Clinical Practice Guideline for Stroke Rehabilitation in Korea—Part 2: Rehabilitation for Motor and Sensory Function (2024)

Abstract

This clinical practice guideline (CPG) is the second part of the fourth edition of the Korean Stroke Rehabilitation Guidelines, following the first part published in 2023. While, the first part addressed rehabilitation for motor function, while this second part focuses on both motor and sensory rehabilitation. Beginning with the fourth edition, significant methodological advancements have been introduced, transitioning from a consensus-based approach to an evidence-based framework using the Grading of Recommendations Assessment, Development, and Evaluation methodology. The target population encompasses adult stroke patients, both male and female, with ischemic and hemorrhagic stroke types included, while pediatric stroke cases are excluded from consideration. This guideline is primarily intended for physiatrists and specialized therapists who provide rehabilitation services to patients with stroke-related motor impairments and activities of daily living limitations across primary, secondary, and tertiary healthcare facilities. The development team consisted of eighteen stroke rehabilitation specialists and one expert in CPG development methodology. Key questions were formulated based on target population preferences and international stroke rehabilitation guidelines, with subsequent refinement by specialists responsible for each respective topic. Draft recommendations underwent a formal consensus process using the RAND-UCLA Appropriateness Method, followed by further refinement through public hearings and external expert evaluation.