CJRTP

Chinese Journal of Rehabilitation Theory and Practice >

2020 , Vol. 26 >Issue 2: 170 - 180

DOI: https://doi.org/10.3969/j.issn.1006-9771.2020.02.007

Recommendations of Clinical Practice Guidelines of Stroke Rehabilitation

  • Xian-zhuo ZHANG ,
  • Meng LÜ ,
  • Xu-fei LUO ,
  • Xuan YU ,
  • Shu-ya LU ,
  • Ling WANG ,
  • Xiu-e SHI ,
  • Yao-long CHEN ,
  • Ke-hu YANG
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  • 1. the First School of Clinical Medicine, Lanzhou University, Lanzhou, Gansu 730000, China
    2. Evidence-based Medicine Center, School of Basic Medical Sciences, Lanzhou University, Lanzhou, Gansu 730000, China
    3. WHO Collaborating Centre for Guideline Implementation and Knowledge Translation, Lanzhou, Gansu 730000, China
    4. Chinese GRADE Center, Lanzhou, Gansu 730000, China
    5. Key Laboratory of Evidence-based Medicine and Clinical Transformation of Gansu Province, Lanzhou, Gansu 730000, China
    6. School of Public Health, Lanzhou University, Lanzhou, Gansu 730000, China
    7. Sichuan Provincial People's Hospital, Chengdu, Sichuan 610000, China
    8. School of Medicine, University of Electronic Science and Technology of China, Chengdu, Sichuan 610000, China
    9. Rehabilitation Center Hospital of Gansu, Lanzhou, Gansu 730000, China
    10. Gansu Evidence-based Rehabilitation Medical Research Center, Lanzhou, Gansu 730000, China

Received date: 2020-02-02

  Revised date: 2020-02-10

  Online published: 2020-03-19

Supported by

Major Project of the National Social Science Fund(19ZDA142);Gansu Key Laboratory of Evidence-based Medicine and Clinical Translation Innovation Fund(CXJJ2019002)

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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

Cite this article

Xian-zhuo ZHANG , Meng LÜ , Xu-fei LUO , Xuan YU , Shu-ya LU , Ling WANG , Xiu-e SHI , Yao-long CHEN , Ke-hu YANG . Recommendations of Clinical Practice Guidelines of Stroke Rehabilitation[J]. Chinese Journal of Rehabilitation Theory and Practice, 2020 , 26(2) : 170 -180 . DOI: 10.3969/j.issn.1006-9771.2020.02.007

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