Recommendation ID
CG162/2
Question
Intensive rehabilitation after stroke:- In people after stroke what is the clinical and cost effectiveness of intensive rehabilitation (6 hours per day) versus moderate rehabilitation (2 hours per day) on activity, participation and quality of life outcomes?
Any explanatory notes
(if applicable)
Why this is important:- Rehabilitation aims to maximise activity and participation and minimise distress for people with stroke and their families and carers. The physical and mental capacity to participate in rehabilitation possessed by people with stroke varies widely. Some people who are unwell may not be able to participate at all, whereas others may be able to tolerate 6 hours of therapy a day. The potential long-term cost benefits of even small changes in function may be significant. Evidence suggests that increasing rehabilitation intensity early after stroke results in improved outcomes, but the evidence for this is not robust. Previous studies comparing different levels of intensity have used rehabilitation inputs that are lower than the current levels recommended by the NICE stroke quality standard. If it were shown that increasing the intensity of rehabilitation in people who are able to participate
results in functional and cost benefits, stroke rehabilitation services and funding tariffs should be reviewed.

Source guidance details

Comes from guidance
Stroke rehabilitation in adults
Number
CG162
Date issued
June 2013

Other details

Is this a recommendation for the use of a technology only in the context of research? No  
Is it a recommendation that suggests collection of data or the establishment of a register?   No  
Last Reviewed 15/07/2013