脑卒中康复临床实践指南推荐意见研究

doi:10.3969/j.issn.1006-9771.2020.02.007

Abstract

Abstract:

Objective To analyze the contents of the recommendations of stroke clinical rehabilitation guidelines in order to provide advice for the development and implementation of stroke rehabilitation guidelines.Methods PubMed, EMBASE, CNKI, China Biology Medicine disc, Wanfang databases and guideline-related websites were retrieved from the date of establishment to January 2020, to collect stroke clinical rehabilitation guidelines. The main content, recommendations based on evidence, the type of evidences, and the scope of evidence classification had been explored based on World Health Organization Handbook for Guideline Development-2nd Edition.Results A total of twelve guidelines were included in this study, one in Chinese and eleven in English. They were from the United States (3 guidelines), United Kingdom (3 guidelines), Canada (3 guidelines), Australia (2 guidelines) and China (1 guidelines), and published from September, 2005 to February, 2019. Three articles (25.0%) used the Appraisal of Guidelines for Research and Evaluation (AGREE) for quality evaluation, and two articles (16.7%) used Grading of Recommendations Assessment, Development and Evaluation (GRADE) as the grading system. The recommendations covered the areas such as: cognitive dysfunction (4 dimensions) with a recommendation of cognitive function assessment at most (7 guidelines, 66.7%), language and swallowing dysfunction (5 dimensions) with a recommendation of swallowing-related complications at most (10 guidelines, 83.3%), motor dysfunction (6 dimensions) with a recommendation of spasm treatment at most (10 guidelines, 83.3%), and psychological and behavioral dysfunction (4 dimensions) with a recommendation for assessment or monitoring at most (6 guidelines, 50.0%). There were many recommendations in these areas, but the types of evidence were different, and observational studies and/or randomized controlled trials accounted for most.Conclusion There are different types of evidence and levels of recommendation strength. It is proposed for future guideline developers in stroke rehabilitation to follow World Health Organization Handbook for Guideline Development-2nd Edition to improve the quality and the overall implementation of the rehabilitation guidelines, and to improve the quality and safety of rehabilitation.

Key words: stroke, rehabilitation, guideline, recommendation

CLC Number:

ZHANG Xian-zhuo,LÜ Meng,LUO Xu-fei,YU Xuan,LU Shu-ya,WANG Ling,SHI Xiu-e,CHEN Yao-long,YANG Ke-hu. Recommendations of Clinical Practice Guidelines of Stroke Rehabilitation[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2020, 26(2): 170-180.

Figures/Tables 6

序号	题目	脑卒中康复领域	人群	发表年份	指南制订机构	国家	质量评价/分级系统	推荐意见条数	是否提供额外网站
1	Management of Adult Stroke Rehabilitation Care A Clinical Practice Guideline^[11]	①②③④	成人(≥18)	2005	American Heart Association/American Stroke Association(AHA/ASA)	美国	USPSTF^a	146	是
2	Ottawa Panel Evidence-based Clinical Practice Guidelines for Post-Stroke Rehabilitation^[12]	③	成人(≥18)	2006	The Ottawa Panel(Ottawa EBCPGs Development Group)^b	加拿大	AGREE	188	否
3	VA/DoD Clinical Practice Guideline for The Management of Stroke Rehabilitation^[13]	①②③④	成人(≥18)	2010	Department of Veterans Affairs,Department of Defense,and The American Heart Association/American Stroke Association	美国	USPSTF^a	255	是
4	Management of patients with stroke: Rehabilitation, prevention and management of complications, and discharge planning^[14]	①②③④	脑卒中患者	2010	Scottish Intercollegiate Guidelines Network (SIGN), NHS Quality Improvement Scotland (NHS QIS)	英国	AGREE II	26	是
5	Stroke Rehabilitation: Long Term Rehabilitation After Stroke^[15]	①②③④	≥16	2013	National Clinical Guideline Centre (NCGC)	英国	GRADE	120	是
6	Evidence-based Practice and Setting Basic Standards for Stroke Rehabilitation in Canada^[16]	②④	脑卒中患者	2015	Ontario Ministry of Health and Long-Term Care	加拿大	PEDro^c	6	否
7	Canadian stroke best practice recommendations: Stroke rehabilitation practice guidelines, update 2015^[17]	②③	全年龄层	2016	Canadian Stroke Best Practice Recommendations	加拿大	American College of Chest Physicians grading system (8th ed.)	173	是
8	Guidelines for Adult Stroke Rehabilitation and Recovery–A Guideline for Healthcare Professionals From the American Heart Association/American Stroke Association^[18]	①②③④	成人(≥18)	2016	American Heart Association/American Stroke Association (AHA/ASA)	美国	American Heart Association (AHA) concerning classes and levels of evidence	227	是
9	中国脑卒中早期康复治疗指南^[19]	②③	未报告	2017	中华医学会神经病学分会,中华医学会神经病学分会神经康复学组,中华医学会神经病学分会脑血管病学组	中国	American Academy of Neurology (AAN), Quality Standards Subcommittee (1999)	48	否
10	Stroke in childhood-Clinical guideline for diagnosis, management and rehabilitation^[20]	①②③④	儿童和青少年(29 d~18岁)	2017	The Royal College of Paediatrics and Child Health (RCPCH)	英国	AGREE II	84	是
11	(Australian) Clinical Guidelines for Stroke Management 2017 - Chapter 5 of 8: Rehabilitation^[21]	①②③	成人(≥18)	2019	Stroke Foundation	澳大利亚	GRADE	76	是
12	The Subacute Rehabilitation of Childhood Stroke Clinical Guideline 2019^[22]	①②③④	儿童(29 d~18岁或至完成学业为止)	2019	Victorian Subacute Childhood Stroke Advisory Committee	澳大利亚	critical appraisal checklists developed by the Scottish Intercollegiate Guidelines Network (SIGN) and an NHMRC level of evidence	59	是

领域		内容	1	2	3	4	5	6	7	8	9	10	11	12
评估		有无推荐意见	√	×	√	√	√	√	√	√	√	√	×	×
		推荐意见数量	8	×	8	1	7	3	6	8	3	13	×	×
		是否基于证据	√	×	√	√	√	√	√	√	√	√	×	×
		证据类型	①②⑤⑥⑨	×	②④⑤⑥	②	①②④⑤⑥	④⑤⑥	④⑤⑨	②④⑤⑥⑨	④	①②⑤⑥⑨	×	×
		证据等级	II2-III/ Poor-Fair/B-C-I	×	I	×	×	B	B-C	I-IIb/A-C	I/A-B	×	×	×
		统计指标	推荐意见总条数:57条						指南数:9篇
并发症干预	失语	有无推荐意见	×	×	×	√	√	×	×	√	×	×	√	×
		推荐意见数量	×	×	×	3	19	×	×	8	×	×	6	×
		是否基于证据	×	×	×	√	√	×	×	√	×	×	√	×
		证据类型	×	×	×	②④⑥⑧	②④⑥⑧	×	×	②④⑥	×	×	②⑧	×
		证据等级	×	×	×	B	×	×	×	I-III/A-B	×	×	×	×
		统计指标	推荐意见总条数:36条						指南数:4篇
	构音障碍	有无推荐意见	×	×	×	×	√	×	×	×	×	√	×	×
		推荐意见数量	×	×	×	×	19	×	×	×	×	2	×	×
		是否基于证据	×	×	×	×	√	×	×	×	×	√	×	×
		证据类型	×	×	×	×	②④⑥⑧	×	×	×	×	④	×	×
		证据等级	×	×	×	×		×	×	×	×	strong-weak	×	×
		统计指标	推荐意见总条数:21条						指南数:2篇
	吞咽	有无推荐意见	√	×	√	√	√	√	√	√	√	√	×	√
		推荐意见数量	11	×	7	3	5	9	10	9	8	15	×	4
		是否基于证据	√	×	√	√	√	√	√	√	√	√	×	√
		证据类型	①②④⑤⑨	×	②④⑤⑥	②④⑥	①	③④⑤⑥⑨⑩	④⑤⑨	③④⑤⑥⑨⑩	④	②⑤⑥⑨	×	⑨
		证据等级	II2-III/ Poor-Fair/B	×	I	×	×	B-C	B-C	I-IIb/III/A-C	I-II/A-B	×	×	×
		统计指标	推荐意见总条数:81条						指南数:10篇
其他康复方法		有无推荐意见	×	×	√	√	√	√	√	√	×	√	×	×
		推荐意见数量	×	×	1	1	10	1	4	3	×	3	×	×
		是否基于证据	×	×	√	×	√	√	√	√	×	√	×	×
		证据类型	×	×	×	⑧	②④⑧	⑨	④⑤⑨	①②⑥	×	①②⑤⑥⑨	×	×
		证据等级	×	×	×	×	×	C	C	I-IIb/B-C	×	×	×	×
		统计指标	推荐意见总条数:23条						指南数:7篇

领域		内容	1	2	3	4	5	6	7	8	9	10	11	12
评估		有无推荐意见	×	×	√	×	√	×	×	√	×	×	×	×
		推荐意见数量	×	×	2	×	2	×	×	7	×	×	×	×
		是否基于证据	×	×	×	×	√	×	×	√	×	×	×	×
		证据类型	×	×	×	×	⑧	×	×	④⑥⑧	×	×	×	×
		证据等级	×	×	×	×	×	×	×	IIb/C	×	×	×	×
		统计指标	推荐意见总条数:11条						指南数:3篇
并发症干预	痉挛	有无推荐意见	√	√	√	√	√	×	×	√	√	√	√	√
		推荐意见数量	8	36	5	13	9	×	×	15	2	10	8	2
		是否基于证据	√	√	√	√	√	×	×	√	√	√	√	√
		证据类型	②③④⑥⑨	②	②③④	②④⑥⑧	②④⑥	×	×	②③④⑥⑦	⑥	②③⑥⑦	②③⑧	⑨
		证据等级	I-III/Fair-Poor/B-I	A-D	A-I	A-C	×	×	×	I-III/A-B	I-II/A-B	×	strong-weak	×
		统计指标	推荐意见总条数:108条						指南数:10篇
	平衡与步态	有无推荐意见	×	√	√	×	×	×	√	√	×	×	√	×
		推荐意见数量	×	21	1	×	×	×	1	4	×	×	2	×
		是否基于证据	×	√	√	×	×	×	×	√	×	×	√	×
		证据类型	×	④	②④⑥	×	×	×	×	②③④⑥	×	×	②③	×
		证据等级	×	A-D	C	×	×	×	A-C	I-IIb/A-C	×	×	strong-weak	×
		统计指标	推荐意见总条数:29条						指南数:5篇
	下肢	有无推荐意见	×	√	√	×	×	×	√	√	×	×	×	×
		推荐意见数量	×	5	8	×	×	×	14	3	×	×	×	×
		是否基于证据	×	√	√	×	×	×	×	√	×	×	×	×
		证据类型	×	④	②④⑥	×	×	×	×	③④⑥⑦	×	×	×	×
		证据等级	×	A-D	B-D	×	×	×	A-C	I-IIb/A-B	×	×	×	×
		统计指标	推荐意见总条数:30条						指南数:4篇
	上肢	有无推荐意见	×	√	√	√	√	×	×	√	×	×	√	×
		推荐意见数量	×	9	12	7	9	×	×	3	×	×	9	×
		是否基于证据	×	√	√	√	√	×	×	√	×	×	√	×
		证据类型	×	④	②③④⑥	②④⑥⑧	②④⑥	×	×	②④⑥	×	×	②③	×
		证据等级	×	A-D	A-I	×	×	×	×	IIa/A-B	×	×	strong-weak	×
		统计指标	推荐意见总条数:49条						指南数:6篇
辅助器具		有无推荐意见	×	√	√	×	×	×	√	√	×	×	×	×
		推荐意见数量	×	16	5	×	×	×	3	6	×	×	×	×
		是否基于证据	×	√	√	×	×	×	×	√	×	×	×	×
		证据类型	×	④	①⑨	×	×	×	×	②④⑥	×	×	×	×
		证据等级	×	A-D	C	×	×	×	A-C	I-IIb/A-C	×	×	×	×
		统计指标	推荐意见总条数:30条						指南数:4篇

References 37

[1]	GBD 2016 Dementia Collaborators. Global, regional, and national burden of Alzheimer's disease and other dementias, 1990-2016: a systematic analysis for the Global Burden of Disease Study 2016[J]. Lancet Neurol, 2019, 18(1):88-106. doi: 10.1016/S1474-4422(18)30403-4
[2]	Lindsay M P, Norrving B, Sacco R L, et al. World Stroke Organization (WSO): Global Stroke Fact Sheet 2019[J]. Int J Stroke, 2019, 14(8):806-817. doi: 10.1177/1747493019881353
[3]	Ekker M S, Boot E M, Singhal A B, et al. Epidemiology, aetiology, and management of ischaemic stroke in young adults[J]. Lancet Neurol, 2018, 17(9):790-801. doi: 10.1016/S1474-4422(18)30233-3
[4]	Wu S, Wu B, Liu M, et al. Stroke in China: advances and challenges in epidemiology, prevention, and management[J]. Lancet Neurol, 2019, 18(4):394-405. doi: 10.1016/S1474-4422(18)30500-3
[5]	世界卫生组织. 健康服务体系中的康复[J]. 邱卓英,郭键勋,李伦,译. 中国康复理论与实践, 2020, 26(1):1-14.
[6]	邱卓英, 郭键勋, 李伦, 等. 世界卫生组织康复指南《健康服务体系中的康复》:背景、理论架构与方法、主要内容和实施[J]. 中国康复理论与实践, 2020, 26(1):16-20.
[7]	刘跃华, 王志鹏, 齐海梅. 脑卒中康复治疗的成本效果研究[J]. 中华老年医学杂志, 2018, 37(6):702-706.
[8]	周奇, 王小琴, 姚亮, 等. 临床实践指南更新的若干关键问题[J]. 中国循证儿科杂志, 2016, 11(5):392-397.
[9]	杨克虎, 陈耀龙. 写在循证医学诞生20周年[J]. 中国循证儿科杂志, 2011, 6(3):7-10.
[10]	杨克虎. 循证社会科学的产生、发展与未来[J]. 图书与情报, 2018, (3):1-10.
[11]	Duncan P W, Zorowitz R, Bates B, et al. Management of adult stroke rehabilitation care: a clinical practice guideline[J]. Stroke, 2005, 36(9):100-143.
[12]	Ottawa Panel, Khadilkar A, Phillips K, et al. Ottawa Panel evidence-based clinical practice guidelines for post-stroke rehabilitation[J]. Top Stroke Rehabil, 2006, 13(2):1-269. pmid: 16939981
[13]	Management of Stroke Rehabilitation Working Group. VA/DOD Clinical practice guideline for the management of stroke rehabilitation[J]. J Rehabil Res Dev, 2010, 47(9):1-43. doi: 10.1682/JRRD.2009.07.0095
[14]	Smith L. Management of Patients With Stroke: Rehabilitation, Prevention and Management of Complications, and Discharge Planning: a National Clinical Guideline [EB/OL]. [2020-01-10].https://www.sign.ac.uk/assets/sign118.pdf.
[15]	Dworzynski K, Ritchie G, Playford E D. Stroke rehabilitation: long-term rehabilitation after stroke[J]. Clin Med (Lond), 2015, 15(5):461-464. doi: 10.7861/clinmedicine.15-5-461 pmid: 26430186
[16]	Teasell R, Foley N, Bhogal S, et al. Evidence-based practice and setting basic standards for stroke rehabilitation in Canada[J]. Top Stroke Rehabil, 2006, 13(3):59-65. pmid: 16987792
[17]	Hebert D, Lindsay M P, McIntyre A, et al. Canadian stroke best practice recommendations: stroke rehabilitation practice guidelines, update 2015[J]. Int J Stroke, 2016, 11(4):459-484. doi: 10.1177/1747493016643553
[18]	Winstein C J, Stein J, Arena R, et al. Guidelines for Adult Stroke Rehabilitation and Recovery: A Guideline for Healthcare Professionals From the American Heart Association/American Stroke Association[J]. Stroke, 2016, 47(6):98-169. doi: 10.1161/STR.0000000000000098 pmid: 27145936
[19]	中华医学会神经病学分会, 中华医学会神经病学分会神经康复学组, 中华医学会神经病学分会脑血管病学组. 中国脑卒中早期康复治疗指南[J]. 中华神经科杂志, 2017, 50(6):405-412.
[20]	Clinical Standards and Quality Improvement team. Stroke in childhood - clinical guideline for diagnosis, management and rehabilitation [EB/OL].[2020-01-10]. https://www.rcpch.ac.uk/resources/stroke-childhood-clinical-guideline-diagnosis-management-rehabilitation.
[21]	Stroke Foundation. Clinical Guidelines for Stroke Management. Melbourne, Australia [EB/OL]. [2020-01-10]. https://informme.org.au/Guidelines/Clinical-Guidelines-for-Stroke-Management-2017.
[22]	Victorian Subacute Childhood Stroke Advisory Committee. The Subacute Rehabilitation of Childhood Stroke [EB/OL].[2020-01-10]. https://www.mcri.edu.au/sites/default/files/media/subacute_rehabilitation_of_childhood_stroke_clinical _guidelines.pdf.
[23]	Jolliffe L, Lannin N A, Cadilhac D A, et al. Systematic review of clinical practice guidelines to identify recommendations for rehabilitation after stroke and other acquired brain injuries[J]. BMJ Open, 2018, 8(2):e018791. doi: 10.1136/bmjopen-2017-018791
[24]	世界卫生组织. WHO指南制定手册-第二版[EB/OL].[2020-01-10]. https://www.who.int/publications/guidelines/WHO_hb_for_guideline_development_2ed_Chinese.pdf?ua=1.
[25]	Kreit E, Pindus D M, Mullis R, et al. Clinical practice guidelines for stroke rehabilitation and long-term management: similarities and differences in recommendations for mood, aphasia and cognitive deficits[J]. Eur Stroke J, 2017, 2(1_Suppl):372.
[26]	European Physical and Rehabilitation Medicine Bodies Alliance. White Book on Physical and Rehabilitation Medicine (PRM) in Europe. Chapter 3. A primary medical specialty: the fundamentals of PRM[J]. Eur J Phys Rehabil Med, 2018, 54(2):177-185.
[27]	Palmer K, Bowles K A, Paton M, et al. Chronic heart failure and exercise rehabilitation: a systematic review and meta-analysis[J]. Arch Phys Med Rehabil, 2018, 99(12):2570-2582. doi: 10.1016/j.apmr.2018.03.015
[28]	Giacomantonio N B, Bredin S S, Foulds H J, et al. A systematic review of the health benefits of exercise rehabilitation in persons living with atrial fibrillation[J]. Can J Cardiol, 2013, 29(4):483-491. doi: 10.1016/j.cjca.2012.07.003 pmid: 23200094
[29]	Taylor R S, Brown A, Ebrahim S, et al. Exercise-based rehabilitation for patients with coronary heart disease: systematic review and meta-analysis of randomized controlled trials[J]. Am J Med, 2004, 116(10):682-692. pmid: 15121495
[30]	Spence R R, Heesch K C, Brown W J. Exercise and cancer rehabilitation: a systematic review[J]. Cancer Treat Rev, 2010, 36(2):185-194. doi: 10.1016/j.ctrv.2009.11.003
[31]	世界卫生组织, 世界银行. 世界残疾报告(概要)[J]. 中国康复理论与实践, 2011, 17(6):501-507.
[32]	邱卓英. 《世界残疾报告》的架构、方法与应用意义[J]. 中国康复理论与实践, 2013, 19(10):901-904.
[33]	李欣, 陈迪, 邱卓英, 等. 康复2030:扩大康复规模以满足日益增长的康复需求[J]. 中国康复理论与实践, 2017, 23(4):380-384.
[34]	世界卫生组织. 世卫组织2014~2021年全球残疾问题行动计划:增进所有残疾人的健康[J]. 中国康复理论与实践, 2014, 20(7):601-610.
[35]	陈耀龙, 张先卓, 周奇, 等. 临床实践指南的改编[J]. 协和医学杂志, 2020, 11(1):102-108.
[36]	杨克虎, 李秀霞, 拜争刚. 循证社会科学研究方法[M]. 兰州: 兰州大学出版社, 2018.
[37]	Dijkers M P, Murphy S L, Krellman J. Evidence-based practice for rehabilitation professionals: concepts and controversies[J]. Arch Phys Med Rehabil, 2012, 93(8 Suppl):S164-S176. doi: 10.1016/j.apmr.2011.12.014

Recommendations of Clinical Practice Guidelines of Stroke Rehabilitation

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[7]	WANG He, HAN Liang, KAN Mengfan, YU Shaohong. Efficacy of electrical stimulation on shoulder-hand syndrome after stroke: a systematic review and meta-analysis [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(9): 1048-1056.
[8]	SHI Jiawei, LI Lingyu, YANG Haojie, WANG Qinlu, ZOU Haiou. Effect of preoperative prerehabilitation training on total knee arthroplasty: a systematic review of systematic reviews [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(9): 1057-1064.
[9]	CAI Huanian, FEI Sixian, ZHANG Yichen, SUN Qing, GUO Shuai, SONG Tao. Motion assistance analysis for robot-assisted tele-rehabilitation based on bilateral admittance control [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(9): 1104-1109.
[10]	SUN Tengfang, REN Mengting, YANG Lin, WANG Yaoting, WANG Hongyu, YAN Xingzhou. Effect of hyperbaric oxygen therapy combined with repetitive peripheral magnetic stimulation on ankle motor function and balance of stroke patients [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(8): 875-881.
[11]	WANG Ya'nan, LIU Xihua. Correlation and predictive effect of subjective and objective balance function measurements in stroke patients with hemiplegia [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(8): 890-895.
[12]	WANG Haiyun, WANG Yin, ZHOU Xinjie, HE Aiqun. Effect of transcranial direct current stimulation combined with acupuncture on central and upper limb function in stroke patients based on central-peripheral-central theory [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(8): 919-925.
[13]	CHEN Yiting, WANG Qian, CUI Shenhong, LI Yingcai, ZHANG Siyu, WEI Yanxu, REN Hui, LENG Jun, CHEN Bin. Effect of bilateral sequential repetitive transcranial magnetic stimulation on motor function of upper limbs in stroke patients [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(8): 926-932.
[14]	LI Zhenya, SUN Jie, GUO Pengfei, WANG Guangming. Correlation between changes of swallowing function in oral and pharyngeal phases, and aspiration in stroke patients based on videofluroscopic swallowing study [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(8): 933-939.
[15]	LIU Yang, ZHANG Peng, HUANG Ying, CHEN Han, XU Chen, LI Min. Path analysis of mediating effect of perceived stress affecting impact of event in rehabilitation patients with traumatic injury [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(8): 954-960.