ISSN 2415-3060 (print), ISSN 2522-4972 (online)
  • 40 of 67
JMBS 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

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