Abstract:

Stroke is one of the leading causes of death and disability in India. It can lead to complications like pusher’s syndrome and hemineglect. Pusher’s syndrome is characterized by a strong tendency to push towards the paralyzed side, resulting in postural instability and an increased risk of falls. On the other hand, hemineglect is a condition where the patient is unaware of the affected side, often associated with lesions in the right hemisphere. These complications not only hinder the recovery process but also significantly impact the patient’s functional outcomes. This study aims to explores comprehensive rehabilitation strategies for addressing lateropulsion and hemineglect in stroke patients and assessing their effectiveness in improving balance, spatial awareness and functional outcomes. This case report explores the rehabilitation of a 64-year-old man who developed pusher’s syndrome and hemineglect one month following a stroke. The rehabilitation program, conducted over six weeks, included strategies such as visual feedback, visual deprivation therapy, limb activation therapy, auditory cues, and treadmill-supported body weight training to address both pushing behaviour and hemineglect. Progress was monitored using the Burke Lateropulsion Scale (BLS), the Catherine Bergego Scale (CBS), and Functional Independent Measure (FIM) score. By the end of the six weeks, the patient showed significant improvement in both pushing behaviour and hemineglect. A comprehensive rehabilitation approach not only aids in overcoming pushing behaviour and hemineglect but also enhances the overall functional outcomes for stroke patients.

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