Methods of Evidence-based medicine for patients after stroke with early Spasticity

Abstract

Аcute cerebrovascular accident is the main cause of disability. Stroke has different clinical characteristics and consequences that require individual rehabilitation examination and approach. Adverse neurological disorders are accompanied by motor, cognitive, and psycho-emotional consequences. Over the past 20 years, the treatment of acute cerebrovascular accidents has significantly increased the recovery rates of patients. This is due to the progress of international clinical protocols, randomized evidence-based medicine, adequate medication, step-by-step and individualized physical therapy, and occupational therapy strategies for patients. One of the most important contributions to rehabilitation for stroke patients is made by evidence-based medicine. The literature review highlights current evidence and critical appraisal to confirm the effectiveness of evidence-based medicine in rehabilitation interventions to improve movement control, activity, participation, and functioning. The benefits of rehabilitation interventions on spasticity after stroke in the early period have been proven. However, even after medical and rehabilitation, the restoration of motor function remains insufficient to achieve the patient's request, due to inconsistent application of evidence-based medicine.