Effect of Visual Feedback Task-Oriented Training System on Post-Stroke Pusher Syndrome

This study aimed to investigate the impact of a visual feedback task-oriented training system on post-stroke pusher syndrome. Eighty-four patients diagnosed with post-stroke pusher syndrome were carefully selected and randomly assigned to either a treatment group or a control group, with an equal distribution of 24 patients per group, using a random number table method. Both cohorts underwent a standardized rehabilitation regimen, which consisted of daily sessions lasting two hours, conducted six days a week over a period of eight weeks. The treatment group was introduced to a task-oriented training modality, complemented by visual feedback, with each session lasting twenty minutes and occurring once daily. To systematically assess and compare the efficacy of the rehabilitation protocols, the following assessments were administered: the Trunk Control Test (TCT), Berg Balance Function Scale (BBS), Modified Barthel Index (MBI), and Scales for Contraversive Pushing (SCP). These evaluations were conducted at three distinct time points: prior to treatment initiation, at the four-week mark post-treatment, and upon completion of the eight-week treatment period. The primary outcomes of interest were the comparative evaluations of trunk control, balance capabilities, activities of daily living (ADL), and the degree of contraversive pushing between the two groups.Following the 4-week and 8-week treatment milestones, both groups exhibited a statistically significant enhancement in their TCT, BBS, MBI, and SCP scores when compared to baseline measures (P< 0.05). Specifically, at the 4-week juncture, the treatment group demonstrated a notably superior performance in TCT scores, with the difference being statistically significant (P< 0.05).Upon reaching the 8-week mark, the treatment group not only sustained this advantage but also achieved significantly higher scores across all evaluated metrics-TCT, BBS, MBI, and SCP-when juxtaposed with the control group, reinforcing the efficacy of the treatment. These disparities were again statistically significant (P< 0.05), underscoring the robust impact of the intervention. The visual feedback task-oriented training instrument has been demonstrated to markedly enhance the trunk control capabilities, balance functionality, and activities of daily living for patients afflicted with post-stroke pusher syndrome. Furthermore, it significantly mitigates the degree of tilt, an essential factor in the rehabilitation process.