Brain Neurorehabil.  2014 Mar;7(Suppl 1):S1-S75. 10.12786/bn.2014.7.Suppl1.S1.

Clinical Practice Guideline for Stroke Rehabilitation in Korea 2012

Affiliations
  • 1Department of Physical Medicine and Rehabilitation, Ajou University School of Medicine, Korea. uwrah@hanmail.net
  • 2Department of Physical and Rehabilitation Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Korea.
  • 3Department of Physical Medicine and Rehabilitation, Hallym University College of Medicine, Korea.
  • 4Department of Rehabilitation Medicine, Asan Medical Center, University of Ulsan College of Medicine, Korea.
  • 5Department of Rehabilitation Medicine, College of Medicine, The Catholic University of Korea, Korea.
  • 6Department of Physical Medicine and Rehabilitation, Korea University School of Medicine, Korea.
  • 7Department of Rehabilitation Medicine, Yonsei University Wonju College of Medicine, Korea.
  • 8Department of Rehabilitation Medicine, Chungnam National University School of Medicine, Korea.
  • 9Department of Rehabilitation Medicine, Dankook University College of Medicine, Korea.
  • 10Department of Rehabilitation Medicine, Kyungpook National University College of Medicine, Korea.
  • 11Department of Rehabilitation Medicine, Kunkuk University School of Medicine, Korea.
  • 12Department of Rehabilitation Medicine, Chonnam National University Medical School, Korea.
  • 13Department of Rehabilitation Medicine, Yonsei University College of Medicine, Korea.
  • 14Department of Rehabilitation Medicine, Myongji Choonhey Hospital, Korea.
  • 15Department of Rehabilitation Medicine, Gachon University of Medicine and Science, Korea.
  • 16Department of Rehabilitation Medicine, College of Medicine, Chung-Ang University, Korea.
  • 17Department of Physical Medicine and Rehabilitation, Chonbuk National University Medical School, Korea.
  • 18Department of Physical Medicine & Rehabilitation, Kyung Hee University College of Medicine, Korea.
  • 19Department of Physical Medicine and Rehabilitation, National Rehabilitation Hospital, Korea.
  • 20Department of Rehabilitation Medicine, Seoul National University College of Medicine, Korea.
  • 21Department of Physical Medicine and Rehabilitation, National Health Insurance Corporation Ilsan Hospital, Korea.
  • 22Department of Rehabilitation Medicine, Pusan National University Hospital, Korea.

Abstract

"Clinical Practice Guideline for Stroke Rehabilitation in Korea 2012" is a 2nd edition of clinical practice guideline (CPG) for stroke rehabilitation in Korea, which updates the 1st edition published in 2009. After 1st stroke rehabilitation CPG, many studies concerning stroke rehabilitation have been published and the necessity for update has been raised. The Korea Centers for Disease Control and Prevention supported the project "Development of Clinical Practice Guideline for Stroke Rehabilitation" in 2012. Thirty-two specialists in stroke rehabilitation from 18 universities and 3 rehabilitation hospitals and 10 consultants participated in this project. The scope of this CPG included both ischemic and hemorrhagic stroke from the acute to chronic stages. The purpose of this CPG is to provide guidelines for doctors and therapists to make a decision when they manage stroke patients and ultimately, to help stroke patients obtain maximal functional recovery and return to the society. "Clinical Practice Guideline for Stroke Rehabilitation in Korea 2012" consists of 'Chapter 1; Introduction of Stroke Rehabilitation', 'Chapter 2; Rehabilitation for Stroke Syndrome, 'Chapter 3; Rehabilitation for Return to the Society', and 'Chapter 4; Advanced Technique for Stroke Rehabilitation'. Both the adaptation and de novo development methods were used to develop this 2nd edition of CPG. The appraisal of foreign CPGs was performed using 'Korean appraisal of guidelines for research and evaluation II' (K-AGREE II); moreover, four CPGs from Scotland (2010), Austrailia (2010), USA (2010), Canada (2010) were chosen for adaptation. For de novo development, articles that were published following the latest foreign CPGs were searched from the database system, PubMed, Embase, and Cochrane library. Literatures were assessed in the aspect of subjects, study design, study results' consistency, language and application possibility in the Korean society. The chosen articles' level of evidence and grade of recommendation were decided by the criteria of Scotland (2010) and the formal consensus was derived by the nominal group technique. The levels of evidence range from 1++ to 4 and the grades of recommendation range from A to D. GPP (Good Practice Point) was recommended as best practice based on the clinical experience of the guideline developmental group. The draft of the developed CPG was reviewed by the experts group in the public hearings and then revised.

Keyword

Stroke; Rehabilitation; Clinical practice guideline; Korea
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