RehabEdge Physical Therapy Forum

Forums  Register  Login  Forgot Login?
  My Profile 
My Subscription
  My Forums 
Search
  FAQ  Log Out
Follow @RehabEdge

CVA-Pusher's Syndrome

 
Logged in as: Guest
Users viewing this topic: none
  Printable Version
All Forums >> [RehabEdge Forum] >> Neurology >> CVA-Pusher's Syndrome Page: [1]
Login
Message << Older Topic   Newer Topic >>
CVA-Pusher's Syndrome - March 7, 2008 2:04:05 AM   
emarks

 

Posts: 4
Joined: April 21, 2007
Status: offline
Hello,

I am a 6th year DPT student doing a clinical in in-patient rehab right now.  We have three patients right now that exhibit severe pushing to their affected side while ambulating.  Does anyone have treatment ideas we can try?
Post #: 1
RE: CVA-Pusher's Syndrome - March 9, 2008 1:48:58 AM   
blast7

 

Posts: 122
Joined: July 29, 2005
Status: offline
There are a number of articles through databases that I'm sure your school has a subscription to.  I would try there first.

(in reply to emarks)
Post #: 2
RE: CVA-Pusher's Syndrome - March 9, 2008 2:14:52 PM   
David Adamczyk

 

Posts: 407
Joined: March 15, 1999
From: Cleveland
Status: offline
Does anyone have any suggestions based on their experience working with this patient population?

(in reply to blast7)
Post #: 3
RE: CVA-Pusher's Syndrome - April 10, 2008 1:43:59 AM   
Mary.Pavlantos

 

Posts: 2
Joined: March 9, 2008
Status: offline
Here are a few strategies that work for pts with Pusher's Syndrome:

1.) Orient the pt to vertical using a door frame, holding your arm in front of them or use edge of a mirror. Research shows that it is the impaired perception of vertical that is causing the presentation. Explain to the pt what is happening and how to correct it using the proper cues and assistance to correct.

2.) To eliminate pushing with the UE, have the pt place his/her hands palms up on the lap after their posture is corrected

3.) To decrease pushing with the LE, bring the leg out further forward (increase knee ext). This will make it more difficult for the pt to push with the legs during dynamic sitting balance activities.

4.) A standing activity could be using the uninvolved UE to assist the involved side in reaching activity on a high mat that can support the arms if needed.

Hope this helps
Mary


(in reply to David Adamczyk)
Post #: 4
Page:   [1]
All Forums >> [RehabEdge Forum] >> Neurology >> CVA-Pusher's Syndrome Page: [1]
Jump to:





New Messages No New Messages
Hot Topic w/ New Messages Hot Topic w/o New Messages
Locked w/ New Messages Locked w/o New Messages
 Post New Thread
 Reply to Message
 Post New Poll
 Submit Vote
 Delete My Own Post
 Delete My Own Thread
 Rate Posts



Google Custom Search
Forum Software © ASPPlayground.NET Advanced Edition 2.5.5 Unicode

0.078