WHO Systematic Assessment of Rehabilitation Situation (STARS): A systematic review on the status of stroke rehabilitation in India
Purpose of review To provide a 'Systematic Assessment of the Rehabilitation Situation' (STARS) on stroke rehabilitation in India in accordance with the World Health Organization (WHO) STARS guidelines. Understanding the current status will help in planning of future policy and development...
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Veröffentlicht in: | Current physical medicine and rehabilitation reports 2023-12, Vol.11 (4), p.410-423 |
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creator | Handa, Gita Hazra, Sandipan Chalageri, Prashanth H. |
description | Purpose of review
To provide a 'Systematic Assessment of the Rehabilitation Situation' (STARS) on stroke rehabilitation in India in accordance with the World Health Organization (WHO) STARS guidelines. Understanding the current status will help in planning of future policy and development activities.
Recent Findings
The available stroke rehabilitation data from India is deficient. While the incidence of stroke is 33 to 295.9 per year per 100,000 people (in a country of 1.2 billion), there are about 1000 physiatrists and only 150 designated rehabilitation facilities. Among them almost 40% patients are moderate to severely disabled and around 50% patients are spastic. The pooled prevalence of dysphagia was 47.71%. Lack of standardised data, referral system, information gaps, and resources hinder stroke rehabilitation in India. Predominantly uni-disciplinary stroke units are clustered in metropolitan cities and tertiary centres. They are nearly absent at secondary and primary healthcare facilities. Integrating rehabilitation into health care system will improve stroke rehabilitation in India.
Summary
Stroke rehabilitation infrastructure in India is a work in progress, but structured planning is needed to make WHO rehabilitation for all a reality by 2030. |
doi_str_mv | 10.1007/s40141-023-00418-2 |
format | Article |
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To provide a 'Systematic Assessment of the Rehabilitation Situation' (STARS) on stroke rehabilitation in India in accordance with the World Health Organization (WHO) STARS guidelines. Understanding the current status will help in planning of future policy and development activities.
Recent Findings
The available stroke rehabilitation data from India is deficient. While the incidence of stroke is 33 to 295.9 per year per 100,000 people (in a country of 1.2 billion), there are about 1000 physiatrists and only 150 designated rehabilitation facilities. Among them almost 40% patients are moderate to severely disabled and around 50% patients are spastic. The pooled prevalence of dysphagia was 47.71%. Lack of standardised data, referral system, information gaps, and resources hinder stroke rehabilitation in India. Predominantly uni-disciplinary stroke units are clustered in metropolitan cities and tertiary centres. They are nearly absent at secondary and primary healthcare facilities. Integrating rehabilitation into health care system will improve stroke rehabilitation in India.
Summary
Stroke rehabilitation infrastructure in India is a work in progress, but structured planning is needed to make WHO rehabilitation for all a reality by 2030.</description><identifier>ISSN: 2167-4833</identifier><identifier>EISSN: 2167-4833</identifier><identifier>DOI: 10.1007/s40141-023-00418-2</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Caregivers ; Data collection ; Disability ; Epidemiology ; Life expectancy ; Medicine ; Medicine & Public Health ; Pain ; People with disabilities ; Public health ; Questionnaires ; Rehabilitation Medicine ; Shoulder ; Spasticity ; Stroke ; Systematic review ; Topical Collection on Stroke Rehabilitation ; Urinary incontinence</subject><ispartof>Current physical medicine and rehabilitation reports, 2023-12, Vol.11 (4), p.410-423</ispartof><rights>The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2023. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.</rights><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c270t-d7a5918f1a87c668f316af641fe74951e1b770da2c373aaad938e967228ffba93</cites><orcidid>0000-0002-0807-9396 ; 0000-0002-6735-5610 ; 0000-0003-3077-4026</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s40141-023-00418-2$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/2921226767?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>314,777,781,21369,21370,27905,27906,33511,33725,41469,42538,43640,43786,51300,64364,64368,72218</link.rule.ids></links><search><creatorcontrib>Handa, Gita</creatorcontrib><creatorcontrib>Hazra, Sandipan</creatorcontrib><creatorcontrib>Chalageri, Prashanth H.</creatorcontrib><title>WHO Systematic Assessment of Rehabilitation Situation (STARS): A systematic review on the status of stroke rehabilitation in India</title><title>Current physical medicine and rehabilitation reports</title><addtitle>Curr Phys Med Rehabil Rep</addtitle><description>Purpose of review
To provide a 'Systematic Assessment of the Rehabilitation Situation' (STARS) on stroke rehabilitation in India in accordance with the World Health Organization (WHO) STARS guidelines. Understanding the current status will help in planning of future policy and development activities.
Recent Findings
The available stroke rehabilitation data from India is deficient. While the incidence of stroke is 33 to 295.9 per year per 100,000 people (in a country of 1.2 billion), there are about 1000 physiatrists and only 150 designated rehabilitation facilities. Among them almost 40% patients are moderate to severely disabled and around 50% patients are spastic. The pooled prevalence of dysphagia was 47.71%. Lack of standardised data, referral system, information gaps, and resources hinder stroke rehabilitation in India. Predominantly uni-disciplinary stroke units are clustered in metropolitan cities and tertiary centres. They are nearly absent at secondary and primary healthcare facilities. Integrating rehabilitation into health care system will improve stroke rehabilitation in India.
Summary
Stroke rehabilitation infrastructure in India is a work in progress, but structured planning is needed to make WHO rehabilitation for all a reality by 2030.</description><subject>Caregivers</subject><subject>Data collection</subject><subject>Disability</subject><subject>Epidemiology</subject><subject>Life expectancy</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Pain</subject><subject>People with disabilities</subject><subject>Public health</subject><subject>Questionnaires</subject><subject>Rehabilitation Medicine</subject><subject>Shoulder</subject><subject>Spasticity</subject><subject>Stroke</subject><subject>Systematic review</subject><subject>Topical Collection on Stroke Rehabilitation</subject><subject>Urinary incontinence</subject><issn>2167-4833</issn><issn>2167-4833</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp9kE9Lw0AQxYMoWGq_gKcFL3qI7p90d-MtFLWFQsFUPC7bZNemtknd2Si9-sndGqF6cS4z8N7vDbwoOif4mmAsbiDBJCExpizGOCEypkdRjxIu4kQydvzrPo0GACscRlKOJe5Fn8_jGcp34M1G-6pAGYAB2Jjao8aiR7PUi2pd-aA1Ncor33bXZT7PHvOrW5QhOMDOvFfmAwXdLw2CQLWwjwHvmlcT5D9pVY0mdVnps-jE6jWYwc_uR0_3d_PROJ7OHiajbBoXVGAfl0IPUyIt0VIUnEvLCNeWJ8QakaRDYshCCFxqWjDBtNZlyqRJuaBUWrvQKetHF13u1jVvrQGvVk3r6vBS0ZQSSrngIrho5ypcA-CMVVtXbbTbKYLVvm7V1a1C3eq7bkUDxDoIgrl-Me4Q_Q_1BSikgzI</recordid><startdate>20231201</startdate><enddate>20231201</enddate><creator>Handa, Gita</creator><creator>Hazra, Sandipan</creator><creator>Chalageri, Prashanth H.</creator><general>Springer US</general><general>Springer Nature B.V</general><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><orcidid>https://orcid.org/0000-0002-0807-9396</orcidid><orcidid>https://orcid.org/0000-0002-6735-5610</orcidid><orcidid>https://orcid.org/0000-0003-3077-4026</orcidid></search><sort><creationdate>20231201</creationdate><title>WHO Systematic Assessment of Rehabilitation Situation (STARS): A systematic review on the status of stroke rehabilitation in India</title><author>Handa, Gita ; 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To provide a 'Systematic Assessment of the Rehabilitation Situation' (STARS) on stroke rehabilitation in India in accordance with the World Health Organization (WHO) STARS guidelines. Understanding the current status will help in planning of future policy and development activities.
Recent Findings
The available stroke rehabilitation data from India is deficient. While the incidence of stroke is 33 to 295.9 per year per 100,000 people (in a country of 1.2 billion), there are about 1000 physiatrists and only 150 designated rehabilitation facilities. Among them almost 40% patients are moderate to severely disabled and around 50% patients are spastic. The pooled prevalence of dysphagia was 47.71%. Lack of standardised data, referral system, information gaps, and resources hinder stroke rehabilitation in India. Predominantly uni-disciplinary stroke units are clustered in metropolitan cities and tertiary centres. They are nearly absent at secondary and primary healthcare facilities. Integrating rehabilitation into health care system will improve stroke rehabilitation in India.
Summary
Stroke rehabilitation infrastructure in India is a work in progress, but structured planning is needed to make WHO rehabilitation for all a reality by 2030.</abstract><cop>New York</cop><pub>Springer US</pub><doi>10.1007/s40141-023-00418-2</doi><tpages>14</tpages><orcidid>https://orcid.org/0000-0002-0807-9396</orcidid><orcidid>https://orcid.org/0000-0002-6735-5610</orcidid><orcidid>https://orcid.org/0000-0003-3077-4026</orcidid></addata></record> |
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subjects | Caregivers Data collection Disability Epidemiology Life expectancy Medicine Medicine & Public Health Pain People with disabilities Public health Questionnaires Rehabilitation Medicine Shoulder Spasticity Stroke Systematic review Topical Collection on Stroke Rehabilitation Urinary incontinence |
title | WHO Systematic Assessment of Rehabilitation Situation (STARS): A systematic review on the status of stroke rehabilitation in India |
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