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"Pusher Syndrome"
 Moderated by: shanna  
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Lesley Smith
Instructor
 

Joined: Wed Aug 29th, 2007
Location: Humarock, MA
Posts: 19
Status:  Offline
 Posted: Tue Aug 19th, 2008 11:28 pm
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Thanks Doris - I'll take a look at it.

Lesley

dorischong
Instructor
 

Joined: Sat Jun 14th, 2008
Location:  
Posts: 2
Status:  Offline
 Posted: Thu Aug 7th, 2008 05:31 am
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Lesley,

I wrote an article for Advance PT megazine two years ago sharing my strategies on treating patients with pusher syndrome, and last year on the use of LiteGait on a pusher syndrome patient. My strategies of treating pusher syndrome has always been using a sturdy wall on patient's strong side and use visual feedback (mirror) to provide a sense of security. Initial treatment focuses on weight shifting to the strong side using task oriented approach.  I've also tried using the LiteGait on these patients and found great success. I usually have patients to line themselves up with the actuator while they're on the treadmill. These patients love the body weight support because they're free from falling, and often times it's not because they can't move but because they will push themselves until they fall that limits the mobility. Having their weight supported takes away this fear, and using tightening the straps on the affected side helps to minimize the lean.

Hope it helps!
Doris

Lesley Smith
Instructor
 

Joined: Wed Aug 29th, 2007
Location: Humarock, MA
Posts: 19
Status:  Offline
 Posted: Fri Oct 26th, 2007 12:40 am
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I'd like to revisit the topic of Contraversive Pushing (AKA Pusher Syyndrome). Does anyone have any treatment suggestions or success stories to share?

Thanks,

Lesley


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