Evidence-based position paper on Physical and Rehabilitation Medicine professional practice for persons with stroke. The European PRM position (UEMS PRM Section).

  title={Evidence-based position paper on Physical and Rehabilitation Medicine professional practice for persons with stroke. The European PRM position (UEMS PRM Section).},
  author={Ayşe Adile K{\"u}ç{\"u}kdeveci and Katharina Stibrant Sunnerhagen and Volodymyr Golyk and Alain Delarque and Galina E. Ivanova and Mauro Zampolini and Carlotte Kiekens and Enrique Varela Donoso and Nicolas Christodoulou},
  journal={European journal of physical and rehabilitation medicine},
  volume={54 6},
BACKGROUND Stroke is a major cause of disability worldwide, with an expected rise of global burden in the next twenty years throughout Europe. This EBPP represents the official position of the European Union through the UEMS Physical and Rehabilitation Medicine (PRM) Section and designates the professional role of PRM physicians for people with stroke. The aim of this study is to improve PRM physicians' professional practice for persons with stroke in order to promote their functioning and… 

Effectiveness of computer-based training on post-stroke cognitive rehabilitation: A systematic review and meta-analysis

ABSTRACT A systematic review and meta-analysis based on randomized controlled trials (RCTs) from the last 10 years was conducted to identify the effect of computer-based training compared to routine

Effectiveness of computer-based training on post-stroke cognitive rehabilitation: A systematic review and meta-analysis.

The results of the meta-analysis did not show significant superiority of computer-based cognitive training compared to the traditional method in post-stroke patients, and more high-quality studies focusing on different illness phases and various types of intervention software should be conducted to improve theMeta-analysis.

Including Patients With Stroke in Cardiac Rehabilitation: BARRIERS AND FACILITATORS.

  • S. Marzolini
  • Medicine, Psychology
    Journal of cardiopulmonary rehabilitation and prevention
  • 2020
There is an urgent need to create cross-program collaborations between hospitals, outpatient stroke rehabilitation, CR, and community programs to improve linkage between health services, with a focus on increasing access to CR.

Cost and cost-effectiveness of early inpatient rehabilitation after stroke varies with initial disability: the Czech Republic perspective

  • Y. AngerováP. Maršálek V. Rogalewicz
  • Medicine, Psychology
    International journal of rehabilitation research. Internationale Zeitschrift fur Rehabilitationsforschung. Revue internationale de recherches de readaptation
  • 2020
The cost and cost-effectiveness of early rehabilitation after stroke are positively associated with the degree of the motor but not cognitive disability and the motor status had a much greater influence than cognitive status.

Filiform-Fire Needle for Upper Extremity Spastic Paralysis After Stroke: A Randomized Controlled Trial

FFN acupuncture therapy has an advantage in relieving upper limb spasm and improving the activities of daily life of stroke patients in the short term, and in the long term, FFN has advantages in improving the motor ability of spastic limbs and improving a high-quality evidence-based basis for further clinical treatment and future research design.

[Clinical effectiveness of «thresholdless» low-frequency transcranial magnetic stimulation in patients with ischemic stroke].

The inclusion of low-frequency transcranial electromagnetic stimulation in complex rehabilitation leads to the regression of movement disorders, reduces the level of anxiety and depression, improves daily activity and, as a consequence, the quality of life.

Aerobic Training and Mobilization Early Post-stroke: Cautions and Considerations

This review includes tailored exercise and mobilization prescription strategies and precautions that are not resource intensive and prioritize safety in stroke recovery, and proposes countermeasures to protect the brain from potentially adverse circulatory effects before, during, and following mobilization/exercise sessions.

Duke Activity Status Index cut-off scores for assessing functional capacity after stroke

The DASI cut-off of 31.95 points was able to discriminate between individuals with stroke, who had poor, from those who had good functional capacity, especially in low-resource settings and support the use of the DASi as a simple tool for the assessment of functional capacity.

Brain-Computer Interfaces for upper limb motor rehabilitation of stroke patients

A review of up-to-date assessments of BCI for upper limb stroke rehabilitation is presented from the perspective of analyzing common and different design variables presented across studies, finding a trend towards significant rehabilitation outcomes with BCI systems can be highlighted.



Methodology of "Physical and Rehabilitation Medicine practice, Evidence Based Position Papers: the European position" produced by the UEMS-PRM Section.

The UEMS PRM Section defines with this paper the methodological approach to a PP, so to have a common and validated scientific structure, and the quality, representativeness and visibility of this production for the benefit of all PRM specialists in (and out) of Europe.

White Book on Physical and Rehabilitation Medicine (PRM) in Europe. Chapter 7. The clinical field of competence: PRM in practice.

  • S. NegriniL. Tesio
  • Medicine, Psychology
    European journal of physical and rehabilitation medicine
  • 2018
Outcomes of PRM interventions and programs, showed reduction of impairments in body functions, activity limitations, and impacting on participation restrictions, and also reduction in costs as well as decrease in mortality for certain groups of patients.

White Book on Physical and Rehabilitation Medicine (PRM) in Europe. Chapter 3. A primary medical specialty: the fundamentals of PRM.

The core concepts that will be discussed in this Section include PRM is a person/functioning oriented specialty, and this makes the specialty different from the organ/disease oriented, or treatment/age specific medical specialties.

Evidence-based stroke r-ehabilitation: an expanded guidance document from the european stroke organisation (ESO) guidelines for management of ischaemic stroke and transient ischaemic attack 2008.

The final guidelines offer a comprehensive review of post-stroke rehabilitation, incorporating discussion of optimal timing, setting and duration of therapy as well as individual sections on the role of professions allied to medicine; use of assistive technologies and dealing with the common complications encountered during the rehabilitation period.

Towards a conceptual description of Physical and Rehabilitation Medicine.

The aim of the present paper is to provide a conceptual model of PRM, to give background on its development and adoptions, and to explain the choice of terms, phrases, and concepts.

Guidelines for Adult Stroke Rehabilitation and Recovery: A Guideline for Healthcare Professionals From the American Heart Association/American Stroke Association

This guideline provides a synopsis of best clinical practices in the rehabilitative care of adults recovering from stroke to reduce the risk of downstream medical morbidity resulting from immobility, depression, loss of autonomy, and reduced functional independence.

Specialized Stroke Rehabilitation Services in Seven Countries

This multinational study of specialized stroke rehabilitation centers shows that a universal definition of specialized rehabilitation is possible, even in quite different countries and settings, in terms of general principles.

European Stroke Organisation recommendations to establish a stroke unit and stroke center.

The ESO Stroke Unit’s requirements are largely evidence-based, expert consensus is also included where evidence was unavailable, and quality indicators for benchmarking are presented.

European Comparison of Stroke Rehabilitation

Clinical and organisational aspects of stroke rehabilitation were compared among four European rehabilitation centres and gross motor and functional recovery were significantly better in the German and Swiss centres compared to the British centre, respectively.