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Download the supplement (208 p.) - KCE

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<strong>KCE</strong> reports vol. 40 APPENDICES Physio<strong>the</strong>rapy 65<br />

Life after stroke. New Zealand<br />

guideline for management of stroke,<br />

2003 (23)<br />

Management of patients with stroke.<br />

Rehabilitation, prevention and<br />

management of complications, and<br />

discharge planning.<br />

A national clinical guideline by <strong>the</strong><br />

Scottish Intercollegiate Guidelines<br />

Network (SIGN, 2002)<br />

(17)<br />

Prise en charge initiale des patients<br />

adultes atteints d'accident vasculaire<br />

cerebral; aspects paramédicaux.<br />

ANAES, 2002<br />

Physical activity and exercise<br />

recommendations for stroke survivors:<br />

an American Heart Association (AHA)<br />

statement, 2004 (20)<br />

Practice guideline by <strong>the</strong> Stroke<br />

Foundation of New Zealand endorsed<br />

by <strong>the</strong> New Zealand Guidelines<br />

Group.<br />

This guideline is an adaptation of <strong>the</strong><br />

AHA (Stroke Council), ASA, RCP and<br />

SIGN stroke guidelines, with <strong>the</strong><br />

evidence updated and expanded<br />

where thought appropriate.<br />

This guideline is a revised version of a<br />

first 1996 first version.<br />

This 2003 version should be reviewed<br />

in 2006.<br />

Practice guideline<br />

This guideline is <strong>the</strong> part IV of a more<br />

complete guideline on Stroke:<br />

Part I : Assessment, investigation,<br />

immediate management and<br />

secondary prevention<br />

Part II: Management of carotid<br />

stenosis and carotid endarterectomy<br />

Part III: Identification and<br />

management of dysphagia<br />

Part IV: Rehabilitation, prevention and<br />

management of complications, and<br />

discharge planning.<br />

Practice clinical guideline<br />

This reference is <strong>the</strong> Part IV of a<br />

larger practice guideline on diagnosis<br />

and management of patients with<br />

acute stroke.<br />

Scientific statements and<br />

recommendations developed by <strong>the</strong><br />

AHA council on clinical cardiology,<br />

subcommittee on exercise, Cardiac<br />

Rehabilitation, and Prevention; <strong>the</strong><br />

Council on Cardiovascular Nursing;<br />

<strong>the</strong> Council on Nutrition, Physical<br />

Good clinical practice guideline that covers <strong>the</strong><br />

following topics among o<strong>the</strong>rs:<br />

Introduction: stroke in New Zealand<br />

Organisation and evaluation of stroke services<br />

in New Zealand,<br />

Assessment and management of stroke<br />

(including rehabilitation),<br />

Alternative <strong>the</strong>rapies for stroke<br />

Bibliography includes 164 references.<br />

This very good practice guideline has been<br />

developed in <strong>the</strong> framework of <strong>the</strong> WHO ICF<br />

model.<br />

Bibliography includes 168 references.<br />

Low quality clinical practice guideline in which most<br />

levels of evidences are not discussed and strength of<br />

recommendations are proposed without referring<br />

to any references.<br />

No references are included in <strong>the</strong> text to support<br />

recommendations.<br />

Most recommendations specific to rehabilitation are<br />

based on expert consensus only.<br />

No references list is available in <strong>the</strong> document.<br />

Review of 96 retrieved references.<br />

Search strategy is not described in this reference.<br />

Agree total score: >75/92<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 />

Agree total score: >75/92<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 />

Agree total score: 43/92<br />

Cochrane Va form for SRs<br />

Due to <strong>the</strong> low level of methodology<br />

<strong>the</strong> recommendations specific to<br />

rehabilitation seem poorly reliable.<br />

Recommendations of this reference<br />

have not been included in Table 2.5<br />

Not relevant

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