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. 2022 Jun;80(6):634-652.
doi: 10.1590/0004-282X-ANP-2021-0354.

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

Cesar Minelli  1   2 , Rodrigo Bazan  3 , Marco Túlio Araújo Pedatella  4   5   6   7   8 , Luciana de Oliveira Neves  9 , Roberta de Oliveira Cacho  10 , Sheila Cristina Sayuri Abe Magalhães  3 , Gustavo José Luvizutto  11 , Carla Heloísa Cabral Moro  12   13   14 , Marcos Christiano Lange  15 , Gabriel Pinheiro Modolo  3 , Bruna Correia Lopes  16 , Elisandra Leites Pinheiro  16 , Juli Thomaz de Souza  3 , Guilherme Riccioppo Rodrigues  2 , Soraia Ramos Cabette Fabio  17 , Gilmar Fernandes do Prado  18 , Karla Carlos  18 , Juliana Junqueira Marques Teixeira  8 , Clara Monteiro Antunes Barreira  4   6 , Rodrigo de Souza Castro  4   6 , Thalita Dayrell Leite Quinan  4   6 , Eduardo Damasceno  5   6   7   19 , Kelson James Almeida  20 , Octávio Marques Pontes-Neto  2 , Marina Teixeira Ramalho Pereira Dalio  21 , Millene Rodrigues Camilo  2 , Michelle Hyczy de Siqueira Tosin  22   23 , Bianca Campos Oliveira  22 , Beatriz Guitton Renaud Baptista de Oliveira  22 , João José Freitas de Carvalho  24   25 , Sheila Cristina Ouriques Martins  26   27   28
Affiliations

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

Cesar Minelli et al. Arq Neuropsiquiatr. 2022 Jun.

Abstract
in English, Portuguese

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.

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.

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Conflict of interest: There is no conflict of interest to declare.

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