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Updated clinical practice guidelines for rehabilitation for motor recovery after stroke in Korea

Won-Seok Kim

Seoul National University College of Medicine, Seoul National University Bundang Hospital, Korea

The Korean Society for Neurorehabilitation has been publishing stroke rehabilitation guidelines since 2009, with updates in 2012 and 2016. The previous guidelines were established using SIGN methods; however, KSNR has recently adopted new evidence and GRADE methods for updating the guidelines.

The initial phase focused on revising the guidelines pertaining to motor recovery, a process that concluded in 2022. This comprehensive update addresses 24 questions related to rehabilitation for motor recovery after stroke.

Key areas covered include early mobilization, rehabilitation dosage, functional electrical stimulation, robotic gait training, repetitive transcranial magnetic stimulation, transcranial direct current stimulation, botulinum toxin injection, Cerebrolysin, and more. For evidence synthesis, the studies were searched up until February 28th, 2022, using three databases (PubMed, EMBASE, Cochrane library) and meta-analyses were conducted using the selected studies.

During my presentation, I will provide a concise overview of the methodology employed in developing the revised Korean Stroke Rehabilitation Guidelines. Furthermore, I will present the evidence levels and recommendations for selected pivotal questions within the motor rehabilitation domain.