Hospital Carlos Fernando Malzoni, Matão SP, Brazil.
Universidade de São Paulo, Faculdade de Medicina de Ribeirão Preto, Departamento de Neurociências e Ciências do Comportamento, Ribeirão Preto SP, Brazil.
Arq Neuropsiquiatr. 2022 Jun;80(6):634-652. doi: 10.1590/0004-282X-ANP-2021-0354.
The Guidelines for Stroke Rehabilitation are the result of a joint effort by the Scientific Department of Neurological Rehabilitation of the Brazilian Academy of Neurology aiming to guide professionals involved in the rehabilitation process to reduce functional disability and increase individual autonomy. Members of the group participated in web discussion forums with predefined themes, followed by videoconference meetings in which issues were discussed, leading to a consensus. These guidelines, divided into two parts, focus on the implications of recent clinical trials, systematic reviews, and meta-analyses in stroke rehabilitation literature. The main objective was to guide physicians, physiotherapists, speech therapists, occupational therapists, nurses, nutritionists, and other professionals involved in post-stroke care. Recommendations and levels of evidence were adapted according to the currently available literature. Part I discusses topics on rehabilitation in the acute phase, as well as prevention and management of frequent conditions and comorbidities after stroke.
《脑卒中康复指南》是巴西神经病学学会神经康复科学部的一项联合成果,旨在指导参与康复过程的专业人员减少功能障碍,提高个体自主性。该指南分为两部分,重点关注脑卒中康复文献中最近临床试验、系统评价和荟萃分析的影响。小组成员参与了具有预设主题的网络讨论论坛,随后举行了视频会议讨论相关问题,最终达成共识。指南的主要目标是为医师、物理治疗师、言语治疗师、职业治疗师、护士、营养师和其他参与脑卒中后护理的专业人员提供指导。根据现有文献,推荐意见和证据水平进行了相应调整。第一部分讨论了急性期康复、预防和管理脑卒中后常见情况和合并症等话题。