Practice Guidelines in Neurorehabilitation

Abstract

Practice guidelines are scientifically based practice recommendations. They can be consensus-based and provided by a single medical society (S1 guideline) or developed by a group of national medical societies with a structured consensus process (S2k guideline). S2k guidelines are a good opportunity to develop valid practice guidelines with a broad supporting base when health topics are either complex or when clinical evidence is limited. Evidence-based guidelines rest on a systematic search and critical appraisal of the available evidence and represent the highest quality level for guidelines; they can be developed by single medical societies (S2e guideline) or jointly by several national medical societies (S3 guideline). They reflect the state of the art and generate a high degree of confidence that their recommendations support optimal treatment. The German neurorehabilitation society (DGNR) provides evidence-based guidelines for motor rehabilitation after stroke (arm, mobility, spasticity).

Key words

guideline - stroke - neurorehabilitation - evidence

• References

• 1 Institute of Medicine . Clinical practice guidelines we can trust. Washington, DC: National Academies Press; 2011. http://www.iom.ed
• 2 Muche-Borowski C, Kopp I. Medizinische und rechtliche Verbindlichkeit von Leitlinien. Z Herz- Thorax- Gefäßchir 2015; 29: 116-120
• 3 Muche-Borowski C, Selbmann HK, Müller W. et al. Das AWMF-Regelwerk Leitlinien. 1. Aufl. AWMF; 2012. http://www.awmf.org/leitlinien/awmf-regelwerk
• 4 Platz T, Quintern J. Methodik der Leitlinien-Entwicklung der Leitlinien-Kommission der Deutschen Gesellschaft für neurorehabilitation (DGNR). Neurol Rehabil 2009; 15: 75-80
• 5 Kopp I, Rahn KH. Leitlinien in der Klinischen Praxis – Erkennen worauf es ankommt. Bayr Ärztebl 2015; 1: 8-12
• 6 Guyatt GH, Oxman AD, Vist GE, Kunz R, Falck-Ytter Y, Alonso-Coello P, Schünemann HJ. GRADE: an emerging consensus on rating quality of evidence and strength of recommendations. BMJ 2008; 336: 924-926
• 7 Guyatt G, Vist G, Falck-Ytter Y. et al. An emerging consensus on grading recommendations?. ACP J Club 2006; 144: A8-A9
• 8 Platz T. Rehabilitative Therapie bei Armparese nach Schlaganfall. Neurol Rehabil 2009; 15: 81-106
• 9 Re MoS Arbeitsgruppe (Dohle, Quintern, Saal, Stephan, Tholen, Wittenberg) . S2e-Leitlinie Rehabilitation der Mobilität nach Schlaganfall (ReMoS). Neurol Rehabil 2015; 21: 355-494
• 10 Winter T, Wissel J. Behandlung der Spastizität nach Schlaganfall. Neurol Rehabil 2013; 19: 285-230