Article

OBJECTIVE: To compare the classification of two clinical scales for assessing
pusher behaviour in a cohort of stroke patients.
DESIGN: Observational
case-control study. SETTING: Inpatient stroke rehabilitation unit. SUBJECTS: A
sample of 23 patients with hemiparesis due to a unilateral stroke (1.6 +/- 0.7
months post stroke).
METHODS: Immediately before and after three different
interventions, the Scale for Contraversive Pushing and the Burke Lateropulsion
Scale were applied in a standardized procedure.
RESULTS: The diagnosis of pusher
behaviour on the basis of the Scale for Contraversive Pushing and the Burke
Lateropulsion Scale differed significantly (chi2 = 54.260, p < 0.001) resulting
in inconsistent classifications in 31 of 138 cases. Changes immediately after the
interventions were more often detected by the Burke Lateropulsion Scales than by
the Scale for Contraversive Pushing (chi2 = 19.148, p < 0.001). All cases with
inconsistent classifications showed no pusher behaviour on the Scale for
Contraversive Pushing, but pusher behaviour on the Burke Lateropulsion Scale.
64.5% (20 of 31) of them scored on the Burke Lateropulsion Scale on the standing
and walking items only. CONCLUSIONS: The Burke Lateropulsion Scale is an
appropriate alternative to the widely used Scale for Contraversive Pushing to
follow-up patients with pusher behaviour (PB); it might be more sensitive to
detect mild pusher behaviour in standing and walking.
CI - (c) The Author(s) 2014.

Langue : ANGLAIS