Issue №20-4, 2021

The Effectiveness of the New Complex of Medical Rehabilitation in the Correction of Muscle Strength Deficit and Motor Disorders in Patients with Obesity

¹ Valeria A. Vasileva, ¹ Larisa A. Marchenkova, ¹ Mikhail A. Eremushkin, ² Aleksander V. Dreval, ³ Aleksander V. Novikov

¹ National Medical Research Center of Rehabilitation and Balneology, Moscow, Russian Federation
² Moscow Regional Research Clinical Institute named after M. F. Vladimirsky, Moscow, Russian Federation
³ Volga Research Medical University, Nizhny Novgorod, Russian Federation

ABSTRACT

AIM. To evaluate the effectiveness a new complex including aerobic and physical training, kinesohydrotherapy, balance therapy onchanges in muscle strength and correction of motor disorders in obese patients.

MATERIAL AND METHODS. The study group included 40 patients aged 58 [53;66] y.o. with a BMI≥30 kg/m2. The control group includedof 40 people aged 57 [54;63] y.o. with BMI≥30 kg/m2. Study methods included anthropometry, functional tests and dynamometry.

RESULTS. According to the data obtained, in both groups after treatment, body weight significantly decreased (from 106.03 [83;145] to102.8 [80;141] kg), BMI (from 39.2 [30.12;49.1] to 38.1 [29.4;46.7] kg/m2), decreased WС (from 109 [105;125.8] to 107 [98.8 12] cm), HС(from 127 [112.3;139.8] to 121 [109.5;133.5] cm), decreased pain syndrome (from 5 [3;7] to 2.5 [1;4.75] points), increased arm strength(in right arm from 20 [14.25;34] to 30 [19;42], in left arm from 19.5 [14.25;29.5] to 22 [18;30.75] daN). Conditioning and coordinationabilities improved significantly in the main group according to the functional tests: “Up and go test” (from 7.9 [7.1;8.9] to 7.4[6.5;8.3] sec.), back muscle strength (from 5[5;5] to 5[5;5]), static and dynamic abdominal muscle endurance (from 12.04 [9.47;17.13]to 16.07[10.69;27.7] sec. and from 31[21;37.25] to 39 [29.5;46.5] sec, and back and (from 14.94[5.8775;22.205] to 18.41[9.745;31.335]times and from 8[5;14] to 10 [8;23], times, respectively); Fukuda test scores (from 65[56;76.75] to 72[61;82] reps), One leg standing test(from 13.9[5.38;32.15] to 18.61[8.6125;38.1575] sec. for the left) and closed eyes (from 3.45[2.16;6.38] to 3.975[2.715;5.82] seconds forthe right and from 4.12[1.3;8.61] to 4.31[2.16;8.13] seconds for the left).

CONCLUSIONS. A new complex including aerobic and strength training, kinesohydrotherapy, and balance therapy showed significanteffects on body weight reduction, body volume reduction, and muscle strength improvement in obese patients. A new integratedmethod results in a longer maintenance of the achieved effect when controlling the long-term results after 3 months and 1 year comparedwith the group that received only the 2-component program.

KEYWORDS: obesity kinesohydrotherapy, balance, rehabilitation, coordination training, muscle strength

Acknowledgments: The study was funded by the National Medical Research Center of Rehabilitation and Balneology of the Ministry of Health of Russia

Конфликт интересов: Авторы декларируют отсутствие явных и потенциальных конфликтов интересов, связанных с публикацией настоящей статьи.

For citation: Vasileva V.A., Marchenkova L.A., Eremushkin M.A., Dreval A.V., Novikov A.V. The Effectiveness of the New Complex of Medical Rehabilitation in the Correction of Muscle Strength Deficit and Motor Disorders in Patients with Obesity. Bulletin of Rehabilitation Medicine. 2021; 20 (4): 115-125. https://doi.org/10.38025/2078-1962-2021-20-4-115-125

Для корреспонденции: Марченкова Лариса Александровна, e-mail: MarchenkovaLA@nmicrk.ru

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