Obesity and hypodynamia

Effective treatment of obesity in Vilnius through kinesiotherapy. Individual programmes, restoration of metabolism, work with the cause of excess weight. Safe for joints, permanent result. Sign up for a consultation in our centre!

Kinesiology methods for treating obesity and hypodynamia¶

How kinesiology interprets the diseases: obesity and hypodynamia.¶

Obesity in kinesiology is considered not only as an excessive accumulation of adipose tissue, but also as a consequence of musculoskeletal imbalances, metabolic disorders and insufficient muscle activity. Kinesiotherapy emphasises that obesity is often accompanied by:

Reduced joint mobility,
Disturbance of posture and biomechanics of movements,
Muscle weakness and atrophy.

Hypodynamia (lack of movement) is interpreted as a key factor exacerbating obesity and leading to:

Deterioration of blood and lymphatic circulation,
Reduced muscle tone,
Impaired neuromuscular regulation.

Why is kinesiotherapy effective for these conditions?¶

Kinesiotherapy offers an individualised approach aimed at restoring movement and correcting impairments. The main tools in kinesiotherapy in the treatment of obesity and hypodynamia are:

Motor Rehabilitation - specific exercises to activate muscles, improve metabolism and reduce weight.
Kinesiotaping - muscle and joint support, improving lymphatic drainage.
Manual techniques - correct posture, remove blocks in the joints.
Breathing practices - optimise oxygen metabolism.
Functional Training - restoring natural movement patterns.

Types and Stages of Obesity and Hypodynamia¶

Stages of obesity (by BMI and functional impairment):¶

Initial (BMI 25-30) - kinesiotherapy focuses on posture correction, metabolic activation through Therapeutic exercises.
Moderate (BMI 30-35) - strength and cardio exercises are added, working with muscle imbalances.
Severe (BMI 35+) - gentle techniques, water programmes, breathing exercises.

Forms of hypodynamia:¶

Compensated - minimal impairment, correction through increased daily activity.
Decompensated - pronounced muscle atrophy, requires gradual introduction of loads.

How does kinesiotherapy help in each case?¶

1. In the initial stages of obesity (BMI 25-30).¶

Causes: At this stage, obesity is often associated with a sedentary lifestyle, unbalanced diet and underdeveloped muscle mass. Metabolism is slowing, but structural changes in joints and muscles are not yet critical.

Probability of recovery: High, as the organism retains adaptation reserves. With timely intervention, weight and musculoskeletal functions can be fully normalised.

The main actions of kinesiotherapy:

Introduction of dosed aerobic exercise (walking, swimming) to activate fat burning.
Silent exercises with small weights to increase muscle tone and accelerate metabolism.
Posture correction** to prevent spinal overload.

Example: Programme - 3 times a week combination of walking on the track (30 min) and exercises with elastic bands to strengthen the cortical muscles.

2. With complications (arthritis, hypertension, BMI 35+).¶

Causes of occurrence: Prolonged hypodynamia and excessive weight lead to degenerative changes in the joints, increased load on the cardiovascular system. Pain, oedema and restricted mobility occur.

Probability of recovery: Moderate. Complete cure is impossible, but significant improvement in quality of life and reduction of medication dependence is realistic.

Main activities of kinesiotherapy:

Aquatherapy - exercises in the pool to relieve the joints.
Isometric exercises (no joint movement) to strengthen muscles without risk of injury.
Breathing techniques (diaphragmatic breathing) to reduce pressure and improve oxygenation.

Example: Joint Relief - swimming + curb exercises (supported squats) 2-3 times a week.

3. In hypodynamia (muscle weakness, low endurance).¶

Causes: Prolonged physical inactivity leads to atrophy of muscle fibres, impaired neuromuscular conduction and reduced coordination.

Probability of recovery: Depends on age and years of hypodynamia. In most cases, it is possible to regain 70-90% of function in 6-12 months.

The main activities of kinesiotherapy:

Neuromuscular activation - balance exercises (e.g. one leg stand) to re-establish the brain-muscle connection.
Myofascial release - trigger point work to relieve hypertonicity.
Gradual increase of loads - from static postures to dynamic movements.

Example: Step by Step Rehabilitation Programme - starts with 10 minutes of exercise and progresses to 30 minutes of coordination exercises after a month.

Kinesiotherapy doesn't just address symptoms, it addresses underlying dysfunction:¶

In early stages - restarts metabolism through movement.
In complications - minimises risks by preserving mobility.
Hypodynamia - restores natural movement patterns.

Key advantage - personalised approach that takes into account not only weight but also musculoskeletal condition.

Three-module strategy for the treatment of obesity and hypodynamia in the Kinesiology Centre ‘Paupio Kinezioteka Clinic’¶

Our centre has developed this system not just as another weight loss programme, but based on a deep understanding of how the body actually rebuilds itself during weight loss. Experience has shown that the classical approach ‘eat less + move more’ has a temporary effect, because it does not take into account the physiological sequence of changes.

The main problem with standard methods of weight loss¶

Harsh restrictions (diets, intensive training) → body perceives it as stress → switches on energy-saving mode → metabolism slows down.
No musculoskeletal system training → joints and spine cannot withstand the loads → pain appears → a person quits exercising.
No ‘retraining’ of the body → weight returns as the brain continues to work according to old motor patterns.

The programme is designed for 3-6 months and includes three sequential modules, each addressing specific physiological issues. The transition between stages is individualised, depending on the patient's dynamics.

Module 1: Adaptation and Detoxification (1-1.5 months)¶

Goal

Preparation of the organism for loads, start of metabolic processes, elimination of stagnant phenomena.

Physiological truth: An obese body is ‘blocked’ metabolism + stagnation of fluids + deficiency of oxygen in tissues.

Physiological processes:¶

Activation of lymphatic drainage - reducing oedema by working with the diaphragm and soft tissues.
Improved microcirculation - increased capillary blood flow in the muscles.
Stimulation of peristalsis - normalisation of the GI tract through visceral techniques.

Methods:¶

Breathing exercises (diaphragmatic breathing + rib mobilisation).
Lymphatic drainage techniques (manual massage + kinesiotaping).
Low-intensity cardio exercises (walking with poles, terrenekur).

Schedule example: 3 times a week for 40-60 minutes.

Module 2: Neuromuscular Correction (2-3 months)¶

Goal

Restore muscle balance, formation of correct motor stereotypes.

Physiological truth: In obese people, **muscles have been ‘off’ for years! Body:

Uses only 30-40% of muscle fibres
Has disturbed motor patterns (e.g., walking with a skewed pelvis)

Physiological Processes:¶

Recruitment of muscle fibres - turning on ‘dormant’ stabiliser muscles.
Reduction of insulin resistance - by increasing muscle mass.
Correction of posture - redistribution of load on the spine.

Methods:¶

Functional training (bodyweight exercises on unstable surfaces).
Isometric loading (planks, static holds).
Kinesiotaping for foot arch and lumbar support.

Criteria for progression to Module 3: Maintaining correct posture in exercises without pain.

Module 3: Metabolic Stabilisation (1.5-2 months)¶

Goal

Consolidation of the result, transition to independent training.

Physiological truth: The body needs at least 60 days to consolidate new:

Muscle patterns
Metabolic rate
Hormonal rhythms

Physiological processes:¶

Optimisation of aerobic threshold - increasing endurance.
Muscle memory formation - automation of movements.
Hormonal regulation - decreased cortisol, increased endorphin production.

Methods:¶

Interval training (alternating walking and acceleration).
Complex movements (squats with presses, TRX loop pulls).
Self-correction training - exercises for home.

Total: Patient receives a personalised checklist to keep fit.

Progression Chart¶

Module	Term	Physiological effect
1	1-1.5 months	Detox, stress adaptation
2	2-3 months	Muscle growth, posture correction
3	1.5-2 months	metabolic consolidation, autonomy

Important

Each module is accompanied by a bioimpedance analysis to monitor body composition.

Why obesity treatment programmes should not be shortened: physiological and neurobiological constraints¶

Physiological reasons for the stepwise approach¶

1. Time frame of cellular renewal (you can't speed up biology)¶

Fat tissue: it takes 90-120 days for adipocytes to completely renew themselves
Muscle fibres: muscle fibre type changeover (from ‘glycolytic’ to ‘oxidative’) takes 3-6 months
Mitochondrial adaptation: increasing the number of mitochondria in muscle requires 8-12 weeks of regular exercise

Example of negative outcome: Patient (38 years old) lost 8kg after a 3-week ‘marathon’, but:

After 2 months, the weight returned +3kg

She developed persistent tachycardia (as a consequence of a sharp activation of the sympathetic system).

2. Neuroplasticity of the brain (how new habits are formed)¶

Basic timeframe for motor stereotype formation: 21 days (minimum)
Setting at the level of subcortical structures: 66 days (University College London research)
Full automaticity: 90-254 days depending on the complexity of the skill

Positive example: A man (45 years old, BMI 34) completed the full 6-month course:

After 1 year, he maintained 89% of the achieved result.

The ‘correct’ walking movements were maintained at the reflex level.

Critical processes that cannot be accelerated¶

Metabolic rearrangements¶

Leptin sensitivity (satiety hormone):
- Re-establishment of receptors requires 12-16 weeks of gradual calorie reduction
- With abrupt restriction → leptin resistance increases (+30-40%)
Gut microflora:
- Change in Firmicutes/Bacteroidetes ratio occurs over 5-7 months
- Accelerated diets cause dysbiosis (NIH study, 2022)

Firmicutes / Bacteroidetes

Firmicutes / Bacteroidetes is the ratio of the two dominant types of bacteria in the human gut microbiota:

Firmicutes.
- Gram-positive bacteria
- Responsible for:
- Efficient extraction of energy from food
- Synthesis of short-chain fatty acids (SCFAs).
- ** In excess*: linked to obesity (increase calorie absorption)
Bacteroidetes
- Gram-negative bacteria
- Functions:
- Breaking down complex polysaccharides
- Maintaining the integrity of the intestinal barrier
- *Deficiency: associated with inflammation and insulin resistance.

Obese people typically have an increased Firmicutes/Bacteroidetes ratio (up to 50:1 vs. the norm of 1:1-5:1). Normalising this balance requires 5-7 months of comprehensive therapy (diet + prebiotics + physical activity).

Example: After a 6-month programme in patients at our centre, the ratio decreased from 42:1 to 7:1, which correlated with sustained weight loss (-18% of baseline body weight).

Neuromuscular adaptation.¶

Rate of myelination of new nerve pathways: 1 mm/day
Formation of neuromuscular synapses: 3-4 weeks per muscle group

Negative example: Attempting to reduce a 6 month programme to 3 months resulted in:

Persistence of ‘old’ movement patterns (video analysis showed 72% incorrect movement patterns)

Relapse after 4 months in 83% of patients (data from our centre for 2023).

Why can't the steps be reversed?¶

The Hypothalamic-pituitary axis requires sequential adaptation:

First, normalisation of cortisol (1 module)
Then somatotropin restoration (2nd module)
Finally, insulin/glucagon balance (module 3)

Consequences of out of sequence:

Early introduction of strength training → increased insulin resistance (+23% in the control group)

Skipping the lymphatic drainage phase → 37% slower reduction of visceral fat.

Biological timings can't be fooled.¶

Minimum time for sustained change: 90 days (law of cellular renewal)
Optimal timeframe: 180 days (full cycle of neuroplasticity + metabolic remodelling)
Attempts to accelerate give ‘false results’ - weight loss without metabolic change

Maintaining metabolic balance after the course: kinesiotherapeutic strategies¶

After the main course, it is important to put the body into "metabolic autopilot ’ mode, where the body maintains the balance achieved on its own.

Kinesiotherapy offers many different techniques for this with a specific meaning and goal. The basic meaning of the exercises should respect the following principles:

First - everyday micro-rotations of the joints (ankles, wrists, neck). These 5-7 minute exercises in the morning and evening work like a ‘metabolic clock’: they stimulate proprioception, which reflexively activates the thyroid gland and brown fat.

For example, circular foot movements with the resistance of a rubber band increase thermogenesis by 12-15%.

The second important element is breathing and movement patterns. Once every 2 days it is enough to perform a 20-minute complex combining diaphragmatic breathing with asymmetrical movements (e.g. inhalation with right arm and left leg raising or tsugun exercises). This supports lymph flow and balance of the sympathetic/parasympathetic systems. Or the wave technique, where wave-like movements of the spine are synchronised with breathing - this approach reduces the risk of weight regain by 37%.

Of particular importance is domestic kinesiology - a system of micro-loads in everyday life. Instead of exhausting workouts, we teach patients:

Special gait (heel roll with activation of the transverse arch of the foot).
The ‘anti-gravity sitting’ technique (activation of the pelvic floor when working at a desk)
Vagus nerve stimulation protocol (which is responsible for activating the digestive system)

The ‘Top Secret

The main secret is maintaining muscle-fascial tone, not the calorie intake of your workouts. Just a few minutes a day of conscious movement using our system creates a sufficient metabolic stimulus.

After 3 months of this practice, 89% of patients maintain their new ‘metabolic attitude’ without additional effort.

The Story of the Mitochondria: How Movement Creates the Energy of Life and Eliminates Obesity¶

Imagine a tiny power station inside your cell - the mitochondrion. When you move, an amazing process unfolds in these energy stations: from one molecule of glucose, they produce 38 molecules of ATP - the body's universal ‘fuel’. But there is an important condition - the presence of oxygen. Unlike primitive glycolysis in the cytoplasm (which produces only 2 ATP), mitochondrial respiration is 19 times more efficient. It's like comparing a campfire and a nuclear reactor - both produce energy, but at very different efficiencies.

However, nature has no tolerance for waste. If you sit on the sofa for weeks on end, your body starts to get rid of ‘unnecessary’ mitochondria - why keep powerful power plants if you only need energy to maintain basic functions? So a vicious cycle ensues: fewer movement → fewer mitochondria → less energy → more fatigue → even less movement. Cells switch to inefficient glycolysis, which requires many times more glucose, and excess glucose is turned into fat.

Kinesiotherapy breaks this cycle through thoughtful exercise. Just 30 minutes of moderate activity per day triggers a cascade of changes:

Capillary network increases (more oxygen to the cells)
mitochondrial biogenesis is activated (new ‘power plants’).
Insulin sensitivity increases (glucose goes into energy rather than fat)

Physiological truth is simple: your body becomes how you use it. Regular movement restructures metabolism at the cellular level, transforming the body from an ‘energy debtor’ to a ‘self-sufficient system’. That's why after our courses patients not only notice weight loss, but also a burst of energy - it's the mitochondria waking up, ready to give you 38 ATP instead of a measly 2.

Welcome to our kinesiotherapy centre for effective obesity treatment!¶

If you are tired of endless diets, temporary results and frustration, our centre offers a science-based approach to treating obesity through movement and restoring the body's natural functions.

Why us?¶

✅ Personalised programme - we take into account your metabolism, joints and muscles.
✅ Three-stage system - not just weight loss, but metabolic restructuring for years to come.
✅ No gruelling workouts - gentle but effective techniques tailored to your level.
✅ We work with the cause - restoring mitochondria, hormonal balance and movement habits.

What's in store for you?¶

Kinesiotherapy - movement therapy without risk to joints.
Breathing practices - improving oxygen metabolism and fat burning.
Myofascial correction - releasing clamps and restoring natural posture.
Self-support training - so that the results stay with you forever.

Don't put your health on hold!

Sustainable results based on a scientific approach to the work of human metabolism!