Concise Arm and Hand Rehabilitation Approach in Stroke (CARAS): design & implementation of evidence- based arm-hand rehabilitation in stroke among (inter)national healthcare organizations

ADELANTE / the Netherlands

Target Group CARAS is a  clinical framework that can be used by paramedical staff to structure and implement training of arm hand function and arm – hand skill performance in stroke survivors. 
Age of the stroke survivors is between 18 and +/-  70 years
The Concise Arm and hand Rehabilitation Approach in Stroke (CARAS) was developed in order to guide clinicians in systematically designing a patient’s arm-hand rehabilitation program fitting their individual practice. In 2011 CARAS has been adopted in Adelante.  At this point of time, CARAS has been implemented in 5 rehabilitation centers in the Netherlands. At international level CARAS has been adopted and implemented in two rehabilitation centers; India (Poovanthi) (modified version) and Italy (Pietra Ligure)(see attachment 2). Both from a national and an international perspective there is a growing interest in CARAS.

Applied in a number of stroke rehabilitation units, CARAS is a low-cost multicenter approach, and an important step that may lead to significant changes in clinical management of arm and hand rehabilitation in post-stroke phase.     
Staff and Resources
Partners: Paul Dobbelsteijn, Jos Halfens. 
(Adelante Rehabilitation Centre, Department of brain injury rehabilitation)

 H.A.M (Henk) Seelen , R.J.E.M (Rob) Smeets .

Adelante, Centre of Expertise in Rehabilitation and Audiology, Hoensbroek, the Netherlands

The official time-line of this implementation tract was between  January   2014 – December 2016
No finances or financial institutes were involved. All the developing work has been done in spare time. The courses to implement the CARAS program has been paid by the rehabilitation centers.

Contact /more information Name:     J.A Franck
Email address :