Department of Basic Science for Physical Therapy, Faculty of Physical Therapy, Cairo University, Giza, Egypt -
Batterjee Medical College, Jeddah, Saudi Arabia.
Eur J Phys Rehabil Med. 2022 Dec;58(6):845-852. doi: 10.23736/S1973-9087.22.07457-3. Epub 2022 Jul 29.
Bariatric surgery (BS) is presently the most durable and effective intervention to address severe obesity. BS results in significant weight loss and body composition changes, with reductions in both fat mass and lean mass. Conequently, muscle tissue wasting and a reduction in muscle strength and endurance seem to take place. Some studies have evaluated the impact of resistance training on changes in lean body mass and muscle strength either alone or along with protein supplementation in the first year after BS. However, the effects of core stabilization training on core endurance, postural control, and aerobic capacity in patients after BS have not been evaluated.
This study assessed the effect of a home telehealth core stabilization exercise program on core stability, postural control, and aerobic capacity in patients after BS.
A single-blinded randomized controlled trial.
Home-based exercise program.
Patients after BS.
Fifty-four patients who underwent BS randomly assigned into study and control groups. The study group followed a telehealth supervised home core stabilization program for 8 weeks, while the control group did not receive any form of exercises. Core endurance tests, postural stability, and aerobic capacity were assessed at baseline and after 8 weeks in both groups.
No significant difference was noted between groups at baseline (P>0.05). The outcome of the group comparisons showed significant improvement in core endurance tests, postural stability, and aerobic capacity in the study group. Between groups comparision showed that the study group scores significantly higher than the control group (P<0.05). However, the control group showed non-significant changes in any measured variables after eight weeks (P>0.05).
Eight weeks of a home-based telehealth core exercise program improves core endurance, postural stability, and aerobic capacity in patients after BS.
The core stabilization exercise is an important rehabilitation program that should be implemented after BS. Telehealth is an alternative rehabilitation tool during the COVID -19 pandemic.
减肥手术（BS）是目前解决重度肥胖最持久和有效的干预手段。BS 导致显著的体重减轻和身体成分变化，减少脂肪质量和瘦体重。因此，似乎会发生肌肉组织浪费以及肌肉力量和耐力下降。一些研究评估了单独或结合 BS 后第一年的蛋白质补充，抗阻训练对瘦体重和肌肉力量变化的影响。然而，BS 后患者的核心稳定性训练对核心耐力、姿势控制和有氧能力的影响尚未得到评估。
本研究评估了家庭远程医疗核心稳定性运动方案对 BS 后患者核心稳定性、姿势控制和有氧能力的影响。
单盲随机对照试验。
家庭运动方案。
BS 后患者。
54 名接受 BS 的患者随机分为研究组和对照组。研究组接受为期 8 周的远程医疗监督家庭核心稳定性训练计划，对照组则不接受任何形式的运动。两组均在基线和 8 周后进行核心耐力测试、姿势稳定性和有氧能力评估。
两组基线时无显著差异（P>0.05）。组间比较结果显示，研究组核心耐力测试、姿势稳定性和有氧能力均显著改善。组间比较显示，研究组评分明显高于对照组（P<0.05）。然而，对照组在 8 周后任何测量变量均无显著变化（P>0.05）。
8 周的家庭远程医疗核心运动方案可改善 BS 后患者的核心耐力、姿势稳定性和有氧能力。
核心稳定性训练是 BS 后应实施的重要康复方案。远程医疗是 COVID-19 大流行期间的替代康复工具。
