Pusher Syndrome Flashcards
1
Q
Pusher Syndrome
A
- sense of imbalance causes pushing of involved side toward uninvolved
- Actively resist help and corrections
- Pt often unaware of pushing posture
- with R or L stroke (more in R strokes)–common with left neglect, spatial problems, perceptual problems
- [AKA:Contraversive pushing, ipsilateral pushing, lateropulsion]
2
Q
Fear of falling can_____
A
Increase pushing
3
Q
Body Scheme
A
Recognizing body parts in relation to one another
4
Q
Characteristic Pushing Posture
A
abduction and extension of UE and LE legs of uninvolved side (pushing towards involved side)
5
Q
Seen more often in_____
A
- pts with more severe hemiplegia, sensory and perceptual deficits
- but vision is in tact (use visual cues)
6
Q
Lesion causes the pt to_____
A
- have problems detecting upright
- perceive their body position to be 18* toward ipsilesional side
7
Q
Possible lesion area causing pusher syndrome
A
-posterolateral thalamus
8
Q
Clinical Scale for Contraversive Pushing
A
- Outcome measure to diagnose and assess pusher syndrome
- Assesses: Spontaneous posture; abduction and ext of nonparetic extremities; resistance to passive correction of tilted posture
9
Q
4 steps of Tx
A
- realize disturbed perception of erect body position
- visually explore the surroundings and the body’s relationship to the surroundings
- learn movements necessary to reach vertical body position
- maintain vertical body position while performing other activities.
10
Q
Static Postures Important
A
- Sitting
- Standing
- Quadruped
- Kneeling/Half-Kneeling
11
Q
Types of Transfers
A
- Scooting (keep body low)
- Transfer toward involved side (easier)
- Transfer toward uninvolved side (get out of pushing posture)
12
Q
ADLs that can be done to address pushing behavior
A
- Sitting: reaching, don/doff shoes/socks, eating, etc
- Standing: brush teeth, cooking, dressing, comb hair
-Static–>dynamic
