(2) CV Pushing Flashcards

1
Q

An altered perception of the bodys orientation of postural preference toward more affected side of the body with resistance returning to midline

A

CV pushing
lateropulsion
pushers syndrome
pushing

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2
Q

Movement system dx for pushing

A

postural vertical defecit

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3
Q

CV pushing is NOT (5)

A

a visual disturbance
vestibular disturbance
pt being difficult
associated with inattention/neglect
or
visual field defecits

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4
Q

“pusher syndrome” ?

A

often occurs with….
r brain damage, L hemi + left neglect (right gaze), + rotation of neck to the right

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5
Q

higher lateropulsion score =

A

lower overall functional improvement
lower FIM
lower rates discharge home

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6
Q

functional outcomes…they will reach the same functional status but…

A

it will take 3-4 weeks longer

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7
Q

if given the same LOS, pt w/ CV pushing…

A

increase FIM, decrease discharge to SNF

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8
Q

time to recover from CV pushing depends on

A

how many postural systems are involved (vision, proprioception, motor)

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9
Q

T/F no payer sources currently provide longer lengths of stay

A

t

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10
Q

Burke lateropulsion scale…assess degree of action or reaction of the pt to keep or change a postition in 5 situations…

A

rolling, transfers, sitting, standing, walking

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11
Q

Compared to other CV scales, the Burke lateropulsion scale…

A

is more responsive to changes
more sensitive to classification
only measure to assess in multiple functional postures

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12
Q

cut off score for burke lateropulsion

A

> 3/17 dx of CV

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13
Q

score range for burke lateropulsion

A

0-17

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14
Q

treatment for CV should include

A

prioritize reduction of pushing tendencies with focus on FUNCTION

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15
Q

lit take aways: if the visual system remains intact…

A

rather than physically placing pts in midline, provide education for them to re-orient themselves to earth vertical using visual cues (computer > mirror)

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16
Q

lit take aways: pushing is an impaired perception of the body’s orientation in relationship to gravity, so the pt should…

A

not be treated in a horizontal position!

17
Q

lit takeaways: there is strong evidence for

A

RAGT (do as much gait training as possible that forced midline!)

18
Q

positioning goals

A

joint protection, normalized posture, safety

additional goals: maximize input to brain for normal midline orientation; start with pelvis (small adj = big impact!)

19
Q

name 4 treatment tips

A

education!
higher level postures! (gait/standing > sitting)
dont push the pusher
use reset technique as needed