Education Center

Contraversive Pushing: Physical Therapy Assessment and Management following Stroke

This course provides a clinical foundation for understanding and treating Contraversive Pushing, a disorder that occurs typically following stroke and results in pushing towards the hemiparetic side with active resistance to passive correction. Participants in this course will learn the clinical signs as well as the physiologic and anatomic cause of Contraversive Pushing and will learn validated methods to assess this disorder. Finally, research-driven treatment options will be presented.

Learning Objectives:

  1. Understand the clinical presentation seen in patients with Contraversive Pushing
  2. Identify structures within the CNS that are impaired in their function in patients with Contraversive Pushing
  3. Utilize outcome measures to identify patients with Contraversive Pushing
  4. Incorporate the intervention strategies presented in this literature review

Course Launched January 2019

Victoria Pardo

PT, DHS

Vicky Pardo, PT, DHS is an Assistant Professor in the Physical Therapy Program at Wayne State University in Detroit, Michigan where she teaches Clinical Medicine, Neuro Evaluation, Neuro Treatment, and Rehab Procedures. She has a BSc in Biology and a BSc in Physiotherapy from the University of Ottawa (Canada), and a Masters of Health Sciences and Doctorate of Health Sciences from the University of Indianapolis. She received her NDT certification in 1994. She has over 25 years of clinical experience in the treatment of adults with neurological conditions. She has been active in research on neurological outcome measures, and more recently on the effects of using the NuStep in the healthy and stroke populations.

Sujay Galen

PT, PhD

Dr Sujay Galen is a Physical Therapist, and he received his PhD in Bioengineering from University of Strathclyde, Glasgow, United Kingdom. His research interests bring together the disciplines of Bioengineering and Physical Therapy in promoting function and mobility in individuals with various neurological disorders. The research he performed as part of his PhD investigated a combined intervention of Functional Electrical Stimulation and Botulinum Toxin A Therapy targeted at improving walking in children with Cerebral Palsy through. His post-doctoral research was in studying recovery in individuals with incomplete spinal cord injury and was funded by the spinal research trust in the UK. He currently serves as the Chair of the Department of Physical Therapy, Georgia State University, Atlanta, Georgia. His research focuses on the development of wearable sensors and new outcome measures to study the efficacy of exercises and interventions and its role in the recovery of mobility and function.

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Contraversive Pushing: Physical Therapy Assessment and Management following Stroke
Begin self-paced component package.
Begin self-paced component package. This course provides a clinical foundation for understanding and treating Contraversive Pushing, a disorder that occurs typically following stroke and results in pushing towards the hemiparetic side with active resistance to passive correction. Participants in this course will learn the clinical signs as well as the physiologic and anatomic cause of Contraversive Pushing and will learn validated methods to assess this disorder. Finally, research-driven treatment options will be presented. Resources are available in the upper right hand corner of the course.
Course Evaluation
9 Questions
9 Questions Completion of this evaluation will help with the development of additional courses.
Post Test
10 Questions  |  Unlimited attempts  |  7/10 points to pass
10 Questions  |  Unlimited attempts  |  7/10 points to pass Must receive a 70% pass rate to receive the CEU/Contact hour certificate
Completion Certificate/CEU
0.20 Contact Hours/CEU credits  |  Certificate available
0.20 Contact Hours/CEU credits  |  Certificate available