Brazilian Academy of Neurology practice guidelines for stroke rehabilitation: part I

Cesar Minelli; Rodrigo Bazan; Marco Túlio Araújo Pedatella; Luciana de Oliveira Neves; Roberta de Oliveira Cacho; Sheila Cristina Sayuri Abe Magalhães; Gustavo José Luvizutto; Carla Heloísa Cabral Moro; Marcos Christiano Lange; Gabriel Pinheiro Modolo; Bruna Correia Lopes; Elisandra Leites Pinheiro; Juli Thomaz de Souza; Guilherme Riccioppo Rodrigues; Soraia Ramos Cabette Fabio; Gilmar Fernandes do Prado; Karla Carlos; Juliana Junqueira Marques Teixeira; Clara Monteiro Antunes Barreira; Rodrigo de Souza Castro; Thalita Dayrell Leite Quinan; Eduardo Damasceno; Kelson James Almeida; Octávio Marques Pontes-Neto; Marina Teixeira Ramalho Pereira Dalio; Millene Rodrigues Camilo; Michelle Hyczy de Siqueira Tosin; Bianca Campos Oliveira; Beatriz Guitton Renaud Baptista de Oliveira; João José Freitas de Carvalho; Sheila Cristina Ouriques Martins

doi:10.1590/0004-282X-ANP-2021-0354

Arquivos de Neuro-Psiquiatria, Inhaltsverzeichnis

CC BY-NC-ND 4.0 · Arq Neuropsiquiatr 2022; 80(06): 634-652
DOI: 10.1590/0004-282X-ANP-2021-0354

BRAZILIAN ACADEMY OF NEUROLOGY

Brazilian Academy of Neurology practice guidelines for stroke rehabilitation: part I

Diretrizes da Academia Brasileira de Neurologia para reabilitação do acidente vascular cerebral: parte I

Cesar Minelli

¹Hospital Carlos Fernando Malzoni, Matão SP, Brazil.

²Universidade de São Paulo, Faculdade de Medicina de Ribeirão Preto, Departamento de Neurociências e Ciências do Comportamento, Ribeirão Preto SP, Brazil.

,

Rodrigo Bazan

³Universidade Estadual Paulista, Faculdade de Medicina de Botucatu, Botucatu SP, Brazil.

,

Marco Túlio Araújo Pedatella

⁴Hospital Israelita Albert Einstein, Unidade Goiânia, Goiânia GO, Brazil.

⁵Hospital Santa Helena, Goiânia GO, Brazil.

⁶Hospital Encore, Goiânia GO, Brazil.

⁷Hospital Geral de Goiânia, Goiania GO, Brazil.

⁸Hospital de Urgência de Goiânia, Goiânia GO, Brazil.

,

Luciana de Oliveira Neves

⁹Universidade de Fortaleza, Hospital São Carlos, Fortaleza CE, Brazil.

,

Roberta de Oliveira Cacho

¹⁰Universidade Federal do Rio Grande do Norte, Faculdade de Ciências da Saúde do Trairi, Santa Cruz RN, Brazil.

,

Sheila Cristina Sayuri Abe Magalhães

³Universidade Estadual Paulista, Faculdade de Medicina de Botucatu, Botucatu SP, Brazil.

,

Gustavo José Luvizutto

¹¹Universidade Federal do Triângulo Mineiro, Departamento de Fisioterapia Aplicada, Uberaba MG, Brazil.

,

Carla Heloísa Cabral Moro

¹²Neurológica Joinville, Joinville SC, Brazil.

¹³Hospital Municipal de Joinville, Joinville SC, Brazil.

¹⁴Associação Brasil AVC, Joinville SC, Brazil.

,

Marcos Christiano Lange

¹⁵Universidade Federal do Paraná, Complexo Hospital de Clínicas, Curitiba PR, Brazil.

,

Gabriel Pinheiro Modolo

³Universidade Estadual Paulista, Faculdade de Medicina de Botucatu, Botucatu SP, Brazil.

,

Bruna Correia Lopes

¹⁶Hospital Moinhos de Vento, Porto Alegre RS, Brazil.

,

Elisandra Leites Pinheiro

¹⁶Hospital Moinhos de Vento, Porto Alegre RS, Brazil.

,

Juli Thomaz de Souza

³Universidade Estadual Paulista, Faculdade de Medicina de Botucatu, Botucatu SP, Brazil.

,

Guilherme Riccioppo Rodrigues

²Universidade de São Paulo, Faculdade de Medicina de Ribeirão Preto, Departamento de Neurociências e Ciências do Comportamento, Ribeirão Preto SP, Brazil.

,

Soraia Ramos Cabette Fabio

¹⁷Hospital UNIMED Ribeirão Preto, Ribeirão Preto SP, Brazil.

,

Gilmar Fernandes do Prado

¹⁸Universidade Federal de São Paulo, Escola Paulista de Medicina, São Paulo SP, Brazil.

,

Karla Carlos

¹⁸Universidade Federal de São Paulo, Escola Paulista de Medicina, São Paulo SP, Brazil.

,

Juliana Junqueira Marques Teixeira

⁸Hospital de Urgência de Goiânia, Goiânia GO, Brazil.

,

Clara Monteiro Antunes Barreira

⁴Hospital Israelita Albert Einstein, Unidade Goiânia, Goiânia GO, Brazil.

⁶Hospital Encore, Goiânia GO, Brazil.

,

Rodrigo de Souza Castro

⁴Hospital Israelita Albert Einstein, Unidade Goiânia, Goiânia GO, Brazil.

⁶Hospital Encore, Goiânia GO, Brazil.

,

Thalita Dayrell Leite Quinan

⁴Hospital Israelita Albert Einstein, Unidade Goiânia, Goiânia GO, Brazil.

⁶Hospital Encore, Goiânia GO, Brazil.

,

Eduardo Damasceno

⁵Hospital Santa Helena, Goiânia GO, Brazil.

⁶Hospital Encore, Goiânia GO, Brazil.

⁷Hospital Geral de Goiânia, Goiania GO, Brazil.

¹⁹Hospital Orion, Goiania GO, Brazil.

,

Kelson James Almeida

²⁰Universidade Federal do Piauí, Departamento de Neurologia, Teresina PI, Brazil.

,

Octávio Marques Pontes-Neto

²Universidade de São Paulo, Faculdade de Medicina de Ribeirão Preto, Departamento de Neurociências e Ciências do Comportamento, Ribeirão Preto SP, Brazil.

,

Marina Teixeira Ramalho Pereira Dalio

²¹Universidade de São Paulo, Hospital das Clínicas, Faculdade de Medicina de Ribeirão Preto, Centro de Cirurgia de Epilepsia de Ribeirão Preto, Ribeirão Preto SP, Brazil.

,

Millene Rodrigues Camilo

²Universidade de São Paulo, Faculdade de Medicina de Ribeirão Preto, Departamento de Neurociências e Ciências do Comportamento, Ribeirão Preto SP, Brazil.

,

Michelle Hyczy de Siqueira Tosin

²²Universidade Federal Fluminense, Niterói RJ, Brazil

²³Rush University, Chicago IL, USA

,

Bianca Campos Oliveira

²²Universidade Federal Fluminense, Niterói RJ, Brazil

,

Beatriz Guitton Renaud Baptista de Oliveira

²²Universidade Federal Fluminense, Niterói RJ, Brazil

,

João José Freitas de Carvalho

²⁴Faculdade de Medicina Unichristus, Fortaleza CE, Brazil.

²⁵Hospital Geral de Fortaleza, Fortaleza CE, Brazil.

,

Sheila Cristina Ouriques Martins

²⁶Rede Brasil AVC, Porto Alegre RS, Brazil.

²⁷Hospital Moinhos de Vento, Departamento de Neurologia, Porto Alegre RS, Brazil.

²⁸Hospital de Clínicas de Porto Alegre, Departamento de Neurologia, Porto Alegre RS, Brazil.

› Institutsangaben

Abstract

ABSTRACT

The Guidelines for Stroke Rehabilitation are the result of a joint effort by the Scientific Department of Neurological Rehabilitation of the Brazilian Academy of Neurology aiming to guide professionals involved in the rehabilitation process to reduce functional disability and increase individual autonomy. Members of the group participated in web discussion forums with predefined themes, followed by videoconference meetings in which issues were discussed, leading to a consensus. These guidelines, divided into two parts, focus on the implications of recent clinical trials, systematic reviews, and meta-analyses in stroke rehabilitation literature. The main objective was to guide physicians, physiotherapists, speech therapists, occupational therapists, nurses, nutritionists, and other professionals involved in post-stroke care. Recommendations and levels of evidence were adapted according to the currently available literature. Part I discusses topics on rehabilitation in the acute phase, as well as prevention and management of frequent conditions and comorbidities after stroke.

RESUMO

As Diretrizes Brasileiras para Reabilitação do AVC são fruto de um esforço conjunto do Departamento Científico de Reabilitação Neurológica da Academia Brasileira de Neurologia com o objetivo de orientar os profissionais envolvidos no processo de reabilitação para a redução da incapacidade funcional e aumento da autonomia dos indivíduos. Membros do grupo acima participaram de fóruns de discussão na web com pré-temas, seguidos de reuniões por videoconferência em que as controvérsias foram discutidas, levando a um consenso. Essas diretrizes, divididas em duas partes, focam as implicações de recentes ensaios clínicos, revisões sistemáticas e metanálises sobre reabilitação do AVC. O objetivo principal é servir de orientação a médicos, fisioterapeutas, fonoaudiólogos, terapeutas ocupacionais, enfermeiros, nutricionistas e demais profissionais envolvidos no cuidado pós-AVC. As recomendações e níveis de evidência foram adaptados de acordo com a literatura disponível atualmente. Aqui é apresentada a Parte I sobre tópicos de reabilitação na fase aguda, prevenção e tratamento de doenças e comorbidades frequentes após o AVC.

Keywords:

Stroke - Guideline - Neurological Rehabilitation - Practice Guidelines as Topic

Palavras-chave:

Acidente Vascular Cerebral - Guia - Reabilitação Neurológica - Guias de Prática Clínica como Assunto

Volltext

Referenzen

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