icon fsr

文献詳細

雑誌文献

理学療法ジャーナル57巻6号

2023年06月発行

文献概要

特集 脳卒中の予後予測と目標設定

脳卒中後pusher現象の予後予測と目標設定

著者: 深田和浩1 関根大輔2 藤野雄次3 網本和4 高橋秀寿2

所属機関: 1武蔵台病院リハビリテーション課 2埼玉医科大学国際医療センターリハビリテーションセンター 3順天堂大学保健医療学部理学療法学科 4仙台青葉学院短期大学リハビリテーション学科

ページ範囲:P.665 - P.672

文献購入ページに移動
Point

●Pusher現象は,6か月以内に消失する

●Pusher現象は,ADLの回復や入院期間を長期化させる

●Pusher現象の回復は,損傷半球や年齢,運動機能障害,認知機能障害,高次脳機能障害の影響を受けるため,多角的に分析し,予後予測や目標設定を行う必要がある

参考文献

1)Davies PM:Steps to Follow:a guide to the treatment of adult hemiplegia. New York, Springer-Verlag, 1985
2)Nolan J, et al:Post-stroke lateropulsion terminology:pushing for agreement amongst experts. Ann Phys Rehabil Med 2022;65:101684. doi:10.1016/j.rehab.2022.101684
3)Karnath HO, et al:The origin of contraversive pushing:evidence for a second graviceptive system in humans. Neurology 2000;55:1298-1304
4)Pérennou DA, et al:Lateropulsion, pushing and verticality perception in hemisphere stroke:a causal relationship? Brain 2008;131:2401-2413
5)Lafosse C, et al:Postural abnormalities and contraversive pushing following right hemisphere brain damage. Neuropsychol Rehabil 2007;17:374-396
6)Fukata K, et al:Influence of unilateral spatial neglect on vertical perception in post-stroke pusher behavior. Neurosci Lett 2020;715:134667. doi:10.1016/j.neulet.2019.134667
7)Dai S, et al:Lateropulsion prevalence after stroke:a systematic review and meta-analysis. Neurology 2022;12;98:e1574-e1584. doi:10.1212/WNL.0000000000200010
8)Abe H, et al:Prevalence and length of recovery of pusher syndrome based on cerebral hemispheric lesion side in patients with acute stroke. Stroke 2012;43:1654-1656
9)Fukata K, et al:Early incidence and factors affecting recovery from lateropulsion after acute hemispheric stroke. Ann Phys Rehabil Med 2022:30;66:101706. doi:10.1016/j.rehab.2022.101706
10)Danells CJ, et al:Poststroke “pushing”:natural history and relationship to motor and functional recovery. Stroke 2004;35:2873-2878
11)Krewer C, et al:Time course and influence of pusher behavior on outcome in a rehabilitation setting:a prospective cohort study. Top Stroke Rehabil 2013;20:331-339
12)Karnath HO, et al:Prognosis of contraversive pushing. J Neurol 2002;249:1250-1253
13)Babyar SR:Time to recovery from lateropulsion dependent on key stroke deficits:a retrospective analysis. Neurorehabil Neural Repair 2015;29:207-213
14)Babyar SR, et al:Case-control study of impairments associated with recovery from “pusher syndrome” after stroke:logistic regression analyses. J Stroke Cerebrovasc Dis 2017;26:25-33
15)Pedersen PM, et al:Ipsilateral pushing in stroke:incidence, relation to neuropsychological symptoms, and impact on rehabilitation. The Copenhagen stroke study. Arch Phys Med Rehabil 1996;77:25-28
16)Dai S, et al:Balance, lateropulsion, and gait disorders in subacute stroke. Neurology 2021;96:e2147-e2159. doi:10.1212/WNL.0000000000011152
17)Nolan J, et al:Post-stroke lateropulsion and rehabilitation outcomes:a retrospective analysis. Disabil Rehabil 2021;26:1-9. doi:10.1080/09638288.2021.1928300
18)Chow E, et al:Reliability and validity of the Four-Point Pusher Score:an assessment tool for measuring lateropulsion and pusher behaviour in adults after stroke. Physiother Can 2019;71:34-42
19)Fukata K, et al:Effects of performing a lateral-reaching exercise while seated on a tilted surface for severe post-stroke pusher behavior:a case series. Top Stroke Rehabil 2021;28:606-613
20)黒澤紗妃,他:座位に介助を要する重度Pusher現象に対する非麻痺側方向への能動的な座位移動練習の効果—シングルケースデザイン.第30回埼玉県理学療法学会,2022
21)Inoue M, et al:Effects of dynamic supported standing training in a patient with pusher behavior:a case report. Physiother Theory Pract 2022;38:3241-3247
22)Fujino Y, et al:Prone positioning reduces severe pushing behavior:three case studies. J Phys Ther Sci 2016;28:2690-2693
23)Fujino Y, et al:Electromyography-guided electrical stimulation therapy for patients with pusher behavior:a case series. NeuroRehabilitation 2019;45:537-545

掲載誌情報

出版社:株式会社医学書院

電子版ISSN:1882-1359

印刷版ISSN:0915-0552

雑誌購入ページに移動
icon up
あなたは医療従事者ですか?