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Postural changes in morbidly obese patients.

Shirley Aparecida Fabris de Souza1, Joel Faintuch, Antonio Carlos Valezi

  • 1Department of Physical Therapy, Londrina State University, Londrina, Paraná, Brazil. shirley@inbrapenet.com.br

Obesity Surgery
|August 18, 2005
PubMed
Summary

Morbid obesity significantly impacts posture, causing spinal, knee, and foot deviations. Physical activity is recommended to correct these issues and improve quality of life.

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Area of Science:

  • Orthopedics
  • Obesity Medicine
  • Radiology

Background:

  • Postural deviations in morbidly obese individuals can lead to low self-esteem and long-term musculoskeletal issues.
  • This case-control study investigated axial skeleton abnormalities in obese versus non-obese groups.

Purpose of the Study:

  • To identify and compare postural abnormalities in the axial skeleton between severely obese and non-obese individuals.
  • To highlight the prevalence of specific skeletal deviations in morbidly obese patients.

Main Methods:

  • Comparison of two groups: severely obese (n=32) and non-obese (n=30) adults.
  • Posture analysis using clinical examination and radiological imaging.
  • Measurement of anterior, lateral, and posterior angular deviations in various body segments.

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Main Results:

  • Obese individuals showed significantly higher rates of deviation in the head, Thales angle, knees, legs, and support base.
  • Posterior analysis revealed spinal derangement in 87.5% of obese individuals compared to 36.7% in the non-obese group.
  • Lateral assessment indicated 100% abnormal results in the obese group.

Conclusions:

  • Morbid obesity is associated with significant postural alterations, particularly affecting the spine, knees, and feet.
  • Altered posture was prevalent in the obese group, with many patients experiencing related pain they did not attribute to obesity.
  • Incorporating planned physical activity into obesity treatment is crucial for correcting deviations and enhancing quality of life.