Effectiveness of in-patient rehabilitation in obesity-related orthopedic conditions

P. Capodaglio, V. Cimolin, E. Tacchini, H. Precilios, A. Brunani

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

Background: The aim of the present paper is to provide initial evidence that in-patient multidisciplinary rehabilitation is effective in minimizing the obesity-related disability and enhancing functional capacities in obese patients with motor disability. Subjects: Four hundred and sixty-four obese patients with orthopedic conditions admitted to our Rehabilitation Unit for multidisciplinary rehabilitation were enrolled in this study. Methods: At admission and discharge (after 4 weeks), the following outcome measures were computed: body weight (BW) (kg), body mass index (BMI) (kg/m2), Functional Independence Measure (FIM) motor and cognitive, Obesity-related disability test (TSD-OC), Visual Analogue Score (VAS) for functioning, Timed-Up-Go (TUG). Intensive rehabilitation addressed to obese patients with orthopedic conditions and motor difficulties consisted of a 4-week and 3-h daily multidisciplinary program covering nutritional, motor and psychological aspects. Results: All of the outcomes measured, except the FIM cognitive score, improved significantly after in-patient rehabilitation. The obesity-specific disability scale appears sensitive to changes among groups with different grades of disability and the percentage of change does not differ among groups. Younger obese individuals generally showed to benefit more from rehabilitation interventions than the older ones. Conclusions: In-patient rehabilitation interventions appear effective in reducing both mild and severe disabilities related to obesity with orthopedic co-morbidities. This paper provides initial evidence that in-patient multidisciplinary intensive rehabilitation is effective in minimizing the obesity-related disability and initial support to the indications of the Italian Ministry of Health for such rehabilitation pathway. The disability grading could help the decision making of allocating patients to appropriate rehabilitation settings.

Original languageEnglish
Pages (from-to)628-631
Number of pages4
JournalJournal of Endocrinological Investigation
Volume36
Issue number8
DOIs
Publication statusPublished - Sep 2013

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Orthopedics
Rehabilitation
Obesity
Decision Making
Body Mass Index
Body Weight
Outcome Assessment (Health Care)
Psychology
Morbidity
Health

Keywords

  • Disability
  • Obesity
  • Orthopaedic conditions
  • Rehabilitation

ASJC Scopus subject areas

  • Endocrinology, Diabetes and Metabolism
  • Endocrinology

Cite this

Effectiveness of in-patient rehabilitation in obesity-related orthopedic conditions. / Capodaglio, P.; Cimolin, V.; Tacchini, E.; Precilios, H.; Brunani, A.

In: Journal of Endocrinological Investigation, Vol. 36, No. 8, 09.2013, p. 628-631.

Research output: Contribution to journalArticle

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