pusher syndrome
A post-stroke condition where patients actively push toward their paralyzed side, resisting attempts to correct their posture.
Full Definition
Pusher syndrome, also known as contraversive pushing, is a disorder of postural control that can occur following stroke, particularly with right hemisphere lesions involving the posterior thalamus. Patients with pusher syndrome actively push their body weight toward their hemiparetic side using their non-paretic extremities, and they resist any attempt by therapists to passively correct their tilted posture to upright. This behavior occurs despite intact sensation and motor function on the non-affected side. The condition significantly complicates rehabilitation efforts and increases fall risk, requiring specialized treatment approaches that focus on visual and proprioceptive feedback training.
Usage
Usage note: Often assessed using the Scale for Contraversive Pushing (SCP); avoid confusion with general weakness or lateral trunk flexion.
In Context
- "The patient's pusher syndrome required specialized transfer techniques and environmental modifications for safety." — Physical therapy assessment
- "Scale for Contraversive Pushing scores indicated severe pusher syndrome affecting all treatment activities." — Outcome measure documentation