Arquivos de Neuro-Psiquiatria (Aug 2022)

Brazilian Academy of Neurology practice guidelines for stroke rehabilitation: part I

  • Cesar Minelli,
  • Rodrigo Bazan,
  • Marco Túlio Araújo Pedatella,
  • Luciana de Oliveira Neves,
  • Roberta de Oliveira Cacho,
  • Sheila Cristina Sayuri Abe Magalhães,
  • Gustavo José Luvizutto,
  • Carla Heloísa Cabral Moro,
  • Marcos Christiano Lange,
  • Gabriel Pinheiro Modolo,
  • Bruna Correia Lopes,
  • Elisandra Leites Pinheiro,
  • Juli Thomaz de Souza,
  • Guilherme Riccioppo Rodrigues,
  • Soraia Ramos Cabette Fabio,
  • Gilmar Fernandes do Prado,
  • Karla Carlos,
  • Juliana Junqueira Marques Teixeira,
  • Clara Monteiro Antunes Barreira,
  • Rodrigo de Souza Castro,
  • Thalita Dayrell Leite Quinan,
  • Eduardo Damasceno,
  • Kelson James Almeida,
  • Octávio Marques Pontes-Neto,
  • Marina Teixeira Ramalho Pereira Dalio,
  • Millene Rodrigues Camilo,
  • Michelle Hyczy de Siqueira Tosin,
  • Bianca Campos Oliveira,
  • Beatriz Guitton Renaud Baptista de Oliveira,
  • João José Freitas de Carvalho,
  • Sheila Cristina Ouriques Martins

DOI
https://doi.org/10.1590/0004-282x-anp-2021-0354
Journal volume & issue
Vol. 80, no. 6
pp. 634 – 652

Abstract

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ABSTRACT 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.

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