Post-stroke lateropulsion terminology: Pushing for agreement amongst experts
Letter to the Editor
Annals of Physical and Rehabilitation Medicine
School of Medical and Health Sciences
Department of Health/Raine Foundation Clinician Research Fellowship (Raine Medical Research Foundation CRF04-R9), Australia / Charlies Foundation for Research (RAC 2020–21/021), Australia / Australian Government Research Training Program Scholarship
Post-stroke lateropulsion is prevalent. The global inconsistency in terminology used to describe the condition presents obstacles in accurately comparing research results, reaching consensus on use of measurement tools, agreeing upon a consistent approach to rehabilitation, and translating research to clinical practice. Commencing in 2021, 20 international experts undertook a Delphi Process that aimed to compile clinical practice recommendations for the rehabilitation of lateropulsion. As a part of the process, the panel agreed to aim to reach consensus regarding terminology used to describe the condition. Improved understanding of the condition could lead to improved management, which will enhance patient outcomes after stroke and increase efficiency of healthcare resource utilisation. While consensus was not reached, the panel achieved some agreement that ‘lateropulsion’ is the preferred term to describe the phenomenon of ‘active pushing of the body across the midline toward the more affected side, and / or actively resisting weight shift toward the less affected side’. This group recommends that ‘lateropulsion' is used in future research and in clinical practice.
Nolan, J., Jacques, A., Godecke, E., Abe, H., Babyar, S., Bergmann, J., ... & Singer, B. (2022). Post-stroke lateropulsion terminology: Pushing for agreement amongst experts. Annals of Physical and Rehabilitation Medicine, 65(6), 101684. https://doi.org/10.1016/j.rehab.2022.101684