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"Pusher's Syndrome"
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"Pusher's Syndrome" - July 24, 2000 6:27:00 AM
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JLowe
Posts: 2
Joined: February 9, 2000
From: St. Augustine, FL
Status: offline
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Many clinicians beleive that such a thing as "Pusher's Syndrome" does exist. I myself have seen many patients with what has been described as this syndrome--patient leans, pushes strongly to the more affected side. Pat Davies book has a whole chapter on this syndrome but the literature is sorely lacking in ANY information on this "syndrome" One study I have found found in Phy Med Rehab 1996 looked at ipsilateral pushing in stroke (part of Copenhagen study). They found no significant differences in the incidience of hemineglect and anosognosia and no association with side of lesion. I was suprised by this data as all of the patients I considered "pushers" had visual deficits as well as had a right CVA (left hemiplegia). Does anyone have any other references to this syndrome or clinical experience with this syndrome? I am very interested in taking on a study to explore whether this "syndrome" exists and exactly what the nature of it is. If anyone knows of anyone currently studying this problem please let me know. Thanks!
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Re: "Pusher's Syndrome" - July 24, 2000 7:25:00 AM
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Andrew M. Ball, MS, PT
Posts: 500
Joined: October 8, 1999
From: Chapel Hill, NC, USA
Status: offline
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That's interesting,
"Pusher Syndrome" is a term not often (if ever) used in the United States. You will find it in some of the European research (esp. Germany and Austria) to describe the patient with hemiplegia that pushes into the therapist during ambulation or gait training.
I came across this term in the partial weight bearining gait training over treadmill studies (aka body weight support) done by Steven Hesse in the mid ninety's. I had not heard of it before either.
Drew
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Re: "Pusher's Syndrome" - August 11, 2000 12:27:00 AM
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Narimah Daud
Posts: 7
Joined: April 10, 2000
From: Kuala Lumpur , Malaysia
Status: offline
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hi! JLowe,
This topic was discussed earlier.Why don't you browse through this forum and retrieve the article.Someone had send me a good article on this.
Good Luck
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