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Previous issue date: 2011-03-23 / BACKGROUND: The prevalence of the pusher syndrome can affect patients' motor recovery after stroke (CVA). OBJECTIVES: To establish the prevalence of pusher syndrome in patients after stroke from clinical criteria contained in Contraversive Pushing Scale (evaluation of the symptom of pushing), and correlate them with neurological abnormalities, severity of stroke and functionality. METHODS: a cross-sectional study with convenience sample of patients of both sexes with a diagnosis of acute stroke. We included patients with clinically stable and able to assess the severity of the event from the range of NIHSS, Barthel (evaluation of the symptom of pushing). To diagnose the pusher syndrome used two scoring criteria with different cutoff points, pushing the Contraversive scale: result greater than or equal to 1 (criterion I) or greater than zero (criterion II).RESULTS: 86 patients were evaluated. Of these 30 met the inclusion criteria. 17 were men with mean age of 52.3 years. 26 patients had ischemic stroke and hemorrhagic stroke four. 14 had hemiplegia on the left and 16 right. Mean NIHSS and Barthel index were 8.5 and 48.8 points respectively. Using the criteria I and II prevalence rates were 3.3% and 26.6% respectively. The presence of pusher syndrome was significantly associated with lower values when the Barthel scale, we used the criterion II (22.5 ? 8.5 versus 58.4 ? 27.3, P <0.001). CONCLUSIONS: The prevalence of pusher syndrome in patients after acute stroke is significant and can vary according to the criteria used. Its presence is associated with clinical severity and functional dependence, higher incidence in ischemic stroke event, parietal lobe and middle cerebral artery, respectively. / BASE TE?RICA: A identifica??o da s?ndrome de pusher pode influir na recupera??o motora dos pacientes ap?s acidente vascular encef?lico (AVC). OBJETIVOS: estabelecer a preval?ncia da s?ndrome de pusher em pacientes ap?s AVC a partir de crit?rios cl?nicos contidos na contraversive pushing scale (avalia??o do sintoma de empurrar) e correlacion?-la com anormalidades do exame neurol?gico, gravidade do AVC e funcionalidade. M?TODOS: realizou-se estudo transversal com amostra de conveni?ncia de pacientes de ambos os sexos, com diagn?stico de AVC agudo. Foram inclu?dos pacientes clinicamente est?veis e com possibilidade de avalia??o da severidade do evento a partir da escala de NIHSS, Barthel e (avalia??o do sintoma de empurrar). Para o diagn?stico da s?ndrome de pusher utilizaram-se dois crit?rios de pontua??o, com diferentes pontos de corte, na contraversive pushing scale: resultado maior ou igual a 1 (crit?rio I) ou maior que zero (crit?rio II).RESULTADOS: foram avaliados 86 pacientes. Destes 30 preencheram os crit?rios de inclus?o. 17 eram homens com idade m?dia de 52,3 anos. 26 pacientes tiveram AVC isqu?mico e quatro AVC hemorr?gico. 14 apresentaram hemiplegia ? esquerda e 16 ? direita. As m?dias do NIHSS e do ?ndice de Barthel foram de 8.5 e 48.8 pontos, respectivamente. Utilizando-se os crit?rios I e II as preval?ncias foram de 3.3% e 26.6%, respectivamente. A presen?a de s?ndrome de pusher associou-se significativamente a valores mais baixos na escala de Barthel quando se utilizou o crit?rio II (22,5?8,5 versus 58,4?27,3; P< 0, 001). CONCLUS?ES: a preval?ncia da s?ndrome de pusher em paciente p?s - AVC agudo ? significativa e pode variar de acordo com crit?rios utilizados. Sua presen?a associa-se a par?metros cl?nicos de maior gravidade e depend?ncia funcional, maior incid?ncia do evento em AVC isqu?mico, lobo parietal e art?ria cerebral m?dia, respectivamente.
| Identifer | oai:union.ndltd.org:IBICT/oai:tede2.pucrs.br:tede/1655 |
| Date | 23 March 2011 |
| Creators | Palmini, Suzana Fernandes |
| Contributors | Costa, Jaderson Costa da |
| Publisher | Pontif?cia Universidade Cat?lica do Rio Grande do Sul, Programa de P?s-Gradua??o em Medicina e Ci?ncias da Sa?de, PUCRS, BR, Faculdade de Medicina |
| Source Sets | IBICT Brazilian ETDs |
| Language | Portuguese |
| Detected Language | English |
| Type | info:eu-repo/semantics/publishedVersion, info:eu-repo/semantics/masterThesis |
| Format | application/pdf |
| Source | reponame:Biblioteca Digital de Teses e Dissertações da PUC_RS, instname:Pontifícia Universidade Católica do Rio Grande do Sul, instacron:PUC_RS |
| Rights | info:eu-repo/semantics/openAccess |
| Relation | 7620745074616285884, 500, 600, -8624664729441623247 |
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