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Download the supplement (208 p.) - KCE

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64 APPENDICES Physio<strong>the</strong>rapy <strong>KCE</strong> reports vol. 40<br />

References on rehabilitation for hemiplegia, hemiparesis due to stroke<br />

Reference Type of reference General description Critical appraisal<br />

VA/DoD Clinical practice guideline for<br />

<strong>the</strong> management of stroke<br />

rehabilitation, 2003 (22)<br />

Management of Adult Stroke<br />

Rehabilitation Care: a clinical practice<br />

guideline (16)<br />

National clinical guideline for stroke:<br />

second edition. Intercollegiate stroke<br />

working party, clinical effectiveness &<br />

evaluation unit, Royal College of<br />

Physicians, London, UK, 2004 (18)<br />

Practice guideline<br />

This clinical practice guideline has<br />

been updated and endorsed by <strong>the</strong><br />

American Heart Association (AHA)<br />

and <strong>the</strong> American Stroke Association<br />

(ASA) in 2005<br />

Clinical practice guideline by <strong>the</strong><br />

VA/DoD initially published in 2003<br />

(see below) and slightly update before<br />

being endorsed by <strong>the</strong> American<br />

Heart Association (AHA) and <strong>the</strong><br />

American Stroke Association (ASA)<br />

in 2005<br />

Practice guideline<br />

This is a general practice guideline on<br />

stroke evaluation and management<br />

from onset to <strong>the</strong> longer term.<br />

It includes a section that specifically<br />

focuses on stroke rehabilitation.<br />

Very good quality clinical practice guideline<br />

This reference covers <strong>the</strong> following topics:<br />

Organization of rehabilitation care<br />

Standardized assessment tools<br />

Intensity, duration of <strong>the</strong>rapy<br />

Patient s family and caregivers<br />

Patient s family and caregivers education<br />

Rehabilitation (orthotics, streng<strong>the</strong>ning,<br />

constraint-induced movement <strong>the</strong>rapy,<br />

functional electric stimulation,<br />

neurodevelopmental training, spasticity<br />

<strong>the</strong>rapy, biofeedback, shoulder pain <strong>the</strong>rapy )<br />

Agree total score: >70/92<br />

Information on <strong>the</strong> development<br />

process of <strong>the</strong> guideline is available on<br />

<strong>the</strong> VA/DoD site<br />

Cochrane Va form for SRs<br />

The answers to most questions<br />

included in this form are positive.<br />

Some questions are not relevant for<br />

this guideline. The main<br />

recommendations of this guideline<br />

seem valid, well documented and<br />

applicable in most rehabilitation<br />

facilities at most levels of practice.<br />

Bibliography includes 328 references.<br />

Update of <strong>the</strong> VA/DoD clinical practice guideline See (22)<br />

(22) by inclusion of recommendations of more<br />

recent institutional guidelines (17, 18) presented<br />

below in this same Table 2.5. A few more recent<br />

references not directly relevant to rehabilitation<br />

have also been added to this reference.<br />

Bibliography includes 264 references.<br />

Very good quality clinical practice guideline Agree total score: >80/92<br />

This reference covers <strong>the</strong> following topics: Information on <strong>the</strong> development<br />

Introduction (definitions, terminology ) process of <strong>the</strong> guideline (literature<br />

<br />

<br />

Service organisation<br />

Clinical care<br />

o acute management<br />

search ) is available on <strong>the</strong> Royal<br />

College of Physicians site<br />

(www.rcplondon.ac.uk)<br />

o<br />

o<br />

rehabilitation (psychological and<br />

cognitive impairments, language Cochrane Va form for SRs<br />

trouble, motor and sensory The answers to most questions<br />

impairment, pain, spasticity, included in this form are positive.<br />

functional interventions),<br />

Some questions are not relevant for<br />

transfer to community<br />

this guideline. The main<br />

recommendations of this guideline<br />

Bibliography includes 785 references.<br />

seem valid, well documented and<br />

applicable in most rehabilitation<br />

facilities at most levels of practice

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