The "Pusher" syndrome, assessment and treatment: part 1

van de Rakt, Jan and Mccarthy-Grunwald, Steven (2021) The "Pusher" syndrome, assessment and treatment: part 1. Italian Journal of Sports Rehabilitation and Posturology, 8 (18). pp. 1904-1934.

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Official URL: https://doi.org/10.17385/ItaJSRP.21.18.080303

Abstract

In an Nursing home the number of individuals with an severe stroke with the Pusher syndrome are much more than in Rehabilitation center. This person with an severe Pusher syndrome are present on the geriatric rehabilitation ward but also on the “Longstay” ward. In the hospital we know that almost all person with stroke has moment of an pushing behavior, almost 90%, but most signs are gone within an day. By the people where the signs are manifest an little group goes to the Rehabilitation center (10%) and the other person will be trained in long care facilities. This article want to give an view, what the possibilities are for this stroke patient to get the best treatment, well pointed on the level of disability. The person will have an difficult start in the hospital and will have much more time needed to restore for he can make an attempt to recover. But investigation are clear that when they regain their condition that the spontaneous recovery start as well as by all other stroke survivors. Still there are many reason why an patient cannot recover and that is something different as not capable to learn or re-learn or take part in an treatment. Most often the condition is so poor that there is no energy for more than only survive. On the moment that the condition is better, every patient can learn but now it is dependent of the therapy that must be on the right level and the good motoric learning method. That ask for an good understanding, what the “pusher syndrome “is and what is important to change before the person can take part in an common rehabilitation program. Famous physical therapist out the N.D.T. –Bobath concept have developed an approach that has convince many physical therapist and is done all over the world. Her work is that she discovered the person with the Pusher syndrome and give its place but also created an treatment for this persons with an severe stroke. And even with severe Pusher it works, when this person has the physical capacity to exercise. In this article the person with an severe stroke stand central, but the person with moderate signs will be easier to do. So it is obvious that working with severe disable people makes working with moderate affected people will have less “problems” to do the exercise and get this people on higher level.

Item Type: Article
Journal / Publication Title: Italian Journal of Sports Rehabilitation and Posturology
Publisher: Societcientifica Riabilitazione e Posturologia dello Sport
ISSN: 2385-1988
Departments: Pre June 2020 Academic Departments and Services > Academic Departments > Nursing, Health & Professional Practice (NHPP)
Additional Information: Steve McCarthy-Grunwald MSc BSc RMN is Senior Lecturer in Mental Health Nursing with Dementia Specialty, University of Cumbria, UK.
Depositing User: Anna Lupton
Date Deposited: 14 Nov 2019 12:06
Last Modified: 14 Nov 2019 12:07
URI: https://insight.cumbria.ac.uk/id/eprint/5250

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