2026 Chinese Expert Consensus on Community-to-Home Full-Cycle Physical Fitness Rehabilitation Pathway for Stroke Patients (Practical Edition)

doi:10.3969/j.issn.1673-5765.2026.03.011

Abstract

Abstract: Community-to-home rehabilitation is the core component of the full-cycle stroke rehabilitation system. As a key physiological indicator affecting patients’ long-term functional prognosis and quality of life, physical fitness has received increasing clinical attention. With the continuous development of rehabilitation concepts, constructing a standardized and scientific physical fitness rehabilitation pathway has become an urgent need for improving the quality of primary rehabilitation services. To this end, the Community Rehabilitation Committee of Chinese Association of Rehabilitation Medicine; the Hand Function Rehabilitation Committee of Chinese Association of Rehabilitation Medicine; and the National Clinical Research Center for Aging and Medicine, Huashan Hospital, Fudan University, in collaboration with multidisciplinary experts, have formulated this consensus. This consensus provides a standardized definition of physical fitness decline after stroke, and conducts in-depth discussions on the assessment, intervention, outcome evaluation, and follow-up of stroke physical fitness rehabilitation, as well as community rehabilitation support and quality control. It highlights a quantitative assessment system centered on physical fitness and stage-specific rehabilitation strategies, aiming to provide primary rehabilitation practitioners with systematic and actionable clinical guidance, facilitate the standardization of community-to-home full-cycle physical fitness rehabilitation pathways for stroke patients in China, and provide a scientific basis for relevant clinical practice and research.

Key words: Stroke; Physical fitness; Rehabilitation; Community; Home; Full-cycle management; Expert consensus

摘要： 社区-居家康复是卒中全周期康复体系的核心环节，体适能水平作为影响患者长期功能预后与生活质量的关键生理指标，日益受到临床关注。随着康复理念的不断发展，构建标准化、科学化的体适能康复路径已成为提升基层康复服务质量的迫切需求。为此，中国康复医学会社区康复工作委员会、中国康复医学会手功能康复专业委员会与复旦大学附属华山医院国家老年疾病临床医学研究中心联合多学科专家，制定了本共识。本共识对卒中后体适能水平下降进行了规范定义，并围绕卒中体适能康复的评估、干预、康复效果评估和随访，以及社区康复支持与质量控制等方面展开深入讨论，重点阐述了以体适能为核心的量化评估体系及分阶段康复策略，旨在为基层康复工作者提供系统化、可操作的临床指导，助力中国卒中患者社区-居家全周期体适能康复路径的标准化建设，并为相关临床实践与研究提供科学依据。

关键词: 卒中; 体适能; 康复; 社区; 家庭; 全周期管理; 专家共识

CLC Number:

Community Rehabilitation Committee of Chinese Association of Rehabilitation Medicine, Hand Function Rehabilitation Committee of Chinese Association of Rehabilitation Medicine, National Clinical Research Center for Aging and Medicine, Huashan Hospital, Fudan University. 2026 Chinese Expert Consensus on Community-to-Home Full-Cycle Physical Fitness Rehabilitation Pathway for Stroke Patients (Practical Edition)[J]. Chinese Journal of Stroke, 2026, 21(3): 353-372.

中国康复医学会社区康复工作委员会, 中国康复医学会手功能康复专业委员会, 复旦大学附属华山医院国家老年疾病临床医学研究中心. 中国卒中患者社区-居家全周期体适能康复路径2026专家共识（实践版）[J]. 中国卒中杂志, 2026, 21(3): 353-372.

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URL: https://www.chinastroke.org.cn/EN/10.3969/j.issn.1673-5765.2026.03.011

https://www.chinastroke.org.cn/EN/Y2026/V21/I3/353

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