Prevalence of Pusher’s Syndrome among stroke patients in Jalgaon city by using four-point pusher score: An Observational study.

Authors

  • Bhala Roshni Intern, Dr. Ulhas Patil College of Physiotherapy, Jalgaon
  • Kalsait Ashwini Associate Professor (Department of Neurophysiotherapy), Dr. Ulhas Patil college of Physiotherapy, Jalgaon
  • Nagulkar Jaywant Principal, Dr.Ulhas Patil College of Physiotherapy, Jalgaon

DOI:

https://doi.org/10.46858/vimsjpt.7207

Keywords:

Contraversive pushing, prevalence, stroke patient

Abstract

ABSTRACT-

Background- Following damage to the left or right side of the brain, a clinical condition known as "Pusher syndrome" may develop. Individuals who suffer from unilateral strokes may deliberately push toward their paretic side with their non-paretic limbs, which can lead to postural instability.

 

Material and Method: This observational study included 77 stroke patients selected through predefined criteria, with informed consent obtained. PS was assessed using the Four-Point Pusher Score (4PPS). Data were analysed using MS Excel and Minitab 17, and summarised using descriptive statistics (mean and standard deviation).

 

Result:The Four-Point Pusher Score (4PPS) revealed that 12.99% of participants showed no pushing, 25.97% had mild pushing, and 48.05% demonstrated moderate pushing, which was the most common level. Severe pushing was observed in 12.99% of participants.

 

Conclusion- This study concluded that PB is notably prevalent among stroke patients, with moderate PS being the most common presentation (48.05%), followed by mild pushing (25.97%).

 

KEYWORDS- Contraversive pushing, prevalence, stroke patient

 

References

1. Murphy SJ, Werring DJ. Stroke: causes and clinical features. Medicine. 2020 Sep 1;48(9):561-6.

2. Parmar P. Stroke: classification and diagnosis. Clinical Pharmacist. 2018 Jan 10;10(1).

3. O’Sullivan SB, Schmitz TJ, Fulk G. Physical rehabilitation. FA Davis; 2019 Jan 25.(6th edition)

4. Grefkes C, Fink GR. Recovery from stroke: current concepts and future perspectives. Neurological research and practice. 2020 Jun 16;2(1):17.

5. Danells CJ, Black SE, Gladstone DJ, McIlroy WE. Poststroke “pushing” Natural history and relationship to motor and functional recovery. Stroke. 2004 Dec 1;35(12):2873-8.

6. Karnath HO, Broetz D. Understanding and treating “pusher syndrome”. Physical therapy. 2003 Dec 1;83(12):1119-25.

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Published

2025-12-31

Issue

Section

Original Article

How to Cite

Prevalence of Pusher’s Syndrome among stroke patients in Jalgaon city by using four-point pusher score: An Observational study. (2025). VIMS JOURNAL OF PHYSICAL THERAPY, 7(2), 26-30. https://doi.org/10.46858/vimsjpt.7207

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