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. 2021 Jul;28(3-4):162-169.
doi: 10.1177/09727531211063132. Epub 2022 Jan 28.

Effect of Compelled Body Weight Shift (CBWS) Therapy in Comparison to ProprioceptiveTraining on Functional Balance, Gait, andMuscle Strength Among Acute Stroke Subjects

Alisha Austin Lobo  1 , Abraham M Joshua  1 , Akshatha Nayak  1 , Prasanna Mithra P  2 , Zulkifli Misri  3 , Shivananda Pai  3
Affiliations

Effect of Compelled Body Weight Shift (CBWS) Therapy in Comparison to ProprioceptiveTraining on Functional Balance, Gait, andMuscle Strength Among Acute Stroke Subjects

Alisha Austin Lobo et al. Ann Neurosci. 2021 Jul.

Abstract

Background: The majority of poststroke individuals tend to exhibit reduced loading over the paretic lower extremity, leading to increased postural sway, and gait asymmetry predisposing to a higher number of falls. Compelled body weight shift (CBWS) therapy is an innovative method aimed to force body weight shift toward the paretic extremity. Proprioceptive training (PT) is another method that improves balance ability contributing to the increase in muscle activity. Both the CBWS and PT have been shown to improve the quality of life in stroke subjects.

Purpose: The aim of this study is to compare the effects of CBWS therapy and PT in improving balance, kinematic gait parameters, and muscle strength among acute stroke patients.

Methods: Thirty subjects were nonrandomly divided into two groups where both groups received routine physiotherapy for two weeks in addition to which the CBWS group incorporated a 15 mm platform placed under the unaffected extremity while the PT group included incorporated proprioceptive exercises on the ground and foam mat. Functional balance, functional mobility, videographic analysis of degrees of hip flexion, knee hyperextension, and ankle dorsiflexion along with gait speed and satiotemporal gait parameters were obtained.

Results: The pre-post analysis within both groups revealed statistically significant improvement in all parameters except for the kinematic parameters of gait. However, no statistically significant difference was observed between the CBWS and PT groups.

Conclusion: CBWS can be used as an alternative to PT in the rehabilitation of stroke patients concerning balance and gait. CBWS provided during active treatment sessions results as effective as those seen as a result of all-day therapy.

Keywords: Acute stroke; CBWS; balance; closed kinematic chain (CKC); compelled body weight shift therapy; constrained weight shift training; gait; muscle strength; proprioceptive training.

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Conflict of interest statement

Declaration of Conflicting Interests: The authors declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Figures

Figure 1.
Figure 1.. Consort flowchart.
Figure 2.
Figure 2.. CBWS therapy with 15mm platform under unaffected lower extremity.
Figure 3.
Figure 3.. Proprioceptive training with single limb stance on ground.
Figure 4.
Figure 4.. Proprioceptive training with single limb stance on foam.
See this image and copyright information in PMC

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