Posterior pusher syndrome — case report

Mikołajewska, Emilia

doi:10.2478/s11536-011-0145-7

Cited by 4 publications

(4 citation statements)

References 11 publications

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“…Scale for contraversive pushing (SCP) -examination form [11] • A. Spontaneous body position (posterior pusher syndrome), when the patient pushes away from the front support plane and tilts back or, in the frontalsagittal plane (posterolateral pusher syndrome) -when the patient tilts back and to the side of the affected side. In the case of these syndromes, the above scales can also be used to evaluate patients, with modification of the directions in which the patient is pushing [7,[23][24][25].…”

Section: Diagnostics Of Pusher Syndromementioning

confidence: 99%

Possibilities of physiotherapeutic treatment in the case of patients with pusher syndrome

Drozd,

Nowacka-Kłos,

Hansdorfer-Korzon

2023

Fiz Pol

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The consequences of damage to brain structures often includes various types of perceptual and motor disorders. One of them is Pusher Syndrome (PS). It is defined as a disturbance in the perception of the body position in the frontal plane, which in turn makes it difficult to maintain a correct vertical posture. It occurs most often in patients after a stroke of the right hemisphere of the brain, in the posterolateral region of the thalamus, and its frequency is estimated at about 9–50%. However, it is still a little-known syndrome and too rarely diagnosed. Correct, early diagnosis of pusher syndrome and the introduction of appropriate physiotherapy allows us to shorten the patient’s rehabilitation time and speed up his/her recovery. The objective of the study is to present the principles and possibilities of therapy for patients with pusher syndrome.

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Section: Diagnostics Of Pusher Syndromementioning

confidence: 99%

Possibilities of physiotherapeutic treatment in the case of patients with pusher syndrome

Drozd,

Nowacka-Kłos,

Hansdorfer-Korzon

2023

Fiz Pol

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“…W konsekwencji dochodzi do wykształcenia się u niego charakterystycznych objawów, tj. aktywnego, silnego odpychania się kończyn strony sprawnej w taki sposób, że dochodzi do przechylenia osi ciała na stronę porażoną [1,2,3,4].…”

Section: Wprowadzenie I Cel Pracyunclassified

“…Jest to zaburzenie stosunkowo łatwe do zdiagnozowania, jednakże często nierozpoznawane. Skutkuje to wprowadzeniem niewłaściwego -niedostosowanego do potrzeb pacjenta -programu rehabilitacyjnego, który ze względu na specyfikę funkcjonowania osób z zespołem odpychania -ma małe szanse powodzenia [1, 3,4,5,6,7].…”

Section: Wprowadzenie I Cel Pracyunclassified

Pusher syndrome – the role of the Bobath Concept

Miler¹

2015

Med Og Nauk Zdr.

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The Pusher syndrome is described as frequent, but not very well recognized disorder of body posture characterized by a deflection in the opposite direction to the damaged hemisphere, and the active resistance of the patient's external action to restore its true vertical position. The Pusher syndrome occurs more frequently in patients with a history of cerebral vascular event, and was first described by Patricia M. Davies (senior IBITA instructor) in 1985. Bobath Concept Therapy should include not only special exercises, but also the use visual objects as points of reference. The primary objective of rehabilitation is the development of proper mechanism of the righting reflex. The essence of this action is to remove the obstacles blocking the implementation of normal postural and motor patterns, and the provision of correct sensorimotor experiences. This is a long-term process requiring patience and individual therapy tailored to individual patients, depending on motor and cognitive deficits.

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“…Based on two case studies, these authors suggest that posterior pushing (PP) occurs on the occasion of progressive, aspecific encephalopathy. However, a casus with PP after a right-hemispheric stroke has been described as well (Mikolajewska, 2012). Interestingly, Santos-Pontelli, Pontes-Neto, and Leite (2011) question whether the PP syndrome is a newly reported neurological entity, or a severe postural reaction to the geriatric psychomotor disadaptation syndrome, which is characterized by postural impairments including retropulsion, backward disequilibrium, axial and limb rigidity (Pfitzenmeyer, Mourey, Tavernier, & Camus, 1999).…”

mentioning

confidence: 99%

Contraversive neglect? A modulation of visuospatial neglect in association with contraversive pushing.

Vaes¹,

Lafosse²,

Hemelsoet³

et al. 2015

Neuropsychology

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Objective: Contraversive pushing (CP) is a neurologic disorder characterized by a lateral postural imbalance. Pusher patients actively push towards their contralesional side due to a misperception of the body"s orientation in relation to gravity. Although not every patient with CP suffers from spatial neglect (SN), both phenomena are highly correlated in right-hemispheric patients. The present study investigates whether peripersonal visuospatial functioning differs in neglect patients with versus without CP (NP + versus NP -patients). Method: Eighteen right-hemispheric stroke patients with SN were included, of which 17 in a double-blind case-control study and one single case with posterior pushing to supplement the discourse. A computer-based visuospatial navigation task, in which lateralized deviation can freely emerge, was used to quantify visuospatial behavior. In addition, visuospatial orienting was monitored using line bisection.Results: Significant intergroup differences were found. The NP + patients demonstrated a smaller ipsilesional navigational deviation and more cross-over (contralesional instead of ipsilesional deviation) in long line bisection. As such, they demonstrated a contraversive (contralesionally directed) shift in comparison with the NP -patients. Conclusions: These findings highlight the similarity between two systems of space representation. They are consistent with a coherence between the neural processing system which mainly provides for postural control, and the one responsible for non-predominantly postural, visuospatial behavior.

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Posterior pusher syndrome — case report

Cited by 4 publications

References 11 publications

Possibilities of physiotherapeutic treatment in the case of patients with pusher syndrome

Possibilities of physiotherapeutic treatment in the case of patients with pusher syndrome

Pusher syndrome – the role of the Bobath Concept

Contraversive neglect? A modulation of visuospatial neglect in association with contraversive pushing.

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