Pusher Syndrome
Conditions
Keywords
stroke, pusher syndrome, contraversive pushing, lateropulsion, rehabilitation, physical therapy
Brief summary
The purpose of this study is to see if a specific physical therapy intervention speeds recovery from stroke-related pusher syndrome.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* Recent (within 2 months) unilateral stroke * Burke Lateropulsion Scale ≥ 2 * Age 21 to 89 years * Ability to provide informed consent * English-speaking
Exclusion criteria
* Prior stroke within the past 6 months * Cerebellar stroke * Stroke-related brain imaging (MRI or CT) unavailable * Global or receptive aphasia * Prior documented neurologic disorder (e.g., multiple sclerosis, Parkinson's)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Recovery from pusher syndrome as measured by changes in the Burke Lateropulsion Scale score over time. | Initial, and then weekly until discharge from inpatient rehabilitation unit. Average inpatient stay is expected to be no greater than 4 weeks. | The Burke Lateropulsion Scale (BLS) is used in the literature to measure the presence of pusher syndrome. We will measure BLS upon admission and at weekly intervals to monitor whether patients in the experimental group demonstrate faster recovery than the control group, as demonstrated by change in BLS score over change in time (days). |