Motor rehabilitation after stroke: European Stroke Organisation (ESO) consensus-based definition and guiding framework

 WHAT ABSOLUTE FUCKING CRAPOLA! Nothing on 100% recovery protocols, the only goal in stroke! I'd have you all fired! You create frameworks AFTER  you have 100% recovery protocols, which is why you need to be fired!

Motor rehabilitation after stroke: European Stroke Organisation (ESO) consensus-based definition and guiding framework

Gert Kwakkel  ^{1   2   3} , Cathy Stinear  ⁴ , Bea Essers  ⁵ , Maria Munoz-Novoa  ⁶ , Meret Branscheidt  ⁷ , Rosa Cabanas-Valdés  ⁸ , Sandra Lakičević  ⁹ , Sofia Lampropoulou  ¹⁰ , Andreas R Luft  ⁷ , Philippe Marque  ¹¹ , Sarah A Moore  ^{12   13} , John M Solomon  ^{14   15} , Eva Swinnen  ¹⁶ , Andrea Turolla  ^{17   18} , Margit Alt Murphy  ^{6   19} , Geert Verheyden  ⁵

Affiliations

• PMID: 37548025
• DOI: 10.1177/23969873231191304

Free article100% recovery protocols, the only

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.