EFFECTS OF COMPELLED BODY WEIGHT SHIFT TECHNIQUE BY USING INSOLE FOR REHABILITATION OF INDIVIDUALS WITH CHRONIC

Background: Stroke is one of the leading causes of long-term disability worldwide. The stroke survivors usually become complicated with sensor and motor problems which lead to compromised walking ability and functional limitation, after stroke occurrence the recovery of walking ability is considered one of the vital outcomes of stroke rehabilitation. Objective: To determine the effects of Compelled Body Weight Shift (CBWS) technique by using insole in the individuals with chronic stroke. Materials and methods: A randomized control trial (NCT04479774) was conducted from March 2020 to August 2020. The data was collected through non probability convenient sampling technique. The duration of the study was 6 months after the approval from Rehman medical Institute and Northwest General Hospital. A total n=27 were divided into control n=14 which received conventional physical therapy (CPT) and experimental group n=13 additionally received compelled body weight shift (CBWS) technique using insole shoe lift of 0.6 cm thickness. The tinetti (POMA) for balance and gait, 10 Meter walk test for gait parameters and analogue weight scale for weight distribution on both limbs were assessed at the baseline and after 6th week of intervention. Results: The mean age and BMI of the study participants was 49.84±6.18 years and 34±5.13 kg/m2 respectively. Between the groups analyses showed that all the domains showed no significant difference, but step length showed significant difference (p<0.001) after 6th week. The stride length showed significant difference after 3rd week and 6th week (p<0.01). while the cadence showed significant difference after 3rd week only (p=0.02) and no significant difference was observed after the 6th week of the treatment. Conclusions: There was slight improvement in cadence, stride length and step length after the treatment. Furthermore, it is evident that CBWS is effective for improving gait parameters. Keywords: Balance, gait training, physical therapy, stroke, stroke rehabilitation.