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Related Experiment Video

Updated: Jul 16, 2025

Author Spotlight: Rehabilitation of Stroke Patients With a Digital Occupational Training System

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Published on: December 29, 2023

Post-Stroke Lateropulsion: Resolution and Function After Discharge From Inpatient Rehabilitation - A Cohort Study.

Jessica Nolan^1,2, Erin Godecke^1,3,4, Katrina Spilsbury⁵

¹From the: School of Medical and Health Sciences, Edith Cowan University, Joondalup, W.A., Australia.

Physiotherapy Canada. Physiotherapie Canada

|September 22, 2023

Summary

This summary is machine-generated.

Post-stroke lateropulsion, a pushing behavior, can persist after rehabilitation. Functional outcomes at three months varied based on lesion laterality in patients with persistent lateropulsion.

Keywords:

postural balance rehabilitation stroke treatment outcome

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Area of Science:

Neurology
Rehabilitation Medicine
Stroke Recovery

Background:

Post-stroke lateropulsion involves pushing toward the hemiparetic side.
Long-term persistence and functional impact of lateropulsion require further investigation.

Purpose of the Study:

To investigate the long-term persistence of lateropulsion after stroke.
To determine the association between lateropulsion severity and functional outcomes at three months post-discharge.

Main Methods:

Prospective cohort study of 41 stroke rehabilitation admissions.
Measured lateropulsion severity (Four Point Pusher Score - 4PPS) and functional status (Functional Independence Measure - FIM) at admission, discharge, and 3-month follow-up.
Analyzed factors associated with FIM change, including lateropulsion status, stroke laterality, and post-discharge physiotherapy.

Main Results:

Lateropulsion persisted at discharge in 23.7% and at 3 months in 18.4% of participants.
Improved FIM scores were observed at follow-up for patients with right-sided lesions who were discharged with lateropulsion.
No significant functional improvement was noted at follow-up for patients with left-sided lesions and persistent lateropulsion.

Conclusions:

Lateropulsion may continue to resolve after inpatient stroke rehabilitation.
Further research with larger cohorts is necessary to understand the long-term outcomes associated with persistent lateropulsion.