Evidence map›Paper›PMID 40262822›Full record

GuidelineArquivos de neuro-psiquiatria2025

A physiotherapy protocol* for stroke patients in acute hospital settings: expert consensus from the Brazilian early stroke rehabilitation task force.

Iara Maso, Gustavo José Luvizutto, Jéssica Mariana de Aquino Miranda, Carla Ferreira do Nascimento, Luana Aparecida Miranda Bonome, Elen Beatriz Pinto, Fabiane Maria Klitzke, Ricardo Machado Souza, Carla Heloisa Cabral Moro, Rodrigo Bazan and 5 more

Abstract readPractice GuidelineConsensus Statement
In one paragraph

Guideline in Arquivos de neuro-psiquiatria, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
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

15 authors.

Iara MasoHospital Geral Roberto Santos, Unidade de AVC, Salvador BA, Brazil.ORCID 0000-0003-0135-1833
Gustavo José LuvizuttoUniversidade Federal do Triângulo Mineiro, Departamento de Fisioterapia Aplicada, Uberaba MG, Brazil.ORCID 0000-0002-6914-7225
Jéssica Mariana de Aquino MirandaUniversidade Federal do Triângulo Mineiro, Departamento de Fisioterapia Aplicada, Uberaba MG, Brazil.ORCID 0000-0001-5306-5404
Carla Ferreira do NascimentoHospital Geral Roberto Santos, Unidade de AVC, Salvador BA, Brazil.ORCID 0000-0002-0054-277X
Luana Aparecida Miranda BonomeUniversidade Estadual Paulista, Faculdade de Medicina de Botucatu, Botucatu SP, Brazil.ORCID 0000-0001-9465-1653
Elen Beatriz PintoEscola Bahiana de Medicina e Saúde Pública, Grupo de Pesquisa Comportamento Motor e Reabilitação Neurofuncional, Salvador BA, Brazil.ORCID 0000-0003-3753-923X
Fabiane Maria KlitzkeHospital Municipal São José, Programa de Residência Multiprofissional em Neurologia, Joinville SC, Brazil.ORCID 0000-0001-7603-7019
Ricardo Machado SouzaUniversidade de São Paulo, Faculdade de Medicina de Ribeirão Preto, Hospital das Clínicas, Unidade de AVC, Ribeirão Preto SP, Brazil.ORCID 0009-0008-3262-6282
Carla Heloisa Cabral MoroHospital São José, Unidade de AVC, Joinville SC, Brazil.ORCID 0000-0001-6346-939X
Rodrigo BazanUniversidade Estadual Paulista, Faculdade de Medicina de Botucatu, Botucatu SP, Brazil.ORCID 0000-0003-3872-308X
Pedro Antonio Pereira de JesusHospital Geral Roberto Santos, Unidade de AVC, Salvador BA, Brazil.ORCID 0000-0003-1211-2272
Eduardo de Melo Carvalho RochaSanta Casa de São Paulo, Faculdade de Ciências Médicas, São Paulo SP, Brazil.ORCID 0000-0003-2078-5450
Cesar MinelliHospital Carlos Fernando Malzoni, Matão SP, Brazil.ORCID 0000-0002-3969-6629
Sheila Ouriques MartinsHospital de Clínicas de Porto Alegre, Porto Alegre RS, Brazil.ORCID 0000-0002-8452-712X
Jussara Almeida de Oliveira BaggioUniversidade Federal de Alagoas, Curso de Medicina, Arapiraca AL, Brazil.ORCID 0000-0003-2508-1364

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The present protocol provides general recommendations based on the best evidence currently available for physiotherapists to use as a guide for the care of stroke patients during hospitalization. The Brazilian Early Stroke Rehabilitation Task Force, comprising physical therapy experts and researchers from different Brazilian states, was organized to develop this care protocol based on a bibliographical survey, including meta-analyses, systematic reviews, clinical trials, and other more recent and relevant scientific publications. Professionals working in stroke units were also included in the task force to ensure the practicality of the protocol in different contexts. This protocol provides guidance on assessment strategies, safety criteria for the mobilization of patients with stroke, recommendations for mobilization and proper positioning, as well as evidence-based practices for treatment during hospitalization, including preventive measures for shoulder pain and shoulder-hand syndrome. The protocol also provides information on the organization of the physiotherapy service at stroke units, guidelines for hospital discharge, and quality indicators for physiotherapy services. We have included detailed activities that can be performed during mobilization in the supplementary material, such as postural control training, sensory and perceptual stimulation, task-oriented training, and activities involving an enriched environment. The protocol was written in a user-friendly format to facilitate its application in different social and cultural contexts, utilizing resources readily available in most clinical settings.

Indexed as

Physical Therapy ModalitiesStroke RehabilitationBrazilClinical ProtocolsHospitalizationHumans

Identifiers

PMID40262822
PMCPMC12020504

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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 OpenQuestion graph.