Evidence map›Paper›PMID 37548025›Full record

GuidelineEuropean stroke journal2023

Motor rehabilitation after stroke: European Stroke Organisation (ESO) consensus-based definition and guiding framework.

Gert Kwakkel, Cathy Stinear, Bea Essers, Maria Munoz-Novoa, Meret Branscheidt, Rosa Cabanas-Valdés, Sandra Lakičević, Sofia Lampropoulou, Andreas R Luft, Philippe Marque and 6 more

4 registry-linked trialsAbstract readPractice GuidelineReview
PubMed Full text at PMC Publisher
In one paragraph

Guideline in European stroke journal, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 4 registered trials, which are not on this map. Cited by 117 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
117citing papers in PubMed, 6 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06165666 naactive not recruitingnot on this mapstarted 2024, after this paper: background citation

Effectiveness of Physiotherapy for Improving Functionality, Participation and Quality of Life After a Stroke: Single-blind Randomized Controlled Clinical Trial

TypeinterventionalSponsorUniversity of AlcalaRan2024 to 2026Enrolled8ConditionsStrokeArmsApproach by functional objectives, Treatment protocol
NCT06560450 nacompletednot on this map

Research Report: CERITER Clinical Study - Stride One

TypeinterventionalSponsorCeriter Nederland BVRan2023 to 2024Enrolled10ConditionsCVA (Cerebrovascular Accident)ArmsStride One
NCT06597929 nacompletednot on this mapstarted 2025, after this paper: background citation

The Effectiveness of Moderate-vigorous Intermittent Lifestyle Physical Activity and Health Education to Increase Intense Physical Activity in Stroke Survivors: a Pragmatic Randomised Controlled Trial (MV-ILPA-stroke)

TypeinterventionalSponsorUniversitat Internacional de CatalunyaRan2025 to 2026Enrolled36ConditionsPhysical Inactivity, StrokeArmsModerate-vigorous physical activity
NCT06922149 nacompletednot on this mapstarted 2025, after this paper: background citation

Effects of Functional Massage Combined With Eccentric Exercise on Muscle Tone and Motor Function of the Lower Limb in Patients With Chronic Stroke: A Pilot Randomized Clinical Trial

TypeinterventionalSponsorUniversitat Internacional de CatalunyaRan2025 to 2025Enrolled8ConditionsStrokeArmsGroup A Funtional massage therapy and eccentric exercise in lower limb, Group B. Eccentric exercises training
3 · Its place in the literature

Who cites it

117 citing papers in PubMed, 6 syntheses or guidelines pooled it.

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57 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors.

Gert KwakkelDepartment of Rehabilitation Medicine, Amsterdam Movement Sciences, Amsterdam Neuroscience, Amsterdam University Medical Centers, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.
Cathy StinearDepartment of Medicine, Waipapa Taumata Rau University of Auckland, Aotearoa, New Zealand.
Bea EssersDepartment of Rehabilitation Sciences, KU Leuven - University of Leuven, Leuven, Belgium.
Maria Munoz-NovoaDepartment of Clinical Neuroscience, Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Meret BranscheidtDepartment of Neurology, University Hospital of Zurich, and Cereneo Center for Neurology and Rehabilitation, Vitznau, Switzerland.
Rosa Cabanas-ValdésDepartment of Physiotherapy, Faculty of Medicine and Health Science, Universitat Internacional de Catalunya, Barcelona, Spain.ORCID 0000-0002-5255-2494
Sandra LakičevićDepartment of Neurology, Stroke Unit, University Hospital Mostar, Mostar, Bosnia and Herzegovina.
Sofia LampropoulouPhysiotherapy Department, School of Health Rehabilitation Sciences, University of Patras, Rio, Greece.
Andreas R LuftDepartment of Neurology, University Hospital of Zurich, and Cereneo Center for Neurology and Rehabilitation, Vitznau, Switzerland.
Philippe MarqueService de médecine physique et réadaptation, CHU de Toulouse, Toulouse, France.
Sarah A MooreDepartment of Sport, Exercise and Rehabilitation, Faculty of Health and Life Science, Northumbria University, Newcastle upon Tyne, UK.
John M SolomonCentre for Comprehensive Stroke Rehabilitation and Research, Manipal Academy of Higher Education, Manipal, Karnataka, India.
Eva SwinnenRehabilitation Research Group, Faculty of Physical Education and Physiotherapy, Vrije Universiteit Brussel, Brussels, Belgium.
Andrea TurollaDepartment of Biomedical and Neuromotor Sciences, Alma Mater University of Bologna, Bologna, Italy.ORCID 0000-0002-1609-8060
Margit Alt MurphyDepartment of Clinical Neuroscience, Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Geert VerheydenDepartment of Rehabilitation Sciences, KU Leuven - University of Leuven, Leuven, Belgium.ORCID 0000-0003-3095-8175

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo propose a consensus-based definition and framework for motor rehabilitation after stroke.

methodsAn expert European working group reviewed the literature, attaining internal consensus after external feedback.

findingsMotor rehabilitation is defined as a process that engages people with stroke to benefit their motor function, activity capacity and performance in daily life. It is necessary for people with residual motor disability whose goal is to enhance their functioning, independence and participation. Motor rehabilitation operates through learning- and use-dependent mechanisms. The trajectory of motor recovery varies across patients and stages of recovery. Early behavioral restitution of motor function depends on spontaneous biological mechanisms. Further improvements in activities of daily living are achieved by compensations. Motor rehabilitation is guided by regular assessment of motor function and activity using consensus-based measures, including patient-reported outcomes. Results are discussed with the patient and their carers to set personal goals. During motor rehabilitation patients learn to optimize and adapt their motor, sensory and cognitive functioning through appropriately dosed repetitive, goal-oriented, progressive, task- and context-specific training. Motor rehabilitation supports people with stroke to maximize health, well-being and quality of life. The framework describes the International Classification of Functioning, Disability and Health in the context of stroke, describes neurobiological mechanisms of behavioral restitution and compensation, and summarizes recommendations for clinical assessment, prediction tools, and motor interventions with strong recommendations from clinical practice guidelines (2016-2022).

conclusionsThis definition and framework may guide clinical educators, inform clinicians on current recommendations and guidelines, and identify gaps in the evidence base.

Indexed as

Motor DisordersPersons with DisabilitiesStrokeStroke RehabilitationActivities of Daily LivingConsensusHumansQuality of LifeRecovery of Functionassessmentinterventionmotor recoverymotor rehabilitationpredictionReview

Identifiers

PMID37548025
PMCPMC10683740

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.