In June 2016, American Heart Association (AHA)/American Stroke Association (ASA) released the first guideline for adult stroke rehabilitation—AHA/ASA Guidelines for Adult Stroke Rehabilitation and Recovery (2016 GASRR). This paper aims to compare the 2016 GASRR with Chinese Adult Stroke Rehabilitation Guideline in 2011 (2011 CASRG) and Consensus of Rehabilitation Experts on Acute Cerebral Infarction in 2016 (2016 CREACI) to provide references for rehabilitation therapy of stroke in China. The 2016 GASRR, 2011 CASRG and 2016 CREACI all suggest that early rehabilitation during acute stage is essential for optimal outcomes, but do not provide the specified timing of intervention. Suggestions on rehabilitation methods are mentioned given specific training programs can prevent pressure sore, joint contracture, deep venous thrombosis (DVT), lung infection and urinary tract infection. The 2016 GASRR gives more detailed information on rehabilitation methods, level of rehabilitation activities, rehabilitation schedule, and the interventions to prevent pro-stroke complications. Furthermore, different approaches are suggested in the 2016 GASRR, 2011 CASRG and 2016 CREACI on prevention of DVT and post-stroke central pain and the psychological intervention. The 2016 GASRR also has covered recommendations for improvement of activities of daily living (ADL) and instrumental activities of daily living (IDAL) which are specified to leisure activities and occupational treatments. As compared with the criteria of stroke rehabilitation abroad, there is still a long way to go for the development of stroke rehabilitation in China. In the future, more researches are needed to be done in China in order to standardize the post-stroke rehabilitation.
Key words
Stroke /
Rehabilitation /
Guideline /
Expert consensus /
American Heart Association /
American Stroke Association
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Funding
Shanghai Three-year Action Plan to Further Accelerate the Development of Traditional Chinese Medicine (No. ZY3-FWMS-2-1012); Academic Research Project of Shanghai University of Traditional Chinese Medicine (No. 2016YG36); The New Star Project of Seventh People’s Hospital Affiliated to Shanghai University of Traditional Chinese Medicine (No. XX2016-03, XX2016-09)