Motor control

 

Recommendations 6.4.1

A. All patients should be assessed for motor impairment using a standardised approach to quantify the impairment, e.g. the Motricity Index

B. All patients with significant loss of motor control (ie sufficient to limit an activity) should be assessed by a therapist with experience in neurological rehabilitation

C. Any patient with persistent motor impairment should be taught exercises or activities that will increase voluntary motor control and strength

Sources 6.4.2

A-C. Consensus

 

Treatment intensity

Recommendations 3.14.1

A. Patients with stroke should be offered a minimum of 45 minutes of each appropriate therapy that is required, for a minimum of 5 days per week, at a level that enables the patient to meet their rehabilitation goals for as long as they are continuing to benefit from the therapy and are able to tolerate it

B. The team should promote the practice of skills gained in therapy in the patient’s daily routine in a consistent manner and patients should be enabled and encouraged to practise that activity as much as possible

C. Therapy assistants and nurses should facilitate practice under the guidance of a qualified therapist

Sources 3.14.2

A. Consensus; National Institute for Health and Clinical Excellence 2010d

B. Kwakkel et al 1997; Kwakkel and Wagenaar 2002; Kwakkel et al 2004; Langhorne et al 1996; Lincoln et al 1999; Smith et al 1981

C. Consensus