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Research progress in Pusher Syndrome after stroke.

Huayong Wu1, Haoyang Duan2

  • 1College of Sports Science and Health, Harbin Sport University, Harbin, China.

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Summary

Post-stroke Pusher Syndrome involves actively tilting to the weak side after a stroke, impacting motor function. Early rehabilitation is key for recovery, though some patients experience long-term balance issues.

Keywords:
Pusher Syndromerehabilitationresearch progressreviewstroke

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Area of Science:

  • Neurology
  • Rehabilitation Medicine
  • Post-stroke Disorders

Background:

  • Post-stroke Pusher Syndrome is a significant postural control disorder affecting stroke survivors.
  • It is characterized by active tilting toward the hemiplegic side and resistance to correction, impacting motor function and quality of life.

Purpose of the Study:

  • To comprehensively review the nomenclature, incidence, etiology, lesion sites, clinical manifestations, and prognosis of Pusher Syndrome.
  • To provide a research foundation for future studies on post-stroke Pusher Syndrome.

Main Methods:

  • Literature review of studies on post-stroke Pusher Syndrome.
  • Analysis of incidence, etiology, lesion sites, clinical manifestations, and prognosis.

Main Results:

  • Incidence varies widely (5%-63%), with higher rates in right brain damage (17.4%) than left (9.5%).
  • Key pathological basis involves damage to the parietal lobe, thalamus, insula, and postcentral gyrus, with interrupted thalamocortical connections.
  • Clinical manifestations include trunk tilting, asymmetric weight-bearing, impaired weight shift, and gait disturbances, often co-occurring with unilateral spatial neglect.

Conclusions:

  • Approximately 90% of patients recover within 6 months, but 10%-15% may have persistent symptoms.
  • Early rehabilitation intervention is crucial for improving functional outcomes in patients with Pusher Syndrome.