Understanding the pusher behavior of some stroke patients with spatial deficits: A pilot study Dominic Alain Pérennou, MD, PhD, Bernard Amblard, PhD,

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Understanding the pusher behavior of some stroke patients with spatial deficits: A pilot study Dominic Alain Pérennou, MD, PhD, Bernard Amblard, PhD, El Mostafa Laassel, PhD, Charles Benaim, MD, PhD, Christian Hérisson, MD, Jacques Pélissier, MD Archives of Physical Medicine and Rehabilitation Volume 83, Issue 4, Pages 570-575 (April 2002) DOI: 10.1053/apmr.2002.31198 Copyright © 2002 American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation Terms and Conditions

Fig. 1 Rocking platform paradigm adapted for analyzing the maintenance of a dynamic sitting posture in neurologic patients. (A) Front view and (B) lateral view of the apparatus. Safety armrests were placed at the sides to prevent falls. The height of the sitting support was adjustable so that the subject's legs were freely hanging. (C) Patients sat on a rigid plane support mounted on a seesaw, allowing lateral oscillations around the subject's roll axis. Eight retroflective markers (dots) were fixed on the body or supporting surface to measure the successive orientations of the head, shoulders, thoracolumbar spine, and pelvis in roll. A negative angle indicates a tilt to the left. (D) A different head and pelvis orientation. Archives of Physical Medicine and Rehabilitation 2002 83, 570-575DOI: (10.1053/apmr.2002.31198) Copyright © 2002 American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation Terms and Conditions

Fig. 2 Segmental body orientation in roll with respect to gravity. Body orientation in roll has been measured at 4 levels: head, shoulders, thoracolumbar spine (T-lumbar), and pelvis. Three age-matched groups are compared: healthy subjects, stroke patients showing a pusher behavior (pushers), and without this behavior (nonpushers). A negative angle indicates a tilt to the left. Data are mean ± standard deviation. Legend: black symbols, without vision; white symbols, with vision. Abbreviations: RBD, right brain-damaged patients. Archives of Physical Medicine and Rehabilitation 2002 83, 570-575DOI: (10.1053/apmr.2002.31198) Copyright © 2002 American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation Terms and Conditions