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assessments to be awarded credit, no minimum score required unless otherwise specified within the
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Almost 800,000 persons have strokes each year in the United States. Given the scope of this diagnosis, efforts are always ongoing to determine the most effective treatments for persons immediately after stroke. In this course, we will discuss what the literature reveals about the most effective medical management after acute stroke. We will also examine the studies on early mobilization after stroke to determine when it is safe and most effective to begin therapy. In addition, we will discuss pusher syndrome (or contraversive pushing), a problem that immediately impacts mobilization efforts after stroke.
Karen McCain, PT, DPT, NCS, is a licensed physical therapist, board certified Neurologic Clinical Specialist and educator with more than twenty years of clinical experience. She is currently an Associate Professor in the Physical Therapy program at the University of Texas Southwestern Medical Center in Dallas, Texas and is former senior physical therapist at the…
This chapter covers the incidence, prevalence, and prognosis after stroke, as well as factors associated with length of stay and discharge destination after stroke. Medical complications after stroke and basic medical management in ischemic and hemorrhagic stroke will also be reviewed.
In this chapter, we will define “early mobilization” as described in the literature and review several studies that have examined outcomes in persons who were mobilized very early after stroke. We will also discuss the clinical implications of these studies.
3. Contraversive Pushing in Stroke
This chapter will define contraversive pushing and briefly explain the pathophysiology of this problem. In addition, we will discuss the clinical presentation of contraversive pushing as well as outcome measures. Finally, we will review prognosis and evidence-based treatments for this impairment.
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