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Related Experiment Videos

Prognosis of contraversive pushing.

H-O Karnath1, L Johannsen, D Broetz

  • 1Department of Cognitive Neurology, University of Tübingen, Hoppe-Seyler-Str. 3, 72076 Tübingen, Germany. Karnath@uni-tuebingen.de

Journal of Neurology
|September 21, 2002
PubMed
Summary

Patients with pusher syndrome, a stroke-related disorder causing imbalance, showed significant recovery within six months. This suggests physiotherapy can shorten treatment duration and facilitate earlier discharge from care.

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Area of Science:

  • Neurology
  • Rehabilitation Medicine
  • Human Physiology

Background:

  • Pusher syndrome is characterized by active pushing away from the non-hemiparetic side.
  • This behavior leads to loss of postural balance and falls toward the paralyzed side.
  • Altered perception of body orientation relative to gravity underlies pusher syndrome.

Purpose of the Study:

  • To investigate the prognosis of pusher syndrome after stroke.
  • To evaluate the recovery trajectory of patients with contraversive pushing.

Main Methods:

  • A longitudinal study design was employed.
  • Twelve patients diagnosed with pusher syndrome immediately post-stroke were re-examined after a 6-month period.
  • Prognosis was assessed through clinical observation and standardized neurological assessments.

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Main Results:

  • Pusher symptoms demonstrated near-complete recovery in the majority of patients within 6 months.
  • The study observed a significant improvement in postural balance and a reduction in pushing behavior.

Conclusions:

  • Pusher syndrome generally has a favorable prognosis with substantial recovery observed within six months post-stroke.
  • Physiotherapy interventions for contraversive pushing should aim to expedite recovery and enable earlier discharge from inpatient rehabilitation facilities.