‘Effectiveness of Structured Hydrotherapy Programme as

Part of MDT Physiotherapy Weight Management

Intervention For Obese People With Co-morbidities’

Mohan Ramasamy

Specialist Weight Management Physiotherapist

The Mid Yorkshire Hospitals NHS trust

Acknowledgement

• Sidebottom L

• Rajeswaran C

• BBC News & Channel 5

Content

• Background

• Purpose

• Method

• Data Collection and Analysis

• Main Results

• Telecasted Programmes

• Conclusion

• References

Background

• Duration and intensity of PA to facilitate weight loss – NICE

Guidelines

• Aerobic ability(AA) and Physical activity(PA) due to co-morbidities

• Role of physiotherapy in MDT

• Benefits of Hydrotherapy

Purpose

Service evaluation of the effectiveness of hydrotherapy

based fitness programme for obese people with co-morbidities

Method

• 25 adults (Mean age of 56, 56% female) with BMI ≥ 35 kg/m2 with

co-morbidities

• Exercises programme – warm up, main weight reduction exercises

{aerobics, high calories burning exercises, HIIT} and cool down

• Progressed low to high intensity

• Attended our specialist dietitians programme

Data Collection and Analysis• Body weight and BMI

• Aerobic ability ► 2 Minutes March Test (2MMT)

► 10 point Borg Rate of Perceived Exertion Scale (RPE)

• Quality of life ► SF8 questionnaire

• Physical activity status (PAS)

Self-reporting questionnaire

• Barriers to physical activity

• Outcome analysed by The paired ‘t’ test

Significant Difference in Mean Score at p ≤ 0.01

35.2

-0.72 -3.26 -1.14

8.88

0.92

-2.48

-10

-5

0

5

10

15

20

25

30

35

40

Series1

Main Results

Main Results

72%

100%97%

90%83%

72%

21%28%

0%3%

10%17%

24%

79%

4%

Bodyweight

AerobicAbility

OvercameBarriers

PhysicalActivities

ADL Quality OfLife

Mobilityaids

Improved Maintaining Reduced

Telecasted Programmes

Big Body Squad

Look North

Channel 5

BBC News

Thanks To Channel 5 and BBC News

Telecasted Programmes

Big Body Squad

Look North

Channel 5

BBC News

Thanks To Channel 5 and BBC News

Telecasted Programmes

Big Body Squad

Look North

Channel 5

BBC News

Thanks To Channel 5 and BBC News

Conclusion

A structured hydrotherapy programme resulted in

significant improvement in their AA, PA and quality of life.

References

• NICE (2006) Obesity guidance on the prevention, identification, assessment and management of overweight and

obesity in adults and children. NICE, London. Available at:

http://www.nice.org.uk/nicemedia/live/11000/30365/30365.pdf (Accessed 04.03.14)

• “Appropriate Physical Activity Intervention Strategies for Weight Loss and Prevention of Weight Regain for Adults”,

Med Sci Sports Exerc, 2009.

• Land-based versus aquatic resistance therapeutic exercises for older women with sarcopenic obesity: study

protocol for a randomised controlled trial. de Souza Vasconcelos KS, Dias JM, de Araújo MC, Pinheiro AC, Maia MM,

Dias RC. Trials. 2013 Sep 16;14:296. doi: 10.1186/1745-6215-14-296

• Extended report: Does hydrotherapy improve strength and physical function in patients with osteoarthritis—a

randomised controlled trial comparing a gym based and a hydrotherapy based strengthening programme. A

Foley1, J Halbert1, T Hewitt2, M Crotty1. N Am J Med Sci. 2014 May;6(5):199-209. doi: 10.4103/1947-2714.132935.

• Scientific evidence-based effects of hydrotherapy on various systems of the body. Mooventhan A1, Nivethitha L2.

• Therapeutic benefit of balneotherapy and hydrotherapy in the management of fibromyalgia syndrome: a qualitative

systematic review and meta-analysis of randomized controlled trials. Johannes Naumann*† and Catharina

Sadaghiani†. Ann Rheum Dis 2003;62:1162-1167 doi:10.1136/ard.2002.005272

• Channel 5 – Big body squad programme

• BBC News – Look north

Thank You

E-mail

mohan.ramasamy@midyorks.nhs.uk