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对接受减肥手术的肥胖患者的平衡和灵活性分析。

Analyses of balance and flexibility of obese patients undergoing bariatric surgery.

作者信息

Benetti Fernanda Antico, Bacha Ivan Leo, Garrido Junior Arthur Belarmino, Greve Júlia Maria D'Andréa

机构信息

Laboratório do Estudo do Movimento, Departamento de Ortopedia e Traumatologia, Faculdade de Medicina da Universidade de São Paulo, São Paulo/, SP, Brazil.

Departamento de Cirurgia do Aparelho Digestivo, Faculdade de Medicina da Universidade de São Paulo, São Paulo/, SP, Brazil.

出版信息

Clinics (Sao Paulo). 2016 Feb;71(2):78-81. doi: 10.6061/clinics/2016(02)05.

Abstract

OBJECTIVE

To assess the postural control and flexibility of obese subjects before and both six and 12 months after bariatric surgery. To verify whether postural control is related to flexibility following weight reductions resulting from bariatric surgery.

METHODS

The sample consisted of 16 subjects who had undergone bariatric surgery. All assessments were performed before and six and 12 months after bariatric surgery. Postural balance was assessed using an Accusuway® portable force platform, and flexibility was assessed using a standard chair sit and reach test (Wells' chair).

RESULTS

With the force platform, no differences were observed in the displacement area or velocity from the center of pressure in the mediolateral and anteroposterior directions. The displacement speed from the center of pressure was decreased at the six month after the surgery; however, unchanged from baseline at 12 months post-surgery. Flexibility increased over time according to the three measurements tested.

CONCLUSIONS

Static postural balance did not change. The velocity of postural adjustment responses were increased at six months after surgery. Therefore, weight loss promotes increased flexibility. Yet, improvements in flexibility are not related to improvements in balance.

摘要

目的

评估肥胖受试者在减肥手术前、术后6个月和12个月时的姿势控制和灵活性。验证减肥手术后体重减轻后姿势控制是否与灵活性相关。

方法

样本包括16名接受过减肥手术的受试者。所有评估均在减肥手术前、术后6个月和12个月进行。使用Accusuway®便携式测力平台评估姿势平衡,使用标准椅上体前屈测试(韦尔斯椅)评估灵活性。

结果

使用测力平台,在内外侧和前后方向上,压力中心的位移面积或速度均未观察到差异。术后6个月时压力中心的位移速度降低;然而,术后12个月时与基线相比没有变化。根据所测试的三次测量,灵活性随时间增加。

结论

静态姿势平衡没有改变。术后6个月时姿势调整反应的速度增加。因此,体重减轻促进了灵活性的提高。然而,灵活性的改善与平衡的改善无关。

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