(2) CV Pushing Flashcards
An altered perception of the bodys orientation of postural preference toward more affected side of the body with resistance returning to midline
CV pushing
lateropulsion
pushers syndrome
pushing
Movement system dx for pushing
postural vertical defecit
CV pushing is NOT (5)
a visual disturbance
vestibular disturbance
pt being difficult
associated with inattention/neglect
or
visual field defecits
“pusher syndrome” ?
often occurs with….
r brain damage, L hemi + left neglect (right gaze), + rotation of neck to the right
higher lateropulsion score =
lower overall functional improvement
lower FIM
lower rates discharge home
functional outcomes…they will reach the same functional status but…
it will take 3-4 weeks longer
if given the same LOS, pt w/ CV pushing…
increase FIM, decrease discharge to SNF
time to recover from CV pushing depends on
how many postural systems are involved (vision, proprioception, motor)
T/F no payer sources currently provide longer lengths of stay
t
Burke lateropulsion scale…assess degree of action or reaction of the pt to keep or change a postition in 5 situations…
rolling, transfers, sitting, standing, walking
Compared to other CV scales, the Burke lateropulsion scale…
is more responsive to changes
more sensitive to classification
only measure to assess in multiple functional postures
cut off score for burke lateropulsion
> 3/17 dx of CV
score range for burke lateropulsion
0-17
treatment for CV should include
prioritize reduction of pushing tendencies with focus on FUNCTION
lit take aways: if the visual system remains intact…
rather than physically placing pts in midline, provide education for them to re-orient themselves to earth vertical using visual cues (computer > mirror)
