Síndrome del empujadorArtículo monográfico

  1. Ángela Ramos-Salvachúa 1
  1. 1 Graduada en Fisioterapia. Fisioterapeuta Servicio Aragonés de Salud.
Journal:
Revista Sanitaria de Investigación

ISSN: 2660-7085

Year of publication: 2021

Volume: 2

Issue: 10

Type: Article

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Abstract

Strokes are sometimes associated with other types of stroke syndromes such as pusher syndrome. This pathology consists of an impairment of the postural and visual perception of the verticality of the body with respect to gravity, but not of the perception of the orientation of the surrounding environment. Clinically this translates into a patient constantly trying to push his or her arm or leg from the healthy side towards the haemiparetic side in an attempt to regain verticality, causing a high risk of falling towards the affected side. They also offer resistance to passive postural correction. It usually concurs with stroke profiles with more extensive or severe involvement, such as an intraparenchymal stroke, or those in which the posterolateral region of the thalamus and/or the posterior crus of the internal capsule are involved. It is not entirely clear whether it tends to be associated to a greater extent with cases of hemineglect, aphasia or somatosensory loss, nor whether it seems to be more correlated with right hemisphere involvement, as there are very heterogeneous data depending on the type of study. However, it seems clear that the prognosis worsens when this syndrome occurs when the right hemisphere is affected, delaying recovery times (p=0.027).

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