Thesis (M.Sc.) - Cairo University - Faculty of Physical Therapy - Department of Physical Therapy for Surgery

Background: Patients who underwent bariatric surgical intervention are susceptible to bone mass abnormality due to reducing the intake of calcium linked with both Vitamin D and calcium malabsorption. Diminished calcium absorption is a result of the removal of the duodenum as well as proximal jejunum, which are the areas where calcium absorption is maximum. Aerobic weight-bearing exercise is much more suited to enhance bone mass than any other feasible regular exercise; it has a dual role in straining the bones by applying both gravitational as well as muscular stress. Walking is one of the most common forms of weight-bearing exercise. It is a gentle activity that is well-accepted by the elderly due to its safety, self-management, as well as ease of implementation. Aim Of The Study : The study was designed to assess the efficacy of Aerobic exercises on bone mass loss avoidance after bariatric surgeries. Patients and methods: 30 female patients post-bariatric surgeries were included in our research study; They are between the ages of 25 and 45.They were blindly assigned to one of two equal groups at Shebin El-Kom Hospital in Menoufia: Group A (Study group): comprises 15 participants who got 30 minutes of Aerobic exercise three times a week by treadmill walking as well as the traditional medical care, Group B (Control group): includes 15 individuals receiving standard medical treatment. Methods: DEXA was used to assess bone mineral density (BMD), and T-scores for the lower spine and hips were estimated before and after three months. Results: Prior to the initiation of treatment, the T score of the femoral neck, spine (L2-L4), and entire femur did not differ significantly between the two groups with p greater than 0.05. Following therapy, a comparative study of both groups revealed a significant elevation in the study group's T scores for the spine (L2-L4), femoral neck, and entire femur with p-value > 0.001

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