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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
Resource Website and Path to the Resource
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
Resource Website and Path to the Resource
Heart and Stroke Foundation ofOntario
Tips and Tools
Section 3 CommunicationSection 12 Aphasia
www.heartandstroke.ca/profed=>Ontario Stroke System =>
Professional Resources => Long-termcare/Community
Evidence Based Review of StrokeRehabilitation (EBRSR)
Module 2- Clinical ConsequencesModule 3.5.3-AphasiaModule 6.6.2 -Intensity of Aphasia
Therapy Post StrokeModule 14-Aphasia
www.ebrsr.com
StrokEngineAphasia
www.medicine.mcgill.ca/Strokengine
Stroke Strategy SoutheasternOntarioTips and Tools DVD Communication
www.strokestrategyseo.ca/=> Professional Education =>Education Video Series
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
Resource Website and Path to the Resource
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
=>Ontario Stroke System =>Professional Resources => Long-termcare/Community
Evidence Based Review of StrokeRehabilitation (EBRSR)
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
Resource Website and Path to the Resource
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
Resource Website and Path to the Resource
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
www.medicine.mcgill.ca/Strokengine-assess
RNAO Best Practice Guidelines:
Promoting Continence UsingPrompted Voiding
Prevention of Constipation in theOlder Adult
www.rnao.org/bestpractices =>Nursing best practice guidelines=>Clinical practice guidelines program =>Guidelines and fact sheets
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DEPRESSION AND MOOD
Resource Website and Path to the Resource
Heart and Stroke Foundation ofOntarioTips and Tools for Everyday Living
Section 2 Psychological Effects
www.heartandstroke.ca/profed =>Ontario Stroke System =>Professional Resources => Long-termcare/Community
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)
www.medicine.mcgill.ca/Strokengine-assess
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
Resource Website and Path to the Resource
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)
www.medicine.mcgill.ca/Strokengine-assess
Occupational Therapy Screening/Driving Assessment Guidelines
Available at London Health Sciences Centre, contact [email protected]
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DYSPHAGIA AND NUTRITION
Resource Website and Path to the Resource
Heart and Stroke Foundation ofOntario
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
=>Ontario Stroke System =>Professional Resources => Long-termcare/Community
Evidence Based Review of StrokeRehabilitation (EBRSR)Module 15 Dysphagia and AspirationPost StrokeModule 16 Nutritional InterventionsFollowing Stroke
www.ebrsr.com
StrokEngineDysphagia
www.medicine.mcgill.ca/Strokengine
Stroke Strategy SoutheasternOntarioTips and Tools DVD MealAssistance and Hydration
www.strokestrategyseo.ca/=> Professional Education =>Education Video Series
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
Resource Website and Path to the Resource
Evidence Based Review of StrokeRehabilitation (EBRSR)Module 2 Clinical ConsequencesModule 11 Painful HemiplegicShoulderModule 17- Medical ComplicationPost Stroke
www.ebrsr.com
StrokEngineAccupuncture
www.medicine.mcgill.ca/Strokengine-assess
Comprehensive Advanced Palliative
Care Education (CAPCE) PainManagement Guide
www.palliativecareswo.ca
=> Pocket Reference Guide
RNAO Best Practice Guidelines:Assessment and Management ofPain
www.rnao.org/bestpractices =>Nursing best practice guidelines=>Clinical practice guidelines program =>Guidelines and fact sheets
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PEDIATRIC STROKE
Resource Website and Path to the Resource
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
www.heartandstroke.ca/profed =>Ontario Stroke System =>Professional Resources => Long-termcare/Community
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
Resource Website and Path to the Resource
Evidence Based Review of StrokeRehabilitation (EBRSR)Module 19 - Community Re-integration
www.ebrsr.com
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UPPER EXTREMITY
Resource Website and Path to the Resource
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
www.medicine.mcgill.ca/Strokengine
Champlain Stroke CentreShoulder Electrical Stimulation
www.champlainstrokecentre.org/Home =>Stroke Team=>Physiotherapy =>ShoulderElectrical Stimulation
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SURVIVOR AND CAREGIVER INFORMATION AND SUPPORT
Resource Website and Path to the Resource
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
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