Monday, February 1, 2016

Q: What is Pusher syndrome? 

Answer:  CVA patients tends to passively prefer weight-bearing on their nonhemiparetic side. But one subset of patients with CVA actively try to push their weight away from the nonhemiparetic side to the hemiparetic side. It may be due to lesions involved in the brain in posterior thalamus or multiple areas of the right cerebral hemisphere.

Clinical significance:  Rehabilitation may take longer in these patients.


1.  Pedersen PM, Wandel A, Jørgensen HS, Nakayama H, Raaschou HO, Olsen TS (January 1996). "Ipsilateral pushing in stroke: incidence, relation to neuropsychological symptoms, and impact on rehabilitation. The Copenhagen Stroke Study". Arch Phys Med Rehabil 77 (1): 25–8

2. Babyar SR, Peterson MG, Bohannon R, Pérennou D, Reding M (July 2009). "Clinical examination tools for lateropulsion or pusher syndrome following stroke: a systematic review of the literature". Clin Rehabil 23 (7): 639–50.

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