KMID : 1206220070140010055
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Journal of Korean Academy of Physical Therapy Science 2007 Volume.14 No. 1 p.55 ~ p.60
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Physiotherapy For Pusher Behaviour in A Patient With Post-Stroke Hemiplegia - Case Report
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Kim Yong-Seon
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Abstract
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The purpose of this case report is to investigate whether an attempt to hold the repeated upright posture under blocking the patient¡¯s vision affects the deficits to push away from the paralytic side and the relapse time from down to stand up position without push away in patients with hemiplegia with pusher syndrome. Two hemiplegic patients with pusher syndrome were assessed. The task was performed 4 times per day for 6 weeks. The modified barthel index (MBI) was performed to assess activities of daily living (ADL). For assessing balance, the ¡°balanced sitting¡± and ¡°sit to stand¡± are analyzed using by modified motor assessment scale (MMAS). The scale for contraversive pushing (SCP) was used for determination of push away from paralyzed side. MBI, MMAS and SCP were assessed before and after trial of the task. In patient 1, total score of the scale is 0 in sitting posture and standing posture within 3 weeks and 4 weeks, respectively, In patient 2, total score of the scale is 0 in sitting posture and standing posture within 4 weeks and 6 weeks, respectively. These results demonstrated that pusher syndrome was completely resolved in at least 6 weeks. Our findings indicate that this physical therapy seems to be relevant for the hemiplegic patients with pusher syndrome.
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KEYWORD
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Pusher syndrome, Posture, Hemiplegia, Sclale for contraversive pushing
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