MOD 1 Stroke with Pusher Syndrome

Question 1

What is the scale of contraversive pushing?

Answer 1

• scale looks at spontaneous body posture in sitting and standing
• abduction and extension of non paretic posture
• grades resistance to passive correction of tilted posture

Question 2

How is the scale for contraversive pushing graded?

Answer 2

max = 6 which is indicative of severe impairment

min = 0 means disorder not present

score on each component >1 indicative of lateropulsion

Question 3

What are some treatments for pusher syndrome?

Answer 3

• use environment to allow patient to align themself
• have patient reach target with hand toward hir or her unaffected side
• use somatosensory cues like sitting or standing
• use of robot-assisted gait training for somatosensory