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Treatment interventions for pusher syndrome: A case series
1Eugene Applebaum College of Pharmacy and Health Science, Wayne State University, Detroit, MI, USA.
Neurorehabilitation
|March 1, 2019
Summary
Pusher syndrome (PS) treatment interventions effectively reduced pushing behavior and improved balance and transfers in stroke patients. Further research is needed for broader application.
Area of Science:
- Neurology
- Rehabilitation Medicine
- Physical Therapy
Background:
- Pusher syndrome (PS) is a neurological disorder characterized by impaired postural balance and active pushing away from the non-hemiparetic side after brain damage.
- Managing PS presents a challenge for therapists due to the need to address both hemiparetic and pushing/non-hemiparetic sides.
- Evidence for effective treatment interventions for PS is limited.
Purpose of the Study:
- To investigate treatment interventions aimed at reducing pushing behavior in patients with Pusher syndrome.
- To evaluate the impact of these interventions on functional outcomes, including balance and transfer abilities.
Main Methods:
- A case series involving five participants (aged 42-76) diagnosed with PS post-stroke.
- Participants received intensive physical therapy (90 minutes/day, 5 days/week) focusing on midline orientation, mobility, and neuro-education.
- Outcome measures assessed pushing behavior, transfer ability, and sitting balance.
Main Results:
- All five participants showed significant improvements in reducing pushing behavior.
- Participants demonstrated enhanced balance and transfer abilities following the intervention program.
Conclusions:
- The study provides preliminary evidence that targeted physical therapy interventions can decrease pushing behavior and improve functional outcomes in PS patients.
- Larger-scale studies are recommended to validate these findings and explore effectiveness in patients with varying degrees of pushing behavior.
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