Contraversive Pushing: Evaluation and Treatment


The purpose of this course is to familiarize the target audience (physical therapists, physical therapy assistants, occupational therapists, occupational therapy assistants, speech-language pathologists, and other rehabilitation professionals) with modern definitions and identifying features of contraversive pushing, as well as instill an understanding of the principles of treatment for this disorder.


Hours: 2.00


Certificates provided by accrediting body (4 Match)

Indiana Physical Therapy Committee


The Indiana Physical Therapy Committee accepts Continuing Education courses approved by any state physical therapy association. Relias Learning is a Texas CCAP Accredited Provider by the Texas Physical Therapy Association, approval #1902008TX. This activity is approved for 2.00 contact hours.

Iowa Board of Physical and Occupational Therapy


The Iowa Bureau of Professional Licensure accepts Continuing Education hours obtained by completing online training courses related to the practice of physical therapy. This course is approved by the Physical Therapy Board of California and offered to PTs and PTAs for CEUs. This activity is approved for 2.00 contact hours.
Disclaimer: It is the learner's responsibility to determine whether or not this course meets the specific renewal requirements established by your licensing board.

Kentucky Board of Physical Therapy


The Kentucky Board of Physical Therapy accepts Continuing Education courses approved by the American Physical Therapy Association and its affiliate components. Relias Learning is a Texas CCAP Accredited Provider by the Texas Physical Therapy Association, approval #1902008TX. This activity qualifies for 2.00 Category 2 hours.

Nevada State Board of Physical Therapy Examiners


This course has been approved by the Nevada State Board of Physical Therapy Examiners. This activity is approved for 2.00 contact hours.

Course Details

Course Code: REL-C2L-1238-V2
Hours: 2
Type: Online Course
Content Expiration Date: 10/31/2018
Learning Objectives:
Define the terminology describing Pusher Syndrome.
Describe the characteristics of contraversive pushing.
Describe the basic concepts of balance.
Describe the methods of evaluating contraversive pushing.
Write functional goals appropriate for a patient with contraversive pushing.

Topic 1: Introduction and History
--Overview of Stroke
--Definition of Pusher Syndrome
--Research Findings – Seminal and Contemporary
--The Many Names of Pusher
Topic 2: Characteristics of
Contraversive Pushing
--Resistance to Posture Correction
--Abduction and Extension of Limbs
Topic 3: Balance Overview
--Base of support
--Increasing Stability
--Center of Gravity
--Controlling the Center of Gravity
Topic 4: Evaluation
--Scale for Contraversive Pushing
--Modified Scale for Contraversive Pushing
--Burke Lateropulsion Scale
--Functional Assessment
--Goniometer Measurements
--Balance Perception
Topic 5: Treatment
--Step 1: Awareness
--Step 2: Active Correction

Expert Reviewer: Eric Oestmann, PHD, MS, PT
Mr. Oestmann holds advanced degrees in Physical Therapy and Health Services Administration. His clinical experience includes nine years of practice in a variety of settings, including out-patient, in-patient, neuro rehabilitation, long-term care, and work hardening. One of his areas of specialization is in spinal assessments and rehabilitation. In addition, Dr. Oestmann has written over 21 healthcare related textbooks for Charles C. Thomas Publisher and East-West Publishing. Dr. Oestmann currently continues his writing, teaching and consulting in healthcare. Disclosure: Eric Oestmann, PHD, MS, PT has declared that no conflict of interest, Relevant Financial Relationship or Relevant Non-Financial Relationship exists.
Target Audience:
The target audience for this course is: intermediate level Case Managers; intermediate level Nurses; intermediate level Rehabilitation Professionals; in the following settings: Long-term Care, Post-Acute Care, Residential Care; and the following practice categories: Rehabilitation.
Relias will be transparent in disclosing if any commercial support, sponsorship or co-providership is present prior to the learner completing the course.
Course Delivery Method and Format
Asynchronous/Online Distance Learning; please see certificate details for specifics on delivery format.
Relias has a grievance policy in place to facilitate reports of dissatisfaction. Relias will make every effort to resolve each grievance in a mutually satisfactory manner. In order to report a complaint or grievance please contact Relias.
If you require special accommodations to complete this module, please contact Relias Support by completing the web form ( or by using the chat functionality.
All courses offered by Relias, LLC are developed from a foundation of diversity, inclusiveness, and a multicultural perspective. Knowledge, values and awareness related to cultural competency are infused throughout the course content.
Reference herein to any specific commercial product, process, or service by trade name, trademark, service mark, manufacturer or otherwise does not constitute or imply any endorsement, recommendation, or favoring of, or affiliation with, Relias, LLC.
All characteristics and organizations referenced in the following training are fictional. Any resemblance to any actual organizations or persons living or dead, is purely coincidental.
To earn continuing education credit for this course you must achieve a passing score of 80% on the post-test and complete the course evaluation.
If you require special accommodations to complete this module, please contact Relias Customer Support by calling (800) 381-2321 or emailing