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