Rehabilitation/Therapie der Mobilität nach Schlaganfall
                    (ReMoS/TheMoS)

Christian Dohle; Susanne Saal

doi:10.1055/a-2231-8055

neuroreha, Table of Contents

neuroreha 2024; 16(01): 20-23
DOI: 10.1055/a-2231-8055

Schwerpunkt

Rehabilitation/Therapie der Mobilität nach Schlaganfall (ReMoS/TheMoS)

Authors

Christian Dohle
Susanne Saal

Abstract

Die Arbeitsgruppe „ReMoS“ (Rehabilitation der Mobilität nach Schlaganfall) trägt die Evidenz von Therapieverfahren zur Verbesserung der Mobilität nach Schlaganfall zusammen. Dabei zeichnet sich ab, dass spezifische und intensive Therapiemaßnahmen die Mobilität verbessern können. Welche Empfehlungen leiten sich daraus ab und wie sind sie praktisch umsetzbar?

Full Text

References

Literatur
1 Feigin VL, Nichols E, Alam T. et al. Global, regional, and national burden of neurological disorders, 1990–2016: A systematic analysis for the Global Burden of Disease Study 2016. Lancet Neurol 2019; 18: 459-480
2 Jorgensen HS, Nakayama H, Raaschou HO. et al. Outcome and time course of recovery in stroke. Part I: Outcome. The Copenhagen Stroke Study. Arch Phys Med Rehabil 1995; 76: 399-405
3 Mehrholz J, Thomas S, Elsner B. Treadmill training and body weight support for walking after stroke. Cochrane Database Syst Rev 2017; 8: CD002840 10.1002/14651858.CD002840.pub4
4 Mehrholz J, Thomas S, Werner C. et al. Electromechanical-assisted training for walking after stroke. Cochrane Database Syst Rev 2017; 5: CD006185 10.1002/14651858.CD006185.pub4
5 Nave AH, Rackoll T, Grittner U. et al. Physical fitness training in patients with subacute stroke (PHYS-STROKE): Multicentre, randomised controlled, endpoint blinded trial. BMJ 2019; 366: l5101 10.1136/bmj.l5101
6 Dohle C. Das Zielkriterium bestimmt die Therapiemethode. InFo Neurol Psychiatr 2020; 22: 10-11
7 Dettmers C, Dohle C, Mokrusch T. et al. Die PHYS-STROKE-Studie: Nicht die Technologie, sondern ihr therapeutischer Einsatz zählt. DGNeurologie 2020; 1-5 10.1007/s42451-019-00142-z
8 ReMoS Arbeitsgruppe DohleC, Tholen R. et al. Rehabilitation der Mobilität nach Schlaganfall (ReMoS). Neurol Rehabil 2015; 21: 355-494
9 Dohle C, Tholen R, Wittenberg H. et al. Evidenzbasierte Rehabilitation der Mobilität nach Schlaganfall. Nervenarzt 2016; 87: 1062-1067 10.1007/s00115-016-0188-8
10 Goetz G, Walter M, Wohlhöfner K. et al. Robotics and functional electrical stimulation for stroke rehabilitation: A systematic review of effectiveness and safety. HTA Austria – Austrian Institute for Health Technology Assessment GmbH, Vienna. 2021
11 Winstein CJ, Stein J, Arena R. et al. Guidelines for adult stroke rehabilitation and recovery: A guideline for healthcare professionals from the American Heart Association/American Stroke Association. Stroke 2016; 47 10.1161/STR.0000000000000098
12 Criekinge TV, Heremans C, Burridge J. et al. Standardized measurement of balance and mobility post-stroke: Consensus-based core recommendations from the third Stroke Recovery and Rehabilitation Roundtable. Int J Stroke 203 1177/17474930231205207
13 Peurala SH, Airaksinen O, Huuskonen P. et al. Effects of intensive therapy using gait trainer or floor walking exercices early after stroke. J Rehabil Med 2009; 41: 166-173 10.2340/16501977-0304
14 Morone G, Bragoni M, Iosa M. et al. Who may benefit from robotic-assisted gait training? A randomized clinical trial in patients with subacute stroke. Neurorehabil Neural Repair 2011; 25: 636-644 10.1177/1545968311401034
15 Duncan PW, Sullivan KJ, Behrman AL. et al. Body-weight-supported treadmill rehabilitation after stroke. N Engl J Med 2011; 364: 2026-2036
16 Pohl M, Mehrholz J, Ritschel C, Rückriem S. Speed-dependent treadmill training in ambulatory hemiparetic. stroke patients. Stroke 2002; 33: 553-558 10.1161/hs0202.102365
17 Eich H-J, Mach H, Werner C, Hesse S. Aerobic treadmill plus Bobath walking training improves walking in subacute stroke: A randomized controlled trial. Clin Rehabil 2004; 18: 640-651 10.1191/0269215504cr779oa
18 Katz-Leurer M, Carmeli E, Shochina M. The effect of early aerobic training on independence six months post stroke. Clin Rehabil 2003; 17: 735-741 10.1191/0269215503cr671oa
19 Duncan P, Studenski S, Richards L. et al. Randomized clinical trial of therapeutic exercise in subacute stroke. Stroke 2003; 34: 2173-2180 10.1161/01.STR.0000083699.95351.F2
20 Stein J, Bishop L, Stein DJ, Wong CK. Gait training with a robotic leg brace after stroke: A randomized controlled pilot study. Am J Phys Med Rehabil 2014; 93: 987-994 10.1097/PHM.0000000000000119
21 Wall A, Borg J, Palmcrantz S. Self-perceived functioning and disability after randomized conventional and electromechanically-assisted gait training in subacute stroke: A 6 months follow-up. NeuroRehabilitation 2019; 45: 501-511 10.3233/NRE-192929
22 Dragin AS, Konstantinovic LM, Veg A, Schwirtlich LB. Gait training of poststroke patients assisted by the walkaround (body postural support). Int J Rehabil Res Int Z Rehabil Rev Int Rech Readaptation 2014; 37: 22-28 10.1097/MRR.0b013e328363ba30
23 Scheffler B, Schimböck F, Schöler A. et al. Current physical therapy practice and implementation factors regarding the evidence-based „Rehabilitation of Mobility after Stroke (ReMoS)“ guideline in Germany: A cross-sectional online survey. BMC Neurol 2022; 22: 284 10.1186/s12883-022-02780-5