Pusher syndrome
Posted: Wed Aug 30, 2006 10:44 pm
Dear All,
have any of you had any experience with treating the so-called "Pusher
Syndrome"?
(If you have, you will probably remember the condition; just in case,
though, I am including an abstract - see below the the message - and a
link.)
N.B. The capital letters in the abstract are mine.
http://tinyurl.com/oby7x
Thanks in advance.
All the best,
A.
ABSTRACT
Pusher syndrome in patients post-stroke is characterized by leaning
and active pushing toward the hemiplegic side with no compensation for
the instability, and resistance to passive correction toward midline.
Patients with pusher syndrome post-stroke have been found to require
longer than average to reach independence in activities of daily
living and ambulation. This behavior is found to be present primarily
in patients with RIGHT hemispheric lesions centered in the area of the
posterolateral thalamus. Patients with this disorder misperceive body
orientation in space, believing that the upright position is
approximately 18° tilted toward the ipsilesional side. This could be
the result of 'graviceptive neglect' of signals originating in the
contralesional trunk and pelvis. The ability to use visual information
for the correction of body posture continues to exist in this
population, allowing for the use of visual cues and cognitive
strategies as potential rehabilitation tools.
have any of you had any experience with treating the so-called "Pusher
Syndrome"?
(If you have, you will probably remember the condition; just in case,
though, I am including an abstract - see below the the message - and a
link.)
N.B. The capital letters in the abstract are mine.
http://tinyurl.com/oby7x
Thanks in advance.
All the best,
A.
ABSTRACT
Pusher syndrome in patients post-stroke is characterized by leaning
and active pushing toward the hemiplegic side with no compensation for
the instability, and resistance to passive correction toward midline.
Patients with pusher syndrome post-stroke have been found to require
longer than average to reach independence in activities of daily
living and ambulation. This behavior is found to be present primarily
in patients with RIGHT hemispheric lesions centered in the area of the
posterolateral thalamus. Patients with this disorder misperceive body
orientation in space, believing that the upright position is
approximately 18° tilted toward the ipsilesional side. This could be
the result of 'graviceptive neglect' of signals originating in the
contralesional trunk and pelvis. The ability to use visual information
for the correction of body posture continues to exist in this
population, allowing for the use of visual cues and cognitive
strategies as potential rehabilitation tools.