Abstract
Background and Purpose: The prevalence and severity of obesity among the American public is steadily rising. It is well-recognized that increased body mass is a major preventable risk factor for cardiovascular disease, hypertension, type 2 diabetes, stroke, osteoarthritis, certain types of cancer, and a variety of mental health issues such as depression and anxiety. Prevention and treatment therefore focuses on promoting a change in nutritional choices and physical activity. As movement specialists and experts in non-invasive health management, physical therapists have a unique opportunity to expand their impact on public wellness by promoting physical activity and exercise, particularly among those affected by elevated body mass and its associated risks. Case Description: The patient was a 28-year old administrative assistant at a health care facility. She expressed interest in receiving consultation to improve her health and learn behaviors that would help her continue to improve her overall wellness beyond the intervention period. Outcomes: After a 22 day intervention period, the subject made improvements in several key areas. Weight decreased by 4 pounds, waist-to-hip ratio decreased from 0.97 to 0.89 (with a drop in waist circumference of 13cm), BMI dropped from 40.4 to 39.5, plank time improved from 11 to 33 seconds, and pectoral flexibility improved by 15o. In addition, the patient showed improvements in self-efficacy, decisional balance, and process of change. Discussion: As specialists of function and movement, physical therapists are in a unique position to offer overweight and obese clients expertise in improving their overall wellness. Customized wellness plans can be developed that maximize the chance of patient success through an understanding of patient motivation and potential barriers to success, especially when taking into account the patient’s psychosocial state of mind. By following closely with patients, plans can be tailored so that the patient can continue to succeed in their wellness goals long after discharge.