http://www.sciencedirect.com/science/article/pii/S0079612315000047
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Abstract
This
chapter reviews the evolution of stroke rehabilitation in the last 20
years. It begins by describing the different types of stroke that can
occur in adults, their potential consequences on a person's capacity to
function in daily life and statistics on the number of strokes and their
burden on families and the economy. The assessment of stroke severity,
recovery of function over time, and the impact of initial stroke
severity and age on potential recovery are then addressed as well as the
concept of rehabilitation to enhance recovery. Fueled by the synthesis
of an ever-increasing research knowledge base and the creation of stroke
rehabilitation recommendations for optimal delivery of rehabilitation
services and of therapeutic interventions, stroke rehabilitation has
changed dramatically. Examples of improvements in stroke rehabilitation
in Canada are given with emphasis on the “best practices” inspired
stroke rehabilitation continuum recently recommended for the Province of
Quebec. The need for an improved community-based rehabilitation
approach that includes regular follow-ups and community-based programs
promoting reintegration is emphasized. The importance of knowledge
translation strategies to promote the uptake of best-practice
recommendations is illustrated by describing the activities of the
Sensorimotor Rehabilitation Research Team. Over the past 3 years, the
researchers of this team and clinicians in three rehabilitation centers,
two in Montreal and one in Quebec City, have collaborated to adopt
standardized assessment tools, create a common stroke registry, a
best-practice recommended approach to interventions and the
participation of clinicians in the research process.
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