Characteristics of Functional Recovery in Hemiplegia with and without Pusher Syndrome

편마비 환자의 밀기증후군 유무에 따른 기능 회복의 특성

  • Kim Seung-Won (Department of Physical Therapy, Soon Chun Hyang University Hospital) ;
  • Chang Woo-Nam (Department of Physical Therapy, Yonsei University Rehabilitation Hospital) ;
  • Hwang Byong-Yong (Department of Physical Therapy, College of Natural Science, Yongin University)
  • 김승원 (순천향대학교부속부천병원) ;
  • 장우남 (연세대학교 재활병원) ;
  • 황병용 (용인대학교 자연과학대학 물리치료학과)
  • Published : 2003.12.01

Abstract

A 'pusher syndrome' encompassing postural imbalance and hemi-neglect is believed to aggravate the prognosis of stroke patients. The patients with pusher syndrome show a particular posture that pushing away from the unaffected side of the body. The objective of this study was to investigate associated proprioception, associated neuro-psychological symptoms and characteristics of functional outcome with and without pusher syndrome. The subjects of this study were 58 acute stroke patients who been rehabilitated at two university hospitals in Seoul and Buchun. Data were collected using proprioception test and line bisection test. The ability of ADL was assessed by the Modified Barthel Index, transfer by the Functional Independence Measure, and balance by the Modified Motor Assessment Scale. The results were that significant difference was found in the presence of proprioception, in the incidence of hemineglect and anosognosia, and in the score of ADL, transfer and balance between patients with and without pusher syndrome. Patients without pusher syndrome gained more motor score than patients with pusher syndrome. From improvement of view, patients with pusher syndrome gained the lowest score in ability of transfer. The finding suggest that the patients with pusher syndrome is a poorer functional outcome, be related to proprioception, hemineglect and anosognosia.

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