Scale for Contraversive Pushing (Pusher Behavior)
The Scale for Contraversive Pushing (SCP), for PUSHER BEHAVIOR after stroke (Karnath's scale as tabulated by Baccini and colleagues 2006).
Open the calculator → Runs in your browser. Data leaves only if you deliberately send a problem report from the interactive tool.
Example
- Section A (Spontaneous body posture), sitting
- Severe contraversive tilt with falling to that side
- Section A (Spontaneous body posture), standing
- Severe contraversive tilt with falling to that side
- Section B (Use of the nonparetic extremities (abduction and extension)), sitting
- Performed spontaneously, already when at rest
- Section B (Use of the nonparetic extremities (abduction and extension))…
- Performed spontaneously, already when at rest
- Section C (Resistance to passive correction of tilted posture), sitting
- 0
- Section C (Resistance to passive correction of tilted posture), standing
- 0
Result: SCP total 4 of 6.
The tool opens with these values already filled in. Replace them with your own.
What the result means
- Section A
- Spontaneous body posture: 1, 0.75, 0.25, 0. THERE IS NO 0.5.
- Section B
- Use of the nonparetic extremities: 1, 0.5, 0.
- Section C
- Resistance to passive correction: binary 1 or 0.
- NOT the total
- Diagnosis needs ALL THREE sections to clear independently. 4 of 6 in two sections is NOT a pusher.
- Crit_1
- Total above 0.
- Crit_2
- Every section above 0. The current recommendation.
- Crit_3
- Every section 1 or more. Karnath original; the only one with no false positives.
- Scope
- Identifies a behavior, not a lesion. Does not measure neglect or distinguish other causes of tilt.
What you enter
- Section A (Spontaneous body posture), sitting.
- Section A (Spontaneous body posture), standing.
- Section B (Use of the nonparetic extremities (abduction and extension)), sitting.
- Section B (Use of the nonparetic extremities (abduction and extension)), standing.
- Section C (Resistance to passive correction of tilted posture), sitting.
- Section C (Resistance to passive correction of tilted posture), standing.
Full field descriptions
- Section A (Spontaneous body posture), sitting. This section's OWN ladder [1 = Severe contraversive tilt with falling to that side; 0.75 = Severe contraversive tilt without falling; 0.25 = Mild contraversive tilt without falling; 0 = Inconspicuous]
- Section A (Spontaneous body posture), standing. This section's OWN ladder [1 = Severe contraversive tilt with falling to that side; 0.75 = Severe contraversive tilt without falling; 0.25 = Mild contraversive tilt without falling; 0 = Inconspicuous]
- Section B (Use of the nonparetic extremities (abduction and extension)), sitting. This section's OWN ladder [1 = Performed spontaneously, already when at rest; 0.5 = Performed only on changing the position, for example on transferring from bed to wheelchair; 0 = Inconspicuous]
- Section B (Use of the nonparetic extremities (abduction and extension)), standing. This section's OWN ladder [1 = Performed spontaneously, already when at rest; 0.5 = Performed only on changing the position, for example on transferring from bed to wheelchair; 0 = Inconspicuous]
- Section C (Resistance to passive correction of tilted posture), sitting. This section's OWN ladder [1 = Resistance occurs; 0 = Resistance does not occur]
- Section C (Resistance to passive correction of tilted posture), standing. This section's OWN ladder [1 = Resistance occurs; 0 = Resistance does not occur]
How this is calculated
- Structure
- Three sections, each scored sitting AND standing and summed. Section max 2, total max 6.
Baccini M, Paci M, Rinaldi LA. The Scale for Contraversive Pushing: a reliability and validity study. Neurorehabil Neural Repair. 2006;20(4):468-472. Cutoffs: Baccini M, et al. Phys Ther. 2008;88(8):947-955. Read the source ↗
A reference and educational tool. Not medical, legal, or financial advice, and not a substitute for clinician judgment.