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Original Article   Open accessopen access

European Journal of Physical and Rehabilitation Medicine 2022 Jul 29

DOI: 10.23736/S1973-9087.22.07457-3

Copyright © 2022 THE AUTHOR(s)

This is an open access article distributed under the terms of the CC BY-NC 4.0 license which allows users to distribute, remix, adapt and build upon the manuscript, as long as this is not done for commercial purposes, the user gives appropriate credits to the original author(s) and the source (with a link to the formal publication through the relevant DOI), provides a link to the license and indicates if changes were made.

language: English

Efficacy of telehealth core exercises during COVID-19 after bariatric surgery: a randomized controlled trial

Olfat I. ALI 1 , Osama R. ABDELRAOUF 2, Amira M. EL-GENDY 1, 3, Abdelgalil A. ABDELGALIL 4, Alshaimaa K. ABDELAAL 2, Haytham A. DAHLAWI 5, Ali O. SELIM 6

1 Departement of Basic Science for Physical Therapy, Faculty of Physical Therapy, Cairo University, Giza, Egypt; 2 Physical Therapy Program, Batterjee Medical College, Jeddah, Saudi Arabia; 3 Department of Physical Therapy, College of Applied Medical Sciences, Taif University, Taif, Saudi Arabia; 4 Department of Physical Therapy for Musculoskeletal Disorders, Cairo University, Giza, Egypt; 5 Clinical Laboratory Sciences Department, College of Applied Medical Sciences, Taif University, Taif, Saudi Arabia; 6 Department of Physical Therapy for Surgery, Faculty of Physical Therapy, Cairo University, Giza, Egypt


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BACKGROUND: 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.
AIM: 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.
DESIGN: A single-blinded randomized controlled trial.
SETTING: Home-based exercise program.
POPULATION: patients after BS.
METHODS: 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.
RESULTS: 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).
CONCLUSIONS: Eight weeks of a home-based telehealth core exercise program improves core endurance, postural stability, and aerobic capacity in patients after BS.
CLINICAL REHABILITATION IMPACT: 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.


KEY WORDS: Bariatric surgery; Core training; Telehealth; Postural stability; 6MWT; COVID-19

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