Skip to main content Skip to main navigation menu Skip to site footer

Dynamic balance in obese subjects: before and after telerehabilitation weight-bearing exercise for better balance

  • Astika Cahya Noviana ,
  • Meisy Andriana ,
  • I Putu Alit Pawana ,
  • Damayanti Tinduh ,
  • Hermina Novida ,
  • Soenarnatalina Melaniani ,


Abstract

Background: People with obesity tend to have balance disturbance and a higher fall risk than those with normal BMI. The Weight-bearing Exercise for Better Balance (WEBB) is an exercise program that could improve balance in the elderly population, but no study implementing the WEBB program on obese subjects. This study aims to analyze the effects of the telerehabilitation WEBB program on dynamic balance in obese subjects, measured by Maximized Reach Distance (%MAXD) and a composite score of the Modified Star Excursion Balance Test (mSEBT).

Methods: Ten male participants aged 18-30 were recruited. Participants underwent the WEBB program 3 times a week for 8 weeks in their own homes under the supervision of the researchers. The intensity of the exercise was increased every 2 weeks. For the analysis, %MAXD and composite score mSEBT were used to assess the dynamic balance before and after the WEBB program.

Results: There was a significant increase (p < 0.05) in %MAXD of both sides and all directions. The mSEBT composite score of both sides also significantly increased (p < 0.05). All the statistical results showed large effect sizes.

Conclusion: The WEBB program through telerehabilitation is proven to significantly improve dynamic balance, as indicated by an increase in %MAXD and mSEBT composite scores in obese subjects.

Keywords: Balance Exercise Obesity telerehabilitation

References

  1. Hill JJ. Obesity: An Emerging Threat. J Natl Black Nurses Assoc. 2018;29(2):36-39.
  2. Carron M, Safaee Fakhr B, Ieppariello G, Foletto M. Perioperative care of the obese patient. Br J Surg. 2020;107(2):e39-e55. doi:10.1002/bjs.11447
  3. Darsini D, Hamidah H, Notobroto HB, Cahyono EA. Health risks associated with high waist circumference: A systematic review. J Public Health Res. 2020;9(2):1811. Published 2020 Jul 2. doi:10.4081/jphr.2020.1811.
  4. Nugroho AS, Martini S. The correlation between obesity and hypertension in young adults in central Java, Indonesia. EurAsian J Biosci. 2020;14(1). p1645-1650.
  5. Popkin BM, Du S, Green WD, et al. Individuals with obesity and COVID-19: A global perspective on the epidemiology and biological relationships [published correction appears in Obes Rev. 2021 Oct;22(10):e13305]. Obes Rev. 2020;21(11):e13128. doi:10.1111/obr.13128.
  6. Mitchell RJ, Lord SR, Harvey LA, Close JC. Associations between obesity and overweight and fall risk, health status and quality of life in older people. Aust N Z J Public Health. 2014;38(1):13-18. doi:10.1111/1753-6405.12152.
  7. Tomlinson DJ, Erskine RM, Morse CI, Winwood K, Onambélé-Pearson G. The impact of obesity on skeletal muscle strength and structure through adolescence to old age. Biogerontology. 2016;17(3):467-483. doi:10.1007/s10522-015-9626-4.
  8. Gu JK, Charles LE, Andrew ME, et al. Prevalence of work-site injuries and relationship between obesity and injury among U.S. workers: NHIS 2004-2012. J Safety Res. 2016;58:21-30. doi:10.1016/j.jsr.2016.06.001.
  9. Plisky PJ, Rauh MJ, Kaminski TW, Underwood FB. Star Excursion Balance Test as a predictor of lower extremity injury in high school basketball players. J Orthop Sports Phys Ther. 2006;36(12):911-919. doi:10.2519/jospt.2006.2244.
  10. Gribble PA, Hertel J, Plisky P. Using the Star Excursion Balance Test to assess dynamic postural-control deficits and outcomes in lower extremity injury: a literature and systematic review. J Athl Train. 2012;47(3):339-357. doi:10.4085/1062-6050-47.3.08.
  11. Aminy NB, Andriana M, Andriati A, Pawana IPA, Novida H, and Melaniani S. The effect of Weight-bearing Exercise for Better Balance (WEBB) by telerehabilitation on tibialis anterior and gastrocnemius muscles activation in obese men. International Journal of Health Sciences. 2022;6(S6). p335-346. DOI:10.53730/ijhs.v6nS6.9856
  12. Seron P, Oliveros MJ, Gutierrez-Arias R, et al. Effectiveness of Telerehabilitation in Physical Therapy: A Rapid Overview. Phys Ther. 2021;101(6):pzab053. doi:10.1093/ptj/pzab053.
  13. Prabawa IMY, Silakarma D, and Widnyana M. Telerehabilitation as a physical therapy solution for the post-stroke patient in COVID-19 pandemic situations: a review. Intisari Sains Medis. 2021;12(1). p 1–5. https://doi.org/10.15562/ism.v12i1.873.
  14. Rogante M, Kairy D, Giacomozzi C, Grigioni M. A quality assessment of systematic reviews on telerehabilitation: what does the evidence tell us? Ann Ist Super Sanita. 2015;51(1):11-18. doi:10.4415/ANN_15_01_04.
  15. Stiffler MR, Sanfilippo JL, Brooks MA, Heiderscheit BC. Star Excursion Balance Test Performance Varies by Sport in Healthy Division I Collegiate Athletes. J Orthop Sports Phys Ther. 2015;45(10):772-780. doi:10.2519/jospt.2015.5777.
  16. Bulow A, Anderson JE, Leiter JR, MacDonald PB, Peeler J. The modified star excursion balance and y-balance test results differ when assessing physically active healthy adolescent females. Int J Sports Phys Ther. 2019;14(2):192-203. DOI:10.26603/ijspt20190192.
  17. Lakens D. Calculating and reporting effect sizes to facilitate cumulative science: a practical primer for t-tests and ANOVAs. Front Psychol. 2013;4:863. Published 2013 Nov 26. doi:10.3389/fpsyg.2013.00863.
  18. Teasdale N, Simoneau M, Corbeil P, Handrigan G, Tremblay A, and Hue O. Obesity Alters Balance and Movement Control. Curr Obes Rep. 2013;2(3). p235-240. DOI:10.1007/s13679-013-0057-8
  19. O'Brien PD, Hinder LM, Callaghan BC, Feldman EL. Neurological consequences of obesity. Lancet Neurol. 2017;16(6):465-477. doi:10.1016/S1474-4422(17)30084-4.
  20. Waddington D, Warren J, Diep D. The effect of body mass on performance of the Star Excursion Balance Test (SEBT). J Foot Ankle Res. 2015;8(S1). DOI:10.1186/1757-1146-8-s1-a16.
  21. van Lieshout R, Reijneveld EA, van den Berg SM, et al. Reproducibility of the modified star excursion balance test composite and specific reach direction scores. Int J Sports Phys Ther. 2016;11(3). p356-365.
  22. Powden CJ, Dodds TK, Gabriel EH. The reliability of the star excursion balance test and lower quarter y-balance test in healthy adults: a systematic review. Int J Sports Phys Ther. 2019;14(5). p683-694.
  23. Szafraniec R, Barańska J, Kuczyński M. Acute effects of core stability exercises on balance control. Acta Bioeng Biomech. 2018;20(4):145-151.
  24. Butler RJ, Lehr ME, Fink ML, Kiesel KB, Plisky PJ. Dynamic balance performance and noncontact lower extremity injury in college football players: an initial study. Sports Health. 2013;5(5):417-422. doi:10.1177/1941738113498703.
  25. El Mohsen AM, El Ghaffar HE, Nassif NS, Elhafez GM. The weight-bearing exercise for better balance program improves strength and balance in osteopenia: a randomized controlled trial. J Phys Ther Sci. 2016;28(9):2576-2580. doi:10.1589/jpts.28.2576.
  26. Gu S, Song Z, Fan X, Chen R, Zheng W, Yan W. Effect of PD-WEBB training on balance impairment and falls in people with Parkinson’s disease. J Cent South Univ. 2013;38(11):1172-1176. doi:10.3969/j.issn.1672-7347.2013.11.015.
  27. Sibarani JN, Wigati KW, Subadi I. Non-Pharmacological Balance Therapy on Diabetic Peripheral Neuropathy Patients with Balance Disorders. Surabaya Phys Med Rehabil J. 2022;4(1):26. doi:10.20473/spmrj.v4i1.24982.
  28. Gruber M, Taube W, Gollhofer A, Beck S, Amtage F, Schubert M. Training-specific adaptations of H- and stretch reflexes in human soleus muscle. J Mot Behav. 2007;39(1):68-78. doi:10.3200/JMBR.39.1.68-78.
  29. Taube W. Neurophysiologische Anpassungen an Gleichgewichtstraining. Dtsch Z Sportmed. 2012;63(9):273-277. doi:10.5960/dzsm.2012.030.
  30. Taube W, Gruber M, Beck S, Faist M, Gollhofer A, Schubert M. Cortical and spinal adaptations induced by balance training: Correlation between stance stability and corticospinal activation. Acta Physiol. 2007;189(4):347-358. doi:10.1111/j.1748-1716.2007.01665.x.
  31. Puttemans V, Wenderoth N, Swinnen SP. Changes in brain activation during the acquisition of a multifrequency bimanual coordination task: From the cognitive stage to advanced levels of automaticity. J Neurosci. 2005;25(17):4270-4278. doi:10.1523/JNEUROSCI.3866-04.2005.
  32. Schubert M, Beck S, Taube W, Amtage F, Faist M, Gruber M. Balance training and ballistic strength training are associated with task-specific corticospinal adaptations. Eur J Neurosci. 2008;27(8):2007-2018. doi:10.1111/j.1460-9568.2008.06186.x.
  33. Hartantri W, Arfianti L. Combination of Telerehabilitation with Conventional Therapy in the Treatment of Bilateral Carpal Tunnel Syndrome: A Case Report. Surabaya Phys Med Rehabil J. 2020;2(2):73. doi:10.20473/spmrj.v2i2.21162.

How to Cite

Noviana, A. C., Andriana, M., Pawana, I. P. A., Tinduh, D., Novida, H., & Melaniani, S. (2022). Dynamic balance in obese subjects: before and after telerehabilitation weight-bearing exercise for better balance. Bali Medical Journal, 12(1), 63–73. https://doi.org/10.15562/bmj.v12i1.3726
ACM ACS APA ABNT Chicago Harvard IEEE MLA Turabian Vancouver
Download Citation
Endnote/Zotero/Mendeley (RIS) BibTeX

HTML
6

Total
2

Share

Search Panel

Astika Cahya Noviana
Google Scholar
Pubmed
BMJ Journal

Meisy Andriana
Google Scholar
Pubmed
BMJ Journal

I Putu Alit Pawana
Google Scholar
Pubmed
BMJ Journal

Damayanti Tinduh
Google Scholar
Pubmed
BMJ Journal

Hermina Novida
Google Scholar
Pubmed
BMJ Journal

Soenarnatalina Melaniani
Google Scholar
Pubmed
BMJ Journal