Brazilian practice guidelines for stroke rehabilitation: Part II

Abstract

The Brazilian Practice Guidelines for Stroke Rehabilitation – Part II, developed by the Scientific Department of Neurological Rehabilitation of the Brazilian Academy of Neurology (Academia Brasileira de Neurologia, in Portuguese), focuses on specific rehabilitation techniques to aid recovery from impairment and disability after stroke. As in Part I, Part II is also based on recently available evidence from randomized controlled trials, systematic reviews, meta-analyses, and other guidelines. Part II covers disorders of communication, dysphagia, postural control and balance, ataxias, spasticity, upper limb rehabilitation, gait, cognition, unilateral spatial neglect, sensory impairments, home rehabilitation, medication adherence, palliative care, cerebrovascular events related to severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection, the future of stroke rehabilitation, and stroke websites to support patients and caregivers. Our goal is to provide health professionals with more recent knowledge and recommendations for better rehabilitation care after stroke.

Stroke related sarcopenia in individuals with different physical activity levels: A cross‐sectional study

“…The study results demonstrate relevance in clinical practice and reaffirm the existing literature, which recommends physical activity after stroke to improve general health and prevent stroke recurrences (Minelli et al, 2022a(Minelli et al, , 2022b, in addition to preventing further injuries to motor and cognitive functionality. Moreover, poststroke physical exercises allow patients to reach the recommended physical activity levels and enhance retention rates in performing exercises (Belfiore et al, 2018), reducing musculoskeletal damages and sarcopenia (Billiot et al, 2020).…”

“…Recent guidelines also showed that sarcopenia should be tracked with the SARC-F screening tool and considers inactivity as one of the main causes for stroke-related sarcopenia (Minelli et al, 2022a(Minelli et al, , 2022b. In addition, it was reported that physical activity increases muscle strength, motor control, balance, gait, cardiovascular health and reduces osteoporosis in individuals after stroke, once again proving its relevance (Minelli et al, 2022a(Minelli et al, , 2022bYao et al, 2022).…”

“…Moreover, poststroke physical exercises allow patients to reach the recommended physical activity levels and enhance retention rates in performing exercises (Belfiore et al, 2018), reducing musculoskeletal damages and sarcopenia (Billiot et al, 2020). Recent guidelines also showed that sarcopenia should be tracked with the SARC-F screening tool and considers inactivity as one of the main causes for stroke-related sarcopenia (Minelli et al, 2022a(Minelli et al, , 2022b. In addition, it was reported that physical activity increases muscle strength, motor control, balance, gait, cardiovascular health and reduces osteoporosis in individuals after stroke, once again proving its relevance (Minelli et al, 2022a(Minelli et al, , 2022bYao et al, 2022).…”

Práticas da terapia ocupacional na reabilitação Pós-AVC: uma revisão integrativa

“…Existem evidências que a TCI contribui para o aumento da quantidade e da qualidade do uso do membro superior parético nas AVDs (Menezes;Pereira;Dos Anjos, 2023). Os guias, brasileiro e americano, sobre a recuperação e reabilitação do paciente com AVC, indicaram a TCI para esses casos (Minelli et al 2022;Winstein et al 2016). Entretanto, uma das revisões desenvolvidas para comprovar a eficácia da técnica, apontou que a melhora no comprometimento e função motora não reduziu a incapacidade (Minelli et al 2022).…”

“…Os guias, brasileiro e americano, sobre a recuperação e reabilitação do paciente com AVC, indicaram a TCI para esses casos (Minelli et al 2022;Winstein et al 2016). Entretanto, uma das revisões desenvolvidas para comprovar a eficácia da técnica, apontou que a melhora no comprometimento e função motora não reduziu a incapacidade (Minelli et al 2022). Nesse sentido, ressalta-se a necessidade de reforçar os treinos das atividades e de favorecer a transferência dos ganhos obtidos no ambiente clínico para o contexto real de vida do paciente.…”