Rehabilitation procedures in the management of postural orientation deficits in patients with post-stroke pusher behavior: a pilot study (original) (raw)

Minerva medica, 2016

Abstract

Pusher behaviour (PB) is a little-known postural controlf disorder characterized by alterations in the perception of body orientation in the coronal (roll) plane. Post-stroke PB poses many short- and long-term concerns in clinical practice leading to the longer length of hospital stay and slower functional recovery. The literature on specific rehabilitation training in PB is scant. The aim of this pilot study was to compare the outcomes after postural orientation training using visual and somatosensory cues versus conventional physiotherapy in patients with post-stroke PB. Sixteen patients with PB were enrolled. Eight patients received postural orientation training employing visual and somatosensory cues. Seven patients received conventional physiotherapy. Each patient underwent 20 (50 min/d) individual treatment sessions (5 d/week for 4 weeks). Primary outcome measure was the Scale for Contraversive Pushing (SCP). Secondary outcome measures were the European Stroke Scale (ESS), and...

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