PMID- 28628548
OWN - NLM
STAT- MEDLINE
DCOM- 20180808
LR  - 20250623
IS  - 1557-0584 (Electronic)
IS  - 1557-0576 (Linking)
VI  - 41
IP  - 3
DP  - 2017 Jul
TI  - Clinical Outcome Measures for Lateropulsion Poststroke: An Updated Systematic 
      Review.
PG  - 145-155
LID - 10.1097/NPT.0000000000000194 [doi]
AB  - 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).
FAU - Koter, Ryan
AU  - Koter R
AD  - Doctor of Physical Therapy Division, Department of Orthopaedics, Duke University, 
      Durham, North Carolina.
FAU - Regan, Sara
AU  - Regan S
FAU - Clark, Caitlin
AU  - Clark C
FAU - Huang, Vicki
AU  - Huang V
FAU - Mosley, Melissa
AU  - Mosley M
FAU - Wyant, Erin
AU  - Wyant E
FAU - Cook, Chad
AU  - Cook C
FAU - Hoder, Jeffrey
AU  - Hoder J
LA  - eng
PT  - Journal Article
PT  - Systematic Review
PL  - United States
TA  - J Neurol Phys Ther
JT  - Journal of neurologic physical therapy : JNPT
JID - 101193365
SB  - IM
MH  - Humans
MH  - Outcome Assessment, Health Care
MH  - Postural Balance/*physiology
MH  - Reproducibility of Results
MH  - Sensation Disorders/diagnosis/*etiology/*rehabilitation
MH  - Stroke/*complications/*physiopathology/therapy
MH  - Stroke Rehabilitation
EDAT- 2017/06/20 06:00
MHDA- 2018/08/09 06:00
CRDT- 2017/06/20 06:00
PHST- 2017/06/20 06:00 [entrez]
PHST- 2017/06/20 06:00 [pubmed]
PHST- 2018/08/09 06:00 [medline]
AID - 01253086-201707000-00002 [pii]
AID - 10.1097/NPT.0000000000000194 [doi]
PST - ppublish
SO  - J Neurol Phys Ther. 2017 Jul;41(3):145-155. doi: 10.1097/NPT.0000000000000194.