<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2184-3023</journal-id>
<journal-title><![CDATA[Revista Portuguesa de Enfermagem de Reabilitação]]></journal-title>
<abbrev-journal-title><![CDATA[RPER]]></abbrev-journal-title>
<issn>2184-3023</issn>
<publisher>
<publisher-name><![CDATA[Associação Portuguesa de Enfermagem de Reabilitação]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2184-30232022000200302</article-id>
<article-id pub-id-type="doi">10.33194/rper.2022.209</article-id>
<title-group>
<article-title xml:lang="pt"><![CDATA[A Intervenção dos Enfermeiros de Reabilitação na Pessoa com Síndrome de Pusher: Revisão Integrativa]]></article-title>
<article-title xml:lang="en"><![CDATA[Intervention of the Rehabilitation Nurses in the Person with Pusher Syndrome: Integrative Review]]></article-title>
<article-title xml:lang="es"><![CDATA[Intervención de los Enfermeros de Rehabilitación en la Persona con Síndrome de Pusher: Revisión Integrativa]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Novo]]></surname>
<given-names><![CDATA[André]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cavadas]]></surname>
<given-names><![CDATA[Brígida]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Teles]]></surname>
<given-names><![CDATA[Cristiana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sousa]]></surname>
<given-names><![CDATA[Rui]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Costa]]></surname>
<given-names><![CDATA[Teresa]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ribeiro]]></surname>
<given-names><![CDATA[Olga]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Instituto Politécnico de Bragança  ]]></institution>
<addr-line><![CDATA[Bragança ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Centro Hospitalar do Tâmega e Sousa  ]]></institution>
<addr-line><![CDATA[Penafiel ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Centro Hospitalar Universitário de São João  ]]></institution>
<addr-line><![CDATA[Porto ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Escola Superior de Enfermagem do Porto  ]]></institution>
<addr-line><![CDATA[Porto ]]></addr-line>
<country>Portugal</country>
</aff>
<pub-date pub-type="pub">
<day>30</day>
<month>12</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="epub">
<day>30</day>
<month>12</month>
<year>2022</year>
</pub-date>
<volume>5</volume>
<numero>2</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_arttext&amp;pid=S2184-30232022000200302&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_abstract&amp;pid=S2184-30232022000200302&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_pdf&amp;pid=S2184-30232022000200302&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="pt"><p><![CDATA[RESUMO  Introdução: A síndrome de pusher é uma perturbação postural pouco conhecida, mas relativamente frequente. Verifica-se quando os doentes sentados ou em posição ortostática utilizam os membros não paréticos para empurrar (push) no sentido do lado parético, o que resulta numa postura inclinada, resistindo com o lado não parético a qualquer tentativa de correção postural. Esta condição é um desafio para os Enfermeiros de Reabilitação. O objetivo deste estudo é identificar as estratégias a utilizar nos cuidados de Enfermagem de Reabilitação à pessoa com síndrome de pusher após AVC.  Metodologia: Revisão integrativa da literatura, com síntese narrativa de 9 artigos resultantes da pesquisa na Medline e Web of Science.  Resultados: As estratégias definidas para capacitar a pessoa com síndrome de pusher passam por orientar a pessoa no sentido da sua linha média, recorrendo a estratégias de feedback visual. Treinos de equilíbrio, exercícios de facilitação cruzada e de alternância de peso, treinos de levantar/sentar com transferência de peso para o lado não afetado e treinos de transferência com orientação verbal e auxílio de profissionais, em ambos os lados, demonstram-se fundamentais. O espelho é um recurso frequente nos estudos analisados.  Conclusão: Existe escassa evidência sobre as estratégias a utilizar na pessoa com síndrome de pusher. O uso de instrumentos de avaliação permite caracterizar a perturbação postural, sendo determinante no planeamento dos cuidados. A colocação de espelho quadriculado nas enfermarias e/ou casas de banho das unidades/serviços constitui um recurso fundamental.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  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.]]></p></abstract>
<abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  El síndrome del empujador es un trastorno postural poco conocido pero relativamente frecuente. Ocurre cuando los pacientes sentados o en posición ortostática utilizan los miembros no paréticos para empujar (empujar) hacia el lado parético, lo que resulta en una postura inclinada, resistiendo con el lado no parético cualquier intento de corrección postural. Este es un desafío para las enfermeras de rehabilitación. El objetivo de este estudio es identificar las estrategias a ser utilizadas en la atención de Enfermería de Rehabilitación a personas con síndrome del empujador después de un ictus.  Metodología:  Revisión integrativa de la literatura, con síntesis narrativa de 9 artículos resultantes de investigaciones en Medline y Web of Science.  Resultados:  Existe unanimidad en cuanto a las estrategias para formar a las personas con síndrome del empujador. Estos implican guiar a la persona hacia su línea media, utilizando estrategias de retroalimentación visual. El entrenamiento del equilibrio, la facilitación cruzada y los ejercicios de alternancia de peso, el entrenamiento de levantamiento/sentado con transferencia de peso al lado no afectado y el entrenamiento de transferencia con guía verbal y la ayuda de profesionales, en ambos lados, son fundamentales. El espejo es un recurso frecuente en los estudios analizados.  Conclusión:  Hay poca evidencia sobre las estrategias a utilizar en la persona con síndrome del empujador. El uso de instrumentos de evaluación, además de permitir la caracterización de la alteración postural, será determinante en la planificación de los cuidados. La colocación de un espejo ajedrezado en las salas y/o baños de las unidades/servicios es un recurso fundamental.]]></p></abstract>
<kwd-group>
<kwd lng="pt"><![CDATA[Equilíbrio Postural]]></kwd>
<kwd lng="pt"><![CDATA[Reabilitação Neurológica]]></kwd>
<kwd lng="pt"><![CDATA[Acidente Vascular Cerebral]]></kwd>
<kwd lng="pt"><![CDATA[Limitação da Mobilidade]]></kwd>
<kwd lng="en"><![CDATA[Postural Balance]]></kwd>
<kwd lng="en"><![CDATA[Neurological Rehabilitation]]></kwd>
<kwd lng="en"><![CDATA[Stroke]]></kwd>
<kwd lng="en"><![CDATA[Mobility Limitation]]></kwd>
<kwd lng="es"><![CDATA[Equilibrio Postural]]></kwd>
<kwd lng="es"><![CDATA[Rehabilitación Neurológica]]></kwd>
<kwd lng="es"><![CDATA[Accidente Cerebrovascular]]></kwd>
<kwd lng="es"><![CDATA[Limitación de la Movilidad]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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