Five CPGs provided information in varying detail on how tools were selected only 1 CPG provided a level of recommendation. Across 27 tools, the three components of postural control most frequently challenged were underlying motor systems (100%), anticipatory postural control (96%), and dynamic stability (85%). The tool most frequently cited in middle- and high-income countries was the BBS (3/3 CPGs), and 6MWT (7/7 CPGs), respectively. Across 10 CPGs, the most commonly cited tools were the Berg Balance Scale (BBS) (90%), 6-Minute Walk Test (6MWT) (80%), Timed Up and Go Test (80%) and 10-Meter Walk Test (70%). Ten CPGs (53%) recommended or suggested 27 unique tools. Results: Of the 19 CPGs included in the review, 7 (37%) and 12 (63%) were from middle- and high-income countries, respectively. Experts identified postural control components challenged by each tool. We abstracted data about CPGs, standardized assessment tools, the approach for tool selection, and resources. Pairs of reviewers reviewed abstracts and full texts in duplicate. We searched seven electronic databases and grey literature. We included CPGs with recommendations on the delivery of stroke rehabilitation to address balance and mobility limitations. Purpose: To identify and describe standardized, performance-based tools for assessing balance and/or mobility and describe postural control components challenged, the approach used to select tools, and resources provided for clinical implementation, in CPGs for stroke. The extent to which clinical practice guidelines (CPGs) for stroke rehabilitation recommend specific tools and provide resources to support their implementation is unknown. 8The KITE Research Institute, University Health Network, Toronto, ON, Canadaīackground: Use of standardized tools to assess balance and mobility limitations is a recommended practice in stroke rehabilitation. 7Department of Physiotherapy, Faculty of Clinical Sciences, College of Medicine, University of Ibadan, Ibadan, Nigeria.6George and Fay Yee Centre for Healthcare Innovation, University of Manitoba, Winnipeg, MB, Canada.5Department of Community Health Sciences, University of Manitoba, Winnipeg, MB, Canada.4Department of Physical Therapy, University of Toronto, Toronto, ON, Canada.3School of Therapeutic Sciences, SRH University Heidelberg, Heidelberg, Germany.
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