ISSN 2415-3060 (print), ISSN 2522-4972 (online)
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УЖМБС 2020, 5(4): 297–306
Physical Therapy and Ergotherapy

Changing the Profile of Motor Capacity of Obese Men and Women under Influence of Physical Therapy Program

Aravitska M. G.

Conventional physical quality tests for obese patients are often physically inaccessible or threatening their health due to somatic complications or overload of certain sections of the musculoskeletal system. The purpose of the study was to determine changes in the profile of motor capacity of obese men and women under the influence of a physical therapy program, taking into account the level of rehabilitation compliance (therapeutic alliance) according to the results of test exercises Functional Movement Screen. Material and methods. According to the Functional Movement Screen test, 214 people with obesity of the 1st and 2nd degrees were examined. According to the results of determining rehabilitation compliance, they were divided into two groups. The comparison group consisted of individuals with a low level of compliance. The main group consisted of individuals with a high level of compliance who underwent a one-year correction program using measures to support compliance, nutrition modification, increased physical activity, lymphatic drainage, and psychocorrection. The control group consisted of 63 people with normal body weight. Results and discussion. Men and women with obesity of the 1st and 2nd degrees were diagnosed with a statistically significantly worse performance of all Functional Movement Screen test exercises compared people with normal body weight (p <0.05). The size of the lag from the parameters of the control group depended on the severity of obesity. There was no difference between the results of men and women according to the Functional Movement Screen results (p> 0.05). At the initial examination, persons with obesity of the 1st degree did not have exercises that they could not perform at least at the minimum score. The motor activity profile of patients with the 2nd degree of obesity was characterized by the following features. The exercise “Hurdle Step” turned out to be the only one in which there were men and women who showed excellent results and there were no people who could not perform it. In all other exercises, the absence of an excellent result and the presence of people who could not perform the tests were noted. Upon re-examination, a statistically significant improvement was determined for all Functional Movement Screen tests in both groups of obese patients compared with the initial result and the parameters of the comparison group (p <0.05). At the same time, no differences in indicators between men and women were found (p> 0.05). In patients with the 1st degree of obesity, the level was achieved in all Functional Movement Screen tests (p> 0.05). In obesity of the 2nd degree, it was possible to do this in almost all individuals (except for the exercise “The Active Straight Leg Raise”). When analyzing the dynamics of the percentage distribution of the obtained results, it can be seen that a positive increase in the indicators in the main group of obese patients occurred due to the absence of persons who could not perform certain Functional Movement Screen tests during the re-examination and the appearance of a high score of “3 points” when evaluating its results of all tests in both gender groups. The results of the absolute assessment and assessment of the structure of the results of the Functional Movement Screen tests of patients of the comparison group with a low level of rehabilitation compliance (therapeutic alliance) showed a lack of progress compared with the initial data (p> 0.05). Conclusion. Functional Movement Screen test exercises are a simple and visual method of rehabilitation examination, which can be used to demonstrate the dynamics of motor capacity in physical therapy programs for obese patients.

Keywords: Functional Movement Screen, rehabilitation

Full text: PDF (Ukr) 267K

  1. Amundson DE, Djurkovic S, Matwiyoff GN. The obesity paradox. Crit Care Clin. 2010 Oct; 26(4): 583-96.
  2. 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): 1567-82.
  3. 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; 22(3): 1-203.
  4. Аmato MC, Giordano C, Galia M, Criscimanna A, Vitabile S, Midiri M, et al. Visceral Adiposity Index: a reliable indicator of visceral fat function associated with cardiometabolic risk. Diabetes Care. 2010; 33(4): 920-2.
  5. Flegal KM, 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; 309(1): 71-82.
  6. World Health Organization. Obesity: preventing and managing the global epidemic. Report of a WHO Consultation (WHO Technical Report Series 894). Available from:
  7. Logue J, Thompson L, Romanes F, Wilson DC, Thompson J, Sattar N; Guideline Development Group. Management of obesity: summary of SIGN guideline. BMJ. 2010; 340: 154.
  8. Sedletskiy YU. Sovremennyye metody lecheniya ozhireniya. Rukovodstvo dlya vrachey [Modern methods of treating obesity. Guide for doctors]. SPb: Elbi-SPb; 2007. [Russian]
  9. Batrakoulis A, Fatouros GI, Chatzinikolaou A, Draganidis D, Georgakouli K, Papanikolaou K, et al. Dose-response effects of high-intensity interval neuromuscular exercise training on weight loss, performance, health and quality of life in inactive obese adults: Study rationale, design and methods of the DoIT trial. Contemp Clin Trials Commun. 2019; 15: 100386.
  10. Cesa GL, Manzoni GM, Bacchetta M, Castelnuovo G, Conti S, Gaggioli A, et al. Virtual reality for enhancing the cognitive behavioral treatment of obesity with binge eating disorder: randomized controlled study with one-year follow-up. Medical Internet Res. 2013; 15(6): 113.
  11. Aravitska M, Lazareva O. Pryntsypy stvorennya ta vyznachennya efektyvnosti systemy zakhodiv dlya podolannya reabilitatsiynoho non-komplayensu patsiyentiv z ozhyrinnyam [Principles of goal-making and recognizing the effectiveness of the system by going over for the rehabilitation of non-compliance patients in obesity]. Sportyvna medytsyna i fizychna reabilitatsiya. 2019; 2: 51-58. [Ukrainian]
  12. Escorpizo R, Stucki G, Cieza A, Davis K, Stumbo T, Riddle DL. Creating an Interface Between the International Classification of Functioning, Disability and Health and Physical Therapist Practice. Physical therapy. 2010; 90(7): 1053-63.
  13. The International Classification of Functioning, Disability and Health: ICF. Geneva, Switzerland; 2001.
  14. Ball TM, Comerford MJ, Mottram SL. Performance Stability - A New System for Providing Stability Control for Movement and Performance. The Coach. 2004; Summer: 125-34.
  15. Comerford MJ. Core Stability: strength or motor control? Musculoskeletal Physiotherapy Association «In Touch» magazine. 2007; 2: 6-10.
  16. Comerford MJ. Screening to Identify Injury and Performance Risk: movement control testing - the missing piece of the puzzle. Sport Medicine. 2006; July: 21-6.
  17. Holod N.R. Rezultatyvnist testovykh vprav ekranu funktsionalnoho rukhu yak pokaznyk efektyvnosti reabilitatsiynoyi prohramy dlya studentok spetsialʹnoyi medychnoyi hrupy. Naukovyy chasopys natsionalʹnoho pedahohichnoho universytetu imeni MP Drahomanova. Seriya № 15 «Naukovo-pedahohichni problemy fizychnoyi kultury (fizychna kultura i sport)». 2015; 3К2(57)15: 88-91. [Ukrainian]
  18. 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.
  19. 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): 549-63.
  20. Aravitska M.H. Zminy parametriv rukhovoyi diyezdatnosti osib z ozhyrinnyam pid vplyvom prohramy fizychnoyi terapiyi. Zdorovya, sport, reabilitatsiya. 2019; 5(3): 9-14. [Ukrainian]