O'Flaherty Daniel, Ali Khalid
University Hospital Southampton NHS Foundation Trust, Hampshire SO16 6YD, UK.
Department of Geriatrics, Brighton and Sussex Medical School, Brighton BN1 9PX, UK.
Healthcare (Basel). 2024 Jul 18;12(14):1433. doi: 10.3390/healthcare12141433.
Upper limb impairment is common after stroke, with a significant impact on the stroke survivor's function, social participation and quality of life. Clinical guidelines are needed to inform clinical practise, tailor interventions to improve outcomes and address unresolved research questions. This review contributes to the evidence guiding clinical practise for upper limb motor recovery after stroke by summarising the recommendations from the UK rehabilitation guidelines (National Institute for Health and Care Excellence (NICE) and the Intercollegiate Stroke Working Party (ISWP)) and the European Stroke Organisation (ESO) guidelines, all published in 2023. All three guidelines target researchers, clinical practitioners, stroke survivors and their social networks. An important feature in all three guidelines was therapeutic intensity, with all guidelines recommending increased therapeutic intensity. Unlike the ESO, the NICE and ISWP additionally include specific research recommendations. While the NICE guidelines seem more holistic and target a wider audience, the three guidelines are complimentary. We recommend that a future consensus statement should be developed in partnership between all three organisations, agreeing on scope and using the same terminology, on recommendations to improve stroke rehabilitation in the UK and Europe.
上肢功能障碍在中风后很常见，对中风幸存者的功能、社会参与和生活质量有重大影响。需要临床指南来指导临床实践，调整干预措施以改善治疗效果，并解决尚未解决的研究问题。本综述通过总结英国康复指南（英国国家卫生与临床优化研究所（NICE）和校际中风工作组（ISWP））以及欧洲中风组织（ESO）指南（均于2023年发布）中的建议，为指导中风后上肢运动恢复的临床实践提供了证据。所有这三项指南的目标受众都是研究人员、临床从业者、中风幸存者及其社交网络。所有三项指南的一个重要特点是治疗强度，所有指南都建议提高治疗强度。与ESO不同，NICE和ISWP还包括具体的研究建议。虽然NICE指南似乎更全面，针对的受众更广泛，但这三项指南是相辅相成的。我们建议，未来应由这三个组织合作制定一份共识声明，就范围达成一致并使用相同的术语，提出改善英国和欧洲中风康复的建议。
