Poststroke chronic disease management: towards improved identification and interventions for poststroke spasticity-related complications.

This paper represents the opinion of a group of researchers and clinicians with an established interest in poststroke care and is based on the recognised need for long-term care following stroke, especially in view of the global increase of disability due to stroke. Among the more frequent long-term complications following stroke are spasticity-related disabilities. Although spasticity alone occurs in up to 60% of stroke survivors, disabling spasticity affects only 4-10%. Spasticity further interferes with important functions of daily life when it occurs in association with pain, motor impairment, and overall declines of cognitive and neurological function. It is proposed that the aftermath of stroke be considered a chronic disease requiring a multifactorial and multilevel approach. There are, however, knowledge gaps related to the prediction and recognition of poststroke disability. Interventions to prevent or minimise such disabilities require further development and evaluation. Poststroke spasticity research should focus on reducing disability and be considered as part of a continuum of chronic care requirements and should be recognised as a part of a comprehensive poststroke disease management programme.

Norrving, BoLund University,Lunds universitet,Neurologi, Lund,Sektion IV,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Neurology, Lund,Section IV,Department of Clinical Sciences, Lund,Faculty of Medicine(Swepub:lu)neur-bno (författare)
Stibrant Sunnerhagen, Katharina,1957Gothenburg University,Göteborgs universitet,Institutionen för neurovetenskap och fysiologi, sektionen för klinisk neurovetenskap och rehabilitering,Institute of Neuroscience and Physiology, Department of Clinical Neuroscience and Rehabilitation(Swepub:gu)xstika (författare)
Goldstein, Larry B (författare)
Cramer, Steven C (författare)
Donnan, Geoffrey A (författare)
Duncan, Pamela W (författare)
Francisco, Gerard (författare)
Good, David (författare)
Graham, Glenn (författare)
Kissela, Brett M (författare)
Olver, John (författare)
Ward, Anthony (författare)
Wissel, Jörg (författare)
Zorowitz, Richard (författare)
International PSS Disability Study Group, (författare)
Neurologi, LundSektion IV (creator_code:org_t)

Ingår i:International journal of stroke : official journal of the International Stroke Society: SAGE Publications6:1, s. 42-61747-49491747-4930
Ingår i:International Journal of Stroke: SAGE Publications6:1, s. 42-61747-4930

Av författaren/redakt...: Brainin, Michael; Norrving, Bo; Stibrant Sunnerh ...; Goldstein, Larry ...; Cramer, Steven C; Donnan, Geoffrey ...; visa fler...; Duncan, Pamela W; Francisco, Gerar ...; Good, David; Graham, Glenn; Kissela, Brett M; Olver, John; Ward, Anthony; Wissel, Jörg; Zorowitz, Richar ...; International PS ...; visa färre...

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