa Stroke Program, Division of Neurology, The Ottawa Hospital, Ottawa, Canada (DB); Division of Neurology, Department of Medicine, University of Ottawa, Ottawa, Canada (DB); WorkHORSE Consulting Group, London, Canada (NF); Physiotherapy Department, School of Rehabilitation, Université de Sherbrooke, Sherbrooke, Canada (HC); School of Physical and Occupational Therapy, McGill University, Montreal, Canada (JF); Department of Physical Therapy, Rehabilitation Sciences Institute, Temetry Faculty of Medicine, University of Toronto, Toronto, Canada (EI); Regional Stroke and Neurovascular Programs and North & East GTA Stroke Network, Sunnybrook Health Sciences Centre, Toronto, Canada (EL); Department of Occupational Science and Occupational Therapy, University of Toronto, Toronto, Canada (EL); Stan Cassidy Centre for Rehabilitation, Horizon Health Network, Fredericton, Canada (CO); Dalhousie University Faculty of Medicine, Dalhousie Medicine, Fredericton, Canada (CO); Centre for Chronic Disease Prevention and Management, The University of British Columbia, Kelowna, Canada (BS); Department of Occupational Science and Occupational Therapy, The University of British Columbia, Vancouver, Canada (BS); Department of Clinical Neurosciences, Cumming School of Medicine, University of Calgary, Calgary, Canada (EES); Calgary Stroke Program, Foothills Medical Centre, Calgary, Canada (EES); School of Rehabilitation Science, McMaster University, Hamilton, Canada (AT); Physical Medicine and Rehabilitation, Pembroke Regional Hospital, Pembroke, Canada (DT); Hamilton Health Sciences, Hamilton, Canada (TV); Stroke Services BC, Provincial Health Authority, Vancouver, Canada (KW); Acquired Brain Injury Program, G.F. Strong Rehabilitation Centre, Vancouver, Canada (JY); and Division of Physical Medicine and Rehabilitation, Department of Medicine, University of British Columbia, Vancouver, Canada (JY).
Am J Phys Med Rehabil. 2022 Nov 1;101(11):1076-1082. doi: 10.1097/PHM.0000000000002062. Epub 2022 Jun 29.
The seventh edition of the Canadian Stroke Best Practice Recommendations for Rehabilitation and Recovery following Stroke includes a new section devoted to the provision of virtual stroke rehabilitation. This consensus statement uses Grading of Recommendations, Assessment, Development and Evaluations methodology and Appraisal of Guidelines for Research & Evaluation II principles. A literature search was conducted using PubMed, Embase, and Cochrane databases. An expert writing group reviewed all evidence and developed recommendations, as well as consensus-based clinical considerations where evidence was insufficient for a recommendation. All recommendations underwent internal and external review. These recommendations apply to hospital, ambulatory care, and community-based settings where virtual stroke rehabilitation is provided. This guidance is relevant to health professionals, people living with stroke, healthcare administrators, and funders. Recommendations address issues of access, eligibility, consent and privacy, technology and planning, training and competency (for healthcare providers, patients and their families), assessment, service delivery, and evaluation. Virtual stroke rehabilitation has been shown to safely and effectively increase access to rehabilitation therapies and care providers, and uptake of these recommendations should be a priority in rehabilitation settings. They are key drivers of access to high-quality evidence-based stroke care regardless of geographical location and personal circumstances in Canada.
《加拿大卒中康复与恢复最佳实践建议》第七版新增了一个关于提供虚拟卒中康复的章节。本共识声明采用了推荐分级、评估、制定与评价方法以及《研究与评价指南评估II》原则。通过使用PubMed、Embase和Cochrane数据库进行文献检索。一个专家撰写小组审查了所有证据并制定了建议，以及在证据不足以提出建议时基于共识的临床考量。所有建议都经过了内部和外部审查。这些建议适用于提供虚拟卒中康复的医院、门诊护理和社区环境。本指南对卫生专业人员、卒中患者、医疗保健管理人员和资助者具有相关性。建议涉及获取、资格、同意和隐私、技术与规划、培训与能力（针对医疗保健提供者、患者及其家属）、评估、服务提供和评价等问题。虚拟卒中康复已被证明能安全有效地增加获得康复治疗和护理提供者的机会，在康复环境中采用这些建议应成为优先事项。无论在加拿大的地理位置和个人情况如何，它们都是获得高质量循证卒中护理的关键驱动因素。
