Introduction:

Pusher syndrome is a little-known, but relatively frequent, postural disorder. It occurs when patients sitting or in an orthostatic position use the non-paretic limbs to push (push) towards the paretic side, which results in an inclined posture, resisting with the non-paretic side any attempt at postural correction. This is a challenge for Rehabilitation Nurses. The objective of this study is to identify the strategies to be used in Rehabilitation Nursing care for people with pusher syndrome after stroke.

Methodology:

Integrative literature review, with narrative synthesis of 9 articles resulting from research in Medline and Web of Science.

Results:

There is unanimity in terms of strategies to train people with pusher syndrome. These involve guiding the person towards their midline, using visual feedback strategies. Balance training, cross-facilitation and weight alternation exercises, lifting/sitting training with weight transfer to the unaffected side and transfer training with verbal guidance and the help of professionals, on both sides, are fundamental. The mirror is a frequent resource in the analyzed studies.

Conclusion:

There is little evidence on the strategies to be used in the person with pusher syndrome. The use of assessment instruments, in addition to allowing the characterization of postural disturbance, will be decisive in the planning of care. The placement of a checkered mirror in the wards and/or bathrooms of the units/services is a fundamental resource.

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