Aus ReMoS wird TheMoS – Leitlinie Therapie der Mobilität nach Schlaganfall

Die Arbeitsgruppe „ReMoS“ (Rehabilitation der Mobilität nach Schlaganfall) trägt die Evidenz von Therapieverfahren zur Verbesserung der Mobilität nach Schlaganfall zusammen. Dabei zeichnet sich ab, dass spezifische und intensive Therapiemaßnahmen die Mobilität verbessern können. Aktuell wird die Leitlinie überarbeitet und wird zu TheMos (Therapie der Mobilität nach Schlaganfall).

Publication History

Article published online:
17 May 2024

• Literaturverzeichnis

• 1 Feigin VL, Nichols E, Alam T. et al Global, regional, and national burden of neurological disorders, 1990–2016: A systematic analysis for the Global Burden of Disease Study 2016. Lancet Neurol 2019; 18 (05) 459-480 DOI: 10.1016/ S1474-4422(18)30499-X.
• 2 Jorgensen HS, Nakayama H, Raaschou HO. et al Outcome and time course of recovery in stroke. Part I: Outcome. The Copenhagen Stroke Study. Arch Phys Med Rehabil 1995; 76 (05) 399-405 DOI: 10.1016/s0003-9993(95)80567-2.
• 3 Mehrholz J, Thomas S, Elsner B. Treadmill training and body weight support for walking after stroke. Cochrane Database Syst Rev 2017; 08 (08) CD002840 DOI: 10.1002/14651858. CD002840.pub4.
• 4 Mehrholz J, Thomas S, Werner C. et al Electromechanicalassisted training for walking after stroke. Cochrane Database Syst Rev 2017; 05 (05) CD006185 DOI: 10.1002/14651858. CD006185.pub4.
• 5 Nave AH, Rackoll T, Grittner U. et al Physical fitness training in patients with subacute stroke (PHYS-STROKE): Multicentre, randomised controlled, endpoint blinded trial. BMJ 2019; 366: l5101 DOI: 10.1136/bmj.l5101.
• 6 Dohle C. Das Zielkriterium bestimmt die Therapiemethode. InFoNeurolPsychiatr 2020; 22: 10-11
• 7 Dettmers C, Dohle C, Mokrusch T. et al Die PHYS-STROKE Studie: Nicht die Technologie, sondern ihr therapeutischer Einsatz zählt. DGNeurologie 2020; 03 (01) 1-5 DOI: 10.1007/ s42451-019-00142-z.
• 8 ReMoS Arbeitsgruppe Dohle C, Tholen R. et al Rehabilitation der Mobilität nach Schlaganfall (ReMoS). NeurolRehabil 2015; 21 (04) 355-494 DOI: 10.14624/NR201509.001.
• 9 Dohle C, Tholen R, Wittenberg H. et al Evidenzbasierte Rehabilitation der Mobilität nach Schlaganfall. Nervenarzt 2016; 87: 1062-1067 DOI: 10.1007/s00115-016-0188-8.
• 10 Goetz G, Walter M, Wohlhöfner K. et al Robotics and functional electrical stimulation for stroke rehabilitation: A systematic review of effectiveness and safety. LBI-HTA Project Report 2021 No.: 128
• 11 Winstein CJ, 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. Stroke 2016; 47 (06) DOI: 10.1161/STR.0000000000000098.
• 12 Criekinge TV, Heremans C, Burridge J. et al Standardized measurement of balance and mobility post-stroke: Consensus-based core recommendations from the third Stroke Recovery and Rehabilitation Roundtable. Int J Stroke 2024; 19 (02) 158 DOI: 10.1177/17474930231205207.
• 13 Peurala SH, Airaksinen O, Huuskonen P. et al Effects of intensive therapy using gait trainer or floor walking exercices early after stroke. J Rehabil Med 2009; 41 (03) 166-173 DOI: 10.2340/16501977-0304.
• 14 Morone G, Bragoni M, Iosa M. et al Who may benefit from robotic-assisted gait training? A randomized clinical trial in patients with subacute stroke. Neurorehabil Neural Repair 2011; 25 (07) 636-644 DOI: 10.1177/1545968311401034.
• 15 Duncan PW, Sullivan KJ, Behrman AL. et al Body-weightsupported treadmill rehabilitation after stroke. N Engl J Med 2011; 364: 2026–2036 [16] Pohl M, Mehrholz J, Ritschel C, Rückriem S. Speeddependent treadmill training in ambulatory hemiparetic. stroke patients. Stroke 2002; 33: 553-558 DOI: 10.1161/ hs0202.102365.
• 16 Pohl M, Mehrholz J, Ritschel C. et al Speed-dependent treadmill training in ambulatory hemiparetic. stroke patients. Stroke 2002; 33 (02) 553-558 DOI: 10.1161/ hs0202.102365.
• 17 Eich H-J, Mach H, Werner C. et al Aerobic treadmill plus Bobath walking training improves walking in subacute stroke: A randomized controlled trial. Clin Rehabil 2004; 18 (06) 640-651 DOI: 10.1191/0269215504cr779oa.
• 18 Katz-Leurer M, Carmeli E, Shochina M. The effect of early aerobic training on independence six months post stroke. Clin Rehabil 2003; 17 (07) 735-741 DOI: 10.1191/0269215503cr671oa.
• 19 Duncan P, Studenski S, Richards L. et al Randomized clinical trial of therapeutic exercise in subacute stroke. Stroke 2003; 34 (09) 2173-2180 DOI: 10.1161/01.STR.0000083699.95351. F2.
• 20 Stein J, Bishop L, Stein DJ. et al Gait training with a robotic leg brace after stroke: A randomized controlled pilot study. Am J Phys Med Rehabil 2014; 93 (11) 987-994 DOI: 10.1097/PHM.0000000000000119.
• 21 Wall A, Borg J, Palmcrantz S. Self-perceived functioning and disability after randomized conventional and electromechanically-assisted gait training in subacute stroke: A 6 months follow-up. NeuroRehabilitation 2019; 45 (04) 501-511 DOI: 10.3233/NRE-192929.
• 22 Dragin AS, Konstantinovic LM, Veg A. et al Gait training of poststroke patients assisted by the walkaround (body postural support). Int J Rehabil Res Int Z Rehabil Rev Int Rech Readaptation 2014; 37 (01) 22-28 DOI: 10.1097/ MRR.0b013e328363ba30.
• 23 Scheffler B, Schimböck F, Schöler A. et al Current physical therapy practice and implementation factors regarding the evidence-based „Rehabilitation of Mobility after Stroke (ReMoS)“ guideline in Germany: A cross-sectional online survey. BMC Neurol 2022; 22 (01) 284 DOI: 10.1186/ s12883-022-02780-5.