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Effects of dynamic supported standing training in a patient with pusher behavior: a case report
Masahide Inoue1,2, Yuji Fujino3, Satoshi Sugimoto4
1Department of Rehabilitation, Saitama Medical University International Medical Center, Saitama, Japan.
Background:
The effects of task-specific and voluntary exercise in upright positions for pusher behavior remain unclear. In this report, we aimed to describe the effects of dynamic supported standing training using a modified standing frame to correct the alignment in a patient with severe pusher behavior.
Case Description:
A 76-year-old man with cardioembolic ischemic stroke demonstrated pusher behavior. The patient underwent 3 days of dynamic supported standing training using a modified standing frame. The Scale for Contraversive Pushing, the Burke Lateropulsion Scale, and the Trunk Control Test were used to assess changes.
Outcomes:
Immediate improvements in sitting balance were observed after the intervention, and the effects persisted to 8 days later.
Conclusion:
Dynamic supported standing training using a modified standing frame may improve pusher behavior with short-term training. The collapsed posture of the patient in the present case was corrected using the modified standing frame. This neutral standing position could have a positive effect on motor learning with respect to holding one's posture.
