Thesis (Ph.D)-Cairo University,2022.

Bibliography: p. 90-97.

Purpose: To evaluate the efficacy of balance of training on Balance Performance in Obese Patients Undergoing Sleeve Gastrectomy. Design: a single-blind randomized controlled trial. Methods: sixty obese patients after sleeve gastrectomy participated in the study, they were recruited from the police hospital, Egypt; their ages ranged from 20-30 years old. Confidentiality was assured. They were assigned randomly into two groups equally in number; 30 patients each: study group (A) received balance training in addition to their traditional physical therapy program while the control group (B) received a traditional physical therapy program only. All treatments were administered 3 times a week for 4 weeks. A biodex balance system was used to evaluate the anterior-posterior stability index, medial-lateral stability index, and overall stability index, and a visual analog scale was used to assess pain. For the the normality test of data, the Shapiro-Wilk test was performed, for comparison of Age, pain, and anterior-posterior stability index (RT leg) between the two groups, Mann-Whitney test was performed, For comparison of anterior- posterior stability index (LT leg), medial-lateral stability index, overall stability index between the two groups, independent t-test was performed, For comparison between pre-and post-treatment mean values of pain and anterior posterior stability index in each group, Wilcoxon test was performed, For comparing pre and post-treatment mean values of medial-lateral stability index and overall stability index in each group, paired t-test was performed, The arithmetic means as an average description of central tendency of the results, The standard deviation as a mean of dispersion of the results. The alpha level was 0.05. All statistical measures were performed through the statistical package for social studies (SPSS) version 27 for windows. Results: When compared to the pre-treatment condition, the anterior-posterior stability index, medial-lateral stability index, and overall stability index improved and decrease pain in the post-test in groups A and B. There was a statistically significant difference was noted between the mean value of all dependent variables in group A and their corresponding value in group B. Conclusion: Concurrent training was effective and beneficial in improving balance and decreasing pain after sleeve gastrectomy.

يهدف هذا البحث إلى دراسة فاعلية تدريبات التوازن على الأداء التوازني لمرضى السمنة فيما بعد تكميم المعدة. وتم اجراء البحث على 60 مريضا تراوحت اعمارهم بين 20-30 سنة. تم تقسيم المرضى عشوائيا الى مجموعتين متساويتين في العدد و يمثلان المجموعة الأولى ( مجموعة الدراسة ) و تضم 30 مريضا و المجموعة الثانية (مجموعة ضابطة) وتضم 30 مريضا أيضا. تلقت المجموعة الأولى برنامج تدريبات التوازن بالاضافة الى العلاج الطبيعي التقليدي بينما تلقت المجموعة الثانية العلاج الطبيعي التقليدي فقط . وقد أجريت القياسات لهاتين المجموعتان قبل و بعد الفترة العلاجية و التى امتدت الى أربع أسابيع و قد أثبت التحليل الاحصائي وجود تحسن ذو دلالة احصائية واضحة لمرضى المجموعتين عند المقارنة بين النتائج قبل و بعد العلاج لكل مجموعة كذلك وجد فروق ذات دلالة احصائية بين المجموعتين بعد العلاج في صالح مجموعة الدراسة وقد تضمنت هذة الرسالة 121 مرجع

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Text in English and abstract in Arabic & English.