Obesity (Body Mass Index >30 kg/m2), Obesity/Therapy
Conditions
Keywords
Virtual Reality Training, Balance, Postural Stability, Quality of Life, Obese
Brief summary
The aim of this study will be to evaluate the effect of adding Virtual reality training to balance exercise program on improving Balance, Postural Stability, mobility and Quality of life in obese patients.
Interventions
OTHERVirtual Reality plus Balance Exercise Training
Virtual reality balance training will be completed using the BRU system's preloaded programs for postural training and rehabilitation. Rehabilitation exercises will include tasks performed standing with virtual reality headset on whereby the visual and vestibular systems will be stressed and will be customized according to the participant's needs and ability to tolerate the training stimulus. Postural training exercises will be used to develop limits of stability, with 3 exercises performed requiring participants to move their center of mass to collect rings/blocks through a course within a given amount of time. Each of the 3 postural training exercises contained 15 levels of varying difficulty. Sessions will be tailored to everyone, with progression of increasing the level of difficulty or time of exposure for each exercise. Participants at this group will be also participate in a Balance exercise training program for 40 min/3 times per week for 8 weeks.
Each session of balance exercises will be composed of three phases, including warm-up, balance training and cool down. The warm-up phase will involve gentle stretching for calf, hamstring, quadriceps, iliopsoas muscles, as well as anterior, posterior and lateral step-ups for 5-10 minutes. The active phase will be performed on a balance training for 20 minutes. It included heel and toe raises, one-legged stance for each extremity, shifting weight anteriorly, posteriorly, laterally and diagonally, step-ups, narrow walking, backward walking, sideward walking, stepping over obstacles, passing balls arranged on the training mat in a circle, and throwing and catching a ball on the training mat. A rest period of 1 minute will be given between each component. The program will be ended with 5-10 minutes of cool down. During the cool-down phase, patients will perform deep breathing exercises and static exercises for back extensors in a recumbent position.
Sponsors
Cairo University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Outcomes Assessor)
Masking description
Statistician
Eligibility
Sex/Gender
ALL
Age
20 Years to 40 Years
Healthy volunteers
No
Inclusion criteria
1. Participants with 20 to 40 years old, 2. Participants with BMI of 30 to 39.9 kg/m2 3. Absence of neurological disorders i.e.: stroke, ataxia, or parkinsonism.
Exclusion criteria
1. Participants with vestibular or vision problem. 2. Participants with Diabetes mellitus or cardiorespiratory disorders. 3. Participants with severe obesity BMI ≥40. 4. participants at regular physical therapy exercise training program at the last 3 months. 5. Participants who are unable to follow instructions due to personal or cognitive problems.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Single-Leg Stance Test | Eight weeks | Single-Leg Stance Test on Firm and Foam Surfaces Participants were asked to stand on 1 leg with eyes open on firm and foam surfaces for as long as possible; the time in seconds was recorded using a stopwatch. Participants completed 3 trials on each leg, and a mean score was calculated for each leg. Rest was permitted between each trial. The test was terminated when (1) the raised foot touched the stance leg or the floor, (2) the participant hopped, and (3) the arm touched a support surface or the investigator. The dominant leg was indicated by the preferred foot when kicking a ball. This test has shown excellent test-retest reliability among healthy older adults, and predictive validity in older adults with Parkinson disease. A cutoff of \<10 seconds has discriminated between fallers and non-fallers with Parkinson disease |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Stability Assessment | Eight weeks. | The Biodex Balance System (Biodex Medical System, Inc., Shirley, NY, USA) will be used to measure anteroposterior, mediolateral, and overall stability indices. Postural balance assessment will evaluate the participant's ability to regulate the platform's tilt angle, with deviations from the centre using standard deviation instead of the mean. Each test will last 20 seconds, with a 10-minute rest between three trials. The Biodex Balance System is reported to have high reliability |
| Timed-Up-and-Go Test | Eight weeks. | The TUG test involved participants' getting up from a chair, walking 3 meters at a comfortable speed, turning around, walking back to the chair, and sitting down.45 The time in seconds was recorded between when the examiner verbalized "go" and when the participants back touched the backrest of the chair. The average of the 2 experimental trials was used in the analysis. The test has shown high inter- and intrarater reliability,53 as well as discriminative validity in community dwelling and institutionalized older adults.5 A clinical cutoff of ≤12 seconds has been a recognized threshold for normal TUG performance in community-dwelling older adults |
| The Short Form-36 (SF-36) Questionnaire | Eight weeks | It will be used to evaluate quality of life. This instrument assesses eight domains: general health, mental health, physical functioning, role physical, role emotional, body pain, social functioning, and vitality. Scores for each domain range from 0 to 100, with 0 representing the worst and 100 the best quality of life. The SF-36 primarily evaluates physical and mental aspects and has demonstrated validity and reliability in burn survivors |
Countries
Egypt
Outcome results
None listed