Effects of excessive body weight on postural control

Błaszczyk, Janusz W.; Cieślińska-Świder, Joanna; Plewa, Michał; Zahorska-Markiewicz, Barbara; Markiewicz, A

doi:10.1016/j.jbiomech.2009.03.006

Cited by 153 publications

(142 citation statements)

References 17 publications

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“…Moreover, we were limited in our assessment of clinical improvements. Furthermore, patients with BMI > 40 were excluded since we could not distinguish between postural adaptations due to DN and those due to obesity [54]. Furthermore, we had to eliminate the control group because neuropathy in each patient has its specific pattern.…”

Section: Discussionmentioning

confidence: 99%

Dynamic stability training improves standing balance control in neuropathic patients with type 2 diabetes

Salsabili

Bahrpeyma²,

Forogh³

et al. 2011

JRRD

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Abstract-Patients with type 2 diabetic neuropathy (DN) are at an increased risk of falls due to the decreased accurate proprioceptive feedbacks. Effective balance training should treat context-specific instabilities of postural control of patients with DN. For this purpose, evaluations and balance training were designed with a 3-week baseline with evaluation after 3 weeks, followed by training over 3 weeks with reevaluation. We acquired control scores for standing balance from the Biodex stability system and fluctuations of the center of pressure. We performed repeated measure analysis of variance to test mean differences in three sessions of assessments. In addition, we compared mean differences of each pair of sessions with the least significant difference test. We used the paired t-test to compare the pure effects of trainings. Our investigation showed that the results of Biodex stability scores and force platform medial-lateral sway measurements improved statistically. Significant higher open-eyes median and mean frequency values of postural sway in the medial-lateral direction indicated that balance training allowed patients to develop control over the degree of freedom at the hip joint. In conclusion, training that compensates for disordered balance indicated by subclinical constraints with respect to the guidance effect of external visual feedback improves standing postural control in patients with type 2 DN.Clinical Trial Registration: Clinical Trial Registration: UMIN-CTR Search Clinical Trials, UMIN000004485, "Dynamic stability training can promote quiet standing control in neuropathic patients with type 2 diabetes"; http:// www.umin.ac.jp/ctr/index.htm.

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Section: Discussionmentioning

confidence: 99%

Dynamic stability training improves standing balance control in neuropathic patients with type 2 diabetes

Salsabili

Bahrpeyma²,

Forogh³

et al. 2011

JRRD

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“…These findings indicate that a high BMI is associated with reduced postural control and balance after a TKR. Because being overweight or obese is a risk factor for poor postural stability (56)(57)(58), and because changes in body weight influence balance control (59,60), it is reasonable to expect that overweight and obese patients perform more poorly in the FRT and SLS test compared with patients with a normal BMI, because such tasks are highly dependent on postural stability and balance control. Previous studies have shown that the performance of postural stabilitydependent mobility tasks improves after balance-based post-TKR rehabilitation (24,38), which is consistent with the significant improvements in the FRT and SLS test results for all of the BMI groups at the 2-month and 6-month post-TKR followup assessments in the current study.…”

Section: Discussionmentioning

confidence: 99%

Body Mass Index and Functional Mobility Outcome Following Early Rehabilitation After a Total Knee Replacement: A Retrospective Study in Taiwan

Liao

Huang

et al. 2015

Arthritis Care & Research

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ObjectiveObesity is associated with an increased risk of osteoarthritis, and the incidence of obese patients requiring a total knee replacement (TKR) has increased in recent years. A high body mass index (BMI) may influence post‐TKR rehabilitation outcomes. We investigated the effects of obesity on functional mobility outcomes following post‐TKR rehabilitation in Asian patients whose BMIs were not as high as those reported in similar studies performed in non‐Asian countries.MethodsA total of 113 patients were categorized as normal weight (n = 23), overweight (n = 32), class I obese (n = 31), or class II/III obese (n = 27). Patients were retrospectively followed up for 6 months after undergoing TKR followed by 2 months of active rehabilitation. Outcome measures were recorded at baseline and at the 2‐month and 6‐month followup assessments and included the Western Ontario and McMaster Universities Osteoarthritis Index and the following tests: functional reach, single‐leg stance, ten‐meter walk, timed up and go, chair rise, and stair climbing.ResultsA 4 × 3 (group × time) repeated‐measures analysis of variance showed significant improvement in all of the outcome measures for all of the BMI groups at the 2‐month and 6‐month followup assessments (P < 0.05 for all). No significant intergroup differences at the 2‐month and 6‐month followup assessments were observed for any of the mobility measures except the functional reach and single‐leg stance (P < 0.05).ConclusionPatients with class II/III obesity benefit from early post‐TKR outpatient rehabilitation and respond as well as patients with lower BMIs.

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“…Nessa direção, mais recentemente, medidas e índices como a porcentagem de gordura corporal [11][12][13] , o Índice de Massa Corporal (IMC) 11,13 , a massa muscular esquelética 13,14 , a razão cintura/quadril 11 , a circunferência de cintura 11 , a circunferência de quadril 11 e a força muscular 14 vêm chamando a atenção dos pesquisadores pelo seu potencial de influenciar negativamente o controle postural dos sujeitos.…”

Section: N T R O D U ç ã Ounclassified

“…Ademais, tem-se sugerido que o excesso de massa corporal, em associação com a distribuição centrípeta da gordura corporal, possa alterar o equilíbrio (tanto estático quanto dinâ-mico), podendo, portanto, modificar a localização do centro de massa corporal, levando à instabilidade do controle postural 12 .…”

Section: N T R O D U ç ã Ounclassified

“…Em outras palavras, quando em pé, o corpo humano é muitas vezes comparado a um pêndulo invertido, girando em torno da articulação do tornozelo 11 . Tem-se sugerido que a obesidade e/ou o sobrepeso, em associação com a distribuição centrípeta da gordura corporal, alterem o equilíbrio, o que modificaria a localização do centro de massa, levando à instabilidade biomecânica do controle postural 12,13,30,33 .…”

Section: I S C U S S ã Ounclassified

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Influência do estado nutricional, distribuição da gordura corporal e força muscular na estabilometria de idosas

Siqueira

Geraldes

2015

Rev. Nutr.

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Influência do estado nutricional, distribuição da gordura corporal e força muscular na estabilometria de idosas Influence of nutritional status, distribution of body fat and muscle strength on stabilometry of the elderly R E S U M O ObjetivoInvestigar as associações entre diversas medidas indicadoras do estado nutricional, a força muscular e as diferentes variáveis estabilométricas em uma amostra de idosas. MétodosNeste estudo exploratório de corte transversal, 108 idosas tiveram suas variáveis estabilométricas avaliadas através de uma plataforma de força, em duas condições experimentais: olhos abertos e olhos fechados. Verificaram-se as associações entre as variáveis explicativas: idade, massa corporal, estatura, índice de massa corporal, circunferência de quadril, circunferência de cintura, relação cintura/quadril, percentual de gordura corporal, massa gorda, massa magra, área muscular de braço corrigida, força isométrica voluntária máxima e diversas variáveis estabilométricas: amplitude anteroposterior, deslocamento da oscilação e área elíptica da superfície, dentre outras. ResultadosCom exceção da estatura, todas as variáveis explicativas associaram-se significativamente com as variáveis estabilométricas. A regressão múltipla (forward) revelou que a circunferência de cintura e a força isométrica voluntária máxima foram as variáveis que mais influenciaram as variáveis estabilométricas, entretanto sem diferenças significativas entre as condições olhos abertos e olhos fechados. O percentual de gordura parece não sobrecarregar o sistema de controle postural. Na condição olhos abertos, a variável estabilométrica desvio-Rev. Nutr., Campinas, 28(6):581-596, nov./dez., 2015 Revista de Nutrição http://dx.doi.org/10.1590/1415-52732015000600002 -padrão médio-lateral foi a mais influenciada pelas variáveis explicativas. A circunferência de cintura foi responsável por 8,8% de toda variação do desvio-padrão médio-lateral e a força isométrica voluntária máxima contribuiu com 9,4% adicionais. ConclusãoOs resultados sugerem que a distribuição centrípeta de gordura corporal associada à diminuição da força muscular são as principais responsáveis pelas alterações estabilométricas em idosas. Palavras A B S T R A C T Objective To investigate the association and the relative contribution of different measurements used as indicators of nutritional status and muscle strength with different stabilometric variables in a sample of elderly. Methods In this cross ConclusionThe regression analysis suggests that the centripetal distribution of body fat associated with reduced muscle strength are responsible, partly, for stabilometric changes in elderly women.

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Effects of excessive body weight on postural control

Cited by 153 publications

References 17 publications

Dynamic stability training improves standing balance control in neuropathic patients with type 2 diabetes

Dynamic stability training improves standing balance control in neuropathic patients with type 2 diabetes

Body Mass Index and Functional Mobility Outcome Following Early Rehabilitation After a Total Knee Replacement: A Retrospective Study in Taiwan

Influência do estado nutricional, distribuição da gordura corporal e força muscular na estabilometria de idosas

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