Neurological Physical Therapy
Online ISSN : 2758-0458
Original Article
Factors associated with clinical severity of pusher behavior
Rio ItagakiHiroaki AbeKazuto Oki
Author information

2022 Volume 1 Issue 1 Pages 1-11


Background: A stroke patient with pusher behavior actively pushes themselves toward their hemiplegic side, or resists moving onto their non-hemiplegic side. This phenomenon is associated with increased length of hospitalization and health care costs, as well as delayed recovery in such patients. The present study aimed to determine the factors associated with clinical severity of pusher behavior.

Methods: In the current study, we defined clinical severity as the summation of controlled initial severity and improvement efficiency. From the retrospective data of 1,971 patients admitted to a single acute stroke hospital, 136 patients who exhibited pusher behavior were analyzed using logistic regression analysis.

Results: Age, lower limb motor function, score of Japan coma scale and Barthel Index were significantly associated with the clinical severity of pusher behavior.

Conclusions: Older age, lower limb motor impairments, consciousness disorder and Barthel Index were associated with delayed recovery from pusher behavior and initial severity in patients with pusher behavior. The results of the present study may provide evidence that these characteristics on admission are useful for early decision making regarding the rehabilitation duration and discharge planning.

Content from these authors
© 2022 Japanese Society of Neurological Physical Therapy
Previous article Next article