PMID- 29643587 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20200929 IS - 0915-5287 (Print) IS - 2187-5626 (Electronic) IS - 0915-5287 (Linking) VI - 29 IP - 12 DP - 2017 Dec TI - Relationship of white matter lesions and severity of pushing behavior after stroke. PG - 2116-2120 LID - 10.1589/jpts.29.2116 [doi] AB - [Purpose] The relationship between white matter lesions (WMLs) and pushing behavior (PB) is still poorly understood. The purpose of this study was to investigate whether damage from WMLs affects the functional outcome of PB after acute stroke. [Subjects and Methods] In total, 37 patients were included. PB was assessed using the standardized Scale for Contraversive Pushing (SCP). Stroke types were classified as total anterior circulation infarct (TACI), partial anterior circulation infarct (PACI), or lacunar syndrome using the Bamford classification. WML severity was categorized into four groups using the Fazekas visual scale. Thereafter, patients were divided into 4 groups according to the stroke type and/or presence of WMLs. The SCP, Trunk Control Test (TCT), Stroke Impairment Assessment Set (SIAS), and Barthel Index were the outcome measures. [Results] The SCP and TCT in patients with PACI without WMLs were better than those in patients with TACI with or without WMLs. Regarding SCP, TCT, and SIAS, patients with TACI had poorer values compared with PACI, regardless of WML severity. Barthel Index efficiency was not significantly different between the groups. [Conclusion] Our results suggest that moderate to severe WMLs and PACI had a relationship with PB severity and truncal balance. FAU - Fujino, Yuji AU - Fujino Y AD - Department of Rehabilitation, Saitama Medical University International Medical Center: 1397-1 Yamane, Hidaka, Saitama 350-1298, Japan. FAU - Amimoto, Kazu AU - Amimoto K AD - Department of Physical Therapy, Tokyo Metropolitan University, Japan. FAU - Sugimoto, Satoshi AU - Sugimoto S AD - Department of Physical Therapy, University of Tokyo Health Sciences, Japan. FAU - Fukata, Kazuhiro AU - Fukata K AD - Department of Rehabilitation, Saitama Medical University International Medical Center: 1397-1 Yamane, Hidaka, Saitama 350-1298, Japan. FAU - Inoue, Masahide AU - Inoue M AD - Department of Rehabilitation, Saitama Medical University International Medical Center: 1397-1 Yamane, Hidaka, Saitama 350-1298, Japan. FAU - Uchino, Akira AU - Uchino A AD - Department of Diagnostic Radiology, Saitama Medical University International Medical Center, Japan. FAU - Takahashi, Hidetoshi AU - Takahashi H AD - Department of Rehabilitation, Saitama Medical University International Medical Center: 1397-1 Yamane, Hidaka, Saitama 350-1298, Japan. FAU - Makita, Shigeru AU - Makita S AD - Department of Rehabilitation, Saitama Medical University International Medical Center: 1397-1 Yamane, Hidaka, Saitama 350-1298, Japan. LA - eng PT - Journal Article DEP - 20171207 PL - Japan TA - J Phys Ther Sci JT - Journal of physical therapy science JID - 9105359 PMC - PMC5890213 OTO - NOTNLM OT - Pushing behaviour OT - Stroke OT - White Matter EDAT- 2018/04/13 06:00 MHDA- 2018/04/13 06:01 PMCR- 2017/12/01 CRDT- 2018/04/13 06:00 PHST- 2017/08/27 00:00 [received] PHST- 2017/09/06 00:00 [accepted] PHST- 2018/04/13 06:00 [entrez] PHST- 2018/04/13 06:00 [pubmed] PHST- 2018/04/13 06:01 [medline] PHST- 2017/12/01 00:00 [pmc-release] AID - jpts-20017-460 [pii] AID - 10.1589/jpts.29.2116 [doi] PST - ppublish SO - J Phys Ther Sci. 2017 Dec;29(12):2116-2120. doi: 10.1589/jpts.29.2116. Epub 2017 Dec 7.