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