Does Weight-bearing Exercise for Better Balance (WEBB) program by telerehabilitation improve balance and walking speed in obese men?

Nurul Bashirah Aminy; Meisy Andriana; Martha Kurnia Kusumawardani; Soenarnatalina Melaniani

doi:10.53730/ijhs.v6nS4.7191

Authors

Nurul Bashirah Aminy Department of Physical Medicine and Rehabilitation, Faculty of Medicine, Universitas Airlangga, Dr. Soetomo Academic General Hospital, Surabaya, East Java, Indonesia
Meisy Andriana Department of Physical Medicine and Rehabilitation, Faculty of Medicine, Universitas Airlangga, Dr. Soetomo Academic General Hospital, Surabaya, East Java, Indonesia
Martha Kurnia Kusumawardani Department of Physical Medicine and Rehabilitation, Faculty of Medicine, Universitas Airlangga, Dr. Soetomo Academic General Hospital, Surabaya, East Java, Indonesia
Soenarnatalina Melaniani Department of Biostatistic and Population Study, Faculty of Public Health, Universitas Airlangga, Surabaya, East Java, Indonesia

Keywords:

balance, obesity, telerehabilitation, walking speed, weight-bearing exercise for better balance

Abstract

Obesity and various other pathologies increase postural instability which will lead to the risk of falling. Several anthropometric measurements (height and weight) showed a significant effect on postural stability. This study examines the effects of the telerehabilitated Weight Bearing Exercise for Better Balance (WEBB) program on balance and walking speed in obese men. Ten adult males with grade 2 obesity participated in this study and received a telerehabilitative WEBB exercise intervention 3 times a week for 8 weeks. Static and dynamic balance were assessed by the One Leg Stance test (OLS) and Four Square Step Test (FSST), while walking speed was assessed by the 10 Meter Walk Test (10MWT). The study found that there was a significant improvement in both leg static balance (p=0.005; p=0,003), dynamic balance (p=0.005), and walking speed (p=0.00) in obese male subjects. In conclusion, the WEBB program in telerehabilitation can significantly improve balance and walking speed in obese men.

Downloads

Download data is not yet available.

References

Abd El Mohsen, A. M., Abd El Ghaffar, H. E. F., Nassif, N. S., & Elhafez, G. M. (2016). The weight-bearing exercise for better balance program improves strength and balance in osteopenia: a randomized controlled trial. Journal of Physical Therapy Science, 28(9), 2576–2580.

Akhmedov, D., & Berdeaux, R. (2013). The effects of obesity on skeletal muscle regeneration. Frontiers in Physiology, 4, 371.

Chumbler, N. R., Quigley, P., Sanford, J., Griffiths, P., Rose, D., Morey, M., Ely, E. W., & Hoenig, H. (2010). Implementing telerehabilitation research for stroke rehabilitation with community dwelling veterans: Lessons learned. International Journal of Telerehabilitation, 2(1), 15.

Cimolin, V., Cau, N., Galli, M., & Capodaglio, P. (2020). Balance control in obese subjects during quiet stance: a state-of-the art. Applied Sciences, 10(5), 1842.

Dean, C. M., Rissel, C., Sherrington, C., Sharkey, M., Cumming, R. G., Lord, S. R., Barker, R. N., Kirkham, C., & O’Rourke, S. (2012). Exercise to enhance mobility and prevent falls after stroke: the community stroke club randomized trial. Neurorehabilitation and Neural Repair, 26(9), 1046–1057.

Fjeldstad, C., Fjeldstad, A. S., Acree, L. S., Nickel, K. J., & Gardner, A. W. (2008). The influence of obesity on falls and quality of life. Dynamic Medicine, 7(1), 1–6.

Jegede, J. A., Adegoke, B. O. A., & Olagbegi, O. M. (2017). Effects of a twelve-week weight reduction exercise programme on selected spatiotemporal gait parameters of obese individuals. Journal of Obesity, 2017.

Kavounoudias, A., Roll, R., & Roll, J.-P. (1998). The plantar sole is a ‘dynamometric map’for human balance control. Neuroreport, 9(14), 3247–3252.

Keating, C. J., Cabrera-Linares, J. C., Párraga-Montilla, J. A., Latorre-Román, P. A., del Castillo, R. M., & Garc’ia-Pinillos, F. (2021). Influence of Resistance Training on Gait & Balance Parameters in Older Adults: A Systematic Review. International Journal of Environmental Research and Public Health, 18(4), 1759.

Kemenkes, R. I. (2017). Panduan Pelaksanaan Gerakan Nusantara Tekan Angka Obesitas. Kementerian Kesehatan Republik Indonesia, Jakarta Hal, 1–2.

Maffiuletti, N. A., Agosti, F., Proietti, M., Riva, D., Resnik, M., Lafortuna, C. L., & Sartorio, A. (2005). Postural instability of extremely obese individuals improves after a body weight reduction program entailing specific balance training. Journal of Endocrinological Investigation, 28(3), 2–7.

Morris, C. E., Chander, H., Garner, J. C., DeBusk, H., Owens, S. G., Valliant, M. W., & Loftin, M. (2017). Evaluating Human Balance Following an Exercise Intervention in Previously Sedentary, Overweight Adults. Journal of Functional Morphology and Kinesiology, 2(2), 19.

Palmgren, A., Ståhle, A., Skavberg Roaldsen, K., Dohrn, I.-M., & Halvarsson, A. (2020). “Stay balanced”–effectiveness of evidence-based balance training for older adults transferred into a physical therapy primary care setting–a pilot study. Disability and Rehabilitation, 42(13), 1797–1802.

Rojhani-Shirazi, Z., Azadeh Mansoriyan, S., & Hosseini, S. v. (2016). The effect of balance training on clinical balance performance in obese patients aged 20–50 years old undergoing sleeve gastrectomy. European Surgery, 48(2), 105–109.

Sarkar, A., Singh, M., Bansal, N., & Kapoor, S. (2011). Effects of obesity on balance and gait alterations in young adults. Indian Journal of Physiology and Pharmacology, 55(3), 227–233.

Sarsak, H. I. (2020). Telerehabilitation services: a successful paradigm for occupational therapy clinical services. Int Phys Med Rehabil J, 5(2), 93–98.

Sherrington, C., Canning, C., Dean, C., Allen, N., & Blackman, K. (2008). Weightbearing Exercise for Better Balance (WEBB)-A challenging, safe, evidencebased physiotherapy program for older people. Verfügbar Unter: Http://Www. Webb. Org. Au/Attachments/File/WEBB_draft_19. Pdf [20.06. 2013].

Sofa, I. M. (2018). Kejadian obesitas, obesitas sentral, dan kelebihan lemak viseral pada lansia wanita. Amerta Nutrition, 2(3), 228–236.

Teasdale, N., Simoneau, M., Corbeil, P., Handrigan, G., Tremblay, A., & Hue, O. (2013). Obesity alters balance and movement control. Current Obesity Reports, 2(3), 235–240.

Theodora, S., Tinduh, D., & Wardhani, R. I. L. (2019). Does Treadmill Training Improve Balance Function of Healthy Untrained Young Adult Male?. Surabaya Physical Medicine and Rehabilitation Journal, 1(2), 44-51.

Vafaeenasab, M. R., Amiri, A., Morowatisharifabad, M. A., Namayande, S. M., & Tehrani, H. A. (2018). Comparative study of balance exercises (frenkel) and aerobic exercises (walking) on improving balance in the elderly. Elderly Health Journal.

Youssef, N. M., Abdelmohsen, A. M., Ashour, A. A., Elhafez, N. M., & Elhafez, S. M. (2018). Effect of different balance training programs on postural control in chronic ankle instability: a randomized controlled trial. Acta of Bioengineering and Biomechanics, 20(2).