Changes in the mobility of obese people under the influence of a physical therapy program

M.G. Aravitska

Abstract


Objective: to determine the effectiveness of a physical therapy program for patients with obesity by the indicators of Functional Movement Screen test exercises.

Materials and methods. A total of 114 people of the second adulthood with alimentary-constitutional obesity of the I-III degrees were examined. They were divided according to the level of compliance into two groups. The comparison group consisted of individuals with a low level of compliance; they did not go through a rehabilitation program, but were informed about the risks of obesity; acquainted with the basic principles of hypocaloric nutrition and physical activity. The main group consisted of individuals with a high level of compliance; they underwent a developed program for correcting body weight using measures to maintain a high level of compliance, nutrition modification, increased physical activity, lymphatic drainage procedures, and elements of behavioral psychocorrection. The control group consisted of 60 people with no signs of obesity. A survey of the test exercises Functional Movement Screen was conducted in dynamics before and after the one-year period of implementation of the rehabilitation program.

Results. During the initial examination in obese patients, all the obtained parameters of the Functional Movement Screen exercises were statistically significantly worse than in individuals with normal body weight (p <0.05). Re-examination of patients with low compliance showed that no statistically significant positive changes occurred in any test test (p> 0.05). When analyzing the results of test exercises of patients with a high level of compliance under the influence of a physical therapy program, a statistically significant improvement was achieved in all studied parameters relative to the initial level (p <0.05).

Conclusions: Diagnostics of mobility based on test exercises Functional Movement Screen in physical therapy programs for obese patients is a modern, simple and affordable method of rehabilitation examination. To achieve the target level of the control group for the studied parameters by patients of II-III degree of obesity, the rehabilitation program should be long for one year.


Keywords


rehabilitation; weight loss; Functional Movement Screen

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References


World Health Organization. Obesity: preventing and managing the global epidemic. Report of a WHO Consultation (WHO Technical Report Series 894). Available from: http://www.who.int/nutrition/publications/obesity/WHO_TRS_894/en

Amundson DE, Djurkovic S, Matwiyoff GN. The obesity paradox. Crit Care Clin. 2010; Oct; 26(4): 583-596. DOI: 10.1016/j.ccc.2010.06.004. (2010)

Anderson PJ1, Critchley JA, Chan JC, Cockram CS, Lee ZS, Thomas GN, et al. Factor analysis of the metabolic syndrome: obesity vs insulin resistance as the central abnormality. Int J Obes Relat Metab Disord. 2001; 25(12): 1782-8.

Flegal KM1, Kit BK, Orpana H, Graubard BI. Association of all-cause mortality with overweight and obesity using standard body mass index categories: a systematic review and meta-analysis. JAMA. 2013 Jan 2; 309(1): 71-82. doi: 10.1001/jama.2012.113905.

Gilewicz Z. Teoria wychowania fizycznego. Warszawa: PWN; 1994. 416.

Ball TM, Comerford MJ, Mottram SL. Performance Stability - A New System for Providing Stability Control for Movement and Performance. The Coach. 2004; Summer: 125-134.

Comerford MJ. Screening to Identify Injury and Performance Risk: movement control testing - the missing piece of the puzzle. Sport Medicine. 2006; July: 21-26.

Sedletsky Yu. Modern methods of treating obesity. A Guide for Physicians [Modern methods of treating obesity. A guide for doctors]. St. Petersburg: Elby-SPb; 2007. 415 p.

Cefalu WT, Bray GA, Home PD, Garvey WT, Klein S, Pi-Sunyer FX, et al. Advances in the Science, Treatment, and Prevention of the Disease of Obesity: Reflections From a Diabetes Care Editors' Expert Forum. Diabetes Care. 2015; 38(8): 1567-1582.

Logue J1, Thompson L, Romanes F, Wilson DC, Thompson J, Sattar N; Guideline Development Group. Management of obesity: summary of SIGN guideline. BMJ. 2010 Feb 24;340:c154. doi: 10.1136/bmj.c154.

Sturgiss EA, Sargent GM, Haesler E, Rieger E, Douglas K. Therapeutic alliance and obesity management in primary care — a cross-sectional pilot using the Working Alliance Inventory. Clinical Obesity. 2016; 6(6): 376-379. doi:10.1111/cob.12167.

Comerford MJ. Core Stability: strength or motor control? Musculoskeletal Physiotherapy Association «In Touch» magazine. 2007; Issue 2: 6-10.

Cook G, Burton L, Hoogenboom BJ, Voight M. Functional movement screening: the use of fundamental movements as an assessment of function - part 1. Int J Sports Phys Ther. 2014; 9(3): 396-409. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4060319/

Cook G, Burton L, Hoogenboom BJ, Voight M. Functional movement screening: the use of fundamental movements as an assessment of function‐part 2. Int J Sports Phys Ther. 2014; 9(4): 549–563. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4127517/

Aravitska M., Lazarva O. Stan rukhovo і dizdatnosti osіb z ozhirіnnyam [The state of movement abilities of obese persons]. Young sports science of Ukraine: zb. sciences. pr. z galuzі fіz. whirlwind and sport / zag. ed. Єvgena Proceed. - Lviv, 2016. - VIP. 20, t. 3/4. - S. 6-10.

Garvey WT, Mechanick JI, Brett EM, Garber AJ, Hurley DL, Jastreboff AM, et al. American association of clinical endocrinologists and American college of endocrinology comprehensive clinical practice guidelines for medical care of patients with obesity. Endocr Pract. 2016. Jul ;22 Suppl 3: 1-203. doi: 10.4158/EP161365.GL.

Lazareva O, Aravitska M, Andrieieva O, Galan Y, Dotsyuk L. Dynamics of physical activity status in patients with grade І-ІІІ obesity in response to a physical rehabilitation program. Journal of Physical Education and Sport, 2017; 17(3): 1960 – 1965. DOI:10.7752/jpes.2017.03193

Aravitska MG, Lazarova OB. Dynamism of life of illnesses caused by fatality in the programs of physical rehabilitation [Dynamics of the quality of life of obese patients under the influence of physical rehabilitation program]. Sports medicine and physical rehabilitation. 2017; 1: 72-78

Adherence to Long-Term Therapies: Evidence for Action. New-York, WHO. 2003.

Chekhovska M. Compliance as a pledge of a positive effect in the process of physical rehabilitation. Current Trends in Practice and Education in Physical Therapy: Abstracts. international. Sciences. seminar. Lviv: LDUFK; 2016, p. 71-73.




DOI: http://dx.doi.org/10.34142/HSR.2019.05.03.01

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