Issue №3-21, 2022

Efficacy of a Comprehensive Rehabilitation Program including Interactive Balance Therapy with Biofeedback and Hydrokinesitherapy in Reducing Body Weight and Changing of the Body Composition in Patients with Obesity

¹ Valeria A. Vasileva, ¹ Larisa A. Marchenkova

¹ National Medical Research Center of Rehabilitation and Balneology, Moscow, Russian Federation

ABSTRACT

The problem of overweight (obesity) is steadily increasing.Aim. To evaluate the effectiveness of a new comprehensive rehabilitation program on the dynamics of weight and body compositionindicators using different methods after the rehabilitation stage and long-term results.Material and methods. Men and women aged 40 to 65 years with a body mass index ≥ 30 kg/m2 were included in the study. Thepatients were further divided into two groups by simple randomisation. Both groups underwent two weeks of medical rehabilitationon a low-calorie diet. The patients of the main group (group 1) received 4 methods of therapeutic physical exercises. Patients in thecomparison group (group 2) were treated only with aerobic exercise and therapeutic gymnastics. A dynamic observation was carriedout immediately after the course, after 3 and 6 months.Results and discussion. According to the data obtained, there was a significant reduction in body weight in both groups aftercompletion of the treatment phase, p=0.0001. There was a significant reduction in abdominal fat thickness after 14 days, 3 and 6 monthsin the main group (from 67.5[50.0;77.5] to 56.0[50.0;68.0] to 46.0[37.0;50.0] to 50.0[38.0;70.0] mm respectively). We obtained a significant(p<0.05) decrease in fat mass according to bioimpedanceometry in the main group after 14 days and 3 months, respectively (from65.7[49.2;72.1] to 60.9[42.2;66.7] to 55.3[39.3;62.2] kg, respectively). In group 1 the reduction in adipose tissue by air-substituted bodyplethysmography was also significantly (p<0.05) different after 14 days, 3 months respectively (from 56.8[41.3;77.5] to 49.7[40.1;57.1]to 44.4[34.4;64.4] kg). Body composition analysis data over time confirm the effectiveness of comprehensive programs in weight loss.Conclusion. A new comprehensive program including aerobic and strength training, kinesohydrotherapy and balance therapycombined with a low-calorie diet showed more significant effects on weight loss, reduction in the thickness of fatty folds and changesin body composition, including at long-term follow-up, than the standard method of rehabilitation.

KEYWORDS: obesity, kinesohydrotherapy, body composition, rehabilitation, bioimpedanceometry, air-substituted body plethysmography, fat-fold thickness

For citation: Vasileva V.A., Marchenkova L.A. Efficacy of a Comprehensive Rehabilitation Program including Interactive Balance Therapy with Biofeedback and Hydrokinesitherapy in Reducing Body Weight and Changing of the Body Composition in Patients with Obesity. Bulletin of Rehabilitation Medicine. 2022; 21 (3): 189-201. https://doi.org/10.38025/2078-1962-2022-21-3-189-201

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This is an open article under the CC BY 4.0 license. Published by the National Medical Research Center for Rehabilitation and Balneology.