The effect of Weight-bearing Exercise for Better Balance (WEBB) by telerehabilitation on tibialis anterior and gastrocnemius muscles activation in obese men

Nurul Bashirah Aminy; Meisy Andriana; Andriati Andriati; I Putu Alit Pawana; Hermina Novida; Soenarnatalina Melaniani

doi:10.53730/ijhs.v6nS6.9856

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
meisy.andriana@fk.unair.ac.id
Department of Physical Medicine and Rehabilitation, Faculty of Medicine, Universitas Airlangga, Dr. Soetomo Academic General Hospital, Surabaya, East Java, Indonesia
Andriati Andriati Department of Physical Medicine and Rehabilitation, Faculty of Medicine, Universitas Airlangga, Dr. Soetomo Academic General Hospital, Surabaya, East Java, Indonesia
I Putu Alit Pawana Department of Physical Medicine and Rehabilitation, Faculty of Medicine, Universitas Airlangga, Dr. Soetomo Academic General Hospital, Surabaya, East Java, Indonesia
Hermina Novida Department of Internal Medicine, Faculty of Medicine, Universitas Airlangga, Dr. Soetomo Academic General Hospital, Surabaya, East Java, Indonesia
Soenarnatalina Melaniani Departement of Biostatistic and Population Study, Faculty of Public Health, Universitas Airlangga, Surabaya, East Java, Indonesia

Keywords:

muscle activation, obesity, sEMG, telerehabilitation, Weight-bearing Exercise for Better Balance

Abstract

Weight-bearing Exercise for Better Balance (WEBB) is an exercise method to improve balance and leg muscle strength. It was previously shown that WEBB has a significant effect on balance and lower extremity muscle strength, however, there is no scientific evidence of the WEBB program’s effect on muscle activation. This study examines the effect of the Weight-Bearing Exercise for Better Balance (WEBB) program by telerehabilitation on the activation of the Tibialis anterior (TA) and Gastrocnemius medialis (GM) muscles in obese men. To the best authors’ knowledge, this research is the first study conducted to provide a WEBB program intervention by telerehabilitation. 10 healthy men with grade 2 obesity (BMI≥30 kg/cm2) participated in this study and received a telerehabilitation WEBB program intervention for 8 weeks. GM and TA muscle activation are assessed by looking at the amplitude value and amplitude normalization of the muscle Maximal Voluntary Isometric Contraction (%MVIC) when performing closed eyes One Leg Stance (OLS) test through recording with sEMG examination. This study found that there was a significant effect on the amplitude value of the right GM (p=0,040) and %MVIC of the left TA (p=0,037) muscles after 8 weeks WEBB program by telerehabilitation.

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.

Abd El-Kader, S. M., & Ashmawy, E. M. (2014). Ankle Dorsiflexors Strength Improves Balance Performance in Elderly: A Corelational Study. European Journal of General Medicine, 11(2), 60–65.

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

Brennan, D., Tindall, L., Theodoros, D., Brown, J., Campbell, M., Christiana, D., … Lee, A. (2010). A blueprint for telerehabilitation guidelines. International Journal of Telerehabilitation, 2(2), 31.

Chimera, N. J., Swanik, K. A., Swanik, C. B., & Straub, S. J. (2004). Effects of plyometric training on muscle-activation strategies and performance in female athletes. Journal of Athletic Training, 39(1), 24.

del Balso, C., & Cafarelli, E. (2007). Adaptations in the activation of human skeletal muscle induced by short-term isometric resistance training. Journal of Applied Physiology, 103(1), 402–411.

del Porto, H., Pechak, C., Smith, D., & Reed-Jones, R. (2012). Biomechanical effects of obesity on balance. International Journal of Exercise Science, 5(4), 301–320.

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.

Gray, V. L., Ivanova, T. D., & Garland, S. J. (2012). Effects of fast functional exercise on muscle activity after stroke. Neurorehabilitation and Neural Repair, 26(8), 968–975.

Harput, G., Soylu, A. R., Ertan, H., & Ergun, N. (2013). Activation of selected ankle muscles during exercises performed on rigid and compliant balance platforms. Journal of Orthopaedic & Sports Physical Therapy, 43(8), 555–559.

Hashim, A., Ahmad, A., Hanif, A., Sarmad, S., & Sharif, F. (2020). Load Distribution Between Right and Left Foot by Using Podata Postural Stabilometric Footplate in Undergraduate Students of Pakistan.

Jang, S.-H., & Lee, J. (2017). The Effect of Ability to Balance Sensory Integration Exercise for Adults. Journal of Korean Physical Therapy Science, 24(2), 36–44.

Mangine, G. T., Hoffman, J. R., Gonzalez, A. M., Townsend, J. R., Wells, A. J., Jajtner, A. R., … others. (2015). The effect of training volume and intensity on improvements in muscular strength and size in resistance-trained men. Physiological Reports, 3(8), e12472.

Massó, N., Rey, F., Romero, D., Gual, G., Costa, L., & Germán, A. (2010). Surface electromyography applications in the sport. Apunts Med Esport, 45(165), 121–130.

Muehlbauer, T., Mettler, C., Roth, R., & Granacher, U. (2014). One-leg standing performance and muscle activity: are there limb differences? Journal of Applied Biomechanics, 30(3), 407–414.

Nagai, K., Yamada, M., Tanaka, B., Uemura, K., Mori, S., Aoyama, T., … Tsuboyama, T. (2012). Effects of balance training on muscle coactivation during postural control in older adults: a randomized controlled trial. Journals of Gerontology Series A: Biomedical Sciences and Medical Sciences, 67(8), 882–889.

Oliveira, A. de S. C., & Gonçalves, M. (2009). EMG amplitude and frequency parameters of muscular activity: effect of resistance training based on electromyographic fatigue threshold. Journal of Electromyography and Kinesiology, 19(2), 295–303.

Rahman, K. A., Azaman, A., Mohd Latip, H. F., Mat Dzahir, M. A., & Balakrishnan, M. (2017). Comparison of tibialis anterior and gastrocnemius muscles activation on balance training devices and hoverboard. Malays. J. Fundam. Appl. Sci, 13(4–2), 495–500.

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].

Taube, W., Gruber, M., & Gollhofer, A. (2008). Spinal and supraspinal adaptations associated with balance training and their functional relevance. Acta Physiologica, 193(2), 101–116.

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.

Vigotsky, A. D., Halperin, I., Lehman, G. J., Trajano, G. S., & Vieira, T. M. (2018). Interpreting signal amplitudes in surface electromyography studies in sport and rehabilitation sciences. Frontiers in Physiology, 985.

Warnica, M. J., Weaver, T. B., Prentice, S. D., & Laing, A. C. (2014). The influence of ankle muscle activation on postural sway during quiet stance. Gait & Posture, 39(4), 1115–1121.

Zampolini, M., Todeschini, E., Hermens, H., Ilsbroukx, S., Macellari, V., Magni, R., … others. (2008). Tele-rehabilitation: present and future. Annali Dell’Istituto Superiore Di Sanita, 44(2), 125–134.