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

@article{Winstein2016GuidelinesFA,
  title={Guidelines for Adult Stroke Rehabilitation and Recovery: A Guideline for Healthcare Professionals From the American Heart Association/American Stroke Association},
  author={Carolee J. Winstein and Joel Stein and Ross Arena and Barbara E. Bates and Leora R. Cherney and Steven C. Cramer and Frank DeRuyter and Janice Jennifer Eng and Beth Fisher and Richard L. Harvey and Catherine E. Lang and Marilyn MacKay-Lyons and Kenneth J. Ottenbacher and Sue Pugh and Mathew J Reeves and Lorie G. Richards and William Stiers and Richard D. Zorowitz},
  journal={Stroke},
  year={2016},
  volume={47},
  pages={e98–e169}
}
Purpose— The aim of this guideline is to provide a synopsis of best clinical practices in the rehabilitative care of adults recovering from stroke. Methods— Writing group members were nominated by the committee chair on the basis of their previous work in relevant topic areas and were approved by the American Heart Association (AHA) Stroke Council’s Scientific Statement Oversight Committee and the AHA’s Manuscript Oversight Committee. The panel reviewed relevant articles on adults using… 

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References

SHOWING 1-10 OF 900 REFERENCES
Guidelines for the Early Management of Patients With Acute Ischemic Stroke: A Guideline for Healthcare Professionals From the American Heart Association/American Stroke Association
TLDR
These guidelines supersede the prior 2007 guidelines and 2009 updates and support the overarching concept of stroke systems of care and detail aspects of stroke care from patient recognition; emergency medical services activation, transport, and triage; through the initial hours in the emergency department and stroke unit.
Palliative and End-of-Life Care in Stroke: A Statement for Healthcare Professionals From the American Heart Association/American Stroke Association
TLDR
Addressing the palliative care needs of patients and families throughout the course of illness can complement existing practices and improve the quality of life of stroke patients, their families, and their care providers.
Physical Activity and Exercise Recommendations for Stroke Survivors: A Statement for Healthcare Professionals From the American Heart Association/American Stroke Association
TLDR
It is recommended that physical activity and exercise prescription should be incorporated into the management of stroke survivors and the promotion of physical activity should emphasize low- to moderate-intensity aerobic activity, muscle-strengthening activity, reduction of sedentary behavior, and risk management for secondary prevention of stroke.
Guidelines for the Management of Aneurysmal Subarachnoid Hemorrhage: A Guideline for Healthcare Professionals From the American Heart Association/American Stroke Association
TLDR
Evidence-based guidelines are presented for the care of patients presenting with aneurysmal subarachnoid hemorrhage and offer a framework for goal-directed treatment of the patient with aSAH.
Ottawa Panel Evidence-Based Clinical Practice Guidelines for Post-Stroke Rehabilitation
TLDR
The Ottawa Panel recommends the use of therapeutic exercise, task-oriented training, biofeedback, gait training, balance training, constraint-induced movement therapy, treatment of shoulder subluxation, electrical stimulation, transcutaneous electrical nerve stimulation, therapeutic ultrasound, acupuncture, and intensity and organization of rehabilitation in the management of post stroke.
Recommendations for the Establishment of Stroke Systems of Care: Recommendations From the American Stroke Association's Task Force on the Development of Stroke Systems
TLDR
The ASA convened a multidisciplinary group, the Task Force on the Development of Stroke Systems, to describe the current fragmentation of stroke care, to define the key components of a stroke system, and to recommend methods for encouraging the implementation of stroke systems.
Outcome Measures for Individuals With Stroke: Process and Recommendations From the American Physical Therapy Association Neurology Section Task Force
TLDR
A task force of 7 physical therapists with diverse clinical and research expertise in stroke rehabilitation used a 3-stage, modified Delphi consensus process to develop recommendations on OM use and an evidence-based systematic review template and a 4-point rating scheme were used.
Assessments in Australian stroke rehabilitation units: a systematic review of the post-stroke validity of the most frequently used
TLDR
This is the first study to map national usage of post-stroke assessments and review that usage against the evidence, and generates new knowledge concerning what assessments the authors currently use post stroke, what they should be using and makes some practical post stroke clinical recommendations.
Management of Adult Stroke Rehabilitation Care: a clinical practice guideline.
TLDR
A growing body of evidence indicates that patients do better with a well-organized, multidisciplinary approach to post-acute rehabilitation after a stroke, and greater adherence to post–acute stroke rehabilitation guidelines was associated with improved patient outcomes.
Comprehensive Overview of Nursing and Interdisciplinary Rehabilitation Care of the Stroke Patient: A Scientific Statement From the American Heart Association
TLDR
Few financial resources appear to be dedicated to providing optimal care during the later phases of stroke recovery, and healthcare providers are often unaware of not only patients’ potential for improvement during more chronic recovery phases but also common issues that stroke survivors and their caregivers experience.
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