Management of Pusher Syndrome Can Be Challenging
Management of patients who present with pusher syndrome following a stroke can be challenging. There is a greater likelihood of recovery when we understand the mechanism causing the pushing, and develop interventions that correlate to the impairments specific to this sub-group of patients.
This course will introduce participants to the latest theories regarding the causes of pusher syndrome. A framework will be developed to assist the clinician in classifying the "pusher" patient into a functional recovery category which will assist with appropriate goal-setting, thus maximizing treatment and guiding progression. The intervention strategies presented will meet the needs of the patient along the recovery spectrum including severe, lower-level "pushers" through higher-level, ambulatory patients with persistent pushing and midline deficits.
Course Content
A. Common Impairments of Patients Who Push Following a Stroke
1. Testing measures to identify patients who push
2. Common presentations of patients meeting criteria for pusher syndrome
3. Impairments
a. Trunk asymmetry
b. Active pushing/abduction uninvolved UE and LE
c. Midline deficit
B. Causes of Pushing Behavior
1. Cerebral localization of ”pusher” behavior
2. Visual vs. Postural Vertical
3. Postural Control Dysfunction
C. Treatment Interventions
1. Role of impairment identification in treatment planning
2. 3 levels of severity of “pushing” behavior
3. Prioritizing treatment interventions for each level of severity
4. Case study
a. 45-year-old Special Forces soldier
b. Right middle cerebral infarct
is an approved provider #50-466 with the Florida Department of Health Board of Occupational Therapy Practice. This course is approved for 2 contact hour(s) for Occupational Therapist and Occupational Therapy Assistants.
This educational offering qualifies for 2 continuing education hour(s) as required by many national, state and local licensing boards and professional organizations. Save your course outline and certificate of completion, and contact your own board or organization for specific filing requirements.
is recognized by the New York State Education Department's State Board for Physical Therapy as an approved provider for physical therapy and physical therapist assistant continuing education. This seminar is awarded 2.4 contact hour(s).
NCBPTE approval by virtue of approval by The New York State Education Department, Office of the Professions, State Board for Physical Therapy licensure board or state APTA chapter Approval good through 8/31/2021. This course qualifies for 2 continuing education hours.
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| Handouts (728.5 KB) | Available after Purchase | ||
| Presentation (17 MB) | Available after Purchase |
Michelle Green, PT, DPT, c-NDT, NCS is a licensed physical therapist who has worked with neurologically involved patients within in-patient rehab settings for nearly 20 years. She received her Master's in PT form Ithaca College and her DPT from University of North Carolina at Chapel Hill. She has an extensive background in application of NDT to contemporary practice and focuses her coursework on treatment development following the framework of the ICF Model. Using her extensive knowledge and experience working in rehab and physical fitness, she has been a sought-after lecturer, presenting seminars on topics such as Stroke Rehab, Pusher Syndrome, Geriatric Strength Training, Developing Functional Core Stability, and Pilates and Yoga for Rehab Professionals. These courses attract the attention of both physical and occupational therapists alike, as Ms. Green couples evidence-based treatment models with a dynamic, engaging style to rejuvenate and inspire rehab professionals in their respective fields.
Physical Therapists, Physical Therapist Assistants, Occupational Therapists, Occupational Therapy Assistants
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