Effects of a Randomized Home-Based Quality of Movement Protocol on Function, Posture and Strength in Outpatients with Obesity.

Luca Cavaggioni,Marina Croci,Michele Gobbi,Paolo Capodaglio,Luisa Gilardini,Simona Bertoli,Gabriella Redaelli

doi:10.3390/healthcare9111451

Abstract

The aim of this study was to determine the effects of two different home-based training interventions on functional parameters and body composition in obese patients. Sixty-four obese patients were recruited at the IRCCS Istituto Auxologico Italiano and randomly assigned into a movement quality group (MQ) and a conventional training group (CT). In the MQ, the training protocol combined various stimuli based on whole-body movement patterns, mobility, motor control and diaphragmatic breathing. The CT included traditional bodyweight resistance-training exercises. All patients were tested for movement efficiency (Functional Movement Screen, FMS), postural control (Modified Balance Error Scoring System, M-BESS), breathing pattern (Total Faulty Breathing Scale, TFBS), muscular strength (Handgrip Strength Test, HST and Five Repetition Sit to Stand, FRSTS) and body composition (Waist Circumference, WC, Body Mass Index, BMI, Body fat mass percentage, Fat Mass) before and after a 6-week period of training. Significant interactions and main effects of time (p < 0.0001) were found in MQ compared to CT in the FMS, M-BESS and TFBS parameters, while muscular strength (HST, FRSTS) and body composition parameters improved similarly in both groups with a main effect of time (p < 0.05). These findings suggest that a 6-week movement quality training is effective in ameliorating postural control and movement efficiency with similar improvements in muscular strength and body composition compared with a mere traditional home-based training. Fitness coaches and practitioners might consider the MQ intervention as a valuable alternative to conventional training when treating obesity.

Highlights

Being physically fit may play a valuable role in the development of wellbeing or injury prevention [1,2,3] and within the parameters related to the decrease of physical fitness, obesity is one of them [4]
A total of 100 patients were assessed for eligibility and were allocated either to the movement quality group (MQ) group or to the conventional training group (CT) intervention
The present study aimed to investigate the effectiveness in obese individuals of a 6-week home-based on movement quality training compared with a conventional training stimuli on functional movement performance, breathing pattern, muscular strength and body composition

Summary

Introduction

Being physically fit may play a valuable role in the development of wellbeing or injury prevention [1,2,3] and within the parameters related to the decrease of physical fitness, obesity is one of them [4]. In this context, ample evidence demonstrates that obesity is associated with an augmented cardio-metabolic risk [5], reduced postural control [6], dynamic balance [7,8], functional movement performance [9,10], strength-related variables [11] and breathing-pattern efficiency [12]. The widely accepted aforementioned guidelines mainly focus on quantity of exercise with little consideration regarding the quality of motor execution (i.e., “how” an individual performs each exercise)

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