Lateropulsion After Stroke: Prevalence, Predictors And Impact On Recovery In Subacute Rehabilitation – A Prospective Observational Study

Your competent? doctor created a solution for this years ago, right? Oh NO, NOTHING WAS DONE! And your doctor still has a job there?

Lateropulsion (8 posts to May 2017)

 Lateropulsion After Stroke: Prevalence, Predictors And Impact On Recovery In Subacute Rehabilitation – A Prospective Observational Study

Pavithra Venugopal1*, Narayanasamy Krishnasamy2, Harihara Sudan Subramanian3, Manoj Abraham Manoharlal4 1*Associate Professor, KG College of Physiotherapy (Affiliated to The Tamil Nadu Dr. M.G.R Medical University), Coimbatore,641035, Tamil Nadu, India. 2 Vice Chancellor, The Tamil Nadu Dr. M.G.R Medical University, Chennai, 600032, Tamil Nadu, India. 3 Professor, KG College of Physiotherapy (Affiliated to The Tamil Nadu Dr. M.G.R Medical University), Coimbatore,641035, Tamil Nadu, India. 4 Professor/ Principal, KG College of Physiotherapy (Affiliated to The Tamil Nadu Dr. M.G.R Medical University), Coimbatore,641035, Tamil Nadu, India. *Corresponding author: Mrs. Pavithra Venugopal, MPT (Neuro)., MBA., Associate Professor E-mail: pavipvthr93@gmail.com Phone no: +91 9600969884 

 ABSTRACT 

 Background: 

Lateropulsion, also known as contraversive pushing, is a common post-stroke disorder that disrupts vertical orientation and significantly interferes with functional recovery. Its prevalence in subacute rehabilitation settings varies widely, and the clinical factors predicting its occurrence and its influence on rehabilitation outcomes remain incompletely defined. 

 Objectives: 

To determine the prevalence of lateropulsion in patients undergoing subacute stroke rehabilitation, identify clinical predictors associated with its presence, and evaluate its impact on functional recovery. Methods: A prospective observational study was conducted in an Institution and Rehabilitation centre from South India. Consecutive stroke patients meeting eligibility criteria were enrolled. Demographic data, stroke characteristics, and neurological assessments were recorded. Lateropulsion was evaluated using the Burke Lateropulsion Scale (BLS). Functional outcomes were assessed using standardized measures such as the Berg Balance Scale (BBS) and Functional Independence Measure (FIM). Prevalence was calculated, and predictors were analyzed using appropriate statistical models. 

 Results: 

A total of 176 subacute stroke rehabilitation patients were assessed to determine the prevalence and clinical impact of lateropulsion. The cohort was predominantly older adults, with most between 40 and 90 years, and females formed 53.41% of the sample. Ischemic stroke was the major subtype (76.70%), and left-sided involvement slightly predominated (56.25%). Lateropulsion was present in 34.09% of patients and was more frequent among those aged ≥70 years. Within the lateropulsion group, ischemic strokes (75%), left-sided lesions (58.33%), and severe NIHSS scores (68.33%) were common, and spatial neglect was highly prevalent (76.67%). Co-morbidities such as diabetes and heart disease were frequent. Although mean age and NIHSS values were comparable between groups, individuals with lateropulsion showed significantly poorer functional performance, reflected by lower BLS (10.56 ± 3.37), BBS (25.72 ± 9.27) and FIM (68.7 ± 14.2) scores compared to those without lateropulsion. 

 Conclusion: 

Overall, the findings indicate that lateropulsion affects one-third of the rehabilitation population and is strongly associated with older age, neglect, greater stroke severity, and reduced functional balance.

Researchers call for enhanced research into common post-stroke condition

 Name the leader you are tasking with getting this done! EXACT NAMES ONLY! Since there is NO leadership in stroke, nothing will get done.

Researchers call for enhanced research into common post-stroke condition

Lateropulsion, a clinical condition that results in the body leaning to one side, affects about half of all stroke survivors.

Edith Cowan University (ECU) Ph.D. graduate Dr. Jessica Nolan said while the problem is common, lateropulsion is still severely under recognized and under assessed around the world.

 

"A person with lateropulsion uses the limbs on their stronger side, to push themselves over toward their weaker side. Often those with lateropulsion resist correction back towards their stronger side or the mid-line, and this can cause problems with sitting, standing, walking and looking after themselves. It is also associated with a higher risk of falling, reduced recovery and a reduced likelihood of discharge after in-patient rehabilitation," Dr. Nolan said.

"The treatment of lateropulsion in stroke survivors is a critical aspect of rehabilitation; however, the issue requires better understanding and more research."

It is estimated that in 2020, there were some 39,500 stroke events in Australia, averaging more than 100 a day. In that same year, it was estimated that more than 445,087 Australians were living with the side effects of stroke. Stroke is one of Australia's biggest killers, with the event killing more women than breast cancer and more men than prostate cancer.

Despite the prevalence of lateropulsion following a stroke event, a lack of agreement on terminology and the defining features of the condition present obstacles to understanding its prevalence, accurately comparing research results, and agreeing on a consistent approach to rehabilitation.

"People affected after a stroke may be at a disadvantage, because of the inconsistent approaches to rehabilitation and the failure of health policy to accommodate their rehabilitation needs," Dr. Nolan said.

"Improved understanding of the condition could lead to improved management, which will enhance patient outcomes after stroke and increase efficiency of health care resource use."

Dr. Nolan has previously led a Delphi consensus process, partnering with 21 international experts to reach a consensus on the terminology used to describe the condition and on the rehabilitation requirements for people living with severe lateropulsion, as well as recommendations for rehabilitation.

While a consensus regarding terminology was not reached, the panel achieved some agreement that lateropulsion was the preferred term to describe the phenomenon. More than 100 consensus-based recommendations were also provided to guide rehabilitation of lateropulsion.

In her latest research, Dr. Nolan found that lateropulsion could continue to resolve up to one-year post-stroke, far beyond the period of in-patient rehabilitation. Average in-patient length of stay following a stroke varies, but for those patients presenting with lateropulsion, in-patient stay was about three to four weeks longer compared to those without. The research is published in the journal Topics in Stroke Rehabilitation.

"This study was the first to investigate functional recovery up to 12 months post-stroke, and to compare outcomes among people with and without lateropulsion. This study supports findings from previous work that lateropulsion severity was a predictor of long-term functional outcomes."

"Lateropulsion after stroke can resolve, but it is dependent on access to ongoing rehabilitation.

"People who do not have access to long-term rehabilitation following a stroke did not show the same extent of lateropulsion resolution or functional recovery."

More information: Jessica Nolan et al, Lateropulsion resolution and outcomes up to one year post-stroke: a prospective, longitudinal cohort study, Topics in Stroke Rehabilitation (2024). DOI: 10.1080/10749357.2024.2333186

Provided by Edith Cowan University

 

 

 

Researchers call for enhanced research into common post-stroke condition

 With NO STROKE LEADERSHIP, how the fuck do you plan on getting this research going?

Researchers call for enhanced research into common post-stroke condition

Lateropulsion, a clinical condition that results in the body leaning to one side, affects about half of all stroke survivors.

Edith Cowan University (ECU) Ph.D. graduate Dr. Jessica Nolan said while the problem is common, lateropulsion is still severely under recognized and under assessed around the world.

"A person with lateropulsion uses the limbs on their stronger side, to push themselves over toward their weaker side. Often those with lateropulsion resist correction back towards their stronger side or the mid-line, and this can cause problems with sitting, standing, walking and looking after themselves. It is also associated with a higher risk of falling, reduced recovery and a reduced likelihood of discharge after in-patient rehabilitation," Dr. Nolan said.

"The treatment of lateropulsion in stroke survivors is a critical aspect of rehabilitation; however, the issue requires better understanding and more research."

It is estimated that in 2020, there were some 39,500 stroke events in Australia, averaging more than 100 a day. In that same year, it was estimated that more than 445,087 Australians were living with the side effects of stroke. Stroke is one of Australia's biggest killers, with the event killing more women than breast cancer and more men than prostate cancer.

Despite the prevalence of lateropulsion following a stroke event, a lack of agreement on terminology and the defining features of the condition present obstacles to understanding its prevalence, accurately comparing research results, and agreeing on a consistent approach to rehabilitation.

"People affected after a stroke may be at a disadvantage, because of the inconsistent approaches to rehabilitation and the failure of health policy to accommodate their rehabilitation needs," Dr. Nolan said.

"Improved understanding of the condition could lead to improved management, which will enhance patient outcomes after stroke and increase efficiency of health care resource use."

Dr. Nolan has previously led a Delphi consensus process, partnering with 21 international experts to reach a consensus on the terminology used to describe the condition and on the rehabilitation requirements for people living with severe lateropulsion, as well as recommendations for rehabilitation.

While a consensus regarding terminology was not reached, the panel achieved some agreement that lateropulsion was the preferred term to describe the phenomenon. More than 100 consensus-based recommendations were also provided to guide rehabilitation of lateropulsion.

In her latest research, Dr. Nolan found that lateropulsion could continue to resolve up to one-year post-stroke, far beyond the period of in-patient rehabilitation. Average in-patient length of stay following a stroke varies, but for those patients presenting with lateropulsion, in-patient stay was about three to four weeks longer compared to those without. The research is published in the journal Topics in Stroke Rehabilitation.

"This study was the first to investigate functional recovery up to 12 months post-stroke, and to compare outcomes among people with and without lateropulsion. This study supports findings from previous work that lateropulsion severity was a predictor of long-term functional outcomes."

"Lateropulsion after stroke can resolve, but it is dependent on access to ongoing rehabilitation.

"People who do not have access to long-term rehabilitation following a stroke did not show the same extent of lateropulsion resolution or functional recovery."

More information: Jessica Nolan et al, Lateropulsion resolution and outcomes up to one year post-stroke: a prospective, longitudinal cohort study, Topics in Stroke Rehabilitation (2024). DOI: 10.1080/10749357.2024.2333186

The hidden struggle of lateropulsion in stroke survivors

So you described a problem, offered NO protocol to fix it and suggested further research which you know is not likely to occur. What other failure can you do to not help survivors recover?

The hidden struggle of lateropulsion in stroke survivors

  Reviewed

Apr 23 2024Edith Cowan University

Lateropulsion, a clinical condition which results in the body leaning to one side, affects about half of all stroke survivors.

Edith Cowan University (ECU) PhD graduate Dr Jessica Nolan said while the problem is common, lateropulsion is still severely under recognized and under assessed around the world.

    A person with lateropulsion uses the limbs on their stronger side, to push themselves over toward their weaker side. Often those with lateropulsion resist correction back towards their stronger side or the mid-line, and this can cause problems with sitting, standing, walking and looking after themselves. It is also associated with a higher risk of falling, reduced recovery and a reduced likelihood of discharge after in-patient rehabilitation."

    Dr Jessica Nolan,  Edith Cowan University

"The treatment of lateropulsion in stroke survivors is a critical aspect of rehabilitation, however the issue requires better understanding and more research."

It is estimated that in 2020, there were some 39 500 stroke events in Australia, averaging more than 100 a day. In that same year, it was estimated that more than 445 087 Australians were living with the side effects of stroke. Stroke is one of Australia's biggest killers, with the event killing more women than breast cancer and more men than prostate cancer.

 
Despite the prevalence of lateropulsion following a stroke event, a lack of agreement on terminology and the defining features of the condition present obstacles to understanding its prevalence, accurately comparing research results, and agreeing on a consistent approach to rehabilitation.

 

"People affected after a stroke may be at a disadvantage, because of the inconsistent approaches to rehabilitation(Which is why you blithering idiots need to create protocols!). and the failure of health policy to accommodate their rehabilitation needs," Dr Nolan said.

"Improved understanding of the condition could lead to improved management, which will enhance patient outcomes after stroke and increase efficiency of healthcare resource use."
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Dr Nolan has previously led a Delphi consensus process, partnering with 21 international experts to reach a consensus on the terminology used to describe the condition and on the rehabilitation requirements for people living with severe lateropulsion, as well as recommendations for rehabilitation.

While a consensus regarding terminology was not reached, the panel achieved some agreement that lateropulsion was the preferred term to describe the phenomenon. More than 100 consensus-based recommendations were also provided to guide rehabilitation of lateropulsion.
In her latest research, Dr Nolan found that lateropulsion could continue to resolve up to one-year post-stroke, far beyond the period of in-patient rehabilitation. Average in-patient length of stay following a stroke varies, but for those patients presenting with lateropulsion, in-patient stay was about three to four weeks longer compared to those without.

"This study was the first to investigate functional recovery up to 12 months post-stroke, and to compare outcomes among people with and without lateropulsion. This study supports findings from previous work that lateropulsion severity was a predictor of long-term functional outcomes."

"Lateropulsion after stroke can resolve, but it is dependent on access to ongoing rehabilitation.

"People who do not have access to long-term rehabilitation following a stroke did not show the same extent of lateropulsion resolution or functional recovery."

A copy of the research, as it appears in Topics in Stroke Rehabilitation, can be found here.

Source:

Edith Cowan University

Journal reference:

Nolan, J., et al. (2024). Lateropulsion resolution and outcomes up to one year post-stroke: a prospective, longitudinal cohort study. Topics in Stroke Rehabilitation. doi.org/10.1080/10749357.2024.2333186.

Post-stroke lateropulsion – pushing for a greater understanding of rehabilitation and recovery

So it seems the faculty advisors didn't ask for the protocols used and the location of those protocols. That should be grounds for dismissal.

Post-stroke lateropulsion – pushing for a greater understanding of rehabilitation and recovery

Jessica Nolan, Edith Cowan UniversityFollow

Author Identifier

Jessica Nolan

https://orcid.org/0000-0001-5802-2120

Date of Award

2023

Document Type

Thesis - ECU Access Only

Publisher

Edith Cowan University

Degree Name

Doctor of Philosophy

School

School of Medical and Health Sciences

First Supervisor

Barbara Singer

Second Supervisor

Erin Godecke

Third Supervisor

Angela Jacques

Abstract

Background:

Post-stroke lateropulsion is prevalent. A person with lateropulsion actively pushes their body across the midline toward their more affected side and/or actively resists weight shift toward the less affected side.

Aims:

The objectives of this thesis were to; investigate outcomes associated with post-stroke lateropulsion; understand short- and long-term rehabilitation needs of affected people; and provide recommendations for rehabilitation best-practice.

This thesis aimed to:

• Determine the association of lateropulsion severity (Four Point Pusher Score: 4PPS), with functional change (Functional Independence Measure: FIM) and length of stay (LOS) in inpatient rehabilitation;
• Investigate accuracy of the Australian National Sub-Acute and Non-Acute Patient Classification (AN-SNAP) funding model to predict LOS for people with post-stroke lateropulsion;
• Explore associations between 4PPS, mobility status, adverse event occurrence, and FIM at three, six, nine and twelve months post-stroke;
• Explore associations between lateropulsion presence and aspects of stroke pathology, derived from neuroimaging data; and
• Develop international consensus on lateropulsion terminology, best-practice rehabilitation, and future research priorities.

Methods:

This research comprised three sections:

Section 1. Retrospective outcome data (4PPS, FIM, and LOS) for 1,087 participants admitted to a stroke rehabilitation unit (SRU) were analysed. Individual comparisons were made between AN-SNAP-predicted and actual LOS.

Section 2. The prospective longitudinal cohort study included 144 consecutive SRU admissions. Acute stroke imaging results were coded based on consensus from two neuroradiologists. Lateropulsion severity, FIM, mobility status, and adverse event occurrence were recorded at SRU admission, discharge and three, six, nine and twelve months post-stroke and tested for association with lateropulsion resolution.

Section 3. A Delphi Panel Process addressed lateropulsion terminology, best-practice rehabilitation, and research priorities. The process included four survey rounds. Round One consisted of 13 open questions. Subsequent rounds ascertained levels of agreement with statements derived from Round One.

Results:

Section 1. Complete lateropulsion resolution was recorded in 69.4% of those admitted with mild lateropulsion, 49.3% of those with moderate lateropulsion, and 18.8% of those with severe lateropulsion. Average FIM change was lower in those admitted with severe lateropulsion than those without lateropulsion (p < 0.001). Higher admission 4PPS was associated with reduced FIM efficiency (p < 0.001), longer LOS (p < 0.001), and reduced likelihood of discharge home (p < 0.001). Reported LOS exceeding AN-SNAP-predicted LOS was associated with greater admission lateropulsion severity. Greater FIM improvement was associated with reported LOS exceeding AN-SNAP-predicted LOS (p < 0.001).

Section 2. Eighty-two participants (56.9%) had lateropulsion on admission. Stroke lesion volume was not associated with lateropulsion presence or resolution. Haemorrhagic stroke was associated with lateropulsion presence (p=0.002) and long-term persistence (p=0.015). Odds of resolved lateropulsion increased longitudinally from discharge for people who participated in rehabilitation-focused physiotherapy (p < 0.001).

Section 3. Twenty international experts completed four rounds of the process. There was ‘some agreement’ (50%) that ‘lateropulsion’ was the recommended term to describe the condition. Consensus ( ≥ 75% agreement) was achieved regarding 119 rehabilitation recommendations.

Conclusions:

Given a sufficient duration of skilled rehabilitation, people with post-stroke lateropulsion can achieve meaningful short- and long-term improvements. The consensus-based recommendations provide guidance in selecting rehabilitation approaches that will likely facilitate the best possible outcomes in people with post-stroke lateropulsion.

Accuracy of the Australian national subacute and nonacute patient classification in predicting rehabilitation length of stay for stroke survivors who are ≥65 years of age and have lateropulsion

 Survivors don't give a shit about length of stay, they want to know how the fuck you're going to get them 100% recovered! And your mentors and senior researchers approved this useless crapola?

Lateropulsion is pusher syndrome, yep this is more difficult to recover from but your doctor should have protocols for it if competent at all.

Accuracy of the Australian national subacute and nonacute patient classification in predicting rehabilitation length of stay for stroke survivors who are ≥65 years of age and have lateropulsion

Jessica Nolan

,

Erin Godecke

,

Katrina Spilsbury

,

Andy Wu

&

Barbara Singer

Received 08 May 2021, Accepted 12 Nov 2021, Published online: 04 Jan 2022

• Download citation
• https://doi.org/10.1080/10749357.2021.2008594
•   CrossMark

 ABSTRACT

Background

Lateropulsion is a common impairment after stroke. Regardless of stroke severity, functional recovery is slower in people with lateropulsion, resulting in requirement for longer rehabilitation duration. In Australia, inpatient rehabilitation funding is determined via the Australian National Sub-Acute and Non-Acute Patient Classification (AN-SNAP). AN-SNAP class is determined using age, diagnosis, weighted Functional Independence Measure (FIM) motor score, and FIM cognitive score.

Objectives

To explore accuracy of the AN-SNAP to predict length of stay (LOS) for people with poststroke lateropulsion.

Methods

A retrospective database audit was undertaken. AN-SNAP predicted LOS for each participant was calculated based on 2019 calendar year national benchmarks. A multivariable linear regression model estimated mean differences in reported LOS and AN-SNAP predicted LOS after adjusting for lateropulsion severity (Four Point Pusher Score). A separate logistic regression model assessed whether FIM change during admission was associated with reported LOS exceeding AN-SNAP predicted LOS.

Results

Data were available from 1126 admissions. Reported LOS exceeding AN-SNAP predicted LOS was associated with greater lateropulsion severity on admission. Where AN-SNAP predicted LOS was longer, those with no lateropulsion on admission showed shorter reported than predicted LOS. Greater improvement in FIM during rehabilitation was associated with increased odds of reported LOS exceeding AN-SNAP predicted LOS (OR 1.02, 95%CI 1.01–1.03, p < .001).

Conclusions

Inclusion of a measure of poststroke lateropulsion in the AN-SNAP classification model would result in more accurate LOS predictions to inform funding. Costs of longer rehabilitation LOS may be countered by optimized long-term physical function, reducing requirement for ongoing care.

 

Post-stroke lateropulsion and rehabilitation outcomes: a retrospective analysis

Lateropulsion is pusher syndrome. I didn't have this.

 

Post-stroke lateropulsion and rehabilitation outcomes: a retrospective analysis

Jessica Nolan, Erin Godecke, Katrina Spilsbury & Barbara Singer

Received 09 Sep 2020, Accepted 06 May 2021, Published online: 26 May 2021

• Download citation
• https://doi.org/10.1080/09638288.2021.1928300

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Abstract

Purpose

A person with post-stroke lateropulsion actively pushes themselves toward their hemiplegic side, or resists moving onto their non-hemiplegic side. This study aimed to determine the association of lateropulsion severity with: • Change in function (Functional Independence Measure – FIM) and lateropulsion severity (Four-Point Pusher Score – 4PPS) during inpatient rehabilitation; • Inpatient rehabilitation length of stay (LOS); • Discharge destination from inpatient rehabilitation.

Methods

Retrospective data for 1,087 participants (aged ≥65 years) admitted to a stroke rehabilitation unit (2005–2018) were analysed using multivariable regression models.

Results

Complete resolution of lateropulsion was seen in 69.4% of those with mild lateropulsion on admission (n = 160), 49.3% of those with moderate lateropulsion (n = 142), and 18.8% of those with severe lateropulsion (n = 181). Average FIM change was lower in those with severe lateropulsion on admission than those with no lateropulsion (p < 0.001). Higher admission 4PPS was associated with reduced FIM efficiency (p < 0.001), longer LOS (p < 0.001), (adjusted mean LOS: 35.6 days for those with severe lateropulsion versus 27.0 days for those without), and reduced likelihood of discharge home (p < 0.001).

Conclusion

Post-stroke lateropulsion is associated with reduced functional improvement and likelihood of discharge home. However, given a longer rehabilitation duration, most stroke survivors with moderate to severe lateropulsion can achieve important functional improvement.

• Implications for Rehabilitation

• While people with post-stroke lateropulsion can be difficult to treat and require more resources than those without lateropulsion, the majority of those affected, even in severe cases, can make meaningful recovery with appropriate rehabilitation.

• Although those with moderate to severe post-stroke lateropulsion may have poorer outcomes (longer LOS and reduced likelihood of discharge home) it is still important to advocate for access to rehabilitation for this patient group to give them the opportunity for optimal functional recovery.

 

Clinical Outcome Measures for Lateropulsion Poststroke: An Updated Systematic Review

Proving once again the incompetence out there in stroke that a review needs to be done at all. There should be a publicly available database of stroke research and protocols updated each time something new comes in. These reviews and meta-analysis are fucking wastes of time getting in the way of actually solving all the problems in stroke 

Clinical Outcome Measures for Lateropulsion Poststroke: An Updated Systematic Review

Koter, Ryan PT, DPT; Regan, Sara PT, DPT; Clark, Caitlin PT, DPT; Huang, Vicki DPT; Mosley, Melissa PT, DPT; Wyant, Erin PT, DPT; Cook, Chad PT, PhD, MBA, FAAOMPT; Hoder, Jeffrey PT, DPT, NCS

Journal of Neurologic Physical Therapy: July 2017 - Volume 41 - Issue 3 - p 145–155

doi: 10.1097/NPT.0000000000000194

Systematic Reviews

• Abstract
• Author Information

Background and Purpose: Contraversive Lateropulsion, also referred to as contraversive pushing, pusher behavior, and pusher syndrome, can be associated with increased hospital length of stay, increased health care costs, and delayed outcomes in persons with stroke. The purpose of this updated systematic review was to identify scales used to classify contraversive lateropulsion, 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: Four hundred three 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 the 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 contraversive lateropulsion. The scale assesses the presence of contraversive lateropulsion 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 contraversive lateropulsion 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 additional insights from the authors (see Video, Supplemental Digital Content 1, http://links.lww.com/JNPT/A177).

© 2017 Academy of Neurologic Physical Therapy, APTA

Lateropulsion Rehabilitation Using Virtual Reality for Stroke Patients

Lateropulsion is pusher syndrome.

Lateropulsion Rehabilitation Using Virtual Reality for Stroke Patients

Abstract

—
Virtual reality (VR) is being explored as a method of rehabilitation for stroke  patients,  specifically  in  lateropulsion patients. Virtual Reality or augmented reality, provides realistic 3-dimensional  environments  combined  with  real-time  movements.
The  user  is  able  to  concentrate  on  the  scenery  and  feel  removed from their real life  setting  and  immersed  in  a  new
setting.
Integrating  virtual  reality  with  rehabilitation  practices is an accessible way for patients to improve their recovery times while
using a mobile device to make rehabilitation more accessible to the patient. The goal of this research is to use virtual reality as a viable tool for physical therapists to help improve the stamina of recovering patients.
The study will explore the benefits of changing the environment of the user, to help change their perspective of the world and normalizing the world for lateropulsion stroke patients.
This work will conduct the necessary research to develop a mobile application  which  may  benefit  the  lives  of  stroke  patients  by potentially decreasing the lateropulsion symptoms.