Physiotherapy theory and practice · 2021
Effects of dynamic supported standing training in a patient with pusher behavior: a case report.
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Inoue Masahide, Fujino Yuji, Sugimoto Satoshi, Amimoto Kazu, Fukata Kazuhiro, Miura Kohei, Matsuda Tadamitsu, Makita Shigeru, Takahashi Hidetoshi
Аннотация
BACKGROUND: The effects of task-specific and voluntary exercise in upright positions for pusher behavior remain unclear. In this report, we aimed to describe the effects of dynamic supported standing training using a modified standing frame to correct the alignment in a patient with severe pusher behavior.
CASE DESCRIPTION: A 76-year-old man with cardioembolic ischemic stroke demonstrated pusher behavior. The patient underwent 3 days of dynamic supported standing training using a modified standing frame. The Scale for Contraversive Pushing, the Burke Lateropulsion Scale, and the Trunk Control Test were used to assess changes.
OUTCOMES: Immediate improvements in sitting balance were observed after the intervention, and the effects persisted to 8 days later.
CONCLUSION: Dynamic supported standing training using a modified standing frame may improve pusher behavior with short-term training. The collapsed posture of the patient in the present case was corrected using the modified standing frame. This neutral standing position could have a positive effect on motor learning with respect to holding one's posture.
CASE DESCRIPTION: A 76-year-old man with cardioembolic ischemic stroke demonstrated pusher behavior. The patient underwent 3 days of dynamic supported standing training using a modified standing frame. The Scale for Contraversive Pushing, the Burke Lateropulsion Scale, and the Trunk Control Test were used to assess changes.
OUTCOMES: Immediate improvements in sitting balance were observed after the intervention, and the effects persisted to 8 days later.
CONCLUSION: Dynamic supported standing training using a modified standing frame may improve pusher behavior with short-term training. The collapsed posture of the patient in the present case was corrected using the modified standing frame. This neutral standing position could have a positive effect on motor learning with respect to holding one's posture.