Guidelines for Adult Stroke Rehabilitation and Recovery: Difference between revisions

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===Mobility===
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|colspan="1" style="text-align:center; background:LightCoral"| [[ACC AHA guidelines classification scheme#Classification of Recommendations|Class III]]
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===Upper Extremity Activity, Including ADLs, IADLs, Touch, and Proprioception===
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|colspan="1" style="text-align:center; background:LightGreen"| [[ACC AHA guidelines classification scheme#Classification of Recommendations|Class I]]
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{|class="wikitable" style="width:80%"
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{|class="wikitable" style="width:80%"
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{|class="wikitable" style="width:80%"
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|colspan="1" style="text-align:center; background:LightCoral"| [[ACC AHA guidelines classification scheme#Classification of Recommendations|Class III]]
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===Adaptive Equipment, Durable Medical Devices, Orthotics, and Wheelchairs===
{|class="wikitable" style="width:80%"
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|colspan="1" style="text-align:center; background:LightGreen"| [[ACC AHA guidelines classification scheme#Classification of Recommendations|Class I]]
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| bgcolor="LightGreen"|<nowiki>"</nowiki>'''2.'''<nowiki>"</nowiki> ''([[ACC AHA guidelines classification scheme#Level of Evidence|Level of Evidence:B]] )'' <nowiki>"</nowiki>
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| bgcolor="LightGreen"|<nowiki>"</nowiki>'''3.'''<nowiki>"</nowiki> ''([[ACC AHA guidelines classification scheme#Level of Evidence|Level of Evidence:C]] )'' <nowiki>"</nowiki>
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| bgcolor="LightGreen"|<nowiki>"</nowiki>'''4.'''<nowiki>"</nowiki> ''([[ACC AHA guidelines classification scheme#Level of Evidence|Level of Evidence:C]] )'' <nowiki>"</nowiki>
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===Chronic Care Management: Home- and Community-Based Participation===
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===Treatments/Interventions for Visual Impairments===
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| bgcolor="LemonChiffon"|<nowiki>"</nowiki>'''5.'''<nowiki>"</nowiki>.''([[ACC AHA guidelines classification scheme#Level of Evidence|Level of Evidence:B]] )'' <nowiki>"</nowiki>
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| bgcolor="LemonChiffon"|<nowiki>"</nowiki>'''6.'''<nowiki>"</nowiki>.''([[ACC AHA guidelines classification scheme#Level of Evidence|Level of Evidence:C]] )'' <nowiki>"</nowiki>
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| bgcolor="LemonChiffon"|<nowiki>"</nowiki>'''7.'''<nowiki>"</nowiki>.''([[ACC AHA guidelines classification scheme#Level of Evidence|Level of Evidence:C]] )'' <nowiki>"</nowiki>
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===Hearing Loss===
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===Ensuring Medical and Rehabilitation Continuity Through the Rehabilitation Process and Into the Community===
{|class="wikitable" style="width:80%"
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|colspan="1" style="text-align:center; background:LemonChiffon"| [[ACC AHA guidelines classification scheme#Classification of Recommendations|Class IIa]]
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===Social and Family Caregiver Support===
{|class="wikitable" style="width:80%"
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===Referral to Community Resources===
{|class="wikitable" style="width:80%"
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|colspan="1" style="text-align:center; background:LightGreen"| [[ACC AHA guidelines classification scheme#Classification of Recommendations|Class I]]
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===Rehabilitation in the Community===
{|class="wikitable" style="width:80%"
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|colspan="1" style="text-align:center; background:LightGreen"| [[ACC AHA guidelines classification scheme#Classification of Recommendations|Class I]]
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{|class="wikitable" style="width:80%"
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|colspan="1" style="text-align:center; background:LemonChiffon"| [[ACC AHA guidelines classification scheme#Classification of Recommendations|Class IIa]]
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{|class="wikitable" style="width:80%"
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===Sexual Function===
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===Recreational and Leisure Activity===
{|class="wikitable" style="width:80%"
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|colspan="1" style="text-align:center; background:LemonChiffon"| [[ACC AHA guidelines classification scheme#Classification of Recommendations|Class IIa]]
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===Return to Work===
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===Return to Driving===
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|colspan="1" style="text-align:center; background:LightGreen"| [[ACC AHA guidelines classification scheme#Classification of Recommendations|Class I]]
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Revision as of 21:30, 12 December 2016


Ischemic Stroke Microchapters

Main Stroke Page

Transient ischemic attack

Hemorrhagic Stroke Page

Home

Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Stroke from other Diseases

Epidemiology and Demographics

Risk Factors

Natural History, Complications and Prognosis

Diagnosis

History and Symptoms

Physical Examination

Laboratory Findings

Electrocardiogram

CT

MRI

Echocardiography

Ultrasound

Other Imaging Findings

Treatment

Early Assessment

Medical Therapy

Surgery

Rehabilitation

Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

AHA/ASA Guidelines for Stroke

Case Studies

Case #1

Guidelines for Adult Stroke Rehabilitation and Recovery On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides

Images

American Roentgen Ray Society Images of Guidelines for Adult Stroke Rehabilitation and Recovery

All Images
X-rays
Echo & Ultrasound
CT Images
MRI

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Guidelines for Adult Stroke Rehabilitation and Recovery

CDC on Guidelines for Adult Stroke Rehabilitation and Recovery

Guidelines for Adult Stroke Rehabilitation and Recovery in the news

Blogs on Guidelines for Adult Stroke Rehabilitation and Recovery

Directions to Hospitals Treating Stroke

Risk calculators and risk factors for Guidelines for Adult Stroke Rehabilitation and Recovery

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Aysha Anwar, M.B.B.S[2]

Guidelines for Adult Stroke Rehabilitation and Recovery

Organization of Poststroke Rehabilitation Care (Levels of Care

Class I
"1." (Level of Evidence:A ) "
"2." (Level of Evidence:B ) "
"3." (Level of Evidence:C ) "
Class IIb
"1.".(Level of Evidence:B ) "

Rehabilitation

Interventions in the Inpatient Hospital Setting

Class I
"1." (Level of Evidence:A ) "
"2." (Level of Evidence:B ) "
Class III
"1." . (Level of Evidence:A ) "

Prevention of Skin Breakdown and Contractures

Class I
"1." (Level of Evidence:C ) "
"2." (Level of Evidence:C ) "
"3." (Level of Evidence:C ) "
Class IIa
"1.".(Level of Evidence:B ) "
Class IIb
"1.".(Level of Evidence:C ) "
"2.".(Level of Evidence:C ) "
"3.".(Level of Evidence:B ) "
"4.".(Level of Evidence:B ) "

Prevention of DVT

Class I
"1." (Level of Evidence:A ) "
Class IIa
"1.".(Level of Evidence:A ) "
Class IIb
"1.".(Level of Evidence:B ) "
"2.".(Level of Evidence:C ) "
"3.".(Level of Evidence:C ) "
"4.".(Level of Evidence:C ) "
Class III
"1." . (Level of Evidence:B ) "
"2." .(Level of Evidence:C ) "

Treatment of Bowel and Bladder Incontinence

Class I
"1." (Level of Evidence:B ) "
"2." (Level of Evidence:B ) "
"3." (Level of Evidence:B ) "
Class IIa
"1.".(Level of Evidence:B ) "
"2.".(Level of Evidence:C ) "
Class IIb
"1.".(Level of Evidence:B ) "

Assessment, Prevention, and Treatment of Hemiplegic Shoulder Pain

Class IIa
"1.".(Level of Evidence:A ) "
"2.".(Level of Evidence:C ) "
"3.".(Level of Evidence:C ) "
"4.".(Level of Evidence:C ) "
Class IIb
"1.".(Level of Evidence:A ) "
"2.".(Level of Evidence:B ) "
"3.".(Level of Evidence:B ) "
"4.".(Level of Evidence:B ) "
"5.".(Level of Evidence:B ) "
"6.".(Level of Evidence:C ) "
Class III
"1." . (Level of Evidence:C ) "

Central Pain After Stroke

Class I
"1." (Level of Evidence:C ) "
"2." (Level of Evidence:C ) "
Class III
"1." . (Level of Evidence:B ) "
"2." . (Level of Evidence:B ) "
Class IIa
"1.".(Level of Evidence:B ) "
"2.".(Level of Evidence:C ) "
Class IIb
"1.".(Level of Evidence:B ) "
"2.".(Level of Evidence:C ) "
"3.".(Level of Evidence:B ) "

Prevention of Falls

Class I
"1." Defining TIA with a 24-hour maximum duration has the potential to delay the initiation of effective stroke therapies(Level of Evidence:B ) "
"2." Defining TIA with a 24-hour maximum duration has the potential to delay the initiation of effective stroke therapies(Level of Evidence:A ) "
Class IIa
"1.".(Level of Evidence:B ) "
"2.".(Level of Evidence:B ) "
Class IIb
"1.".(Level of Evidence:B ) "

Seizures

Class I
"1." Defining TIA with a 24-hour maximum duration has the potential to delay the initiation of effective stroke therapies(Level of Evidence:C ) "
Class III
"1." . (Level of Evidence:C ) "

Poststroke Depression, Including Emotional and Behavioral State

Class I
"1." Defining TIA with a 24-hour maximum duration has the potential to delay the initiation of effective stroke therapies(Level of Evidence:B ) "
"2." Defining TIA with a 24-hour maximum duration has the potential to delay the initiation of effective stroke therapies(Level of Evidence:B ) "
"3." Defining TIA with a 24-hour maximum duration has the potential to delay the initiation of effective stroke therapies(Level of Evidence:B ) "
Class IIb
Class IIa
"1.".(Level of Evidence:A ) "
"2.".(Level of Evidence:B ) "
"3.".(Level of Evidence:C ) "
Class IIa
"1.".(Level of Evidence:A ) "
"2.".(Level of Evidence:A ) "
"3.".(Level of Evidence:B ) "
"4.".(Level of Evidence:B ) "
"5.".(Level of Evidence:B ) "
"6.".(Level of Evidence:B ) "
Class III
"1." . (Level of Evidence:A ) "

Poststroke Osteoporosis

Class I
"1." Defining TIA with a 24-hour maximum duration has the potential to delay the initiation of effective stroke therapies(Level of Evidence:A ) "
"2." Defining TIA with a 24-hour maximum duration has the potential to delay the initiation of effective stroke therapies(Level of Evidence:B ) "
Class IIa
"1.".(Level of Evidence:B ) "

Assessment of Disability and Rehabilitation Needs

Class I
"1." (Level of Evidence:B ) "
"2." (Level of Evidence:B ) "
"3." (Level of Evidence:C ) "
"4." (Level of Evidence:C ) "
Class IIa
"1.".(Level of Evidence:B ) "
"2.".(Level of Evidence:C ) "
Class IIa
"1.".(Level of Evidence:B ) "

Assessment of Motor Impairment, Activity, and Mobility

Class IIa
"1.".(Level of Evidence:C ) "
"2.".(Level of Evidence:C ) "
"3.".(Level of Evidence:C ) "
"4.".(Level of Evidence:C ) "
"5.".(Level of Evidence:C ) "
"6.".(Level of Evidence:C ) "
"7.".(Level of Evidence:C ) "

Assessment of Communication Impairment

Class I
"1." (Level of Evidence:B ) "
Class IIa
"1.".(Level of Evidence:A ) "
Class IIb
"1.".(Level of Evidence:C ) "

Assessment of Cognition and Memory

Class I
"1." (Level of Evidence:B ) "
Class IIa
"1.".(Level of Evidence:C ) "

Sensory Impairments, Including Touch, Vision, and Hearing

Class IIa
"1.".(Level of Evidence:B ) "

Dysphagia Screening, Management, and Nutritional Support

Class I
"1." (Level of Evidence:B ) "
"2." (Level of Evidence:B ) "
"3." (Level of Evidence:B ) "
"4." (Level of Evidence:A ) "
"5." (Level of Evidence:B ) "
"6." (Level of Evidence:B ) "
Class IIa
"1.".(Level of Evidence:C ) "
"2.".(Level of Evidence:B ) "
"3.".(Level of Evidence:B ) "
"4.".(Level of Evidence:C ) "
Class IIb
"1.".(Level of Evidence:C ) "
"2.".(Level of Evidence:A ) "
"3.".(Level of Evidence:B ) "
Class III
"1." . (Level of Evidence:A ) "

Nondrug Therapies for Cognitive Impairment, Including Memory

Class I
"1." (Level of Evidence:A ) "
Class IIb
"1.".(Level of Evidence:B ) "
"2.".(Level of Evidence:B ) "
Class IIb
"1.".(Level of Evidence:C ) "
"2.".(Level of Evidence:C ) "
"3.".(Level of Evidence:A ) "
"4.".(Level of Evidence:B ) "
"5.".(Level of Evidence:B ) "
"6.".(Level of Evidence:B ) "

Use of Drugs to Improve Cognitive Impairments, Including Attention

Class IIb
"1.".(Level of Evidence:B ) "
"2.".(Level of Evidence:B ) "
"3.".(Level of Evidence:B ) "
"4.".(Level of Evidence:C ) "

Limb Apraxia

Class IIb
"1.".(Level of Evidence:B ) "
"2.".(Level of Evidence:C ) "

Hemispatial Neglect or Hemi-Inattention

Class IIa
"1.".(Level of Evidence:B ) "
Class IIb
"1.".(Level of Evidence:B ) "
"2.".(Level of Evidence:B ) "

Cognitive Communication Disorders

Class IIa
"1.".(Level of Evidence:B ) "

Aphasia

Class I
"1." (Level of Evidence:A ) "
"2." (Level of Evidence:B ) "
Class IIa
"1.".(Level of Evidence:B ) "
Class IIb
"1.".(Level of Evidence:A ) "
"2.".(Level of Evidence:B ) "
"3.".(Level of Evidence:B ) "
"4.".(Level of Evidence:B ) "
Class III
"1." . (Level of Evidence:B ) "

Motor Speech Disorders:Dysarthria and Apraxia of Speech

Class I
"1." (Level of Evidence:A ) "
"2." (Level of Evidence:B ) "
Class IIa
"1.".(Level of Evidence:A ) "
Class IIb
"1.".(Level of Evidence:C ) "
"2.".(Level of Evidence:C ) "

Spasticity

Class I
"1." (Level of Evidence:A ) "
"2." (Level of Evidence:A ) "
Class IIa
"1.".(Level of Evidence:A ) "
Class IIb
"1.".(Level of Evidence:A ) "
"2.".(Level of Evidence:A ) "
"3.".(Level of Evidence:A ) "
"4.".(Level of Evidence:C ) "
Class III
"1." . (Level of Evidence:B ) "

Balance and Ataxia

Class I
"1." (Level of Evidence:A ) "
"2." (Level of Evidence:A ) "
"3." (Level of Evidence:C ) "
Class IIb
"1.".(Level of Evidence:C ) "

Mobility

Class I
"1." (Level of Evidence:A ) "
"2." (Level of Evidence:A ) "
Class IIa
"1.".(Level of Evidence:B ) "
"2.".(Level of Evidence:B ) "
"3.".(Level of Evidence:B ) "
Class IIb
"1.".(Level of Evidence:B ) "
"2.".(Level of Evidence:B ) "
"3.".(Level of Evidence:B ) "
"4.".(Level of Evidence:B ) "
"5.".(Level of Evidence:B ) "
"6.".(Level of Evidence:B ) "
"7.".(Level of Evidence:B ) "
"8.".(Level of Evidence:B ) "
"9.".(Level of Evidence:B ) "
"10.".(Level of Evidence:A ) "
"11.".(Level of Evidence:A ) "
"12.".(Level of Evidence:A ) "
Class III
"1." . (Level of Evidence:B ) "

Upper Extremity Activity, Including ADLs, IADLs, Touch, and Proprioception

Class I
"1." (Level of Evidence:A ) "
"2." (Level of Evidence:A ) "
"3." (Level of Evidence:B ) "
Class IIa
"1.".(Level of Evidence:A ) "
"2.".(Level of Evidence:A ) "
"3.".(Level of Evidence:A ) "
"4.".(Level of Evidence:A ) "
"5.".(Level of Evidence:B ) "
"6.".(Level of Evidence:B ) "
Class IIb
"1.".(Level of Evidence:B ) "
"2.".(Level of Evidence:A ) "
Class III
"1." . (Level of Evidence:A ) "

Adaptive Equipment, Durable Medical Devices, Orthotics, and Wheelchairs

Class I
"1." (Level of Evidence:B ) "
"2." (Level of Evidence:B ) "
"3." (Level of Evidence:C ) "
"4." (Level of Evidence:C ) "

Chronic Care Management: Home- and Community-Based Participation

Class I
"1." (Level of Evidence:A ) "
"2." (Level of Evidence:A ) "

Treatments/Interventions for Visual Impairments

Class I
"1." (Level of Evidence:B ) "
Class IIb
"1.".(Level of Evidence:B ) "
"2.".(Level of Evidence:B ) "
"3.".(Level of Evidence:B ) "
"4.".(Level of Evidence:B ) "
"5.".(Level of Evidence:B ) "
"6.".(Level of Evidence:C ) "
"7.".(Level of Evidence:C ) "
Class III
"1." . (Level of Evidence:B ) "

Hearing Loss

Class IIa
"1.".(Level of Evidence:C ) "
"2.".(Level of Evidence:C ) "
"3.".(Level of Evidence:C ) "
"4.".(Level of Evidence:C ) "

Ensuring Medical and Rehabilitation Continuity Through the Rehabilitation Process and Into the Community

Class IIa
"1.".(Level of Evidence:B ) "
"2.".(Level of Evidence:B ) "

Social and Family Caregiver Support

Class IIb
"1.".(Level of Evidence:A ) "
"2.".(Level of Evidence:A ) "
"2.".(Level of Evidence:B ) "

Referral to Community Resources

Class I
"1." (Level of Evidence:C ) "
"2." (Level of Evidence:C ) "
"3." (Level of Evidence:C ) "
"4." (Level of Evidence:C ) "
"5." (Level of Evidence:C ) "

Rehabilitation in the Community

Class I
"1." (Level of Evidence:A ) "
Class IIa
"1.".(Level of Evidence:B ) "
Class IIb
"1.".(Level of Evidence:B ) "

Sexual Function

Class IIb
"1.".(Level of Evidence:B ) "

Recreational and Leisure Activity

Class IIa
"1.".(Level of Evidence:B ) "
"2.".(Level of Evidence:B ) "
"3.".(Level of Evidence:B ) "

Return to Work

Class IIa
"1.".(Level of Evidence:C ) "
Class IIb
"1.".(Level of Evidence:C ) "

Return to Driving

Class I
"1." (Level of Evidence:C ) "
Class IIa
"1.".(Level of Evidence:B ) "
"1.".(Level of Evidence:B ) "
Class IIb
"1.".(Level of Evidence:C ) "

References

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