Ottawa panel evidence-based clinical practice guidelines for post-stroke rehabilitation

O Panel - Topics in stroke rehabilitation, 2006 - Taylor & Francis
O Panel
Topics in stroke rehabilitation, 2006Taylor & Francis
Abstract Background and Purpose: The purpose of this project was to create guidelines for
13 types of physical rehabilitation interventions used in the management of adult patients (>
18 years of age) presenting with hemiplegia or hemiparesis following a single clinically
identifiable ischemic or hemorrhagic cerebrovascular accident (CVA). Method: Using
Cochrane Collaboration methods, the Ottawa Methods Group identified and synthesized
evidence from comparative controlled trials. The group then formed an expert panel, which …
Background and Purpose
The purpose of this project was to create guidelines for 13 types of physical rehabilitation interventions used in the management of adult patients (>18 years of age) presenting with hemiplegia or hemiparesis following a single clinically identifiable ischemic or hemorrhagic cerebrovascular accident (CVA).
Method
Using Cochrane Collaboration methods, the Ottawa Methods Group identified and synthesized evidence from comparative controlled trials. The group then formed an expert panel, which developed a set of criteria for grading the strength of the evidence and the recommendation. Patient-important outcomes were determined through consensus, provided that these outcomes were assessed with a validated and reliable scale.
Results
The Ottawa Panel developed 147 positive recommendations of clinical benefit concerning the use of different types of physical rehabilitation interventions involved in post-stroke rehabilitation.
Discussion and Conclusion
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.
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