So rather than use a layperson term like pusher behavior, they tried for obsfucation in order to sound more intelligent. The purpose should have been to create a stroke protocol to address the problems this causes.
https://jnptacceptedarticles.wordpress.com/2017/04/26/just-accepted-clinical-outcome-measures-for-contraversive-lateropulsion-post-stroke-an-updated-systematic-review/
The following article has just been accepted for publication in Journal of Neurologic Physical Therapy:
“Clinical Outcome Measures for Contraversive Lateropulsion Post-Stroke: An Updated Systematic Review”
By
Ryan Zachary Koter, DPT; Sara Regan, DPT; Caitlin Clark, DPT; Vicki
Huang, DPT; Melissa Mosley, DPT; Erin Wyant, DPT; Chad Cook, PT, PhD,
MBA, FAAOMPT; Jeffrey Hoder, PT, DPT, NCS
Provisional Abstract:
Abstract
Background and Purpose: Pusher behavior (PB) can lead to increased
hospital length of stay, increased healthcare costs, and delayed
outcomes in stroke patients. The purpose of this updated systematic
review was to identify scales used to classify PB, investigate
literature that addresses their clinimetric properties, and create a
resource for clinicians recommending use in clinical practice.
Methods: Three databases were searched for articles from inception to
March 2017. The search strategy followed Cochrane Collaboration
guidelines. The Consensus-based Standards for the selection of health
Measurement INstruments (COSMIN) checklist was applied to evaluate
methodological quality.
Results: 403 records were screened. Seven studies met inclusion
criteria. Four scales were identified: the Scale for Contraversive
Pushing (SCP), the Modified Scale for Contraversive Pushing (M-SCP), the
Burke Lateropulsion Scale (BLS), and the Swedish Scale for
Contraversive Pushing (S-SCP). Psychometric property investigation was
most robust for the SCP and BLS. Cross-cultural validity has not been
fully investigated in scales used outside of their country of origin.
Discussion and Conclusions The BLS is recommended for identifying PB.
The scale assesses the presence of PB across several functional tasks,
from rolling to walking, and is the only scale originally written in
English. The BLS is the only tool to receive ratings greater than poor
for reliability and responsiveness. The BLS should be implemented as
soon as PB is suspected to guide frontline clinicians’ initial plan of
care, allow objective identification of change over time, and facilitate
easier investigation of interventional efficacy.
Video Abstract available for further insight (see Supplemental Digital Content 1)
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