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Health Promotion and Wellness in Bariatric Individuals: Benefits of Physical Therapy

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Date Issued:
2016
Abstract:
Background and Purpose: In order to address the epidemic of obesity and the many comorbidities often associated with this condition, physical therapists possess expertise applicably suited to facilitate individuals with elevated body mass pursue health and wellness. Case Description: The patient was a 45 year old male who was 179.07 cm tall and weighed 138.44 kg, for a total of 43.2 on the Body Mass Index (BMI) scale, upon the initial evaluation. A Bioelectrical Impedance Analysis (BIA) showed 34.5% body fat upon entering the intervention. The patient demonstrated a sedentary lifestyle prior to the initial encounter. The patient was previously diagnosed with Type II Diabetes Mellitus and Restless Leg Syndrome (RLS). His pharmacological profile included a beta blocker, calcium channel blocker, and an ACE inhibitor for blood pressure medication as well as a dopamine promoter to address the RLS. Aside from elevated body mass, the patient’s chief complaint was of pain in multiple joints with activity and weight bearing. Outcome measures included Seven Site Skinfold measurements, circumferential measurements at 5 locations, the Sharpened Rhomberg Balance test, Functional Squat tests, the Six-Minute Walk Test, and a brief psychological profile consisting of 4 surveys. Interventions took place both in the patient’s home setting as well as the Exercise Science Lab on the campus of Florida Gulf Coast University. Outcomes: Following the intervention period, the patient demonstrated an estimated decrease in fat percentage of 0.2-0.24% fat percentage and showed desirable changes in 3 of the 4 psychological surveys. Discussion: The case report details a physical therapy plan of care for health and wellness for an individual of elevated body mass. The intervention focuses on developing core musculature and promoting functional, pain free movement. The intervention consists of both aerobic and resistance training. The primary limitation of the intervention period was the duration. Further research should include an 8 week intervention with a 6 month follow-up for more long-term evaluation.
Title: Health Promotion and Wellness in Bariatric Individuals: Benefits of Physical Therapy.
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Name(s): Smith, Matthew Kent, Author
Marieb College of Health & Human Services, Degree granting institution
Type of Resource: text
Genre: Case Report
Issuance: single unit
Date Issued: 2016
Extent: 33 pgs.
Language(s): English
Abstract: Background and Purpose: In order to address the epidemic of obesity and the many comorbidities often associated with this condition, physical therapists possess expertise applicably suited to facilitate individuals with elevated body mass pursue health and wellness. Case Description: The patient was a 45 year old male who was 179.07 cm tall and weighed 138.44 kg, for a total of 43.2 on the Body Mass Index (BMI) scale, upon the initial evaluation. A Bioelectrical Impedance Analysis (BIA) showed 34.5% body fat upon entering the intervention. The patient demonstrated a sedentary lifestyle prior to the initial encounter. The patient was previously diagnosed with Type II Diabetes Mellitus and Restless Leg Syndrome (RLS). His pharmacological profile included a beta blocker, calcium channel blocker, and an ACE inhibitor for blood pressure medication as well as a dopamine promoter to address the RLS. Aside from elevated body mass, the patient’s chief complaint was of pain in multiple joints with activity and weight bearing. Outcome measures included Seven Site Skinfold measurements, circumferential measurements at 5 locations, the Sharpened Rhomberg Balance test, Functional Squat tests, the Six-Minute Walk Test, and a brief psychological profile consisting of 4 surveys. Interventions took place both in the patient’s home setting as well as the Exercise Science Lab on the campus of Florida Gulf Coast University. Outcomes: Following the intervention period, the patient demonstrated an estimated decrease in fat percentage of 0.2-0.24% fat percentage and showed desirable changes in 3 of the 4 psychological surveys. Discussion: The case report details a physical therapy plan of care for health and wellness for an individual of elevated body mass. The intervention focuses on developing core musculature and promoting functional, pain free movement. The intervention consists of both aerobic and resistance training. The primary limitation of the intervention period was the duration. Further research should include an 8 week intervention with a 6 month follow-up for more long-term evaluation.
Identifier: Smith__fgcu_1743_10192 (IID)
Degree Awarded: Doctorate in Physical Therapy
Department: Rehabilitation Sciences
Committee Chair: Kathy Swanick, DPT, MS, OCS
Committee Member: Rose Pignataro, Ph.D., DPT, CWS
Ellen Donald, Ph.D., PT,
Subject(s): Physical therapy
Obesity
Persistent Link to This Record: http://purl.flvc.org/fgcu/fd/Smith__fgcu_1743_10192
Use and Reproduction: Creator holds copyright.
Use and Reproduction: http://rightsstatements.org/vocab/InC/1.0/
Host Institution: FGCU