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The purpose of this case report is to investigate how weight shifts and a heel lift affects a patient's center of mass in respect to their base of support to improve posture, balance, and gait which will aid in decreasing falls.

The patient demonstrated functional improvements by reducing the amount of assistance required from a caregiver for transfers and gait. Improvements in balance will allow the patient to sit on the toilet and edge of bed for toileting and dressing more independently.

Older adults with BD or other similar balance disorders are at risk for increased falls.5 This case report shows the benefits of incorporating anterior weight shifts and a heel lift into physical therapy interventions to improve gait, balance, and posture, ultimately decreasing falls.

Publication Date

Fall 2018


St. Augustine, FL


Postural Balance, Gait, Physical Therapy Modalities


Physical Therapy | Rehabilitation and Therapy


Presented at the Fall 2018 Research Day on the St. Augustine, FL, campus of the University of St. Augustine for Health Sciences.

Effects of Weight Shifting and Heel Lift on Gait, Posture, and Balance in an Elderly Female with Backward Disequilibrium: A Case Report