Deans' stroke musings: Clinical Practice Guideline for Stroke Rehabilitation in Korea 2016

Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.

What this blog is for:

My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.

Saturday, December 2, 2017

Clinical Practice Guideline for Stroke Rehabilitation in Korea 2016

What a pile of crap, guidelines NOT protocols. Does no one understand the difference? Guidelines are guesses, protocols can have efficacy ratings. Guidelines allow the practitioner to be able to use excuses, 'You didn't follow the guidelines correctly'. Protocols can be monitored and measured.
https://synapse.koreamed.org/search.php?where=aview&id=10.12786/bn.2017.10.e11&code=0176BN&vmode=FULL


Deog Young Kim,¹ Yun-Hee Kim,² Jongmin Lee,³ Won Hyuk Chang,² Min-Wook Kim,⁴ Sung-Bom Pyun,⁵ Woo-Kyoung Yoo,⁶ Suk Hoon Ohn,⁶ Ki Deok Park,⁷ Byung-Mo Oh,⁸ Seong Hoon Lim,⁴ Kang Jae Jung,⁹ Byung-Ju Ryu,¹⁰ Sun Im,⁴ Sung Ju Jee,¹¹ Han Gil Seo,⁸ Ueon Woo Rah,¹² Joo Hyun Park,⁴ Min Kyun Sohn,¹¹ Min Ho Chun,¹³ Hee Suk Shin,¹⁴ Seong Jae Lee,¹⁵ Yang-Soo Lee,¹⁶ Si-Woon Park,¹⁷ Yoon Ghil Park,¹ Nam Jong Paik,⁸ Sam-Gyu Lee,¹⁸ Ju Kang Lee,⁷ Seong-Eun Koh,³ Don-Kyu Kim,¹⁹ Geun-Young Park,⁴ Yong Il Shin,²⁰ Myoung-Hwan Ko,²¹ Yong Wook Kim,¹ Seung Don Yoo,²² Eun Joo Kim,²³ Min-Kyun Oh,¹⁴ Jae Hyeok Chang,²⁰ Se Hee Jung,⁸ Tae-Woo Kim,²⁴ Won-Seok Kim,⁸ Dae Hyun Kim,²⁵ Tai Hwan Park,²⁶ Kwan-Sung Lee,²⁷ Byong-Yong Hwang,²⁸ and Young Jin Song²⁹
¹Department of Rehabilitation Medicine, Yonsei University College of Medicine, Korea.
²Department of Physical and Rehabilitation Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Korea.
³Department of Rehabilitation Medicine, Konkuk University School of Medicine, Korea.
⁴Department of Rehabilitation Medicine, College of Medicine, The Catholic University of Korea, Korea.
⁵Department of Physical Medicine and Rehabilitation, Korea University College of Medicine, Korea.
⁶Department of Physical Medicine and Rehabilitation, Hallym University College of Medicine, Korea.
⁷Department of Rehabilitation Medicine, Gachon University College of Medicine, Korea.
⁸Department of Rehabilitation Medicine, Seoul National University College of Medicine, Korea.
⁹Department of Physical Medicine and Rehabilitation, Eulji University Hospital & Eulji University School of Medicine, Korea.
¹⁰Department of Physical Medicine and Rehabilitation, Sahmyook Medical Center, Korea.
¹¹Department of Rehabilitation Medicine, Chungnam National University College of Medicine, Korea.
¹²Department of Physical Medicine and Rehabilitation, Ajou University School of Medicine, Korea.
¹³Department of Rehabilitation Medicine, Asan Medical Center, University of Ulsan College of Medicine, Korea.
¹⁴Department of Rehabilitation Medicine and Institute of Health Sciences, Gyeongsang National University College of Medicine, Korea.
¹⁵Department of Rehabilitation Medicine, College of Medicine Dankook University, Korea.
¹⁶Department of Rehabilitation Medicine, Kyungpook National University School of Medicine, Korea.
¹⁷Department of Rehabilitation Medicine, Catholic Kwandong University International St Mary's Hospital, Korea.
¹⁸Department of Physical and Rehabilitation Medicine, Chonnam National University Medical School, Korea.
¹⁹Department of Physical Medicine and Rehabilitation, College of Medicine, Chung-Ang University, Korea.
²⁰Department of Rehabilitation Medicine, Pusan National University Hospital, Korea.
²¹Department of Physical Medicine and Rehabilitation, Chonbuk National University Medical School, Korea.
²²Department of Physical Medicine and Rehabilitation, Kyung Hee University College of Medicine, Korea.
²³Department of Physical Medicine and Rehabilitation, National Rehabilitation Hospital, Korea.
²⁴TBI rehabilitation center, National Traffic Injury Rehabilitation Hospital, College of Medicine, The Catholic University of Korea, Korea.
²⁵Department of Physical Medicine and Rehabilitation, Veterans Health Service Medical Center, Korea.
²⁶Department of Neurology, Seoul Medical Center, Korea.
²⁷Department of Neurosurgery, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Korea.
²⁸Department of Physical Therapy, Yong-In University College of Health & Welfare, Korea.
²⁹Department of Rehabilitation Medicine, Asan Medical Center, Korea.
Correspondence to Deog Young Kim. Department of Rehabilitation Medicine, Yonsei University College of Medicine, 50-1 Yonsei-ro, Seodaemun-gu, Seoul 03722, Korea. Tel: +82-2-2228-3714, Fax: +82-2-3463-7585, Email: kimdy@yuhs.ac


This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (https://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Go to: Abstract Figures Tables Notes References Abstract
“Clinical Practice Guideline for Stroke Rehabilitation in Korea 2016” is the 3^rd edition of clinical practice guideline (CPG) for stroke rehabilitation in Korea, which updates the 2^nd edition published in 2014. Forty-two specialists in stroke rehabilitation from 21 universities and 4 rehabilitation hospitals and 4 consultants participated in this update. The purpose of this CPG is to provide optimum practical guidelines for stroke rehabilitation teams to make a decision when they manage stroke patients and ultimately, to help stroke patients obtain maximal functional recovery and return to the society. The recent two CPGs from Canada (2015) and USA (2016) and articles that were published following the 2^nd edition were used to develop this 3^rd edition of CPG for stroke rehabilitation in Korea. The chosen articles' level of evidence and grade of recommendation were decided by the criteria of Scotland (2010) and the formal consensus was derived by the nominal group technique. The levels of evidence range from 1++ to 4 and the grades of recommendation range from A to D. Good Practice Point was recommended as best practice based on the clinical experience of the guideline developmental group. The draft of the developed CPG was reviewed by the experts group in the public hearings and then revised. “Clinical Practice Guideline for Stroke Rehabilitation in Korea 2016” consists of ‘Chapter 1; Introduction of Stroke Rehabilitation’, ‘Chapter 2; Rehabilitation for Stroke Syndrome, ‘Chapter 3; Rehabilitation for Returning to the Society’, and ‘Chapter 4; Advanced Technique for Stroke Rehabilitation’. “Clinical Practice Guideline for Stroke Rehabilitation in Korea 2016” will provide direction and standardization for acute, subacute and chronic stroke rehabilitation in Korea.