Where to now? AVERT answered an important question, but raised many more

Author:

Bayley Mark T12ORCID,Bowen Audrey3,English Coralie4,Teasell Robert5,Eng Janice J6

Affiliation:

1. Division of Physical Medicine and Rehabilitation, Department of Medicine, University of Toronto, Toronto, Canada

2. Toronto Rehabilitation Institute-University Health Network, Toronto, Canada

3. Division of Neuroscience and Experimental Psychology, University of Manchester MAHSC, Manchester, UK

4. School of Health Sciences and Priority Research Centre for Stroke and Brain Injury, Hunter Medical Research Institute, University of Newcastle, Callaghan, Australia

5. Lawson Health Research Institute, Western University, London, Canada

6. Department of Physical Therapy, University of British Columbia and GF Strong Rehab Centre, Vancouver, Canada

Abstract

A Very Early Rehabilitation Trial (AVERT) was a Phase 3 randomized trial with over 2100 subjects post stroke that had unexpected results with better outcomes for usual care than those receiving very early mobilization. This review of published stroke clinical practice guidelines highlights that recommendations for mobilization have changed after publication of AVERT but also that developers have struggled to provide recommendations for appropriate dose, duration and intensity of mobilization in the acute post stroke period with available analyses from AVERT and other literature. This review highlights the priority research questions about early rehabilitation post stroke that need to be addressed through future large scale randomized controlled trials.

Publisher

SAGE Publications

Subject

Neurology

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