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Areti Dimakakou: Stroke Rehabilitation Is Not just about Movement
Areti Dimakakou/LinkedIn
May 4, 2026, 12:09

Areti Dimakakou: Stroke Rehabilitation Is Not just about Movement

Areti Dimakakou, Physiotherapist at Diaplasis Rehabilitation Center, shared a post on LinkedIn, about resent article by Dhanusia S et al. published in Texila International Journal of Public Health, adding:

“Stroke Rehabilitation is not just about movement.

It’s about perception, awareness, and control.

A recent case report published in the Texila International Journal of Public Health highlights something many clinicians underestimate:

Patients after a stroke may not just be weak — they may be misperceiving their own body in space.

In this case:

A 64-year-old patient developed:

  • Pusher Syndrome (a strong pushing tendency toward the affected side)
  • Hemineglect (lack of awareness of one side of the body)
  • These are not simple motor deficits.
  • They are failures of sensory integration and spatial orientation.

What made the difference?

A multimodal rehabilitation approach over 6 weeks that included:

  • Visual feedback (mirror therapy)
  • Visual deprivation (patching to activate the neglected side)
  • Limb activation therapy
  • Auditory cues
  • Body-weight supported treadmill training

The results were impressive:

  • Significant reduction in pushing behavior
  • Improvement in hemineglect
  • Increased functional independence (FIM)

Key Clinical Insight:

The brain doesn’t just lose strength after a stroke.

It loses its internal map of the body.

And rehabilitation works best when:

it targets not only movement, but also perception

Takeaway for clinicians:

If your patient:

falls toward one side

does not use a limb

is unaware of their body

Don’t just train muscles.

Train the brain’s perception of reality.”

Title: Comprehensive Rehabilitation Strategies for Pushers Syndrome and Hemineglect- A Case Report

Authors: Dhanusia S, Simran Sharma, Suriya N, Kamalakannan M, Madhanraj Sekar Saveetha

Areti Dimakakou

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Areti Dimakakou Chennai Dhanusia S Health Hematology Hemostasis Hemostasis News Hemostasis Today India Kamalakannan M Madhanraj Sekar Saveetha College of Physiotherapy Medicine Saveetha Institute of Medical and Technical Sciences Simran Sharma Suriya N Tamil Nadu
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