(Australian) Clinical Guidelines for Stroke Management 2017 - Chapter 6 of 8: Managing complications

Main Editor Stroke Foundation
Language en
Last Update Nov 21, 2019
Published Date Nov 21, 2019
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Disclaimer

These Clinical Guidelines are a general guide to appropriate practice, to be followed subject to the clinician’s judgment and the patient’s preference in each individual case. The Clinical Guidelines are designed to provide information to assist decision-making and are based on the best evidence available at the time of development. The Clinical Guidelines can be viewed at www.informme.org.au - Citation: Stroke Foundation. Clinical Guidelines for Stroke Management 2017. Melbourne Australia. © No part of this publication can be reproduced by any process without permission from the Stroke Foundation. August 2017.

Sponsors The Stroke Foundation gratefully acknowledges the financial assistance provided by the Australian Government Department of Health. The development of the final recommendations has not been influenced by the views or interests of the funding body.
Abstract

This is the sixth in a series of eight guideline chapters that provide evidence-based recommendations for recovery from stroke and TIA.

PICOS
PICO 1.0
P: Adults with acute stroke
I: Colloid parenteral fluids
C: Crystalloid parenteral fluids
O:

PICO 2.0
P: Adults with stroke ,
I: Percutaneous endoscopic gastrostomy feeding ,
C: Nasogastric tube feeding ,
O: ,

PICO 6.0
P: Adults with stroke
I: Oral hygienic care intervention
C: Standard care
O:

PICO 8.0
P: Adults with stroke
I: Passive movements
C: Usual care
O:

PICO 9.0
P: Adults with stroke
I: Shoulder strapping
C: No strapping
O:

PICO 10.0
P: Adults with stroke
I: Shoulder strapping
C: No strapping
O:

PICO 11.0
P: Adults with stroke ,
I: Blixembosch best practices protocol ,
C: Usual care ,
O: ,

PICO 12.0
P: Adults with stroke
I: Interventions to treat fatigue
C: Control
O:

PICO 1.0
P: Stroke patients with urinary incontinence
I: Behavioural intervention
C: Control
O:

PICO 2.0
P: Stroke patients with constipation
I: Daikenchuto
C: Conventional therapy
O:

PICO 2.0
P: Adults with stroke
I: Pharmaceutical interventions
C: Placebo
O:

PICO 3.0
P: Adults with stroke
I: Pharmacotherapy for the prevention of depression
C: Control
O:

PICO 4.0
P: Adults with stroke with depression
I: Selective serotonin reuptake inhibitors
C: Control
O:

PICO 5.0
P: Adults with stroke with depression
I: Selective serotonin reuptake inhibitors
C: Control
O:

PICO 15.0
P: Adult with stroke
I: Anticoagulation
C: Control
O:

PICO 16.0
P: Adults with stroke
I: Exercise
C: Control
O:

PICO 1.0
P: Adults with acute stroke
I: Parenteral fluid of 0.9% saline
C: Other parenteral fluid
O:

PICO 2.0
P: Adults with stroke
I: Continuous pump feeding
C: Intermittent bolus feeding
O:

PICO 8.0
P: Adults with stroke
I: Stretch
C: Usual care
O:

PICO 9.0
P: Adults with stroke
I: Electrical stimulation
C: Conventional therapy
O:

PICO 10.0
P: Adults with stroke
I: Electrical stimulation
C: Conventional therapy
O:

PICO 11.0
P: Adults with stroke
I: Kinesio tape + standard therapy
C: Standard therapy
O:

PICO 1.0
P: Stroke patients with urinary incontinence
I: Specialised professional input
C: Control
O:

PICO 2.0
P: Stroke patients with constipation
I: Daily digital stimulation
C: Digital stimulation every other day
O:

PICO 3.0
P: Adults with stroke
I: Psychotherapy for the prevention of depression
C: Control
O:

PICO 4.0
P: Adults with stroke
I: Structured exercise
C: Control
O:

PICO 15.0
P: Adults with stroke
I: Intermittent pneumatic compression
C: Usual care
O:

PICO 16.0
P: Adults with stroke
I: Single lens distance glasses
C: Usual (multifocal) glasses
O:

PICO 2.0
P: Adults with stroke
I: Nutrition support
C: No nutrition support
O:

PICO 8.0
P: Adults with stroke
I: Stretch and neuromuscular stimulation
C: Sham
O:

PICO 9.0
P: Adults with stroke
I: Combined arm stretch positioning and neuromuscular electrical stimulation
C: Conventional treatment
O:

PICO 10.0
P: Adults with stroke with severe paresis of arm
I: Combined arm stretch positioning and neuromuscular electrical stimulation
C: Conventional treatment
O:

PICO 11.0
P: Adults with stroke
I: Dynamic pressure garments
C: Control (same participants)
O:

PICO 1.0
P: Stroke patients with urinary incontinence
I: Transcutaneous electrical nerve stimulation
C: Control
O:

PICO 2.0
P: Stroke patients with constipation
I: Morning bowel evacuation
C: Evening schedule of bowel evacuation
O:

PICO 4.0
P: Adults with stroke with depression
I: Wuling capsule
C: No treatment
O:

PICO 15.0
P: Adults with stroke
I: Graduated compression stockings
C: Usual care
O:

PICO 16.0
P: Adults with stroke
I: Medication
C: Control
O:

PICO 9.0
P: Adults with stroke
I: Shoulder joint functional orthosis + conventional treatment
C: Conventional treatment
O:

PICO 10.0
P: Adults with stroke with shoulder pain
I: Acupuncture
C: Control
O:

PICO 11.0
P: Adults with stroke
I: Continuous passive motion with elevation
C: Control (same participants)
O:

PICO 1.0
P: Adults with overactive bladder syndrome
I: Anticholinergic drugs
C: Placebo
O:

PICO 2.0
P: Stroke patients with constipation
I: Nurse-led intervention
C: Routine care
O:

PICO 4.0
P: Adults with stroke
I: Mindfulness-based interventions
C: No treatment
O:

PICO 15.0
P: Adults with stroke
I: Low Molecular Weight Heparin
C: Unfractionated heparin
O:

PICO 10.0
P: Adults with stroke with shoulder pain
I: Botulinum toxin injection by any route
C: Placebo injection
O:

PICO 1.0
P: Adults with suspected urinary incontinence
I: Diagnostic assessment of urinary incontinence
C: Multichannel urodynamics
O:

PICO 4.0
P: Adults with stroke with depression
I: Non-invasive brain stimulation
C: Control
O:

PICO 10.0
P: Adults with stroke with shoulder pain
I: Peripheral nerve stimulation with single implantable lead
C: Usual care
O:

PICO 4.0
P: Adults with stroke with depression
I: Acupuncture therapy
C: Control
O:

PICO 10.0
P: Adults with stroke with shoulder pain
I: Segmental neuromyotherapy combined with standard hospital therapy
C: Standard hospital therapy
O:

PICO 4.0
P: Adults with stroke with anxiety
I: Pharmacological interventions
C: No control group
O:

PICO 10.0
P: Adults with stroke with shoulder pain
I: Suprascapular nerve block
C: Placebo injection
O:

PICO 10.0
P: Adults with stroke with shoulder pain and with diagnosed rotator cuff syndrome (clinically and by ultrasound)
I: Subacromial corticosteroid injection
C: Placebo (lidocaine) injection
O:

PICO 7.1
P: Adults with stroke with lower limb spasticity
I: Botulinum Toxin A
C: Control
O:

PICO 7.2
P: Adults with stroke with spasticity
I: Acupuncture
C: Control
O:

PICO 7.3
P: Adults with stroke with spasticity
I: Neuromuscular electric stimulation
C: Control
O:

PICO 7.4
P: Adults with stroke with spasticity
I: Adjunct therapies to Botox
C: Control
O:

PICO 7.5
P: Adults with stroke with spasticity
I: Stretch
C: Control
O:

PICO 7.6
P: Adults with stroke with spasticity
I: Transcutaneuous Electrical Nerve Stimulation (TENS)
C: Control
O:

PICO 7.7
P: Adults with stroke with elbow flexor spasticity
I: abobotulinumtoxinA 500 U
C: Placebo
O:

PICO 7.8
P: Adults with stroke with upper limb activity
I: Botulinum toxin type A plus adhesive taping
C: Botulinum toxin type A plus stretching and splinting
O:

PICO 7.9
P: Adults with stroke with elbow flexor spasticity
I: abobotulinumtoxinA 1000 U
C: Placebo
O:

PICO 7.10
P: Adults with stroke with upper limb spasticity
I: Botulinum Toxin A
C: Control
O: