Pusher Behaviour
A post-stroke disorder where patients actively push away from their non-paralyzed side, disrupting balance and mobility.
Full Definition
Pusher behavior, distinct from pusher syndrome, describes the active resistance patients demonstrate when therapists attempt to correct their tilted posture toward the non-paralyzed side. This neurological phenomenon occurs in approximately 10% of stroke patients and significantly impacts rehabilitation outcomes. Patients with pusher behavior perceive their tilted posture as upright and actively resist correction, leading to falls risk and prolonged rehabilitation stays. The condition typically resolves over several months with appropriate therapeutic intervention.
Usage
Usage note: Distinguish from 'Pusher Syndrome' - behavior refers to the active pushing, while syndrome encompasses the broader clinical presentation.
In Context
- "The patient exhibits pusher behavior, actively resisting attempts to shift weight to the affected side during transfers." — physical therapy note
- "Pusher behavior assessment using the Scale for Contraversive Pushing indicates moderate severity." — rehabilitation evaluation