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
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