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Review
. 2023 Jul 17;16(2):e18.
doi: 10.12786/bn.2023.16.e18. eCollection 2023 Jul.

Clinical Practice Guideline for Stroke Rehabilitation in Korea-Part 1: Rehabilitation for Motor Function (2022)

Doo Young Kim  1 , Byungju Ryu  2 , Byung-Mo Oh  3   4   5 , Dae Yul Kim  6   7 , Da-Sol Kim  8 , Deog Young Kim  9 , Don-Kyu Kim  10 , Eun Joo Kim  11 , Hoo Young Lee  3   4 , Hyoseon Choi  12 , Hyoung Seop Kim  13 , Hyun Haeng Lee  14 , Hyun Jung Kim  12 , Hyun Mi Oh  3   4 , Hyun Seok  15 , Jihye Park  16 , Jihyun Park  17 , Jin Gee Park  18 , Jong Moon Kim  19 , Jongmin Lee  14 , Joon-Ho Shin  11 , Ju Kang Lee  20 , Ju Sun Oh  21 , Ki Deok Park  20 , Kyoung Tae Kim  22 , Min Cheol Chang  23 , Min Ho Chun  6   7 , Min Wook Kim  16 , Min-Gu Kang  24 , Min-Keun Song  25 , Miyoung Choi  26 , Myoung-Hwan Ko  8 , Na Young Kim  9 , Nam-Jong Paik  3   27 , Se Hee Jung  3   28 , Seo Yeon Yoon  9 , Seong Hoon Lim  16 , Seong Jae Lee  29 , Seung Don Yoo  30 , Seung Hak Lee  6   7 , Seung Nam Yang  31 , Si-Woon Park  1 , So Young Lee  32 , Soo Jeong Han  33 , Sook Joung Lee  16 , Soo-Kyung Bok  34 , Suk Hoon Ohn  17 , Sun Im  16 , Sung-Bom Pyun  31 , Sung Eun Hyun  3   5 , Sung Hoon Kim  35 , Sung-Hwa Ko  36 , Sungju Jee  34 , SuYeon Kwon  33 , Tae-Woo Kim  3   4 , Won Hyuk Chang  37 , Won Kee Chang  3   27 , Woo-Kyoung Yoo  17 , Yeo Hyung Kim  16 , Yeun Jie Yoo  16 , Yong Wook Kim  9 , Yong-Il Shin  36 , Yoon Ghil Park  9 , Yoon-Hee Choi  15 , Youngkook Kim  16 ; KSNR Stroke CPG Writing Group
Affiliations
Review

Clinical Practice Guideline for Stroke Rehabilitation in Korea-Part 1: Rehabilitation for Motor Function (2022)

Doo Young Kim et al. Brain Neurorehabil. .

Abstract

This clinical practice guideline (CPG) is the fourth edition of the Korean guideline for stroke rehabilitation, which was last updated in 2016. The development approach has been changed from a consensus-based approach to an evidence-based approach using the Grading of Recommendations Assessment Development and Evaluation (GRADE) method. This change ensures that the guidelines are based on the latest and strongest evidence available. The aim is to provide the most accurate and effective guidance to stroke rehabilitation teams, and to improve the outcomes for stroke patients in Korea. Fifty-five specialists in stroke rehabilitation and one CPG development methodology expert participated in this development. The scope of the previous clinical guidelines was very extensive, making it difficult to revise at once. Therefore, it was decided that the scope of this revised CPG would be limited to Part 1: Rehabilitation for Motor Function. The key questions were selected by considering the preferences of the target population and referring to foreign guidelines for stroke rehabilitation, and the recommendations were completed through systematic literature review and the GRADE method. The draft recommendations, which were agreed upon through an official consensus process, were refined after evaluation by a public hearing and external expert evaluation.

Keywords: GRADE Approach; Korea; Practice Guideline; Rehabilitation; Stroke.

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Conflict of interest statement

Among the development members, if there was even a slight interest in the result of the declaration of interest, it was excluded from the development process of individual clinical questions with interest and the official agreement process. Prior to reaching a formal consensus, a preliminary consensus was reached through a review meeting for each team, and an additional preliminary consensus meeting was held at the operating committee. The recommendations revised and supplemented through informal consensus were subsequently followed by a formal consensus-building process using the RAND-UCLA Appropriateness Method (RAM) method.Conflict of Interests: All researchers involved in the development of this clinical guideline were instructed to indicate any conflicting interests related to the study (involvement in similar clinical guideline development, employment, financial understanding, and other potential conflicts). All researchers except for six declared that they have no conflicting interests. Researchers with personal interests in the content of this clinical guideline have excluded themselves from making recommendations regarding specific items (botulinum toxin, virtual reality, robot rehabilitation, medication).

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