Brain Neurorehabil.  2023 Jul;16(2):e18. 10.12786/bn.2023.16.e18.

Clinical Practice Guideline for Stroke Rehabilitation in Korea—Part 1: Rehabilitation for Motor Function (2022)

Affiliations
  • 1Department of Rehabilitation Medicine, International St. Mary’s Hospital, Catholic Kwandong University College of Medicine, Incheon, Korea
  • 2Department of Physical Medicine and Rehabilitation, Sahmyook Medical Center, Seoul, Korea
  • 3Department of Rehabilitation Medicine, Seoul National University College of Medicine, Seoul, Korea
  • 4Department of Rehabilitation Medicine, National Traffic Injury Rehabilitation Hospital, Yangpyeong, Korea
  • 5Department of Rehabilitation Medicine, Seoul National University Hospital, Seoul, Korea
  • 6Department of Rehabilitation Medicine, University of Ulsan College of Medicine, Ulsan, Korea
  • 7Department of Rehabilitation Medicine, Asan Medical Center, Seoul, Korea
  • 8Department of Physical Medicine and Rehabilitation, Jeonbuk National University Medical School, Jeonju, Korea
  • 9Department of Rehabilitation Medicine, Yonsei University College of Medicine, Seoul, Korea
  • 10Department of Physical and Rehabilitation Medicine, College of Medicine, Chung-Ang University, Seoul, Korea
  • 11Department of Rehabilitation Medicine, National Rehabilitation Center, Seoul, Korea
  • 12Department of Rehabilitation Medicine, Nowon Eulji Medical Center, Eulji University School of Medicine, Seoul, Korea
  • 13Department of Physical medicine and Rehabilitation, National Health Insurance Service Ilsan Hospital, Goyang, Korea
  • 14Department of Rehabilitation Medicine, Konkuk University School of Medicine, Seoul, Korea
  • 15Department of Physical Medicine and Rehabilitation, Soonchunhyang University College of Medicine, Asan, Korea
  • 16Department of Rehabilitation Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea
  • 17Department of Physical Medicine and Rehabilitation, Hallym University College of Medicine, Chuncheon, Korea
  • 18Department of Physical Medicine and Rehabilitation, Samsung Changwon Hospital, Sungkyunkwan University School of Medicine, Changwon, Korea
  • 19Department of Rehabilitation Medicine, CHA Bundang Medical Center, CHA University, Seongnam, Korea
  • 20Department of Rehabilitation Medicine, Gachon University, Gil Medical Center, Incheon, Korea
  • 21Department of Physical medicine and Rehabilitation, Seoul Medical Center, Seoul, Korea
  • 22Department of Rehabilitation Medicine, Keimyung University School of Medicine, Keimyung University Dongsan Hospital, Daegu, Korea
  • 23Department of Rehabilitation Medicine, College of Medicine, Yeungnam University, Daegu, Korea
  • 24Department of Rehabilitation Medicine, Daegu Workers’ Compensation Hospital, Daegu, Korea
  • 25Department of Rehabilitation Medicine, Chonnam National University Medical School, Gwangju, Korea
  • 26National Evidence-based Healthcare Collaborating Agency, Seoul, Korea
  • 27Department of Rehabilitation Medicine, Seoul National University Bundang Hospital, Seongnam, Korea
  • 28Department of Rehabilitation Medicine, Seoul National University Boramae Medical Center, Seoul, Korea
  • 29Department of Rehabilitation Medicine, Dankook University College of Medicine, Seoul, Korea
  • 30Department of Rehabilitation Medicine, Kyung Hee University School of Medicine, Seoul, Korea
  • 31Department of Physical Medicine and Rehabilitation, Korea University College of Medicine, Seoul, Korea
  • 32Department of Rehabilitation Medicine, Jeju National University Hospital, Jeju National University College of Medicine, Jeju, Korea
  • 33Department of Rehabilitation Medicine, Ewha Womans University College of Medicine, Seoul, Korea
  • 34Department of Rehabilitation Medicine, College of Medicine, Chungnam National University, Daejeon, Korea
  • 35Department of Rehabilitation Medicine, Yonsei University Wonju College of Medicine, Wonju, Korea
  • 36Department of Rehabilitation Medicine, Pusan National University School of Medicine, Busan, Korea
  • 37Department of Physical and Rehabilitation Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea

Abstract

This clinical practice guideline (CPG) is the fourth edition of the Korean guideline for stroke rehabilitation, which was last updated in 2016. The development approach has been changed from a consensus-based approach to an evidence-based approach using the Grading of Recommendations Assessment Development and Evaluation (GRADE) method. This change ensures that the guidelines are based on the latest and strongest evidence available. The aim is to provide the most accurate and effective guidance to stroke rehabilitation teams, and to improve the outcomes for stroke patients in Korea. Fifty-five specialists in stroke rehabilitation and one CPG development methodology expert participated in this development. The scope of the previous clinical guidelines was very extensive, making it difficult to revise at once. Therefore, it was decided that the scope of this revised CPG would be limited to Part 1: Rehabilitation for Motor Function. The key questions were selected by considering the preferences of the target population and referring to foreign guidelines for stroke rehabilitation, and the recommendations were completed through systematic literature review and the GRADE method. The draft recommendations, which were agreed upon through an official consensus process, were refined after evaluation by a public hearing and external expert evaluation.

Keyword

GRADE Approach; Korea; Practice Guideline; Rehabilitation; Stroke
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