Stroke Rehab Resorce Guide

8/14/2019 Stroke Rehab Resorce Guide

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STROKE REHABILITATION RESOURCE GUIDE

INTRODUCTIONThe intent of the Stroke Rehabilitation Resource Guideis to enable stroke careproviders seeking information related to the rehabilitation of the stroke survivor to

access that information, in a user-friendly format, on the Heart and StrokeFoundation of Ontarios Professional Education Web site.Users are encouraged to contribute additional available resources for inclusion inthis Guide by e-mailing [email protected].

GENERAL STROKE REHAB RESOURCES

Heart and Stroke Foundation of Ontario

Best Practice Guidelines for Stroke Care: A Resource forImplementing Optimal Stroke Care

Best Practice Guidelines for Stroke Care is a resource for implementing optimalstroke care. It incorporates 19 evidence-based practice guidelines across thecontinuum of stroke care.

www.heartandstroke.ca/profed =>Ontario Stroke System => Best PracticeGuidelines

Stroke Rehabilitation System Consensus Panel Final Report 2007A Consensus Panel was convened in 2006-2007 to develop a framework andkey stroke rehabilitation standards for the purpose of provincial policydevelopment and regional planning as well as evaluation and performancemonitoring of stroke rehabilitation services. The Panel also identified thenecessary tools and processes to support effective transitions to and fromappropriate rehabilitation settings across the continuum.

www.heartandstroke.ca/profed =>Ontario Stroke System =>Rehabilitation

Tips and Tools for Everyday Living: A Guide for Stroke CaregiversThe Heart and Stroke Foundation of Ontario, together with the OntarioAssociation of Community Care Access Centres, the Ontario Association of Non-Profit Homes and Services for Seniors, the Ontario Long Term Care Association,and the Ontario Community Support Association, developed this guide andcompanion video in consultation with front line workers.www.heartandstroke.ca/profed =>Ontario Stroke System => ProfessionalResources => Long-term care/Community

Heart and Stroke Foundation of Ontario (HSFO) resources can be ordered from(416) 489-7111 x 389 or [email protected]


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Evidence Based Review of Stroke Rehabilitation(EBRSR)The Evidence-Based Review of Stroke Rehabilitation (EBRSR) reviews currentpractices in stroke rehabilitation. The purpose of the Evidence-Based Review ofStroke Rehabilitation is to support the continuing review of stroke rehabilitation

research with the purpose of maintaining timely and accurate information oneffective stroke rehabilitation, identifying ideas for further research, supportingcontinuous peer-review and encouraging improved evidence-based practice.

1. Intro and Methods2. Clinical Consequences of Stroke3. Background Concepts in Stroke4. Managing the Stroke Rehab Triage Process5. The Efficacy of Stroke Rehab6. The Elements of Stroke Rehab7. Outpatient Stroke Rehab8. Secondary Prevention of Stroke

9. Mobility and the Lower Extremity10. Upper Extremity Interventions11. Painful Hemiplegic Shoulder12. Cognitive Disorders and Apraxia13. Perceptual Disorders14. Aphasia15. Dysphagia and Aspiration Post-Stroke16. Nutritional Interventions following Stroke17. Medical Complications Post-Stroke18. Post-Stroke Depression19. Community Reintegration

20. Miscellaneous Treatments21. Outcome Measures in Stroke Rehab

EBRSR Appendices:1. Anticoagulant Therapy2. Antiplatelet Therapy3. Hypertension4. Hyperlipidemia5. Management of Post-Stroke Pain6. Botox in the Treatment of Limb Spasticity7. Most Important Clinical Studies

8. Important Findings9. Publications

www.ebrsr.com


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StrokEngineSponsored by McGill University, this site focuses on stroke rehabilitationand interventions. Information is derived from quality articles, websites andsystematic reviews. Topics are listed alphabetically and all information hasbeen reviewed using a systematic process.

www.medicine.mcgill.ca/strokengine

Stroke Strategy of Southeastern OntarioThe Stroke Strategy of Southeastern Ontario is one of 11 regional systemsestablished across the province to implement the Ontario Stroke Strategy. Itsgoal is to help healthcare professionals deliver best-practice stroke preventionand care in Southeastern Ontario.

http://www.strokestrategyseo.ca/

Rehabilitation Education Program for Stroke (REPS)

REPS was developed through a partnership between the Heart and StrokeFoundation of Ontario (HSFO), and the University of Toronto. A web-basedprogram in stroke rehabilitation designed for registered nurses, occupationaltherapists, physiotherapists and speech-language pathologists.www.bul.med.utoronto.ca/reps


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ASSESSMENT AND OUTCOME MEASURES

Resource Website and Path to the Resource

Best Practice Guidelines Assessment and MeasurementTools

Heart and Stroke Foundation of Ontariowww.heartandstroke.ca/profed

=>Ontario Stroke System => BestPractice Guidelines => Assessmentand Measurement Tools

Evidence Based Review of StrokeRehabilitation (EBRSR)Module 21 Outcome Measures

www.ebrsr.com

StrokEngineDetailed information on a number of

assessment tools

www.medicine.mcgill.ca/Strokengine-assess

RNAO Best Practice Guideline:Stroke Assessment Across theContinuum of Care

www.rnao.org/bestpractices =>Nursing best practice guidelines=>Clinical practice guidelines program =>Guidelines and fact sheets

Chedoke-McMaster StrokeAssessment - A reliable and validmeasure used to assess physicalimpairment and disability in clients withstroke and other neurological

impairment

www.chedokeassessment.ca

National Institutes of Health StrokeScale - For use in acute strokerehabilitation

www.ninds.nih.gov/doctors/NIH_Stroke_Scale_Booklet.pdf


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AMBULATION AND MOBILITY RESOURCES


Heart and Stroke Foundation ofOntario

Assessment and OutcomeMeasurement

Tips and Tools Section 5 Mobility and Skin care

Heart and Stroke Foundation of Ontariowww.heartandstroke.ca/profed

=> Ontario Stroke System => BestPractice Guidelines=> Assessment& Outcome Measurement Tools

=>Ontario Stroke System =>Professional Resources => Long-termcare/Community

Evidence Based Review of StrokeRehabilitation (EBRSR)

Module 2- Clinical ConsequencesModule 3.3.4- Recovery of SpecificFunctionModule 9 Mobility and LowerExtremityModule 21 Outcome measures

www.ebrsr.com

StrokEngine

Assistive devicesBalance trainingTreadmill (Body Weight SupportedTreadmill Training)

www.medicine.mcgill.ca/Strokengine

Stroke Strategy SoutheasternOntario

Tips and Tools DVD Mobility

www.strokestrategyseo.ca/=> Professional Education =>Education Video Series

RNAO Best Practice Guideline:Prevention of Falls and Fall Injuriesin the Older Adult

www.rnao.org/bestpractices=>Nursing best practice guidelines=>Clinical practice guidelines program =>Guidelines and fact sheets


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APHASIA AND OTHER COMMUNICATION IMPAIRMENTS



Tips and Tools

Section 3 CommunicationSection 12 Aphasia

www.heartandstroke.ca/profed=>Ontario Stroke System =>

Professional Resources => Long-termcare/Community


Module 2- Clinical ConsequencesModule 3.5.3-AphasiaModule 6.6.2 -Intensity of Aphasia

Therapy Post StrokeModule 14-Aphasia

www.ebrsr.com

StrokEngineAphasia


Stroke Strategy SoutheasternOntarioTips and Tools DVD Communication


The Aphasia Institute

www.aphasia.ca or (416) 226-3636

Heart and Stroke Foundation of Ontario

Aphasia Beyond Words - A brochure designed to define and explainthe condition of aphasia as well as to provide general facts aboutaphasia.

Aphasia Poster - Designed to help health care providers andcaregivers assist stroke survivors with aphasia to better understand

others and to express themselves.

To order contact: [email protected](416) 489-7111 x 389

Order form: www.heartandstroke.ca/orderform


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The CommuniKit

Available at Trillium Health Centre (905) 848-7580 x 2389 or [email protected]

York-Durham Aphasia Centre

Interactive Aphasia Tutor (on-line tutor)

Aphasia: A New Life Skills Development for Community Partners (CD-ROMtraining materials) designed for volunteers.

Aphasia: A New Life (a series of 8 booklets). Available in English, Italian andChinese

Aphasia: A New Life (Video) Includes content about YDACs programs, history,personal insights from clients, caregivers and volunteers

Evaluation of Effectiveness of a Community Based Program for Aphasic Adults(paper)

The above resources are available at www.ydac.on.ca


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COGNITIVE, PERCEPTUAL AND BEHAVIOURAL PROBLEMS


Heart and Stroke Foundation ofOntarioBest Practice Guidelines

Rehabilitation Management

Community Re-engagement

Tips and Tools Section 7 -Cognitive and Perceptual Problems

www.heartandstroke.ca/profed =>Ontario Stroke System => BestPractice Guidelines => RehabilitationManagement or Community Re-engagement



Module 2 Clinical Consequences ofStrokeModule 12 Cognitive Disorders andApraxiaModule 13 - Perceptual DisordersModule 21 - Outcome Measures

www.ebrsr.com

Stroke Strategy Southeastern Ontario

Tips and Tools DVD Cognitive,Perceptual & Behavioural Problems

http://www.strokestrategyseo.ca/

=> Professional Education =>Education Video Series

P.I.E.C.E.S.

Ontario Provincial strategy to enhancethe ability of long-term care facility staffto meet the care requirements ofresidents with complex physical andcognitive/mental health needs withassociated behavioural issues.

www.piecescanada.com or (866)400-8823

OT Assessment of Cognition in Acute Care

Perceptual Deficits in Activities of Daily Living A Video for HealthCare Staff

Available at London Health Sciences Centre, contact [email protected]


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COMMUNITY RE-ENGAGEMENT/RE-INTEGRATION


Heart and Stroke Foundation ofOntarioBest Practice Guidelines

Community Re-engagement

Case Management Best Practicesfor Community Care

Modifying the Home After Stroke

www.heartandstroke.ca/profed =>Ontario Stroke System => BestPractice Guidelines => CommunityRe-engagement

=>Ontario Stroke System =>Professional Resources =>Long-TermCare/Community=>Case ManagementBest Practice for Community Care

=>Ontario Stroke System =>Professional Resources =>

Rehabilitation

Evidence Based Review of StrokeRehabilitation (EBRSR)Module 9 Community Re-integrationModule 21 - Outcome Measures

www.ebrsr.com


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CONTINENCE


Heart and Stroke Foundation ofOntarioTips and Tools for Everyday Living

Section 10 Managing Continence

www.heartandstroke.ca/profed =>Ontario Stroke System =>Professional Resources => Long-termcare/Community

Evidence Based Review of StrokeRehabilitation (EBRSR)Module 2 Clinical ConsequencesModule 17- Medical ComplicationPost Stroke

www.ebrsr.com

StrokEngineUrinary Incontinence


RNAO Best Practice Guidelines:

Promoting Continence UsingPrompted Voiding

Prevention of Constipation in theOlder Adult



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DEPRESSION AND MOOD


Heart and Stroke Foundation ofOntarioTips and Tools for Everyday Living

Section 2 Psychological Effects


Evidence Based Review of StrokeRehabilitation (EBRSR)Module 2 Clinical ConsequencesModule 18- Post Stroke DepressionModule 21- Outcome Measures inStroke Rehabilitation

www.ebrsr.com

StrokEngineDepression (patient and family infoonly)


Rehabilitation EducationProgramfor Stroke (REPS)

www.bul.med.utoronto.ca/reps =>Recommendations for best practices=> prevention of stroke and depressionpost stroke

RNAO Best Practice Guidelines:

Screening for Delirium,

Dementia and Depression inOlder Adults

Strategies for Older Adults withDelirium, Dementia andDepression in Older Adults

www.rnao.org/bestpractices

=>Nursing best practice guidelines=>Clinical practice guidelines program =>Guidelines and fact sheets


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DRIVING


Heart and Stroke Foundation ofOntarioDriving Fact Sheet

www.heartandstroke.ca/profed=>Ontario Stroke System =>Professional Resources => StrokeRehabilitation Resource Guide

Evidence Based Review of StrokeRehabilitation (EBRSR)Module 19- Community Re-integration

www.ebrsr.com

StrokEngineDriving After a Stroke (patient andfamily info)


Occupational Therapy Screening/Driving Assessment Guidelines

Available at London Health Sciences Centre, contact [email protected]


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DYSPHAGIA AND NUTRITION



Improving Recognition andManagement of Dysphagia inAcute Stroke

Management of Dysphagia inAcute Stroke. An EducationalManual for the DysphagiaScreening Professional

Nutrition Screening for StrokeSurvivors. An EducationalManual for the DysphagiaScreening Professional

Implementing a RegionalDysphagia Management Strategy Practical Considerations

Tips and Tools - Section 8 MealAssistance and Hydration

www.heartandstroke.ca/profed =>Ontario Stroke System =>Professional Resources => Emergencyand Acute Care


Evidence Based Review of StrokeRehabilitation (EBRSR)Module 15 Dysphagia and AspirationPost StrokeModule 16 Nutritional InterventionsFollowing Stroke

www.ebrsr.com

StrokEngineDysphagia


Stroke Strategy SoutheasternOntarioTips and Tools DVD MealAssistance and Hydration


TOR-BSST - Dysphagia Screening www.swallowinglab.uhnres.utoronto.ca=> Highlight the Order icon on the topright of the home page for detailsspecific to the TOR-BSST


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PAIN


Evidence Based Review of StrokeRehabilitation (EBRSR)Module 2 Clinical ConsequencesModule 11 Painful HemiplegicShoulderModule 17- Medical ComplicationPost Stroke

www.ebrsr.com

StrokEngineAccupuncture


Comprehensive Advanced Palliative

Care Education (CAPCE) PainManagement Guide

www.palliativecareswo.ca

=> Pocket Reference Guide

RNAO Best Practice Guidelines:Assessment and Management ofPain



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PEDIATRIC STROKE


Stroke in Childhood: ClinicalGuidelines for Diagnosis,Management and Rehabilitation

Stroke in Childhood Clinicalguidelines

Stroke in Childhood Patient andCarer booklet

www.rcplondon.ac.uk/pubs/books/c

hildstroke/


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RECREATION

Resource Website and Path to the ResourceHeart and Stroke Foundation ofOntarioTips and Tools - Section 4- LeisureActivities


Evidence Based Review of StrokeRehabilitation (EBRSR)Module 19 Community Re-integration

www.ebrsr.com

StrokEngineLeisure Activities www.medicine.mcgill.ca/Strokengine


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SEXUALITY


Evidence Based Review of StrokeRehabilitation (EBRSR)Module 19 - Community Re-integration

www.ebrsr.com


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UPPER EXTREMITY


Heart and Stroke Foundation ofOntarioManagement of the Post Stroke Armand Hand: TreatmentRecommendations of the 2001Consensus Panel (2002)

www.heartandstroke.ca/profed =>Ontario Stroke System =>Professional Resources =>Rehabilitation

Evidence Based Review of StrokeRehabilitation (EBRSR)Module 2 Clinical Consequences ofStrokeModule 3.3.4 Recovery of SpecificFunctionModule 10 - Upper ExtremityInterventionsModule 11 Painful HemiplegicShoulderModule 21- Outcome Measures inStroke Rehabilitation

www.ebrsr.com

StrokEngineFunctional Electrical Stimulation forUpper ExtremitiesFunctional Electrical Stimulation forHemiplegic ShoulderBio Feedback Upper Extremities


Champlain Stroke CentreShoulder Electrical Stimulation

www.champlainstrokecentre.org/Home =>Stroke Team=>Physiotherapy =>ShoulderElectrical Stimulation


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SURVIVOR AND CAREGIVER INFORMATION AND SUPPORT


Heart and Stroke Foundation www.heartandstroke.ca=>stroke/

Stroke Recovery Canada www.strokerecoverycanada.com

Hamilton-Wentworth StrokeRecovery

www.strokerecovery.org

Ontario March of Dimes StrokeRecovery Program

www.marchofdimes.ca =>for people with disabilities andcaregivers => programs and services=> stroke recovery program

Stroke Survivors Association ofOttawa

www.strokesurvivors.ca

StrokeNet www.strokesurvivor.net

Stroke Rehab Resorce Guide

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