Dynamic balance in obese subjects: before and after telerehabilitation weight-bearing exercise for better balance

Abstract

Background: People with obesity tend to have balance disturbance and a higher fall risk than those with normal BMI. The Weight-bearing Exercise for Better Balance (WEBB) is an exercise program that could improve balance in the elderly population, but no study implementing the WEBB program on obese subjects. This study aims to analyze the effects of the telerehabilitation WEBB program on dynamic balance in obese subjects, measured by Maximized Reach Distance (%MAXD) and a composite score of the Modified Star Excursion Balance Test (mSEBT). Methods: Ten male participants aged 18-30 were recruited. Participants underwent the WEBB program 3 times a week for 8 weeks in their own homes under the supervision of the researchers. The intensity of the exercise was increased every 2 weeks. For the analysis, %MAXD and composite score mSEBT were used to assess the dynamic balance before and after the WEBB program. Results: There was a significant increase (p < 0.05) in %MAXD of both sides and all directions. The mSEBT composite score of both sides also significantly increased (p < 0.05). All the statistical results showed large effect sizes. Conclusion: The WEBB program through telerehabilitation is proven to significantly improve dynamic balance, as indicated by an increase in %MAXD and mSEBT composite scores in obese subjects.

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“…Through gate control mechanisms, these stimuli, which are sent through afferent pathways of higher caliber and conduction velocity than nociceptive afferent pathways, further modify pain. The study by Tagliaferri et al on 125 individuals with persistent low back pain discovered changes in pain complaints that dropped by 50% (p=0.0001) after 12 weeks of management with strengthening and stretching exercises [14]. Improvements in pain intensity and quality of life are related to the minimum duration of intervention carried out, according to Hayden et al on 412 patients with chronic low back pain.…”