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Family Medicine & Primary Care Review
eISSN: 2449-8580
ISSN: 1734-3402
Family Medicine & Primary Care Review
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Open access

without publication fees
1/2025
vol. 27
 
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abstract:
Original paper

Effect of training using the Biodex system on dynamic balance and physical performance: a randomized controlled balance-training trial in hemodialysis patients with osteopenia

Hagar Ahmed El-Hadidy
1
,
Marwa Abdelfattah Gaballah
2
,
Sally Mohamed Abouelfetouh
3
,
Rania Hakim Hamed
4
,
Sara S. El-Din
5
,
Omnia Saeed Mahmoud Ahmed
6

  1. Department of Physical Therapy for Cardiovascular/Respiratory Disorders and Geriatrics, Faculty of Physical Therapy, Benha University, Qalyubia, Egypt
  2. Department of Physical Therapy for Musculoskeletal Disorders and its Surgery, Faculty of Physical Therapy, Benha University, Benha, Egypt
  3. Department of Physical Therapy for Internal Medicine and Surgery, Faculty of Physical Therapy, Ahram Canadian University (ACU), Giza, Egypt
  4. Department of Basic Science, Faculty of Physical Therapy, Badya University, South Wahat Road, October Gardens, Giza, Egypt
  5. Department of Physical Therapy, College of Applied Medical Sciences, Najran University, Najran, Saudi Arabia
  6. Department of Physical Therapy for Internal Medicine and Geriatrics, Faculty of Physical Therapy, October University for Modern Sciences and Arts (MSA), 6th October City, Giza, Egypt
Family Medicine & Primary Care Review 2025; 27(1): 25–30
DOI: https://doi.org/10.5114/fmpcr.2025.146966
Online publish date: 2025/03/26
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Background
The Biodex Balance Training System (BBTS) has been utilized as an imbalance assessment/treatment tool in various populations and diseases.

Objectives
The aim of this study was to investigate the effect of BBTS on dynamic balance and physical performance in hemodialysis (HD) patients with osteopenia.

Material and methods
58 women with HD and osteopenia were randomly assigned to a 12-week Biodex-training group (BTG, n = 29) or a non-trained group (n = 29). The training, 3 times per week, was conducted using BBTS and lasted for 10 minutes, with the two types of training – weight shift and postural stability – each lasting 5 minutes, allowing the HD patients to relax for 2 minutes between each type of exercise. HD patients’ femoral bone mineral density (T-score) was assessed in both groups. Dynamic balance was assessed in both groups via the HD participants’ BBTS-extracted overall stability index (OASI), BBTS-extracted anteroposterior stability index (APSI), and BBTS-extracted mediolateral stability index (MLSI). The HD patients’ physical performance was also evaluated using a 6-minute walking distance (6MWD) test and total scored points of a 3-component Short Physical Performance Battery (SPPB) test.

Results
After using BBTS in a balance-training program, significant improvements in HD participants’ OASI, APSI, T-score, MLSI, SPPB, and 6MWT were recorded in the BTG, while all outcomes of the NTG did not show the same results.

Conclusions
It can be concluded that utilizing BBTS in a 12-week balance-training program improves participants’ OASI, APSI, T-score, MLSI, SPPB, and 6MWT in HD patients with osteopenia.

keywords:

physical functional performance, renal dialysis, metabolic bone diseases

  
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