Pusher's Syndrome
NPTE Clinical Files | Physical Therapy
Kyle Rice
4.9 • 631 Ratings
🗓️ 22 May 2019
⏱️ 12 minutes
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Summary
Ben presents with a posterolateral thalamic stroke and pusher's syndrome.
The physical therapist is challenged with determining the safest and appropriate intervention to treat this patient during gait training.
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Transcript
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| 0:00.0 | You are now tuning in to the MPTE clinical files to mock MPTE-based questions told and solved |
| 0:07.0 | week by week. Thank you for tuning in to the MPT clinical files. My name is Kyle Rice, the MPT |
| 0:12.2 | prep coach, the founder of the PT Hustle and the creator of the MPT Prep Success Coaching Program. |
| 0:18.4 | And if you would like a free cheat sheet that goes along with this specific |
| 0:22.4 | question, tune in to the end of this episode. And I'm going to give you more information on how to |
| 0:27.7 | get that. All right. So for our next MPT clinical file, we have our patient Ben. And Ben presents |
| 0:33.0 | with Pusher Syndrome and Anosinosa noz, after a recent posterior lateral thalamic stroke. |
| 0:41.5 | The patient is undergoing gate training activities with an emphasis on safety. |
| 0:46.5 | Which of the following interventions is the most appropriate? |
| 0:49.8 | So we have A, which is standing on the uninvolved side and queuing the patient to lean towards me. |
| 0:58.6 | B is lowering the cane height on the uninvolved side. |
| 1:03.1 | C is place the cane in the involved hand and encourage weight bearing through the affected side, and D is standing on the involved |
| 1:14.4 | side and pushing the patient away. All right. So we got a lot to do here. A lot of answer |
| 1:21.8 | choices, really a big mouthful here. Let's go up to the top and break this down piece by piece. So we had Ben |
| 1:29.6 | presents with Puscher syndrome. All right, let's stop there for a moment. Now Pusher's syndrome |
| 1:35.0 | is one of those conditions that can come up in the neuro department. You got to really know |
| 1:39.9 | what this condition is and how to treat it because it can be pretty particular. All right. And so |
| 1:45.3 | Pusher syndrome, like you'll see later on in the question, it can happen due to a posterior |
| 1:50.9 | lateral thalamic stroke. But a patient who has Pusher syndrome has deficits or issues with their |
| 1:59.6 | perception of their body's orientation. All right. In layman terms, |
| 2:04.9 | this patient is really off balance, but they feel like they're upright. Okay. So they feel to |
| 2:12.3 | themselves that 20 degrees to the right or 20 degrees to the left, they're standing up right. |
... |
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