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1、AHA/ASAGuidelineGuidelinesforAdultStrokeRehabilitationandRecoveryAGuidelineforHealthcareProfessionalsFromtheAmericanHeartAssociation/AmericanStrokeAssociationEndorsedbytheAmericanAcademyofPhysicalMedicineandRehabilitationandtheAmericanSocietyofNeurorehabilit
2、ationTheAmericanAcademyofNeurologyaffirmsthevalueofthisguidelineasaneducationaltoolforneurologistsandtheAmericanCongressofRehabilitationMedicinealsoaffirmstheeducationalvalueoftheseguidelinesforitsmembersCaroleeJ.Winstein,PhD,PT,Chair;JoelStein,MD,ViceChair;
3、RossArena,PhD,PT,FAHA;BarbaraBates,MD,MBA;LeoraR.Cherney,PhD;StevenC.Cramer,MD;FrankDeruyter,PhD;JaniceJ.Eng,PhD,BSc;BethFisher,PhD,PT;RichardL.Harvey,MD;CatherineE.Lang,PhD,PT;MarilynMacKay-Lyons,BSc,MScPT,PhD;KennethJ.Ottenbacher,PhD,OTR;SuePugh,MSN,RN,CNS
4、-BC,CRRN,CNRN,FAHA;MathewJ.Reeves,PhD,DVM,FAHA;LorieG.Richards,PhD,OTR/L;WilliamStiers,PhD,ABPP(RP);RichardD.Zorowitz,MD;onbehalfoftheAmericanHeartAssociationStrokeCouncil,CouncilonCardiovascularandStrokeNursing,CouncilonClinicalCardiology,andCouncilonQualit
5、yofCareandOutcomesResearchPurpose—Theaimofthisguidelineistoprovideasynopsisofbestclinicalpracticesintherehabilitativecareofadultsrecoveringfromstroke.Methods—Writinggroupmemberswerenominatedbythecommitteechaironthebasisoftheirpreviousworkinrelevanttopicareas
6、andwereapprovedbytheAmericanHeartAssociation(AHA)StrokeCouncil’sScientificStatementOversightCommitteeandtheAHA’sManuscriptOversightCommittee.Thepanelreviewedrelevantarticlesonadultsusingcomputerizedsearchesofthemedicalliteraturethrough2014.Theevidenceisorgan
7、izedwithinthecontextoftheAHAframeworkandisclassifiedaccordingtothejointAHA/AmericanCollegeofCardiologyandsupplementaryAHAmethodsofclassifyingthelevelofcertaintyandtheclassandlevelofevidence.ThedocumentunderwentextensiveAHAinternalandexternalpeerreview,Stroke
8、CouncilLeadershipreview,andScientificStatementsOversightCommitteereviewbeforeconsiderationandapprovalbytheAHAScienceAdvisoryandCoordinatingCommittee.Results—Strokerehabilitationrequiresasustaine