1 / 10

Pusher syndrome

Pusher syndrome. Reporter ： 9419201 張語竹 Advisor ：蕭世芬老師 Date ： 2010/01/16. Outline. Introduction What ’ s pusher syndrome Prevalence Localization of Lesions Clinical manifestation Mechanism underlying pusher behavior SVV and SPV Assessment SCP Clinical implication

gavin
Download Presentation

Pusher syndrome

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Pusher syndrome Reporter：9419201張語竹 Advisor：蕭世芬老師 Date：2010/01/16

  2. Outline • Introduction • What’s pusher syndrome • Prevalence • Localization of Lesions • Clinical manifestation • Mechanism underlying pusher behavior • SVV and SPV • Assessment • SCP • Clinical implication • Prognosis • Summary

  3. Introduction • What’s pusher syndrome? • Synonym • Ipsilateral pushing • Contraversive pushing behavior • Prevalence • 10% in stroke patients • R’t brain damage • Localization of Lesions

  4. Clinical manifestation • Postural behavior • Motor performance • Sensation • Perception

  5. Mechanism underlying pusher behavior • PB reflects some misrepresentation of verticality • Perception of our orientation relative to the vertical and horizontal coordinates of the earth is determined by • Visual information • Somesthesic information • Vestibular information(gravity receptors) • SVV and SPV

  6. Assessment • SCP

  7. Clinical implication • Visual cue (SVV) • Moving lower trunk on stabilized upper trunk (SPV) • Motor relearning approach • TENS( sensory manipulation)

  8. Prognosis

  9. Summary

  10. Karnath HO, Broetz D. Understanding and treating "pusher syndrome". Phys Ther. Dec 2003;83(12):1119-1125. • P.M. Davies, Steps to Follow, A Guide to the Treatment ofAdult Hemiplegia, Springer, New York, 1985 • PM D. Steps To Follow: The Comprehensive Treatment Of Patients With Hemiplegia: Springer Berlin Heidelberg; 2000:403-428. • Paci M, Baccini M, Rinaldi LA. Pusher behaviour: a critical review of controversial issues. Disabil Rehabil. 2009;31(4):249-258. • 陳至淳.台灣老年醫學雜誌2006；2(1)：42-52 • Wang H-C, Meng L-F. 中風病患伴隨推倒症候群之相關現象. 臺灣復健醫學雜誌. 2005 33(1):39-46. • Sharpe JA. What's up, doc? Altered perception of the haptic, postural, and visual vertical. Neurology. Nov 11 2003;61(9):1172-1173.

More Related