“ Effect of Rhythmic Weight-Shift Facilitation with Functional Electrical Stimulation on Gait Symmetry and Lower Limb Spasticity in a Chronic Post Stroke Adult :  Case Study ”

Rishabh Dhakad

doi:10.63363/aijfr.2026.v07i04.7399

“ Effect of Rhythmic Weight-Shift Facilitation with Functional Electrical Stimulation on Gait Symmetry and Lower Limb Spasticity in a Chronic Post Stroke Adult : Case Study ”

Author(s)	Mr. Rishabh Dhakad
Country	India
Abstract	Background: - Stroke commonly causes spasticity, impaired balance, asymmetrical weight-bearing, and gait disfunction. Rhythmic weight-shift facilitation may improve weight management , trance Functional Electrical Stimulation (FES) can facilitate lower-limb muscle activation during gait. Case Presentation:- A 58-year-old male, two years post-stroke, presented with right-sided lower-limb weakness and spasticity, reduced weight-bearing, afflicted ankle dorsiflexion, and gait asymmetry. Initial assessment showed Grade 2 plantar-flexor spasticity, 1 decreased right step length and stance time. Intervention:- A four-week physiotherapy programme included rhythmic multidirectional weight-shift education, affected-limb load, strengthening, stretch, counterbalance exercises, task-specific gait education, and FES-assisted gait education. Results:- After two weeks, MAS improved from Grade 2 to 1+, 10MWT from 0.55 to 0.72 m/s, BBS from 42/56 to 48/56, and FMA-LE from 22/34 to 27/34. Right step length increased from 38 to 44 cm, step-length asymmetry decreased from 22% to 6.5%, and 6MWT improved from 265 to 315 m. Conclusion:- The combined programme was associated with improvements in lower-limb spasticity, gait symmetry, balance, walking speed, and functional endurance in this chronic post-stroke adult. Further controlled studies are needed to confirm these findings.
Keywords	Stroke, Post-Stroke, Weight-Shift Training, Functional Electrical Stimulation, Gait Symmetry, Spasticity, Physiotherapy.
Field	Medical / Pharmacy
Published In	Volume 7, Issue 4, July-August 2026
Published On	2026-08-19
DOI	https://doi.org/10.63363/aijfr.2026.v07i04.7399

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“ Effect of Rhythmic Weight-Shift Facilitation with Functional Electrical Stimulation on Gait Symmetry and Lower Limb Spasticity in a Chronic Post Stroke Adult : Case Study ”

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