Functional State of the Musculoskeletal System of Women with Obesity as a Factor of Direction of the Physical Rehabilitation Process
Keywords:
musculoskeletal system, obesity, physical rehabilitation, restoration, posture, physical exercisesAbstract
At present, obesity is one of the most common diseases, both in Ukraine and in the world. The objective of the study is to investigate the functional state of the musculoskeletal system in women with obesity. Materials. The contingent of the observable – 62 patients of the second adult age (36–55 years). Research methods: analysis of the scientific literature and medical records, goniometry of the limb joints, a test for flexibility. Results. The analysis of medical records revealed a significant spread in the osteochondrosis sampling (90,32 %), protrusions of the lumbosacral segment (93,54 %), curvature of the spine (96,77 %). Somewhat less prevalence had the disc hernia of the lumbar-sacral spine (72,58 % of the group), thoracic spine (29,03 %), protrusion of the thoracic spine (37,09 %). Arthrosis was registered in 12,9 % of people. It was revealed amplitude limitations in flexion of the elbow joint, in complete reduction of the shoulder, in the range of movement of the hip joint in the sagittal plane, in complete reduction of the thigh.Only 10% of patients had satisfactory hip function. Six patients were able to perform passive flexion in the hip joint at 120° (normal rate). Nearly half (48,39 %) of the group were able to perform 110° hip flexion. The results of goniometry of the knee joint were not critical. The test «tilt forward from the sitting position with elongated legs» was evaluated in most patients as average (41,9 %) or below average (40,3 %). None of the examined have achieved high results, but results at a low level have not been noted. Only three patients performed rotation in the hip joint at 45°. The amplitude of rotation at 40° was observed in 19,4 % of patients, 35°– almost half of the group (43,5 %), and the lowest result at 30° was obtained in 32,3 % of patients. It was concluded that the condition of the locomotor system of patients necessitates the passage of a comprehensive program of physical rehabilitation. The development of a program for rehabilitation of second adulthood women with obesity requires taks into account not only the degree of the disease, but also the condition of the musculoskeletal system and its functional capabilities.
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