Impact of the neurophysiological body massage on the lateropulsive symptoms in stroke affected patients with pusher syndrome - a randomised controlled trial in a mixed methods design.

Impact of the neurophysiological body massage on the lateropulsive symptoms in stroke affected patients with pusher syndrome - a randomised controlled trial in a mixed methods design. - KlaP

Status

Recruiting

Phases

Unknown

Study type

Interventional

Source

DRKS

Registry ID

DRKS00034217

Enrollment

Registered

2025-01-06

Start date

2025-01-07

Completion date

Unknown

Last updated

2026-08-03

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

The pusher syndrome is not classified in the ICD10 system to date. I69.4

Interventions

Group 1: A neurophysiological body massage from the ‘Concept of basal stimulation according to Prof. Dr Fröhlich’ is carried out for the intervention group (n = 16) on eight consecutive days. Afterwar

Eligibility

Sex/Gender

All

Age

18 Years to No maximum

Inclusion criteria

Inclusion criteria: • persistent pusher syndrome, diagnosed by assessment with Scale of Contraversive Pushing • right or left hemispheric cerebral hemorrhage • right or left hemispheric cerebral ischemia • first ever stroke • RASS 0 or -1 • Barthel-Index for early rehabilitation of /= 92%, RR </= 30 per minute) • fluent German speaking skills

Exclusion criteria

Exclusion criteria: • craniocerebral trauma • cerebral hypoxia/ encephalopathy caused by hypoxia • cardiovascular instability/need for catecholamines • need for mechanical ventilation • kinetosis • cerebellar injury • lying on alternating-pressure matrasses • therapy withelectronic gait orthesis further criteria for interview participation • tracheostomy with need for a cuff-blocked tracheostomy tube • aphasia • distinct dysarthria • lack of ability to give consent to study participation

Design outcomes

Primary

Measure	Time frame
The primary outcome parameter is the degree of angle of the lower leg compared to the centre line of the trunk in the study participants. This allows conclusions to be drawn about the shifted subjective postural vertical of those affected by pusher syndrome. The degree of recalibration of the subjective postural vertical of those affected can therefore be ascertained on the basis of the degree of angle narrowing.	—

Measure

Time frame

The primary outcome parameter is the degree of angle of the lower leg compared to the centre line of the trunk in the study participants. This allows conclusions to be drawn about the shifted subjective postural vertical of those affected by pusher syndrome. The degree of recalibration of the subjective postural vertical of those affected can therefore be ascertained on the basis of the degree of angle narrowing.

—

Secondary

Measure	Time frame
The measurement of the subjective postural vertical cannot be used to make a direct statement about the symptom reduction of pusher syndrome. For this purpose, an SCP assessment is therefore carried out before the start of the intervention phase, after the last intervention and as part of the follow-up survey three days after the end of the intervention. The secondary outcome parameter is therefore the score achieved in the SCP assessment at each of the specified measurement times.	—

Measure

Time frame

The measurement of the subjective postural vertical cannot be used to make a direct statement about the symptom reduction of pusher syndrome. For this purpose, an SCP assessment is therefore carried out before the start of the intervention phase, after the last intervention and as part of the follow-up survey three days after the end of the intervention. The secondary outcome parameter is therefore the score achieved in the SCP assessment at each of the specified measurement times.

—

Countries

Germany

Contacts

Public ContactBianca Schmidt-Maciejewski

Christian-Albrechts-Universität zu Kiel

bianca.schmidt-maciejewski@stu.uni-kiel.de+491794778950

Outcome results

None listed

Source: DRKS (via WHO ICTRP) · Data processed: Aug 10, 2026