Impact of Rehabilitative Ultrasonography Imaging on Core Muscle Function in Patients with Visceral Adiposity: Randomized Controlled Trail

Authors

Omar M. Mabrouk, Department of Physical Therapy for Basic Science, Faculty of Physical Therapy, Deraya University, EL Minia, EgyptFollow
Amal H. Mohamed Ibrahim, Department of Physical Therapy for Basic Science, Faculty of Physical Therapy, Cairo University, Cairo, EgyptFollow
Mayada Ashraf, Department of Physical Therapy for Basic Science, Faculty of Physical Therapy, Cairo University, Cairo, EgyptFollow
Mohamed A. Shwiel, Department of Radiodiagnosis, Faculty of Medicine, El Minia University, El Minia, EgyptFollow

Abstract

Background: Overweight is an excessive fat accumulation that may impair health. Visceral adiposity is one of the common causes of decreased endurance and strength of core stabilizing muscles, lumbar spine dysfunction and respiratory impairment. Consequently, this study aimed to determine the impact of rehabilitative ultrasonography imaging (RUSI) guided core muscle exercise, cavitation lipolysis and their combination on visceral fat thickness, waist circumference (WC), transverse abdominis (TrA) activation ratio, and diaphragmatic excursion in patients with visceral adiposity. Methods: forty-five patients diagnosed as overweight with localized abdominal visceral fat deposits, recruited from clinical nutrition unit, Elminya University Hospital. Patients age ranged from 25 to 45 years, body mass index (BMI) was 25-29.9 kg/m2, WC was more than 102 cm for men and 88 cm for women and patients hadnt received lipolytic medications. They were divided randomly into three equal groups, Group (A) received RUSI guided core muscle exercise, group (B) received cavitation lipolysis and group (C) received RUSI core muscle exercise and cavitation lipolysis. Evaluation was done by ultrasonography imaging and tape measurement at the beginning and after 5 weeks. Result: There was a significant improvement in transverse abdominis activation ratio and diaphragmatic excursion in the three groups (p<0.05) as well as decrease in visceral fat thickness and WC in group B & C (p < 0.05), whereas, there is non-significant difference in group A (p> 0.05). Conclusion: Combination of RUSI guided core muscle exercise and cavitation lipolysis are effective approach in decreasing visceral fat thickness and WC, as well as improving transverse abdominis activation ratio and diaphragmatic excursion in patients with visceral adiposity.

Recommended Citation

M. Mabrouk, Omar; H. Mohamed Ibrahim, Amal; Ashraf, Mayada; and A. Shwiel, Mohamed (2023) "Impact of Rehabilitative Ultrasonography Imaging on Core Muscle Function in Patients with Visceral Adiposity: Randomized Controlled Trail," International Journal of Thin Film Science and Technology: Vol. 12 : Iss. 2 , PP -.
Available at: https://digitalcommons.aaru.edu.jo/ijtfst/vol12/iss2/4