Motor rehabilitation after stroke: European Stroke Organisation (ESO) consensus-based definition and guiding framework
Author
Kwakkel, Gert
Stinear, Cathy
Essers, Bea
Munoz-Novoa, Maria
Branscheidt, Meret
Lakičević, Sandra
Lampropoulou, Sofia
Luft, Andreas R.
Marque, Philippe
Moore, Sarah A.
Solomon, John M.
Swinnen, Eva
Turolla, Andrea
Alt Murphy, Margit
Verheyden, Geert
Publication date
2023ISSN
2396-9873
Abstract
Purpose: To propose a consensus-based definition and framework for motor rehabilitation after stroke. Methods: An expert European working group reviewed the literature, attaining internal consensus after external feedback. Findings: Motor rehabilitation is defined as a process that engages people with stroke to benefit their motor function, activity capacity and performance in daily life. It is necessary for people with residual motor disability whose goal is to enhance their functioning, independence and participation. Motor rehabilitation operates through learning- and use-dependent mechanisms. The trajectory of motor recovery varies across patients and stages of recovery. Early behavioral restitution of motor function depends on spontaneous biological mechanisms. Further improvements in activities of daily living are achieved by compensations. Motor rehabilitation is guided by regular assessment of motor function and activity using consensus-based measures, including patient-reported outcomes. Results are discussed with the patient and their carers to set personal goals. During motor rehabilitation patients learn to optimize and adapt their motor, sensory and cognitive functioning through appropriately dosed repetitive, goal-oriented, progressive, task- and context-specific training. Motor rehabilitation supports people with stroke to maximize health, well-being and quality of life. The framework describes the International Classification of Functioning, Disability and Health in the context of stroke, describes neurobiological mechanisms of behavioral restitution and compensation, and summarizes recommendations for clinical assessment, prediction tools, and motor interventions with strong recommendations from clinical practice guidelines (2016-2022). Conclusions: This definition and framework may guide clinical educators, inform clinicians on current recommendations and guidelines, and identify gaps in the evidence base.
Document Type
Article
Document version
Published version
Language
English
Subject (CDU)
61 - Medical sciences
Keywords
Revisió
Rehabilitació motriu
Recuperació motora
Valoració
Predicció
Intervenció
Revisión
Rehabilitación motora
Recuperación motora
Valoración
Predicción
Intervención
Review
Motor rehabilitation
Motor recovery
Assessment
Prediction
Intervention
Pages
14
Publisher
SAGE Publications
Collection
8;4
Is part of
European Stroke Journal
Citation
Kwakkel, Gert; Stinear, Cathy; Essers, Bea [et al.]. Motor rehabilitation after stroke: European Stroke Organisation (ESO) consensus-based definition and guiding framework. European Stroke Journal, 2023, 8(4), p. 880-894. Disponible en: <https://journals.sagepub.com/doi/10.1177/23969873231191304>. Fecha de acceso: 26 ene. 2024. DOI: 10.1177/23969873231191304
This item appears in the following Collection(s)
- Ciències de la Salut [725]
Rights
© 2024 by European Stroke Organisation