The 20th International Scientific Conference Faculty of Physical Therapy Cairo, 6-7 April, 2019
Nerveen Abd El Salam Abd El Kader Ahmed
|Abeer A. Mansour, Khadiga S. Abd El Aziz, Ghada E. El-Refaye, Hisham A. Taleb.||Effect Of Foot Reflexology On Premenstrual Syndrome.||
Background: Premenstrual Syndrome (PMS) is a set of physical, emotional and behavioral symptom that start during the week preceding menstruation and are alleviated when the menstrual flow begins. Reflexology is one of the most popular complementary therapies. As it stimulates the release of endorphins, the body's painkilling chemicals and diet rich in vitamins and calcium, decrease in oil and restrict caffeine also used in treatment. Purpose: This study was aimed to determine the effect of foot reflexology in the treatment of premenstrual syndrome. Subjects and methods: Fifty volunteer, single females with premenstrual syndrome (PMS) were selected randomly from outpatient clinic of obstetrics and gynecology in Abnub Hospital in Assuit to share in this study, their age ranged from 18 to 25 years old and their body mass index (BMI) did not exceed 30kg/m2, the participants were assigned into two groups of equal numbers. The group (A) received therapeutic foot reflexology with dietary modification 3 times/week for8 weeks, while the group (B) received dietary modifications only for 8 weeks. All subjects in both groups were assessed through the visual analogue scale (VAS) for pain. Premenstrual Daily Symptoms Questionnaire for (PMS) related symptoms. Results: The results of the present study revealed that there was statistically significant improvement in both pain and premenstrual related symptoms in group (A) than in group (B).Conclusion: Foot reflexology with dietary modification is an effective method for reducing symptoms associated with premenstrual syndrome.Key words: Premenstrual syndrome- Dietary modification- Foot reflexology- Girls.
|Ahmed A Hassan1, Gehan M. Ahmed2, Aliaa Mohammed Rehan Mohammed Youssef.||The Effectiveness Of Vestibular Rehabilitation In Central Vertigo: A Systematic Review.||
Background: Patients with vestibular dysfunction complain of vertigo or dizziness, which may affect balance and quality of life and activities of daily living. Vestibular Rehabilitation Therapy (VRT) aims at teaching the brain to use other senses such as vision and somatosensory to compensate for vestibular damage or hypofunction to alleviate vertigo or dizziness. This therapy includes various exercises such as adaptation, habituation, sensory substitution, balance and gait training. Methods: The following five electronic databases were searched from inception to November 2018: PEDro, PubMed, Scopus, Web of Science and Cochrane for relevant Randomized Controlled Trials (RCT). Further, manual search of bibliography and snowballing were done on eligible studies from the electronic search. Quality assessment of all eligible studies was done using the PEDro scale. The Primary outcomes were dizziness, vertigo and balance. Secondary outcomes were quality of life or any other functional outcomes. Results: Three articles with 125 patients met our inclusion criteria. Dizziness Handicapped Inventory (DHI) was the main scale that measure dizziness in all included studies. Balance was measured by Posturography, Berg Balance Scale and other scales and tests. According to PEDro scale, two studies were of high quality and one of a moderate quality. All included studies showed significant differences between VRT group and control group in favor of VRT group in dizziness, vertigo and balance. Conclusion: there is a limited evidence to support the effectiveness of VRT in treating patients suffering from central vertigo or dizziness. More high-quality clinical trials are needed to confirm this finding.Keywords: Dizziness; Vestibular rehabilitation therapy; Vertigo.
|Ahmed M. Elshinnawy, Amir N Wadee, Ahmed M. Tawfick.||Influence of Sensory Integration Training on Postural Instability in Elderly with Parkinsonian Disease Following Stereotactic Surgery||
Background: Impaired posture is strongly associated with function particularly in parkinsonian patients. Objective: to detect the effect of sensory integration training on postural instability in elderly parkinsonian patients following stereotactic surgery. Methods: The study was conducted in out-patients clinic of the Faculty of Physical Therapy, Modern University for Technology and Information, Cairo, Egypt during the period from January 2018 to august 2018. Twenty seven patient's (16 males and11 females) idiopathic Parkinson’s disease were included in the study, age 63.07 ± 2.46 years old. The duration of illness ranges from 5 years till 16 years. The patients were assessed before and after twelve weeks by the postural stability test, times up and go test and the unified Parkinson’s disease rating scale. Participants were randomly assigned into three groups each group included nine patients, Group I received sensory integration training, Group II underwent stereotactic surgery and Group III received sensory integration training after ten days postoperative to stereotactic surgery. Results: There was significant improvement in group III more than in group I and II concerning the Overall stability Index, Ant./Post. and Med./Lat. Index. Conclusion: combining sensory integration training following stereotactic surgery is effective on postural instability in elderly with parkinsonian disease.Keywords: Parkinsonian patients, Sensory integration and Stereotactic surgery.
Mohamed Khaled Saleh, Abdul Aleem Atia, Ann Abdul Kader,
Abeer Abo Bakr Elwishy
|Bilateral Repetitive Transcranial Magnetic Stimulation Combined With Task Oriented Training in Stroke: Randomized Controlled Trial.||
Repetitive transcranial magnetic stimulation (rTMS) changes the
excitability of the motor cortex and thereby has the potential to
enhance motor recovery after stroke. Task oriented training is an
interventional method that has proved effective inrestoration of
abnormalpatterns in both the damaged hemisphere and the contralateral
hemisphere.The purpose of this study is to evaluate the efficacy of
bilateralrTMS as an adjunct to task-oriented training in facilitating
restoration of upper limb function after stroke.
A total of 20 first time stroke patients with upper limb motor deficits were randomly allocated into two equal groups; study group, which received five daily sessions of 5-Hz ipsilesionalr TMS (facilitatory) and 1-Hz contralesionalr TMS (inhibitory), followed bytask oriented training sessions, and control group, which received sham rTMS followed by task oriented training sessions.Task oriented training sessions then continued for one month at 3 sessions per week. Outcome measures included theFugl-Meyer Upper Extremity assessment, and the Wolf Motor Function Test, which were assessed at baseline (pretest) andafterone month of treatment (posttest).
The results of this study showed that;there was no statistically significant difference observed in between groups on both outcome measures of upper limb function at pre and post tests
The present study revealed that combining rTMS with task-oriented training in improving upper limb function post stroke is not superior to task oriented training alone.
Keywords: Upper Limb Function, Repetitive Transcranial Magnetic Stimulation, Stroke, Task Oriented Training.
|Aliaa El-Abd , Ali Farrag , Haytham Elhafez , Omar El-Abd.||
The application of total quality management standards in Egyptian physiotherapy colleges.
Background: Higher education is the cornerstone of the progress of
societies. it has become very important for the educational institutions
to implement the concepts of total quality management (TQM) and their
specific standards to improve the quality of educational outputs. So,
this study was conducted to identify the extent to which TQM standards
applied to Egyptian physiotherapy colleges from the point of view of
their administrative leadership, to determine whether there is
difference depending on the type of faculty (government or private) and
to determine the correlation between the number of experience years and
the extent of TQM application. Methods: The study sample consisted of 12
administrative leaders (deans and vice deans) from 7 faculties. The
study tool was a questionnaire consisted of 55 items with established
validity and reliability; the questionnaire was divided into 7 fields,
reflecting the total quality standards in education. Statistical
analysis was performed using the means and standard deviations of the
areas of the questionnaire, independent sample t tests and using
Pearson's correlation coefficient. Results: although the overall average
of the means of the scores was high, there is statistically significant
difference between the means of the degree of application of TQM in the
faculties of physiotherapy in favour of government colleges.
Additionally, the results showed no correlation between the number of
experience years of the study sample and the grades of their answers on
the question axes. Conclusion: implementing comprehensive quality
programs in education is highly recommended, paying special attention to
Key words: Administrative Leadership; Physical Therapy; Standards; Total Quality Management.
|Amal A. Abdelbaky ,Hisham M.Hussein ,Neveen A Abdel Raoof.||Efficacy of SNAGs on dynamic balance level and pain intensity on chronic non-specific low back pain.||
Background: Low Back Pain (LBP) is a common medical problem in both
developing and developed countries.LBP has a major impact on life style,
socioeconomic status, and functional abilities. Due to its effects on
proprioceptors and muscle performance, LBP can disturb balance. This
research aimed to investigate the effect of the Mulligan’s lumbar
sustained natural apophyseal glides “SNAGs” on dynamic balance and pain
in patients with chronic nonspecific low back pain (CNSLBP). Methods:
randomized clinical trial was conducted on 30 participants with CNSLBP.
They were randomly allocated into two groups; the study group (n= 15)
received lumbar “SNAG” on the symptomatic lumbar level(s), and the
control group (n=15) received the sham “SNAG”. Balance measures as well
as pain level were assessed before and immediately after interventions.
Biodex balance system (BBS) and visual analogue scale (VAS) were used to
assess balance and pain respectively. Results:paired t-test revealed
that there was a significant improvement in pain and balance after
treatment regarding study group (p= 0.0001, p= 0.0014 respectively),
while, the control group has showed no statistical significant
difference (p= 0.1223, p= 0.1426 respectively). Unpaired t-test showed
that lumbar SNAG resulted in significant improvement in pain when
compared to sham treatment (p=0.0046). There was no statistical
significant difference between lumbar SNAGs and sham treatment regarding
dynamic balance (p= 0.1953). Conclusion: This study showed that lumbar
SNAGs can immediately improve pain but its immediate effect on dynamic
balance is limited.
Key words: SNAGs; Sham; Dynamic; Balance; Low Back Pain
|Amany S Afify, Amira MAl-Tohamy , Amira E Elbagalaty, Nehal H El Saeed||
Keywords: Parkinsonian patients, Sensory integration and Stereotactic Aerobic Versus Resisted Exercises on Glycemic Level in Juvenile.
Background: Juvenile diabetes mellitus is an autoimmune disease caused
by the immune-mediated destruction of pancreatic beta cells. This
destruction is modulated by the body’s immune system and leads to a
limitation in, or complete cessation of, the production and secretion of
insulin, which results in the need for external insulin delivery for
survival. Aim: The current study intended to compare the effect of
aerobic exercise and resisted exercise on glycemic level in children
with type 1 diabetes mellitus. Subjects and methods: Thirty children of
both sexes with type 1 Diabetes Mellitus. Their ages ranged between 11
and 15 years, they participated for twelve weeks, three sessions per
week. They were allocated randomly into two groups of equal numbers,
group (A) and group (B). Children in group (A) received regular aerobic
exercise three days/week for three successive months. Those in the group
(B) received a resisted exercise three days/week for three successive
months. Results: Pre and post treatment comparisons showed a
statistically significant improvement of the measured variables in group
(A). Moreover, significant difference was recorded in the group (A).
Conclusion: Designed aerobic and resisted exercises contributed to the
improvement of blood glucose level in children with type 1diabetes
mellitus in favor to group (A) Aerobic exercise is more effective in
improving blood glucose level than resisted exercise.
Keywords: Aerobic exercise, resisted exercise, glycemic level, Juvenile diabetes mellitus.
|Amgad Abou-Taleb, Nawal Abou-Shady, Ibrahim Hamoda||Robotic-Assisted Locomotor Training For Walking In Spinal Cord Injury Patients :Systematic Review.||
Objectives: To provide an overview and evaluate the current evidence on
robotic-assisted locomotor training approach for gait rehabilitation in
patients with spinal cord injury. . Methods: By using electronic
database: Pubmed, Cochrane library, google scholar, reference lists, and
Physiotherapy Evidence Database (PEDro). Randomized Control Trials (RCTs)
were only included in this review and the others were excluded according
to eligibility criteria. Results: Nine RCTs were only included in this
review, six studies were analyzed by meta-analysis statistics, and the
three other studieswere analyzed by descriptive or qualitative analyses.
Significant effect in walking function (speed, distance, duration),
minimal significant effect in balance and spasticity. Conclusion:
robotic-assisted has a minimal significant effect in spinal cord injury
patients butmore studies must be included in this area to cover the
needs of this study.
Key Words: robotic-assisted, spinal cord injury, locomotor training, gait, rehabilitation, RCTs, PEDro.
|Amina Fadl Hosny Abozethar**, Mariam El-Sayed Mohamed*,Hany Farid Eid Morsy Elsisi*, Walaa ArafaKeshak.||Response of Parathyroid Hormone and Blood Calcium Level to Moderate Intensity Aerobic Exercise In Elderly.||
Background: One of the main aging biological changes is bone deterioration which affected more by estrogen deficiency in elderly women, Parathyroid hormone is one of the osteoporotic indicesand a major regulator of bone metabolism and calcium homeostasis, the objective is to determine the response of parathyroid hormone and total calcium level to moderate aerobic training in elderly. Methods: Thirty five female subjects were selected from out-patient clinic in Um El-Masryeen General Hospital /Giza/Egypt, Their age ranged between 60 to 70 years with mean age is 64.45, and study was conducted between October 2017 and April 2018. All subjects had participated in moderate intensity aerobic training calculated as 60% to 70% of their predetermined maximum heart rate. The program was applied for three times per week for 12 weeks. Parathyroid hormone and calcium level were measured before and after the training program in laboratory analysis. Results: Statistical analysis showed a significant decrease in parathyroid hormone by 5.98% and a significant increase in total calcium level in the blood by 0.44%. Conclusion: It was concluded that moderate aerobic training decrease parathyroid hormone and increase total calcium serum level in elderly.Key words: Calcium, Elderly, Osteoporosis, Parathyroid hormone
|Aml M. ABD El Kareem; Khadiga S. Abd El Aziz, Ghada E. El-Refaye, Hassan Omar||Effect Of Myofascial Release In Treatment Of Primary Vaginismus.||
Background: Vaginismus is a condition that affects a woman's ability to
engage in vaginal penetration. Purpose of the study: This study was
aimed to determine the effect of myofascial release in the treatment of
primary vaginisum. Subjects and methods: Fifty volunteer, married
females having primary vaginismus were selected randomly from outpatient
clinic of obstetrics and gynecology in Kasr Al Ainy Hospitals to
participate in this study, their age ranged from 25 to 35 years old and
their body mass index(BMI) did not exceed 30kg/m2. The patients were
divided randomly into two equal groups (A&B).Group Areceived a home
exercise program by kegle exercise. The exercise can be repeated for 20
times at a time. Patient can do them as many times a day for 8
weeks.Group Breceivedmyofacial release therapy for half an hour three
times per week for 8 weeks in addition to home exercise program by kegle
exercise for 8 weeks. Evaluations of all patients in both groups (A&B)
weredone before and after the treatment program (8 weeks).All subjects
in both groups were assessed through the visual analogue scale (VAS) for
pain and Pelvic floor tone assessmentby perniometer.Results:The results
of the present study revealed that there was statistically significant
improvement in b pain and sexual function in both groups but there was
more improvement in group (B) than in group (A).Conclusion:It is
concluded that stretching exercise and Myofacial release is effective
and safe interventions for the treatment of primary vaginismus.
Key words: vaginismus- myofascial release- perineometer.
AbdElaal ; Soheir M. EL-Kosery; Ghada E. El-Refaye ;
Amr H. Abbassy
|Effect Of Aerobic Exercise On Preventing Hyperuricemic Complications After Menopause.||
Background: It is generally believed that elevated serum uric acid is
more common in women after menopause. There are many serious
complications are associated with increased serum uric acid such as
gout, metabolic syndrome, renal calculi and cardiovascular problems.
Purpose: The aim of this study is to determine the effect of aerobic
exercise on preventing post menopausalhyperuricemic complications.
Subjects and Methods: Forty female patients, have elevated serum uric
acid levels were selected randomly from Outpatient clinic of Department
of Rheumatology and Rehabilitation in El Kasr El-Einy , Cairo
University, their ages ranged from 50 to 65 years old and their body
mass index (BMI) didn`t exceed 30kg/m2. The participants were assigned
into two groups of equal number. Group (A) (20 patients) treated by
aerobic exercise 3 sessions per week and diet modification for 8 weeks
and group (B) (20 patients) treated by diet modification only, for 8
weeks. All subjects in both groups were assessed through serum uric acid
level testand visual analogue scale (VAS) to measure pain intensity
before and after treatment. Results: It was revealedintensily that there
was a statistically significant improvement in serum uric acid level and
pain in group (A) than group (B) post treatment. Conclusion: The effect
of aerobic exercise along with diet modification was more effective in
reducing serum uric acid level and pain intensity than diet modification
only in postmenopausal hyperuricemicwomen.
Keywords: Aerobic exercise - Hyperuricemic complications - Menopause.
|Amr M. Ahmed, Nasr A. Abdelkader, Salwa F. Abdelmajeed, Ahmad H. Azzam.||Prevalence of Flat Foot among Patients with Mechanical Low Back Pain.||
Background: Persons with mechanical LBP were more likely to have a
decrease in dorsiflexion and an increase in navicular drop. However,
particularly excessive pronation, has not been examined adequately from
a biomechanical perspective. So the Purpose of this study wasto
determine the prevalence of flat foot among patients with mechanical low
back pain.Methods:Two hundred and twenty five patients suffered from
mechanical LBP were selected from Luxor and Aswan, their age ranged from
18 to 40 years and their body mass index (BMI) was ranged from 18 to 25
kg/m2 .Mechanical Inflammatory Low Back Pain Index (MILBPI) was
conducted on the recruited participant. Then the patients with the score
of very high mechanical component was included in the study. The
navicular drop test was applied to these selected patients. Results: The
percentage of right flat foot among patients with mechanical LBP was
11.66% and with left flat foot was 10.22% where 26 (11.66%) patients
have navicular drop greater than 10 mm and 199 (88.34%) subjects have
navicular drop less than 10mm of the right foot. For the left foot, 23
(10.22%) patients have navicular drop greater than 10 mm and 202
(89.78%) patients have navicular drop less than 10mm.Conclusion: The
prevalence of flat foot among patients with mechanical low back pain was
11.66%, 10.22% in the Right and Left foot respectively.
Key Words: Flat Foot; Mechanical low back pain; Navicular drop.
Alsayed, Amira M. El-Tohamy,
Nanees E. Mohamed.
|Assessment Of Foot Pressure Distribution In Juvenile Diabetes Mellitus.||
Background: As the incidence of type 1 diabetes continues to rise, the
burden of microvascular complications will also increase and negatively
influence the prognosis of young people with the disease. Diabetic
vascular complications are often asymptomatic during their early stages,
and once symptoms develop, there is little to be done to cure them.
Therefore, it is essential that screening for foot complications in
young children. The purpose of this study was to investigate foot
pressure distribution in diabetic children compared to normal children.
Methods: Fifty five children contributed in this study: thirty normal
children as control group (A) and twenty five diabetic children as study
group (B) their ages ranged between ten and fifteen years with normal
body mass index and they were able to follow instructions and understand
commands given to them during the testing procedures. None of them had
flat foot nor suffer from musculoskeletal deformities and/or
neuromuscular disorders; they had neither visual, auditory defects nor
autistic features. The planter pressure distribution of the diabetic and
normal children was measured by footscan pressure plate during static
and walking in each subject during normal walking speed. Maximum
pressure values in right and left sides were compared in both groups in
static and dynamic situations. Results: data analyzed by “Unpaired t
test" to compare Maximum pressure at static and dynamic situations
between both groups. The results of current study revealed that there
was a statistically significant difference in maximum pressure in both
right and left sides between the two groups in both static and dynamic
assessment and this significant increase in group (B) in compared to
group (A). Conclusion: foot pressure distribution is affected in
children with type 1 diabetes mellitus.
Keywords: diabetes mellitus, planter pressure, pressure plate.
|Asmaa G. Abass, Shorouk A ELshennawy, Asmaa O. Sayed.||Role of physical therapy modalities in management of pain in children with hemophilia: systematic review.||
Objective:To investigate the role of physical therapy modalities in
management of pain in children with hemophilia: Data sources: This
research was identified by searching the following databases pub Med,
PEDro, web of science, Cochrane and Google scholar to identify RCT that
investigated the Role of physical therapy modalities in management of
pain in children with hemophilia. Study selection: Searching identified
917eligible articles evaluate studies published from inception to 2018.
Studies were included if they were applied on hemophilic children,
written in English, RCT. four studies met the inclusion criteria . Data
extraction: Methodological quality of trials was assessed independently
by 2 reviewers. who extracted data (study name , design, subjects,
intervention, key outcomes results), applied the (PEDro) scale to assess
the method quality of selected studies, and determined the strength of
the evidence using modified sackett score potential studies. Data
synthesis:four studies met the inclusion criteria. PEDro scale values
ranged from 4 to 7. The primary outcome was pain while the secondary
outcomes were balance, function capacity, gait ,ROM, swelling, muscle
strength ,and mobility.The included articles are RCT which investigated
a total of 130 subjects, the age of the participants ranged from 9-16
years. The duration of the intervention ranged from 6 to 12 weeks.
Conclusions: There is evidence to suggest that physical therapy
modalities are effective in control pain in children with hemophilia.
Key words: arthropathy; bleeding; hemophilia; physical therapy modalities; pain; hemoarthrosis.
|Asmaa K Mohamed, Marwa A Mohamed, Amir A Gaber, Karima A Hassan.||Relationship Between Severity Of Stress Urinary Incontinence And Sagittal Lumbopelvic Alignment In Females.||
Background: Stress urinary incontinence (SUI) is one of the pelvic floor
dysfunctions that affecting the females in the middle age. The lumbo-pelvic
position may affect the activity of the pelvic floor muscles, which play
a primary role in the maintenance of continence and support of the
Aim: The objective of this study was to investigate the association between the severity of stress incontinence and the lumbo-pelvic alignment in females with SUI.
Design: cross-sectional study
Material and methods: Twenty-eight married females aged from 20-50 years old with stress urinary incontinence were included in this study. The severity of the SUI was determined by using the incontinence severity index (ISI). The lumbopelvic alignment was measured by using lateral standing radiograph of the lumbopelvic spine then the measurement was carried out by using surgimap spine software. The parameters measured include lumbar lordosis, sacral slope, and pelvic tilt. A Spearman's rank-order correlation was run to assess the relationship between incontinence severity index and lumbar lordosis, sacral slop and pelvic tilt. The alpha level was set at 0.05.
Results: it was seen that the increase in the incontinence severity index is consistent with an increase in lumbar lordosis sacral slop while the pelvic tilt showed no change (P < 0.05).There was a positive correlation between severity of stress incontinence lumbar lordosis (p=0.008) and sacral slope (p=0.013).
Conclusion: Females who report SUI have an association between severity of SUI with lumbar lordosis, sacral slope and the sagittal spinal alignment. These finding should be taken into consideration in females have SUI.
Keywords: Sagittallumbopelvic alignment, Stress urinary incontinence.
|Asmaa M. Ahmed Zahran; Khadyga S. Abdel-Aziz; Ghada E. El-Refaye; Mahmoud H. Ebrahem||Effect Of Myofascial Release Technique On Postnatal Sacroiliac Joint Pain.||
Background: A substantial proportion of pregnancy related back pain
originates in the sacroiliac joint (SIJ), which may persist postnatal.
Myofascial release is the application of a low load, long duration
stretch to the myofasciato decrease pain and improve function through
normalizing the sliding properties of myofascial restricted tissues.
Purpose: This study was aimed to determine the effect of myofascial
release technique on postnatal SIJ. Subject & Methods: Fifty
multigravidae postpartum women participated in this study who were
complaining from sacroiliac joint pain. Women were selected randomly
from outpatient clinic of Deraya University in El Minya, their ages
ranged from 26 to 35 years old and their body mass index (BMI) didn`t
exceed 30kg/m2. The participants were assigned into two groups of equal
number. Group (A) (25 patients) treated by lumbo-pelvic stabilizing
exercises, 3 sessions per week for 8 weeks and group (B) (25 patients)
treated by lumbo-pelvic stabilizing exercises and myofascial release
technique, 3 sessions per week for 8 weeks. All subjects in both groups
were assessed through visual analogue scale (VAS) to measure pain
intensityand modified Oswestry disability questionnaire was used to
assess functional disability before and after treatment. Results:it was
revealed that there was a statistically significant improvement in pain
and functional disability in group (B) than group (A). Conclusion: The
performance of myofascial release technique along with lumbo-pelvic
stabilizing exercise was more effective in reducing SIJ pain intensity,
functional disability and pain sensitivity in postnatal women.
Keywords: Myofascial release technique- Postnatal pain- Sacroiliac joint.
|Asmaa M Saad, Khaled A Olma, Heba H Hazzaa,Sherif N Girgis.||Relation Between Body Mass Index And Motor Coordination In School Aged Children.||
Objective. The purpose of this study was to detect the correlation
between body mass index and motor coordination in school aged children.
Methods. One hundred children ranged in age from 10-14 years
participated in this study. They were selected according to body mass
index to be normal weight and obese children. They were divided to two
groups, group A 50 normal weight children and group B 50 obese children.
Gross motor coordination was assessed by means of the
Körperkoordinations test für Kinder. Results. Childhood obesity was
found to result in poor KTK performances. Conclusion. It can be
concluded that high body mass index has a negative effect on motor
coordination in school-aged children.
Key words: Body mass index; Children; Motor coordination.
|Asmaa Mahmoud, Aliaa Rehan Youssef, Mohammed S. Abdelsalam.||Effects of Smartphone Usage Duration on Neck Dysfunction in Young Versus Middle-Aged Patients with Chronic Mechanical Neck Pain.||
Background: Neck pain is a common musculoskeletal disorder. It has many
risk factors such as the prolonged use of smartphones. However, it is
unclear whether the deleterious effect of prolonged smartphone use is
age dependent or not. Therefore, the purpose of this study was to
compare the effects of smartphone usage duration on pain, deep cervical
flexor (DCF) muscles endurance and neck proprioception in young and
middle-age adults with mechanical neck pain. Methods: Eighty females
with mechanical neck pain were recruited for this study. Patients were
divided into two equal groups based on age (young and middle-aged adult
groups). Patients browsed the internet continuously for 10- and
30-minutes, at two different sessions. All variables were assessed
before (baseline) and immediately after net browsing (post-task).
Results: Patients in the two groups showed significant pain accentuation
after smartphone usage, regardless to the duration. However, changes in
pain severity with device use were not different between the two groups
(P>0.05). For DCF endurance, there were no significant differences
within and between the two groups (P>0.05). For proprioception acuity,
the middle-aged group showed increased neck extension error after the 10
min task and neck flexion error after the 30 min task (P<0.05).
Comparing changes in proprioception acuity between the two groups showed
significant defect only in neck flexion after 10 min of smartphone use
in young adults (p<0.05). Conclusion: Continuous use of smartphone for
net browsing up to 30 minutes increase pain and proprioception deficit
in selected directions with no evidence of change in DCF endurance
within the same session. Age did not affect the pain severity, DCF
endurance and proprioception acuity after smartphone usage.
Keywords: Neck pain, Smartphone, Neck endurance, Age.
|Aya Ahmed A.Ali, Faten H. Abdel Azim, Mostafa S. Mostafa.||
Comparison of Muscle Thickness between
Normal and Hemiplegic Cerebral Palsy Children.
Background:children with spastic hemiplegia had disabilities of the upper extremities such as reaching, grasping, and object manipulation result in dependency in daily activities and a lack of successful social integration. Spasticity and decreased activity contribute to muscle weakness and imbalance, muscle atrophy resulting from disuse, muscle contracture, and a reduced range of motion in joints. Purpose: to compare muscle thickness in normal children and spastic hemiplegic cerebral palsy children. Subjects and methods:35 children from both sexes with age range from 2 to 5 years included in this study and divided into two groups. Group (A) included 15 normal children and Group (B) included 20 children with hemiplegic cerebral palsy with spasticity grade 1 and 1+ according to Modified Ashworth scale. Subjects excluded from this study whom had any problems of the following: Recent skin injury, bony joint limitation, and children who take antiepileptic drugs or peak action is at the time of assessment of spasticity. Ultrasonography used to assess muscle thickness. Results: there was statistical significant difference between normal group and spastic group regarding muscle thickness of biceps brachii. Conclusion: According to the results we can conclude that muscle thickness of biceps brachii was lower than in age-matched normal children. Furthermore, it is noted with confidence that a significant positive correlation existed between muscle thickness and functional level.
Keywords: Cerebral palsy, Hemiplegia, Muscle thickness, Ultrasonography, Normal children.
Mohamed Abd El-Sadek , Fatma Sedek Amin , Mary Kamal Nassif Takla.
Effect of smart phone addiction on scapular
symmetry and functional level of neck and upper back.
Background: The continuous use of a smartphone for a long time can cause
various musculoskeletal problems affecting scapula, neck & upper back.
The purpose was to investigate the effect of smart phone addiction on
scapular symmetry and functional level of neck and upper back.
Methods: Forty-five subjects' from both genders with age ranging from 15 to 25 years were assigned to three equal groups; 15 subjects for each group. Group I: subjects with smart phone addiction level equal (15 to 30) points. Group II: subjects with smart phone addiction level equal (31to 45) points. Group III: subjects with smart phone addiction level equal (46 to 60) points according to smartphone addiction scale short version (SAS-SV). They were assessed using the functional level of neck and upper back questionnaire & scapular asymmetry was assessed by the lateral scapular slide test (LSST) using palpation meter. Results: There was no significant difference in scapular distance from shoulder adduction between the three groups (p > 0.05).At 45° and 90°shoulder abduction there was a significant decrease in scapular distance of group A compared with that of group B and C (p < 0.05), while there was no significant difference between group B and C (p > 0.05).There was a significant decrease in Neck and upper back functional index of group A compared with that of group C (p < 0.05), while there was no significant difference between group A and B and between group B and C (p > 0.05).Conclusion: Smartphone addiction had a significant effect on functional level of neck and upper back and leads to scapular asymmetry in highly addicted ones.
Key Words: Functional level of neck, Scapular symmetry, Smart phone addiction, Lateral scapular slide test.
|Basma Osama ALSaadawy, Nadia Abdo, Eman Embaby,Aliaa Rehan Youssef.||
Validity of smartphone use in measuring
joint position sense in patients with knee osteoarthritis: A
Background: Proprioception deficit is a risk factor for knee
osteoarthritis(OA) progression. Thus, proper assessment and treatment of
this deficit are important in the management of patients with OA.
Recently, smartphone has been used in the assessment of musculoskeletal
system. There are a few valid applications to measure proprioception of
various joints, suggesting the promising use of smartphone as an
alternative economic method to assess proprioception acuity in clinical
settings. However, validation of proprioception assessment still needs
further confirmation. Therefore, this study aimed atinvestigatingthe
concurrent validity of using smartphone in assessing proprioception
acuityin patients with knee OA. Methods: Thirty-two knees from 16
participants were assessed; 8 asymptomatic volunteers and 8 patients
with bilateral OA. Proprioception acuity was measured in terms of
passive joint position (JPS) simultaneously bythe smartphone Goniometer
pro application andthe Biodex System 3 Pro Isokinetic Dynamometer. Each
participant had the angle of repositioning error measured during passive
motion three times and the average was calculated and used for further
statistical analyses. Results: There was a strong positive correlation
between smartphone and isokinetic dynamometer measurements of
repositioning error angle for participantsin the two study groups.For
the non-dominant knee, the correlation was perfect in the OA and
asymptomatic groups(r =1) (p< 0.05). For the dominant knee, the
correlation was significant, positive and high for the asymptomatic
(r=0.70) and OA (r=0.90)groups (p<0.05). Conclusion: Smartphone
application is a validalternative for the Isokinetic dynamometer in
assessing passive JPS in patients with knee OA and asymptomatic
Key words: joint position sense, knee osteoarthritis, smartphone.
|Dina H. Hamed, Sohier M. Elkosery, Hanaa Abd el moneam younis.||Effect of aerobic exercise versus resistive exercise accompany with aerobic on early post menopause abdominal obesity.||
Background: postmenopausal abdominal obesity is a common problem, which
affects the majority of women after menopause. Purpose: The aim of this
study is to investigate whether 12 weeks of moderate-intensity aerobic,
or combined exercise training would induce and sustain improvements in
lipid profile which reduce cardiovascular risk, weight and fat loss in
overweight in postmenopausal abdominal obese women .Subjects and
Methods: Thirty postmenopausal women, suffering from abdominal obesity ,
participated in this study; their age ranged from 47 to 53 years, and
body mass index was was>30 kg/m2.Patients were randomly divided into 2
groups; group (A) walk on treadmill for 30 min in moderate intensity;
group (B) walk on treadmill for 30 min in moderate intensity in addition
to resistive exercise. Both groups exercising for 3 days/week for 12
weeks. Examining the effects of different exercise regimes on fasting
measures of lipids, changes in body weight, BMI and WHR . Results:It
showed Group (A) significant decrease and group( B) highly significant
decrease (P=0.0001) in BMI. However, group A showed significant decrease
in waist hip ratio (WHR) (P=0.0001) and significant increase in HDL
(P=0.0001) , significant decrease in LDL (P=0.0001) , significant
decrease in FTG(P=0.000) and significant decrease in TC (P=0.0001) . In
comparing between GroupA and Group B there is significant difference in
improvement Compared to group A, group B showed highly significant
decrease in BMI (P=0.0001) highly significant decrease in WHR
(P=0.0001), and highly significant increase (P=0.0001) in HDL , and
highly significant improvement difference in LDL (P=0.0001) and highly
significant decrease in FTG in Group B in compare to Group A with (
P=0.0001) and highly significant decrease in TC in Group B in compare to
Group A with ( P=0.001) .Conclusion: Therefore, combination exercise
training should be recommended for overweight and abdominal obese
postmenopausal women in National Physical Activity Guidelines.
Keywords: Menopause , abdominal obesity , aerobic exercise , resistive exercise.
|Doaa I El Beltagy, Manal S El Dien, Doaa A Sanad.||
Cognitive Abilities In Children With
Different Muscle Tone Disorders.
Background: Cognition is the ability of the central nervous system to
acquire, process, and act on information from the environment. Children
with neuromotor disorders have multidisplinary disabilities, so it is
important to investigatehow can the muscle tone disorders affect the
cognitive abilities including attention / concentration level, maximum
reaction time and figural memory level and its deviation from normal.
Methods: Thirty one child ranged in age between five and eight years
with muscle tone disorder (15 hypotonic), (16 hypertonic) and 17 age
matched normal child participated in this study. They were selected from
outpatient clinic of Faculty of Physical Therapy, Cairo University, and
National Research Center. Cognitive abilities including attention
/concentration, maximum reaction time and figural memory were evaluated
by using Rehacom system for each child participated in this study and
the results were compared to those of normal age matched individuals.
Results: the results revealed a statistically significance difference in
attention / concentration and figural memory levels between groups while
no significance difference in maximum reaction time. Conclusion:
ultimately the study revealed that children with hypertonia and
hypotonia have impairment and delayed development of their cognitive
abilities and theywere highly deviated from normal.
Key Words: Muscle Tone disorders; Children; Cognition; Rehacom system.
AbdelazizElderini , Amira M. Eltohamy ,
HodaA. M. El-Talawy.
Quality Of Life In Normal And Obese School
Background:Obesity in childhood could affect quality of life in different patterns. There is little existing information about the health related quality of life (HRQOL) of obese children in Egypt. The aim of this study was to evaluate the effect of obesity onHRQOL.Methods: This cross sectional study was carried out on 182 children aged from eleven to fourteen years selected from public governmental schools at EL-Mansoura City from September 2018 to January 2019 . They were assigned into two groups : study group (n= 102) ; boys (n=48) girls (n=54) and control group (n=80); boys (n=42) girls (n=38).Only obese children of nutritional cause of obesity were included. The body mass index of obese children ≥ 95th percentile and that of the normal weight children equal to 5th percentile to less than 85th percentileaccording to Centers for Disease Control and Prevention growth charts. Their weight and height were assessed by StandardWeight and height measuring scale and BMI was calculated by dividing weight (Kg) by height squared (m²) (kg/m²). HRQOL was assessed by Pediatric quality of life inventory Generic core scale version 4(PedsQL ™). Results: The results showed that Mean ± standard deviation of weight and BMI of study and control groups were significantly different. The scores of all domains of HRQOL between both groups were significantly different. There was a negative correlation between all the scores of HRQOL and BMI. Conclusion: The obesity in children had a negative impact on their quality of life.Keywords: Children; Health related quality of life; Obesity.
|Esraa El Abbas, Faten H Abdelazeim, Samia A. Abdel Rahman||Effect of Core Stability Training On Postural Control In Children With Cerebral Palsy: A Systematic Review.||
Background :Core stability training is used to improve limitations with postural control in children with cerebral palsy. It likes a corset that works to stabilize the center of the body against external perturbations. The purpose of the current systematic review was to evaluate the effectiveness of core stability training on postural control. Methods: A systematic review was conducted through Preferred Reporting Items for Systematic Reviews and Meta-Analyses methodology and American Academy of Cerebral Palsy and Developmental Medicine. Four databases (Pub Med ,Cochrane Library, Pedro and Google Scholar) were searched using the following keywords (“core stability “) AND (cerebral palsy OR hemiplegia OR diplegia) AND (Postural control OR balance OR equilibrium). Articles were assessed according to their level of evidence and conduct rating. Results: Seven articles were included in this review. The whole number of participants was 162 participants with age ranged from 1 to 18 years. Level of evidence ranged from I to V, and the conduct rating ranged from strong to weak. All studies underwent descriptive analysis due to the heterogeneity of the primary and secondary outcomes. Core stability training resulted in improvement in primary outcomes (postural control, static balance, dynamic balance), And secondary outcomes (shoulder stability, diaphragmatic motion, trunk endurance and gait. Conclusion : Core stability training could be considered for included in rehabilitation programs for children with spastic CP as all reviewed studies showed significant improvements of all variables although of improvements we still needed more trials due to heterogeneity of studiesKey words: Cerebral palsy; Core stability; Postural control; Systematic Review.
Ibrahim, Zakria E. Mowafy, Nancy H. Aboelnour
And Ashraf E.
Efficacy Of Combined Isokinetic Training
And Aerobic Exercises On Functional Outcomes Postlower Limb Burn.
Background: Burn wounds are one of
the most complex and dramatic of all injuries. They initially produce a
direct local tissue destruction and damage. In addition, severe burn
wounds (second- and third-degree) continue to destroy tissue and
muscles, exercise therapy stimulates the early expression of
angiogenesis- related growth factors so it results in new vessel
in-growth that improves blood supply, increases cell proliferation,
accelerates tissue regeneration and healing and regain muscle strength.
Purpose: The aim of this study was to evaluate the effectiveness of
exercise training program (aerobic exercises and resistive exercises) on
Muscle power in lower limb burned patients. Material & methods: sixty
patients with age ranged from 25 to 40 years old with 2nd degree burn
(30% to 40% TBSA) who suffered fromlower limb burn participated in this
study. The patients were randomly divided into 3 equal groups. Group A:
This group included 20 patients who received isokinetic exercises for 12
weeks in form of (isokinetic device) in addition to the physical therapy
program (splinting, stretching exercise, and range of motion exercise).
Group B: This group included 20 patients who received aerobic exercises
for 12 weeks in form of (stationary bicycle) in addition to the physical
therapy program. Group C:This group included 20 patients who received
both isokinetic exercise and aerobic exercises post healing in form of
(stationary bicycle and isokinetic device) in addition to the physical
therapy program. Results:showed significant increase in muscle strength
and endurance in combined isokinetic and aerobic exercises more than
groupA (isokinetic) and B (aerobic exercises). Conclusion: From the
finding of the current study we concluded that that combined isokinetic
training and aerobic exercises is an effective, safe, relatively
inexpensive, simple and available modality in enhancing muscle power ,
strength and endurance in lower limb burn.
Key words: Burn, Isokinetic Training ,Aerobic Exercises, dynometery.
|Fatma El Zahraa A El Bayomi , Mohamed A Sarhan , Ahmed H Khater , Nadiaa A Fayyaz.||
Relation between Chronic Low Back Pain and
Navicular drop: Cross- Sectional Study.
||Background: Epidemiologic data showed
that prevalence of chronic low back pain (CLBP) is increasing. Foot
pronation and calcaneal eversion are said to cause LBP. Objectives: The
purpose of this study was to investigate the relation between CLBP, and
navicular drop. Methods: Seventy-Five patients with chronic low back
pain (LBP more than 3 months) with their mean ± SD age, weight, height
and BMI were 36.32 ± 10.61 years, 76.4 ± 14.63 kg, 164.94 ± 8.92 cm and
28.11 ± 5.23 kg/m². No previous surgery at spine or lower limb. Every
patient reported his pain intensity number from 0 to 10 using NPRS while
0 means no pain and 10 means intolerable pain. The navicular drop
difference was measured while the patient was sitting (unloaded) with
his feet on the floor in mid position. The navicular tuberosity was
marked and the distance from it to the floor was measured using a ruler,
then the same distance was measured from standing position (loaded).
Then the difference between the two positions was measured to determine
the navicular drop. Results: The relation between NPRS and right
navicular drop of the study group was weak negative non-significant (r =
-0.11, p = 0.31). The relation between NPRS and left navicular drop of
the study group was very weak positive non-significant (r = 0.02, p =
0.85). Conclusion: There was no relation between chronic low back pain
and navicular drop.
Key Words: Chronic Low Back Pain; Flat Foot; LBP; Navicular Drop.
|Hadil Mohamed Onsy Mohamed, Hamed El Khozamy, Mohamed Badr Mohamed, Nadia Abdel AzemFayyaz, Walid Abd Elbaki||Correlation between lumbosacral radiculopathy and knee pain in patients with unilateral knee pain.||Background: Knee pain is a major
disorder of all ages. There are different causes of such pain; one of
them may have a neural origin. Lumbosacral radiculopathy occursdue to
compression of a nerve root by surrounding structures. H-reflex is a
good tool for assessing nerve root function .We aimed to know the
relation between lumbosacral radiculopathy and pain in patients with
unilateral knee painand the relationship between knee pain and changes
of H- reflex.Methods:Twenty patients (male and female) suffered from
unilateral non-traumatic knee pain; age ranged from 25 to 45years with
body mass index less than 30kg\m2 and knee pain persisted for 3 months
or more with or without low back pain. Knee pain evaluated by the
numerical pain rating scale and nerve root function assessed by
electromyography (H-reflex).Results: the relation between lumbosacral
radiculopathy and pain in patients with unilateral knee painwas 50% with
decreasedamplitude of H-reflex at affected side relative to H-reflex
amplitude at the non-affected side (H\H ratio)and 20% of them with an
increased latency difference. There was a significant positive
correlation between knee pain and H/H ratio (ρ = 0.37, p= 0.05), a
non-significant negative correlation between knee pain and latency
difference when p-value <.05. Conclusion: There was high relation
between lumbosacral radiculopathy and pain in patients with unilateral
knee pain .There was a significant correlation between knee pain and H/H
ratio, a non-significant correlation between knee pain and latency
Keywords: H-reflex,knee pain, lumbosacral radiculopathy.
|Hagar M. Ali., Faten H. Abdelazeim , Osama A. Zaki.||Effect of Lung Squeezing Technique on Vital Signs and X-Ray Findings in Neonates with Respiratory Distress Syndrome.||Background : Respiratory problems like
Respiratory Distress Syndrome (RDS) in neonates is one of the leading
causes of neonatal morbidity and mortality in developing countries.
These respiratory problems are seen in premature neonates, which mainly
include RDS. Objective: To investigate the efficacy of lung squeezing
technique on vital signs and X-ray findings in neonates with respiratory
distress syndrome. Study Design: Prospective, randomized controlled
study. Subjects, Materials and Methods: This randomized controlled trial
included 30 neonates with RDS under mechanical ventilation. Their ages
ranged from 3-15 days. The participants were randomly allocated into 2
equal groups. The control group received conventional physiotherapy (CPT),
while the study group received CPT in addition to Lung Squeezing
Technique (LST) for 20 minutes duration per session, two sessions per
day, for a period of 7 days. Vital signs [heart rate (HR), respiratory
rate (RR), systolic arterial pressure (SAP), diastolic arterial pressure
(DAP), Temperature and oxygen saturation (SaO2)] were measured and chest
X-ray was done. All measurements were recorded at baseline, 2 days and 7
days of intervention in this study. Results: Significant improvement was
recorded invital signs (HR, RR, SAP, DAP, Temperature, SaO2) in favor to
study group, while there was no significant difference regarding X-ray
findings between both groups. Conclusion: Lung squeezing technique is an
excellent supplement to conventional chest physiotherapy in managing RDS
Key Words: Lung squeezing technique, Neonates, Respiratory distress syndrome , Vital signs ,X-ray findings.
|Hany R Hana1, Nisreen Ahmed Abdelglil, Raafat Ezz Eldeen.||Effect of Magnetic Therapy on Pressure Ulcer in complete spinal Cord injury (SCI) patient.||
Background: Pressure sores are an important source of complications in patients who are immobilized and bedridden. The prevalence of Pressure ulcers stage two or greater is between 8.1% and 12.9%. We aimed to investigate the efficiency of magnetic field treatment in pressure sores. Methods: This was a case control study, Female of 40 years complains from ischial pressure ulcer with history of spinal cord injury, in the study magneto-therapy, once a day for 30 minutes and with 90G, magneto-therapy device’s program. The surface areas of the pressure sores were evaluated at the onset of the treatment (1st day), and on the 4th and 30th days. Results: a significant difference was observed between the 1st and 4th day. In addition, there was a significant difference in the scar area. Conclusion: The healing process of the tissue can be accelerated. With the use of magneto therapy in the treatment of pressure sores of stage IV.
Key Words: Magnetic field treatment, pressure sore, spinal cord injury.
|Hasnaa Ahmed Abdel-Aziz, Abeer Ahmad Farghaly, Ahmad Mahdi Ahmad , Hesham Mostafa, Ahmed Abdelkarim Fayed.||Effect of Laser Acupuncture on the Ankle-Brachial Index and Walking Ability in Patients with Peripheral Arterial Disease.||
Background.Laser acupuncture has produced promising results in the management of many medical conditions; it has been used as a non-invasive therapy with no puncture pain which represents a major advantage over traditional acupuncture or electroacupuncture. Methods.This study aims to investigate the effect of Aluminum Gallium Arsenide (AlGaAs) LASER acupuncture on the lower limb blood supply and functional walking ability in patients with peripheral arterial disease (PAD). Thirty male patients with PAD were recruited from Kasr El-ainy Hospital, and were randomly divided into two groups: study group (n=15) and control group (n=15). Both groups received the routine medical treatment whereas study group received laser acupuncture therapy twice weekly for five weeks. Ankle brachial pressure index (ABPI), six-minute walk test (6MWT) and rating of perceived exertion using modified Borg scale were measured. Results. The results showed that laser acupuncture has induced highly statistically significant improvements in all the measured outcomes (p < 0.01). However, results revealed no significant difference between the two groups except for modified Borg scale. Conclusion. Accordingly, AlGa As Laser acupuncture could be an effective non-pharmacological intervention for improving circulation and functional walking performance in PAD patients and may be recommended as a complementary therapy in the management protocols of PAD.
Keywords: Laser acupuncture; peripheral arterial disease; ABPI; 6-MWT.
Abd El-Azeem MarwaS. Mustafa Saleh, Ibrahim M.Zohairy,
Neveen A. latif Abdel Raoof.
|Influence Of Different Ankle Positions On Tibial Nerve Conduction Velocity Study.||
Background: Changes in joint positions have been reported to affect nerve mobility and adaptability. Purpose: To investigate the influence of different ankle positions on tibial nerve conduction velocity. Methods: This study was conducted on sixty healthy participants from both sexes (age30.35±6.1years, weight58.28±9.93kg, height1.67±0.11m and BMI 20.82±1.46 kg/m2). Tibial nerve motor distal latencies were recorded using Neuropack S1MEB-9004 Nihon Koden Japan from different ankle positions (neutral, 20º ankle dorsiflexion and 40º ankle plantarflexion) Results: showed a significant effect for ankle positions in motor distal latency of both lateral and medial branches of tibial nerve in favor of neutral ankle position compared with other positions Plantarflexionand dorsiflexion, the mean values of motor distal latency of both lateral and medial branhes for neutral ankle position were(4.62±0.87,4.57±0.89)respectively,plantarflexion were(5.06±0.81,5.24±0.83) respectively, and dorsiflexion were(5.64±0.92,6.03±0.93) Conclusion: Ankle neutral position is the most convenient position for assessing tibial nerve conduction velocity and it is the most appropriate position for reduce tibial nerve entrapment ,while prolonged ankle dorsiflexion positionshoud be avoided to redue risk of tibial nerve entrapment .
Keywords: Ankle positions, Nerve conduction velocity,Tibial nerve
|Heba Allah Elnashar, Abeer Abo BakrElwishy, HananHelmy Mohamed, Rasha Mohamed ElRewainy.||Effect of Core Muscle Training on Upper Limb Function in Hemiparetic Patients: A Randomized Controlled Study.||
Background: Upper limb paresisis a common problem in patients with stroke. Although it is known that trunk control is an integral part of shoulder stability, the effect of core muscle training program on upper limb function is not well established till now so our Purpose to determine the effect of core muscle training on upper limb function in hemiparetic patients.Methods:30 patients with hemiparesis, with mean age 56.9±7.24years with mean duration of illness2.66±1.34years.They assigned into two equal groups method of allocation was concealed in sequentially numbered, sealed envelopes, the control group GA: 15patients received only conventional physical therapy program (stretching for shoulder muscles, active resisted exercises for shoulder and trunk control exercises), the study group GB: 15patients received conventional physical therapy program and additional core muscle training. Patients received 18 sessions for 6 weeks, three sessions/week. The upper limb function was assessed using Wolf motor function test with subscales (function ability scale, time and grip strength), the range of motion of shoulder flexion and abduction was measured by using goniometer. Results: There was no statistical significant difference between two groups in pretreatment assessment using wolf motor function test and shoulder range of motion. In post treatment assessment there was no statistical significant difference between group GA and GB in all the outcome measures. Conclusion: Core muscle training is similar to conventional physical therapy program in improving upper limb function in hemiparetic patients.
Key words: Hemiparesis - Upper Limb Function- Core Muscle Training
|Heba M. Gaber Abd el fadil1, Waleed T. Mansour, Youssef M. Mohamed, Ahmed G. Azab.||Relation Between Spasticity And Carpal Tunnel Syndrome In Patients With Stroke.||Background: Stroke is the most common
cause of mortality and is one of the most common causes of morbidity in
the world. Polyneuropathies and entrapment neuropathies are known as the
complications of stroke. The purpose of this study was to Investigate
the relation between carpal tunnel syndrome in the affected and
non-affected hands in patients with stroke. Methodology: sixty stroke
patients of both sexes, their ages were ranged from (40-65) years were
assigned into three equal groups (group a, b and c): group (A) with mild
spasticity (grade 1 and 1+) while group (B) with moderate spasticity
(grade 2 and 3) and group (c) with severe spasticity (grade 4) according
to modified ashowrth scale. Subjects were assessed using
Electrodiagnostic testing (nerve conduction velocity) and clinical tests
(Phalen’s test, Tinel's sign, Durkan's test and the hand elevation
test). Results: This study revealed that patients with stroke had carpal
tunnel syndrome in the affected hand as a result of spasticity and in
the non-affected hand due to overuse but the results were more
significant in group (c). Conclusion: It was suggested that simultaneous
different mechanisms may act in inducing carpal tunnel syndrome in both
hands of hemiparetic patient. Our results conﬁrm that, in severe
hemiparetic patients, the entrapment neuropathies may be commonly seen,
especially in the paretic extremities. The early rehabilitation programs
against the development of entrapment neuropathies may be beneﬁcial in
(Key Words: Stroke, Spasticity, Carpal tunnel syndrome, Paretic hand).
|Hebat-Allah H. Abdel-Hamid; Mohamed A. Awad; Ghada E. El-refaye; Hossam H. Kamel.||
Effect Of Aerobic Exercise On Premature
Menopausal Symptoms After Hysterectomy.
||Background: Women who have a
hysterectomy usually go through menopause in earlier age. Estrogen
levels fall sharply after hysterectomy and this condition is referred to
as premature menopause. It can lead to higher levels of follicle
stimulating hormone and luteinizing hormone in blood. Purpose: This
study was conducted to detect the effect of aerobic exercise on
premature menopausal symptoms after hysterectomy. Subjects &Methods:
Forty women with recent total hysterectomy selected randomly. Their ages
ranged from 30 to 40 years old and their body mass index was not
exceeding 30 kg/m2. They were divided into two groups equal in number,
group (A) were treated by hormone replacement therapy (Conjugated
Estrogens 2.5 mg and Medroxyprogestrone0.625 mg once daily) only for
twelve weeks and group (B) were engaged in aerobic exercise program in
the form of treadmill and stationary bicycle for 45 minutes, 3times per
week, for twelve weeks and also was treated by the same hormone
replacement therapy. Modified Greene scale was used to evaluate the
premature menopausal symptoms; Blood sample analysis was used to show
the levels of follicle stimulating hormone (FSH) and luteinizing hormone
LH) for both groups (A&B) before and after treatment. Results: The
obtained results showed a statistically highly significant delay and
overcome in the appearance of premature menopausal symptoms was found in
group (B) than group (A).Conclusions: It could be concluded that the
engagement of aerobic exercise program was very effective in overcoming
or delaying the premature menopausal symptoms on post hysterectomy
|Hend H. El Haroni,Nawal A. Abo Shady, Hamada A. Hamada.||
Prevalence of cervicogenic headache and
forward head posture among clinical pathologists: An observational cross
||Background: Clinical pathologists are
highly trained medical professionals who play an essential part in the
diagnosis and treatment plan of malignancies and inflammatory diseases.
Their work is associated with potential health hazards including
injuries involving infectious human tissue, chemicals which are assumed
to be carcinogenic in addition to long periods of microscope and
computer work and assuming forward posture most of work time. These
factors make them at risk of musculoskeletal disorders like forward head
posture and cervicogenic headache.The purpose: of this study was to
investigate the prevalence of forward head posture and cervicogenic
headache among clinical pathologists. This study was the first study
which investigate the prevalence of forward head posture and
cervicogenic headache among clinical pathologists. Methods: There were
100 subjects in the study. Their age between 25 to 45 years. The
Diagnostic criteria developed by Cervicogenic Headache International
Study Groupfor diagnosis of cervicogenic headache, the photography was
used to measure the craniovertebral angle (C.V.A.), the AutoCAD 2014
software program was used to analyze the photos and the CROM was used to
measure range of motion. Results: The statistical analysis of this study
revealed about(48%) among clinical pathologists had cervicogenic
headache. While the remaining (52%) of clinical pathologists had no
cervicogenic headache. The percent of The Forward head posture were
(95%) of clinical pathologists had Forward head posture. While the
remaining (5%) of clinical pathologists had normalangle. Conclusion:In
this studymost clinical pathologists had forward head posture 95% which
is one of the most common musculoskeletal disordersand about half of
them 48% had cervicogenic headache such high percent direct us to pay
attention on ergonomic considerations during work .
Keywords: Cervicogenic headache, Clinical pathologists, Forward head posture.
|Hend M Mahmoud,Nasr A Abd elKader , Nadia A Fayaz, Mohamed M Bahi El Den.||
Correlation Between Tibiofemoral Angle And
Sacral Angle In Female With Bilateral Genu Valgum.
||Background: Genu Valgum is adeformity
in which the axial alignment of the lower limb is disturbed with
exaggeration of the tibio-femoral angle. Such deformities resolve by
themselves during infancy and childhood, but if they persist in
adolescent age, there is no chance of resolution and might pose serious
problems for the individual in the future. The aim of this study was to
determine correlation between tibio femoral angle and sacral angle in
female with bilateral genu valgum. Methods: Sixty-four female students
with bilateral genu valgum participated in the study. They recruited
from Deraya University. Their age ranged from 18 to 25 years old,Q angle
>20 and BMI≥ 30 (kg/m2).X-ray of the lower limbs used for measurement of
tibio-femoral angle; in addition, X-ray of lumbosacral spine used for
measurement of sacral angle. Results: However, there was a statistical
significant correlation between left tibio-femoral angle and sacral
angle (r= -0.3098; p= 0.0126),there was no statistical significant
correlation between right tibiofemoral angle and sacral angle (r=
-0.1945; p= 0.124).Conclusion: According to results of the study, there
was association between left tibio-femoral angle and sacral angle but
there was not association between right tibio- femoral angleand sacral
|Hend Wageh,Tasneem Mohammad , Mirna M. Elias ,Nagwa Abu Elwafa1 , Mahmoud Nabhan1,Nabila S. Hassan,Aliaa Rehan Youssef .||
tandardizingsciatic function index rating
protocol improves inter-rater reliability and precisionof novice
||Background: Sciatic function index (SFI)
is a simple kinematic analysis used to quantify animals’ functional
recovery following sciatic nerve and related musclesinjuries. However,
the reliability of this assessment method may vary based on experience
level and practice. Therefore, this study investigated whether
standardization of rating would improve interrater reliability and
precision among novice assessors with no previous experience. Methods:
Standardization of SFI measurement was based on the delphi technique. A
pilot measurement session was done by four raters (one expert and three
novices) on 24 traces, not included in the actual analysis. Then a
standardized protocol was developed and agreed upon by consensus through
discussion and voting. The four raters then independently assessed 20
other traces obtained from 20 rats; 10normal and 10 animals with a
unilateral tibialis anterior induced strain injury. Results: There was
no significant differences between the SFI scores of the expert and each
of the novice examiners (P-value > 0.05).Furthermore, there was a strong
significant positive correlation between expert and novice assessors (r
>0.80, P value< 0.001). Yet, the limit of precision was wide and ranged
between26.7 to 29.4%. Conclusion: Standardized SFI rating protocol
increased the inter-reliability of novice compared to expert raters;
however, precision is still low and need further improvement.
Keywords: Sciatic function index; Inter-rater reliability, Standardization.
|Hoda Z. Abd-ElRaheem, Abeer A. Elwishy, Amina M. Awad, Hatem Samir M. Shehata.||
Effect of Aerobic Exercise on Depression in
Patients with Multiple Sclerosis
||Background: Multiple sclerosis is
considered the major cause of neurological disability in young adults
worldwide (1). Depression is the commonest psychiatric manifestation in
MS patients but still remains unclear (2). The purpose of this study was
to investigate the effect of aerobic exercise on depression in patients
with Multiple Sclerosis. Methodology: twenty patients of both sexes,
their ages were ranged from (20-40) years were assigned into two equal
groups (group a, b): group (A) patients were treated by eight hours of
aerobic exercise using stationery bicycle while group (B) patients did
not receive the previous modality (control group). Subjects were
assessed using Beck depression inventory. Results: "Paired t test"
revealed that there was a significant reduction of BDI score (p<0.05) at
post treatment in compared to pre treatment for group A aerobic exercise
while there was no significant difference (p>0.05) at group B control
Conclusion: It was suggested that aerobic exercise can decrease depressive symptoms in patient with multiple sclerosis.
(Key Words: Multiple Sclerosis, Depression , Aerobic exercise).
|Mahmoud A. Hassan1, Emam Hassan El-Negamy , Mohamed I. Elassal , Abdelrahim A. Sadek||
Effect Of Bilateral Arm Exercises On Motor
Control Of Hemiparetic Cerebral Palsy Children.
||Background: Hemiparetic Cerebral Palsy
represents the muscle tone and movement disorders on one side of the
body in which the upper extremity is more affected than the lower
extremity. Children with hemiparetic cerebral palsy often have
difficulty in performing activities which rely on the coordinated use of
both hands because of movement difficulties of the affected hand. This
study aims to determine the effect of bilateral arm exercises on motor
control of hemiparetic cerebral palsy children. Methods: Twenty-six
hemiparetic cerebral palsy children of both genders (14 boys and12
girls) participated in this study. Their age ranged between 3and 7 years
with spasticity ranged from 1 to 2 according to Modified Ashworth Scale
and they could follow the order during testing and training. None of
them had visual or auditory defect or previous orthopedic surgery of the
affected upper extremity and they shouldn't have any structural
deformities in any joint or bone. They were randomly assigned into two
groups (A&B) of equal number 13 patients each, group (A) received a
selected physical therapy program for one and half hours and group (B)
received the selected physical therapy program for one hour in addition
to bilateral arm exercises for half an hour. Both groups received the
selected treatment program 3 times per week for 3 successive months from
November 2018 to January 2019. All the patients were evaluated with
Modified Ashworth Scale, Functional Independence Measure for children
and Pneumatic Squeeze Bulb Dynamometer at pre- and post- treatment.
Results: The results of this study revealed statistically significant
difference between the two groups after the treatment in favor of group
B in Wee Functional Independence Measure motor subtotal score and grip
/pinch strength score (p < 0.05) .Conclusion: Bilateral arm exercises
are effective in improvement of motor control of the affected side for
the children with hemiparetic cerebral palsy.
Keywords: Cerebral palsy, bilateral arm exercises and Motor control.
|Mahmoud M. Elhanafy, Gehan H. Elmeniawy , Asmaa O. Sayed||
Femoral Neck Shaft Angle In Relation To
Spasticity In Children With Spastic Hemiplegic Cerebral Palsy.
||Background: Femoral neck-shaft angle (NSA)
is the measurement of the angle formed between the oblique oriented neck
with the vertical shaft and is an important anatomic measurement for the
evaluation of biomechanics of hip. Spasticity is a muscular
hypertonicity characterized by a velocity- dependent increased
resistance to stretch, which interfere with voluntary movement.
Subjects: Fifty children with hemiplegic cerebral palsy of both genders
with age ranged from 3to 10 years participated in this study. They were
selected from El-Bagour general hospital, Ashmoun general Hospital and
care scan private center in El-Menoufia Governorate. Purpose: This study
was conducted to corelate femoral neck shaft angle measurement with
spasticity in children with hemiplegic cerebral palsy. Materials:
Anteroposterior x-ray beams of pelvis, Modified ashowrth scale, Sante
dicom software and AutoCAD 2014 software. Results: There was a
significant increase in the neck shaft angle of the affected side
compared with that of the non-affected side in both genders. There was a
moderate positive significant correlation between femoral neck shaft
angle and spasticity. Conclusion: The femoral neck shaft angle
significantly decreases with aging particularly in non- affected side.
As the degree of spasticity increases, and neck shaft angle reaches to
higher degrees affecting hip geometry. The gender doesn’t directly
Keywords: Hemiplegic cerebral palsy, Neck shaft angle, spasticity.
|Mahmoud S Aboraya ,Doaa I Amin , Neveen A Abdel Raoof.||Correlation between waist circumference and dynamic balance in young male adults.||Background: A steadily increasing trend
of obesity among young adults, especially college and university
students, is becoming more evident. There is a relationship between the
weight of individuals and their ability to balance. The fat tissue
localization plays a major role in locating the center of mass (COM)
hence has a great effect on postural balance. Studying the relation
between waist circumference and balance would help to establish risk
factors leading to decreased balance and increased risk of falling,
helping physiotherapists to define the high risk population. Methods: 21
physical therapy students aged 18-25 years and their body mass index
ranged from 30-34.99 kg/m2 were recruited for this study. The dynamic
postural balance was measured using Biodex balnce system with at
stability level 4 and waist circumference was measured using stretch
resistant tape. Results: Pearson`s correlation coefficient was
calculated (at α= .05) between waist circumference (WC) and the three
stability indices. The correlation between (WC) and overall stability
index (OSI) was .54 (p=.017) (significant with moderate strength), the
correlation between between (WC) and anterioposterior stability index (APSI)
was .52 (p=.02) (significant with moderate strength) and the correlation
between between (WC) and mediolateral stability index (MLSI) was .5
(p=.03) (significant with moderate strength). Conclusion: It was
concluded that there is a significant correlation of moderate strength
between waist circumference and dynamic postural balance in young obese
Keywords: Dynamic postural balance, Waist circumference, Obesity.
|Mahmoud S. Elfakharany, Mariem T. Ali and Dalia I. Tayel.||
Nutritional State and Gross Motor Function
of Children with Cerebral Palsy.
||Background: Nutritional abnormalities
are common across the spectrum of severity of CP. Children with all
levels of motor impairment are at risk for malnutrition. Impaired growth
of children with CP is commonly reported. CP children are tend to be
smaller and to grow more slowly than typically developing children.
Growth disorders and nutritional deficits are present in approximately
one third of paediatric patients with CP. The aim of this study is to
assess the nutritional status of children with cerebral palsy according
to their functional abilities.Methods: 105 children with hemiplegic and
diaplegic CP of both sexes were selected, their age ranged from 6 months
to 12 years, they were classified according to GMFCS in to level II,
III, IV, their degree of spasticity are 1, 1+ and 2 and parents
accepting to participate in the study referred from Nour- EL Hayah
rehabilitation center and EL- Rahma rehabilitation center in Alexandria
to assess their dietary intake and to investigate the relation between
GMFCS and their nutritional status. Dietary intake was assessed by a 3-
day food diary filled by the caregivers report all food and beverages
that will be consumed. Finding of dietary intake was analyzed using the
Egyptian Food Composition Tables by National Nutrition Institute to
determine energy and macronutrient intake. Results: MANOVA revealed that
there was a significant difference between GMFM levels in nutritional
status (p = 0.001). There was a significant increase in energy, iron,
water, fat, protein and carbohydrate of level II compared with that of
level III (p > 0.01). However, there was no significant difference in
calcium between level II and level III (p > 0.05). There was a
significant increase in calcium of level IV compared with that of level
II (p > 0.05). There was a significant increase in iron and water of
level II compared with that of level IV (p > 0.001).However, there was
no significant difference in energy, fat, protein and carbohydrate
between level II and level IV (p > 0.05). There was no significant
difference between level III and level IV in all parameters (p >
0.05).Discussion: Our finding showed that there was an increase in
energy, iron, water, fat, protein and carbohydrate of level II compared
with that of level III and also, there was no significant difference in
calcium between level II and level III. Conclusion: It could be
concluded that, the nutritional state for level II is better than level
III and IV.
Key words: cerebral palsy, nutritional status, functional abilities, Dietary intake and gross motor function.
Mohamed, Hussein Ahmed Shaker ,
Ebtisam Mohamed Fahmy , Walaa Mohammed Ragab.
A Comparative Study Between Muscle Energy
Technique And Spinal Extension Exercise Program In Treatment Of Chronic
Mechanical low Back Pain patients
||Background: People with chronic low
back pain often experience anger, fear, anxiety decline in physical
ability, and inadequacy of role fulfillment. These stressors, along with
negative affective states, increase the allostatic load. Objective: This
study aimed to compare the efficacy of extension exercise program versus
muscle energy technique in treating patients with chronic mechanical low
back pain.Subjects: Forty patients participated in this study
complaining of chronic mechanical low back pain. Patients were allocated
into two equal groups. Group (A): received spinal extension exercise
program and Group (B): received muscle energy technique. Treatment
sessions were given three times per week for four successive weeks.
Patients in both groups were assessed bythe researcher before and after
treatment for the outcome measures of pain, functional disability and
lumbar range of motion. Results: There was significant increase in
lumbar range of motion in both groups, also a significant decrease in
the pain and functional disability in both groups. Conclusion: McKenzie
and muscle energy technique had significant effect on range of motion on
chronic mechanical low back pain patients .while muscle energy technique
had better effect in decreasing pain intensity.
Key Words: Chronic mechanical low back pain – muscle energy technique – spinal extension program.
|Michel Alber Fawzy Bouls, Eman Samer Fayez , Islam Mahmoud Abd-allah Al-Azab, ,Taha Kamel Taha.||
Influence Of Transcranial Direct Current Stimulation On Depression In Stroke Patient
|Background: The aim of this work was to
investigate the influence of transcranial direct current stimulation (TDCS)
on improving depression in stroke patients. Subjects and Methods: forty
hemiparetic stroke patients from both sexes represent the sample of this
study. The patients' ages ranged from 45 to 60 years with a mean value
of 55.475 ± 4.01 years. Patients were assigned randomly into two groups
equal in number; the study group A and the control group B. The study
group A treated by the prescribed medications for depression as the
control group B in addition to transcranial direct current stimulation
for 30 minutes, three times per week for one month in addition to
physical therapy program. The control group B treated by the prescribed
medication only and sham transcranial direct current stimulation in
addition to physical therapy program. Depression was evaluated by
Hamilton Depression scale pre and post treatment in both groups and
quality of life was evaluated by The Stroke Specific Quality Of Life
scale. Results: results of this study revealed a significant improvement
in all different parameters in study group A P ≤ 0.05; over the control
group B. Comparison of post treatment results of both groups showed that
transcranial direct current stimulation used in study group A showed
significant improvement in post stroke depression and Stroke Specific
Quality Of Life than group B. Conclusion: transcranial direct current
stimulation has significant effect on treatment of depression and Stroke
Specific Quality Of Life in stroke patients.
Key words: Depression, Quality Of Life, Stroke, Transcranial direct current stimulation.
|Mina M. Wahba1, Aliaa Rehan Youssef2, Dina OShokri.||
The Relationship between Lumbar
Proprioception Deficit And The Addiction Of Smartphone Use In Patients
Low Back Pain: A Cross-Section Study.
|Background: Excessive Smartphone use
has been associated with proprioception deficit in cervical spine,
however, it is not clear whether this relationship exists in other
spinal regions such as the lower back. The objective of the study was to
investigate whether Smartphone addictive use and duration until first
use in the morning are associated with lumbar spine proprioception
deficit in patients with mechanical chronic low back pain (CLBP).Methods:
Fifty patients with mechanical CLBP were included in this study.
Smartphone addiction score, usage duration and time to first use in the
morning were collected from patients using a self-reported questionnaire
and a face-to-face interview. Lower back proprioception deficit was
assessed using the Biodex System 3 Pro Isokinetic Dynamometer. Results:
Ten males and 40 females with a mean age (± SD)of 22.4 (± 2.48) years
and BMI mean (± SD)of23.7 (± 1.98) kg/m2completed all measurements.
Proprioception deficit was positively, weakly and non-significantly
correlated with smartphone addiction,use duration and time to first use
in the morning. Conclusion: Lower back proprioception deficit is
independent of Smartphone usage duration and addiction in patients with
|Mohamed A. Awad1; Abdel Hamid A. Atta Allah.||Effect Of Myofascial Release Technique Versus Mulligan Mobilization Technique On Post Natal Low Back Pain||Background: Low back pain (L.B.P) and
pelvic girdle pain are common during pregnancy in many countries. The
prevalence rates are variable depending on the criteria used for
diagnosing the pain. Purpose: This study was conducted to compare the
effect of myofascial release technique and mulligan mobilization
technique on post-natal low back pain. Subjects: Fifty primegravidae or
multigravidae postnatal women complained of low back pain selected
randomly from physical therapy department in Al Zahraa University
Hospital. Their ages ranged from 25 to 35 years old. Their body mass
index was not exceeding 30 kg/m2. They were medically stable and
consented to participate in the study. They did not receive any medical
treatment during the research period. They were divided into two equal
groups (A&B). Group A: 25 women received Myofascial release technique
three times a week for sex weeks. Group B: 25 women received Mulligan
mobilization technique three times a week for sex weeks. Methods: Visual
analogue scale (VAS) was used to measure pain intensity and Oswestry
Disability Questionnaire was used to assess functional disability for
both groups (A&B) before and after treatment. Results: The results of
this study found that, within groups there was a statistically highly
significant decrease (P = 0.001) in low back pain intensity and
functional disability in both groups (A&B). Between groups the obtained
results showed there was no statistically significant difference in low
back pain intensity and functional disability pre treatment. But post
treatment there was a statistically highly significant difference in low
back pain intensity and functional disability between both groups (more
decrease in group A). Conclusion: Myofascial release technique is more
effective in reducing pain and improving functional status by decreasing
disability of patients with post natal low back pain than mulligan
Key words: Myofascial Release Technique, Mulligan Mobilization Technique, Post-natal low back pain.
|Mohamed A. Awad1; Abdel Hamid A. Atta Allah||
Electroacupuncture Versus Low Level Laser Therapy On Post Natal Low Back
Background: Postpartum lumbopelvic pain is a serious problem for women, as it has an effect on their performance of the daily living activities so that it has an effect on her family and society. Purpose: This study was conducted to compare the effect of Electroacupuncture and Low Level Laser Therapyon post-natal low back pain. Subjects: Fifty primegravidae or multigravidae postnatal women complained of low back pain selected randomly from physical therapy department in Al Zahraa University Hospital. Their ages ranged from 25 to 35 years old. Their body mass index was not exceeding 30 kg/m2. They were medically stable and consented to participate in the study. They did not receive any medical treatment during the research period. They were divided into two equal groups (A&B).Group A: 25 women treated by Electroacupuncture three times a week for sex weeks. Group B: 25 women treated by Low Level Laser Therapy three times a week for sex weeks. Methods: Visual analogue scale (VAS) was used to measure pain intensity and Oswestry Disability Questionnaire was used to assess functional disability for both groups (A&B) before and after treatment. Results: The results of this study found that, within groups there was a statistically highly significant decrease (P = 0.001) in low back pain intensity and functional disability in both groups (A&B). Between groups the obtained results showed there was no statistically significant difference in low back pain intensity and functional disability pre treatment. But post treatment there was a statistically highly significant difference in low back pain intensity and functional disability between both groups (more decrease in group A). Conclusion: Electroacupunctureis more effective in reducing pain and improving functional status by decreasing disability of patients with post natal low back pain than Low Level Laser Therapy.
Key words: Electroacupuncture- Low level laser therapy- Post natal low back pain.
|Mohammed Fouad1*,Azza Abdelazzez Abdelhady 2,Hany Elsisi3ahmed Kamal.||
Of Polarized Light Therapy In Treatment Of Chronic Diabetic Foot Ulcers
Background/aim:Impaired healing is a problematic and common complication
of chronic wounds. Although laser has been used in the treatment of
chronic wounds with promising efficacy, its mechanism is still poorly
characterized. The cost of wound care is significant. The most important
components are the costs of wound-related hospitalisation and the
opportunity cost of nurse time. The 32% of patients treated in hospital
accounted for 63% of total costs. The use of polarized light in the
treatment of wounds has provided conflicting data, with some studies
reporting accelerated wound closure and increased tensile strength of
scars while others have found no such improvement.The aim of this study
was to determine the effect of polarized light therapy on wound surface
area and wound volume of chronic diabetic foot ulcers. Material and
methods:Sixty men patients with partial or full thickness diabetic foot
ulcer complaining from delay healing of ulcer for more than three months
participated in this study. Subjects were randomized into 2 groups equal
in number, each group consisted of 20 patients. Group A was the
Polarized light therapy group, included 30 men patients with foot ulcer
and they received polarized light therapy with energy density of an
average of 2.4 J/cm2 per minute for 8min, 3 sessions per week in
addition to traditional medical treatment and Group B was the
traditional medical treatment group, included 30 men patients with foot
ulcer and they received traditional medical treatment only. All
evaluations were applied by the same physiotherapist12 weeks. Results:
Wound Surface Area and Ulcer volume showed significant difference
between the two groups in favor of group A, as p was ≤ 0.05 which was
considered statistically significant.
Conclusion: We suggest that light therapy should be added to the treatment of chronic diabetic foot ulcers.
Key words: Diabetic foot, light therapy, ulcers.
|Mohanad A. Ahmed, Emam H Elnegmy, Hamada S. Ayoub||
Sustained Weight In Correction
Of Drop Shoulder In Hemiplegic
Cerebral Palsy Children.
Purpose: This study was done to investigate the effect of sustained weight on correction of drop shoulder in hemiplegic cerebral palsy children. Participant and Methods: Thirty children with spastic hemiplegia enrolled in this study, their age ranged from 3 to 8 years and being assessed by posture zone software. They were randomly assigned into two groups of equal numbers 15 children each. The control group (A) received a designed physical therapy program and the study group (B) received the same therapy program in addition to sustained weight (2% out of the total body weight) placed on top of the dropped affected shoulder.Results: Comparison of post treatment results between the control and study groups revealeda significant difference between post treatment mean values of shoulders level angle in favour of the study group.Conclusion: From the obtained results it could be concluded that sustained weight of about 2% of the total body weight has a beneficial effect on drop shoulder in children with spastic hemiplegia.
|Mona Adel Abd Eltwab, Abeer Abo Bakr Elwishy, Hanan Helmy Mohamed.||Effect of Manual Therapy with Task Oriented
Training on Hand Function in Stroke Patients: A Randomized Controlled
Background: Proper hand function is a must for everyday life activities. However, post stroke, muscle contracture and joint stiffness develop as a common consequence of immobility in hemiplegic hand.This study aimed to investigate the effect of adding mobilization to task oriented training to help stroke patients in reaching a satisfactory level of recovery for their hand function. Methods: Thirty stroke patients were participated in this study and randomly divided into two equal groups; group A, which received mobilization followed by task oriented training and group B, which received task oriented training only. Both groups received treatment three times per week for a period of six weeks. All patients were evaluated before and after therapy for hand function, active and passive wrist extension range of motion, and grip strength. Results: The results of this study showed that post treatment; there was a statistically significant difference (P<0.05) between both groups regarding all outcome measures in favor to the study group (A). Conclusion: The present study revealed that mobilization is effective intervention in improving hand function post stroke and the combination between mobilization and task oriented training is more effective in improving hand function post stroke than task oriented training alone.
|Moustafa Ibrahim Ahmed Elnaggar, Zeinab Mohamed Helmy, Abeer Ahmed Abdel Hamid, Mervat Abdel Rahman Mohamedm, Osama Louis.||Efficacy of different aerobic training intensities on ventricular remodeling parameters in Chronic Heart Failure patients.||
Exercise intolerance is a symptom of heart failure and associated with increased disability and mortality. Cardiacremodeling is manifested clinically as changes in size, shape, and function of the heart. Exercise training has been shown to induce reverse remodeling in stable CHF patients. This study was aimed to determine the efficacy of different aerobic exercise training intensities on left ventricular remodeling, and Quality of Life (Minnesota Living With Heart Failure Questionnaire) in chronic heart failure patients. Forty five eligible male patients with chronic heart failure secondary to ischemic heart disease were selected from National Heart Institute, heart failure outpatient clinic. Their ages ranged from 50-60 years old and their ejection fraction ranged from 30-40%, they were randomly assigned into threeequal groups: HIT Group: High Intensity aerobic Training. (n=15) MIT Group: moderate Intensity aerobic Training. .(n=15)LIT Group: low Intensity aerobic Training. (n=15) in the form of bicycle ergometer exercise for the lower limbs three times /week for three months Before and after intervention, the following parameters were obtained: Echocardiograph parameter (EF%, LVEDD,LVESD,FS) and (MLWHFQ). The results revealed greater improvement in HIT group ( in EF%, and MLWHF).
|Nadia Abdo1,Basma ALSaadawy, Eman Embaby, AliaaRehan Youssef.||Validity of a Smartphone application in
assessing balance in patients with chronic ankle instability.
Background: Lateral ankle sprain is a common injury, with an
incidence of 7 per 1000 exposures. Sprain may persist leading to chronic
ankle instability (CAI), which is believed to arise from dysfunctional
postural control, defective proprioception, muscle weakness, or reduced
ankle range of motion. Thus, assessment of postural control is essential
for proper clinical decision-making and treatment selection. With
advances in technology, Smartphone has been used to assess the
musculoskeletal system. Ithas the advantages of being portable and
economic. Yet, further validation is needed to allow its use in clinical
settings. Therefore, the purpose of this study was to assess the
concurrent validity of a Smartphone application in assessing balance in
patients with CAI. Methods: Twenty-four participants; 10 patients (14
ankles with CAI) and 14 healthy volunteers(28 ankles) were enrolled in
this study. Alltesting procedures were conducted in accordance to and
approved by the local ethics committee. Balance was measured during
single leg stance (with eyes opened and closed) simultaneously by the
Smartphone application “MyAnkle” and the Biodex balance system. Testing
was done bilaterally in a random order. All data were collected by an
assessor who was blind to participants’ grouping and limb condition. To
establish validity, Spearman’s rank correlation coefficients was used to
test the association between the application score and the overall
stability index of the Biodex system. Results: For patients group, the
correlation between measurements done by the two devices was
insignificant weak for both limbs in both eye conditions (opened and
closed). For healthy volunteers, the dominant limb showed significant
correlation when the eyes were closed (r =0.56, p = 0.037), however, the
relation was insignificant and weak for the eye-opened condition and for
non-dominant limb in the two eye conditions (r<0.5, p>0.05). Conclusion:
With the available number, the Smartphone application is not valid
compared to the Biodex system in assessing balance in patients with CAI.
For healthy volunteers, validity is dependent on eye-condition and limb
Key words: validity, balance, Smartphone.
|Nahla M. Abd El Kader, Haidy N.Ashem,
Mohamed M. EL-Kbalawy,
Abd El-S. Abd El-Hafiz.
|Validity And Reliability Of The Arabic
Version Of The Psoriasis Area And Severity Index In Assessment Of
Background: Psoriasis is a
chronic inflammatory skin condition that is often associated with
systemic manifestations. It is considered as a genetic, immunological,
systemic disorder with a prevalence of 1–3% Psoriasis Area and Severity
Index is the most commonly used measure to investigate the severity and
coverage of psoriasis, and the improvement after therapy. Purpose: To
culturally translate and validate the Arabic version of Psoriasis Area
and Severity Index scale (and evaluate the test-retest reliability ,
internal consistency, construct validity ceiling or floor effects of
this instruments) in patients with psoraisis to measure psoriasis
severity in psorisas patient and to ensure better care delivery. Subject
and Methods: One expert panel (each consists of ten experts) and 50
patients with psoriasis participated in this study. Forward translation,
development of preliminary initially translated version, backward
translation, and development of the pre-final version and testing of
pre-final version using experts then testing of the final version on
patients were done. Clarity index, expert proportion of clearance, index
of content validity, expert proportion of relevance, descriptive
statistics, missed item index, time taken to answer the scale,
Cronbach’s coefficient alpha and Spearman’s rank correlation
coefficients were used for statistical analysis. Results: The scale
index of clarity equaled 89%, while The S-CVI equaled 86.5%. With regard
to internal consistency, the Cronbach's alpha equaled 0.598 (range from
0.487 to 0.660). In addition, the Spearman’s rank correlations were
moderate to strong in the majority of items. Conclusion: The Arabic
Psoriasis Area and Severity Index scale is a valid and reliable tool and
is comparable to the original English version and other translated
Reliability- Arabic Psoriasis Area and Severity Index scale of
|Nelly F. Ali1, Manal A. Salah El Deen2, Maya G. Aly.||Physical Therapy Interventions for Low Bone
Mineral Density in Children with Cerebral Palsy: Systematic Review of
Background: Low bone mineral density in children with cerebral palsy (CP) can increase risk of fracture, chronic bone pain and it can result in a significant impact on quality of life; many interventions have been intended to improve low bone mineral density. Aim of the study: To systematically review the effect of physical therapy interventions on low bone mineral density in children with CP. Methods: Articles were identified through literature search using Pub Med (MEDLINE), physiotherapy evidenced at abase (PEDro) and Cochrane database from 1999 up to December 2018 and through reference list of the included studies and library search at Faculty of Physical Therapy, Cairo University from July to December 2018.Studies were included if they were randomized trials focused on children with CP and low bone mineral density; treated with physical therapy intervention. Data from included studies was extracted and it smethodological quality was assessed using PEDro scale. The modified Sackett scale was used to assess level of evidence of each intervention. Results: Ten trials were identified with fair to good methodological quality. Studies were heterogeneous in regards to population characteristics, interventions or outcome measures; findings were qualitatively analyzed. There were strong evidence supporting the use of weight bearing and vibration; moderate evidence for magnetic and electro-therapy and suit therapy; while limited evidence about the use of virtual cycling to improve bone density in children with cerebral palsy. Conclusion: The present evidence supports the effectiveness of physical therapy interventions for improving bone mineral density in children with cerebral palsy.
Keywords: Bone Density-Cerebral palsy- Children -Systematic review.
|Ola A Fathy,HodaA EL-Talawy, Naness E Mohammed.||Effect Of Sensorimotor Stimulation On
Manual Dexterity And Hand Grip Strength In Children With Diplegia:
A Randomized Clinical Trial.
Background: Children with diplegic cerebral palsy commonly exhibit sensory deficiencies in their hands in addition to motor problems. Impaired sensations negatively impact on acquisition of skilled movement which decreasing daily self-care activities and school activities. So the aim of the study was to assess the effect of sensorimotor stimulation on manual dexterity and handgrip strength in diplegic cerebral palsy children. Subjects and methods: Thirty diplegic cerebral palsy children were randomly allocated into two equal groups received successive three months intervention. Control group received designed occupational therapy program only, while study group received designed occupational therapy program in addition to sensory and perceptual stimulation program. Manual dexterity and grip strength were assessed by Bruinink-Oseretsky test and hand dynamometer, respectively. Results: data analyzed by paired t-testto compare the data within group and unpaired t-testto compare the data between both groups (study and control). There was a statistically significant improvement post-treatment in manual dexterity and handgrip strength in both groups and a statistically significant improvement in study group more than in control group. Conclusion: Sensorimotor stimulation had positive significant effect on manual dexterity (117.04%-46.82%) in study and control groups respectively and positive significant effect on hand grip strength (82.5%-38.91%)in the study and control groups respectively in children with diplegia.
|Omnia M. Younes , Salwa F. Abdelmajeed , Emad G. Kamel and Nasr A. Abdel-kader.||Prevalence Of Adolescent Idiopathic Scoliosis In Selected Urban And Countryside Schools In Egypt.||
Background: Scoliosis is a lateral curvature of the spine when the Cobb
angle is more than 10˚ on the frontal plane. Curve detection before
skeletal maturation gives a good opportunity for early treatment or
prevention of curve progression. Purpose of this study to compare
between the prevalence of adolescent idiopathic scoliosis in selected
urban and countryside areas in Egypt. Methods: This study was conducted
on 840 Egyptian male student between ages 10 to 15 years old from 4
schools according to exclusion and inclusion criteria. Students were
divided into two groups, group A which represented urban schools
students and group B which represented the countryside schools students.
Screening was conducted on both groups by using Adam’s forward bend test
(FBT), students with rib cage hump (positive test) and students with no
hump (negative test). Then students were screened using the Scoliometer
HD application with reading 7 degrees or more (≥20 degrees Cobb angle)
were referred to the medical assurance and their parents were informed
about the findings. Results: The forward bending test (FBT) group A
showed a higher positive results (41.43%) than group B (17.14%). The
scoliometer HD application readings which (7 or more) showed a
significance difference between two groups as group A was (12.61%) and
group B was (5%). Conclusion: Urban males school students have a higher
prevalence of adolescent idiopathic scoliosis than that in countryside
Keywords: Scoliosis; Scoliometer HD; School screening; Forward bending.
|Reda Gomaa Mohamed., Samir al Gazzar, Ahmad
Mahdi Ahmad, Khalid Mahmoud Kamel.
||Do Patients with Chronic Neck Pain have Related Diaphragmatic Dysfunction?||
Background: Recently, an
association between chronic neck pain and deterioration in pulmonary
functions has been reported. There have been recent suggestions to add
respiratory assessment to the routine physiotherapy assessment for
chronic neck pain patients. The purpose of this study was to assess
Diaphragmatic thickness fraction (DTF) in patients with chronic neck
pain and to investigate for a correlation between DTF and neck pain
symptoms or daily life disabilities caused by neck pain. Methods: Fifty
subjects with chronic neck pain were recruited to this study (10 male
and 40 female). The mean value of age of the subjects was 41.14±8.11
years; the mean value of BMI was 25.57±2.85,and the mean value of neck
pain duration was3.62±5.3 years. The inclusion criteria were middle-aged
patients, both males and females, patients with nonspecific chronic neck
pain, and patients with craniovertebral angle of less than 50 degrees.
The exclusion criteria were patients with neck pain due to disc
prolapsed or trauma, patients with cardiopulmonary problems, or smokers.
The outcome measures in this study were DTF measured by ultrasonography,
Visual Analogue Scale (VAS) for pain, and Arabic version of Neck
Disability Index (NDI). Results: The mean DTF was 114.8±40 % in patients
with chronic neck pain. DTF had no significant correlation either with
VAS for neck pain (r=0.04, p=0.781), or NDI (r=o.14, p=0.331).
Conclusions: DTF is not affected in middle-aged adults with chronic neck
pain, and is not correlated with neck pain and/or neck disabilities in
Keyword: Chronic neck pain,
forward head posture, diaphragmatic function.
|Reem Hassan Ragab Hassan; Mohamed Mahmoud Abd El Khalek Khalaf, Mohamed Hany El Nagar.||Nordic Walking Exercises Versus Resistive Exercises On Upper Extremity Strengthand Volume Of Lymphoedema Postmastectomy.||
Background and Objective:
Postoperative lymphedema post mastectomy is a secondary lymphedema, that
alters lymph drainage of the breast, thoracic quadrants, and upper
limbs. Its signs and symptoms include increased weight of the limb;
paresthesia of the hand; stiffness of fingers; reduced range of motion
and muscle weakness of upper so the aim of this study was to compare the
effect of Nordic walking and muscle strength of upper limb post
mastectomy. Materials and Methods:forty female patients 6 months post
mastectomy, their ages between 45 to 60 years old, were defined as
havingupper limb lymphedema and muscle weakness. The study was conducted
from February 2016 to January 2018 .The subjects recruited and underwent
physical exam at surgery clinic in National Cancer Institute. The
patients were randomly divided into two groups (A, B). Each group
consisted of 20 patients. Group (A) received Nordic walking and
traditional physical therapy for 8 weeks/ 2 sessions per week , group
(B) received resistance exercise and traditional physical therapy for 8
weeks / 5 sessions per week, all patients were assessed pre and post
treatment for these variables: Lymphedema measurements size and volume
and Peak torque of shoulder extensors and flexors. Results: Statistical
analysis revealed that there was a significant improvement in both
groups in lymphedema measurement and peak torque of shoulder extensors
and flexors pre and post values but group (B) which was resistance
exercises had a superior effect on peak toque of shoulder extensors and
flexors. There was no significant difference between both groups in
lymphedema size. Conclusion: group (B) had a superior effect in muscle
strength than Group (A) and no significant difference in lymphedema
measurements between both groups.
|Sahar Mohamad Adel ; Hoda Mohammad Zakaria , Wanees M El Amir.||Influence Of Dual Task Paradigm On Postural Control Among Healthy Young Adult Females.||
OBJECTIVE: The purpose of this study was to identify the difference between single and dual task outcomes and compare the dual task outcomes before and after training program. DESIGN: A randomized controlled trial. SETTING: Faculty of Physical Therapy at Cairo University. PARTICIPANTS: Twenty two females young adults with normal vision and hearing. Participant ages from 20-25 years old. INTERVENTIONS: Participants were randomly assigned to 2equal groups (control group involves single-task training, and study group involves dual-task training). The participant in the control group received balance exercise only, whereas participant in the study group received balance exercise combined with cognitive training via specific designed program. Participants received 45 minutes individualized training sessions, 5 times a week for 6 weeks. MAIN OUTCOME MEASURES: Biodex system 3 isokinetic dynamometer, was used to assess dynamic balance including one axis velocity, directional control, rhythmic weight shift, and tandem walk in addition to the Montreal Cognitive Assessment (MoCA), Maslach Burnout Inventory (MBI), and 6-miute walk test were also used. RESULTS: There was significant difference between both groups at all different tests. but the improvement was significantly higher in the study group compared to the control group (p < 0.001). CONCLUSIONS: Dual-task training is effective in improving postural control in adult females. Explicit instruction regarding intentional focus is an important factor contributing to the rate of learning and postural control.
Salma A Abdelhafiz, Manal S Abdel wahab,
Zeinab A Hussein, Sahar M Noureldin.
||Combined Effect of Static and Dynamic Splints on Grip Strength and hand Functional performance in Children with Hemiparetic Cerebral Palsy.||
Background: Cerebral palsy is
a common condition that has devastating effects on a child’s ability to
use hands. Either static or dynamic hand splints intervention often used
to address deficits in upper limb skills. Aim: the purpose of the
current study was to investigate the effect of combining both dynamic
and static splints on improving hand function and grip strength, in
children with hemiplegic Cerebral palsy. Subjects and Procedures:
Twenty-four children (8 boys and 16 girls) ranged in age between 30 to
45 months old, free from contractures at the wrist or elbow joints, were
participated in this study. They were randomly assigned equally into
control group ( that was treated by static splint) and study group (that
received a combined dynamic and static splinting) Evaluation of hand
grip strength using handheld dynamometer and hand function performance
detected by Peabody was done at baseline and after 12-weeks of treatment
application, Results: Post treatment mean values of grasping and object
manipulation skills showed a statistically significant difference(
p>0.05) within and between control and study groups while mean value of
grip strength showed insignificant difference in grip strength (p<0.05)
between both groups. Conclusion: Combined effects of dynamic and static
splint have been appeared to be most beneficial on improving hand
function in children with hemiplegic CP .
Keywords: static, dynamic
splinting, cerebral Palsy, hand function performance, grip strength.
|Mohamed H. Elgendy, Sara A. Fetoh, Ibrahim M .zoheiry, Rania N. Karkousha.||Effect Of Extensive Use Of Smart Phones On
The Functions Of The Upper Extremity.
Background: Extensive use of
smart phones can be associated with physical health related problems,
such as pain in the wrists and neck and exposes hands to intense
stresses that may lead to hand and thumb disorders. Purpose: to
investigate the effect of extensive use of smart phones on the functions
of the upper extremity, median and ulnar conduction velocity and hand
grip strength. Design of the study: Cross-sectional design. Methods: one
hundred normal subjects with their age ranging from 18 to 25 years were
divided into two equal groups. Group A represented the extensive smart
phone users for minimum 3-6 hours per day while Group B represented the
non-extensive smart phone users for less than 2 hours per day.
Electromyography was used for measuring conduction velocities of the
median and ulnar nerves, hand dynamometer was used to measure hand grip
strength and disabilities of arm, shoulder and hand scale (DASH) was
used for assessment of upper extremity function.
Keywords: DASH scale,
extensive Smartphone use, hand grip strength, nerve conduction velocity.
|Sarah Essam Nabieh, Gehan Hassan
El-Meniawy, Zeinab Ahmed Hussein, Ehab Raga Abdel-Raoof.
||Impact of intensive physical therapy on gross motor functions in children with cerebral palsy.||
Background: The evidence of intensive intervention is not well defined while it is used by many therapists forchildren with cerebral palsy. Asthey expect some effect of intensive therapy. The aim of the study is to evaluate the short term effect of intensive physical therapy on gross motor functionsin children with spastic diaplegic cerebral palsy. Methods: 20 spastic diplegic children of 2-4 years old were randomly assigned into two equal groups (control and study). intensive therapy program was applied to study group for four hours per day for 5days per week. The motor functions of all children were evaluated using Gross Motor Function Measure-88 (GMFM-88) scale before and after three weeks of the intervention. Results: The scores of GMFM-88 increased in both groups when comparing between before and after intervention with significant difference between study and control groups after intervension (P < 0.001).Conclusion: The intensive therapy might be effective on gross motor functions of children with spastic diplegic cerebral palsy.Keywords: Cerebral Palsy, Spastic diplegia, intensive therapy , Children
|Sayed A. Tantawy , Dalia M. Kamel1, Walid Kamal.||Secondary upper limb lymphedema following
mastectomy responses to kinesio taping application: a preliminary study.
Background: It is observed that upper extremity lymphedema is one of the most prevalent complications following breast cancer surgery which prompts functional impairment, psychological disaster and social problems. Thepurpose of the study was to investigate the effect of Kinesio taping on secondary lymphedema of the upper extremity following mastectomy after breast cancer. Material and Methods: In this experimental study, 33women with lymphedema following mastectomy received Kinesio taping (KT). The KT application was 2 times per week for 3 weeks. All patients were evaluated to record the changes of the limb circumference, at baseline and end of intervention. Results: Sum of limb circumferences was significantly improved after treatment as compared with before treatment in the KT group (P<0.05). Conclusion: Kinesio Taping is an advanced therapeutic approach in the treatment of subjects with lymphedema after mastectomy that has problems with other modalities.
Keywords: Kinesio taping; lymphedema; Mastectomy; Breast cancer; Limb measurement.
|Shaimaa Abd El-Rahman Haiba, Neveen Abd El Latif ; Rania Nagy Karkousha.||Validity And Reliability Of Arabic Version Of Penn Shoulder Score.||
Background: Shoulder disorders problem is a common, disabling condition which affects large population and causes many functional impairments. So it is important to measure the pain, satisfaction and function of the shoulder joint. Purpose: The purpose of this study was to translate and adapt the Penn Shoulder Score into Arabic and to investigate the face validity, content validity, internal consistency reliability, the feasibility and test retest reliability of Arabic version of Penn Shoulder Score as a score to assess the pain, satisfaction and functional activity of the shoulder joint in patients with different shoulder disorders, Subjects and methods: One expert panel; consists of ten experts and 250 patients with different shoulder disorders participated in this study, 510 sheets (including retest sheets) were filled out in this study. Forward translation, development of preliminary initially translated version, backward translation, development of the pre-final version and testing of the pre-final version by experts then testing of the final version on patients was done. Clarity index, expert proportion of clearance, index of content validity, expert proportion of relevance, descriptive statistics, missed items index, time taken to answer the score and Cronbach`s coefficient alpha were applied for statistical analysis. Results: The studyshowed that score index of clarity equals 89.58%, scale-level clarity index Universal Agreement equals 75% and the mean of proportion of clearance (clear responses) equals 93.75%. Also Scale-Level Index of Content Validity equals 87.5%, Scale-Level Index of Content Validity / Universal Agreement equals 58.33% and the mean of proportion of relevance (relevant responses) equals 100%. The score items were filled out by 95.3% in all sheets and it needed an average of 4.8-14.8 minutes to be answered in about 100% of all sheets. Cronbach's alpha equals 0.955. Conclusion: The translated Arabic-Language version of the Penn Shoulder Score has a face and content validity, feasibility, internal consistency and test-retest reliability enough for research and clinical application as a score to assess the pain, satisfaction and functional activity of the shoulder joint in patients with different shoulder disorders.
Keywords: Validity - Reliability - Feasibility - Penn Shoulder Score.
|Somaya A. Ali, Nanees E. Mohamed, Faten H. Abdelazeim.||Effect of Transcranial Direct Stimulation
on Cognition in Children with Attention Deficit Hyperactive Disorder:
Systematic Review .
Background: The use of
Transcranial Direct Current stimulation (tDCS) in cognition improvement
in children with attention deficit hyperactivity disorder is new, and
thus the scientific evidence for its effectiveness needs to be evaluated
through a systematic review. Objective: To provide updated
evidence-based guidance for tDCS effects on cognition in children with
attention deficit hyperactivity disorder. Data synthesis: Six studies
included 133 participants in total. Best evidence synthesis was applied
to summarize the outcomes, which were memory performance, intrinsic
alertness, performing time and commission errors. Conclusion: the
available datademonstrated the efficacy of tDCS as a new modality on
cognition in children with attension deficit hyperactivity disorder has
an immediate and short term effect on improving cognition .Further
studies are still needed, especially those involving both
neurophysiological and functional evaluations and to cover further
domain on attension deficit hyperactivity disorder.
|Sondos K. Radwan1,Asmaa M. El Bandrawy, Wafaa M. Kamal, , Mohamed F. Abo El Einin.||Effect of Relaxation Techniques on female
maintains the maternal foetus link favours the transmission of
immune-competence from the mother to her infant and is considered an
important contributory factor to the neo natal immune defence system.
|Thoria H. Thabet, Azza B. Kassab, Asmaa M. Aly, Mohamed F. Abo ElEinin||Effect Of Foot Reflexology Versus Aerobic Exercises On Primary Dysmenorrhea.||
Background: Dysmenorrhea is
chronic, cyclical pelvic pain associated with menstruation. Typically,
it is characterized by cramping lower abdominal pain occurring just
before and/or during menstruation, usually starting soon after menarche
once regular ovulation is established. Aim: To determine the effect of
foot reflexology versus aerobic exercises on female with primary
dysmenorrhea. Subjects: A sample of 40 females diagnosed with primary
dysmenorrhea was selected from Gynecology department at Om El-Masryeen
General Hospital. Their ages ranged between 16-23 years and body mass
index (BMI) 20-25 kg/m2. They were randomly assigned into 2 groups equal
in number (A&B). Group (A) performed aerobic exercises for 30 min on
treadmill and group (B) recieved foot reflexology sessions for 40 min.
The treatment program was performed 3 times\week for 8 weeks for both
groups. Assessment of all subjects in both groups was carried out before
and after 8 weeks of the treatment program throughout visual analogue
scale (VAS) to measure pain intensity , analysis of blood cortisol level
and Spielberger State –Trait Anxiety Inventory scale (STAI). Results:
showed that post-treatment a statistical significant decrease in the
median value of pain on VAS (p<0.033) STAI (p<0.0430) and serum cortisol
level( p<.0038) with more decrease in group (B) than group (A).
Conclusion: Both aerobic exercises and foot reflexology could decrease
dysmenorrhea pain but foot reflexology is more recommended.
|Walaa E. Heneidy , HodaA. Eltalawy, HalaI.Kassem, Naglaa A. Zaky.||Impact of Virtual Reality Training on Balance in Spastic Hemiplegic Cerebral Palsied Children.||
Background: The large
majorities of children with cerebral palsy (CP) demonstrate poor
balance, that leads to poor gait and reaching movements as the
maintenance of stability is critical to all movements. There are various
approaches and strategies to improve balance; virtual reality is one of
them. Therefore, this study aimed to evaluate the effects of virtual
reality training on balance in spastic hemiplegic cerebral palsied
children. Methods: Thirty children who fulfilled the inclusion criteria
were randomly allocated into two groups (control and study).
Participants in both groups received a selected therapeutic exercise
program. The study group additionally received balance training on
Nintendo Wii device. Total treatment provided for both groups was 90
min/day, 3 days/week for 4 successive months. Baseline and
post-treatment assessment for overall, anteroposterior, andmediolateral
stability indices were evaluated by using Biodex balance system.
Results: Children in both groups showed significant improvements in
post-treatment mean values of all measured variables when compared to
the pre-treatment mean values (p<0.05). Significant improvement was
observed in favor of the study group when post treatment values of both
groups were compared (p< 0.05). Conclusion: Balance training on Nintendo
Wii device is a useful tool that can be used in improving balance in
children with hemiplegic cerebral palsy.
Keywords: Cerebral palsy,
Balance, Virtual Reality.
|Walaa M Al-Komy;Mohamed A Awad; Mohamed A Mohamed;Wafaa M Kamal.||Effect of Upright Versus Recumbent
Positions During First Stage of Labour on Labour Outcomes.
Background: Shifting from the
supine to the upright position is a great challenge to both women in
labour and health workers in practice. Aim: This study was conducted to
determine the effect of upright versus recumbent positions during first
stage of labour on labour outcomes. Subjects: Sixty women between 37-41
weeks gestational ages in active phase of first stage of labour
participated in this study. They were selective randomly from Benha
University Hospital. Their ages ranged from 18-35 years old and their
BMI were not more than 35kg/m2. They were with single live fetus and
their fetus was in cephalic presentation. They were without any
pregnancy or medical complications. Women were randomly assigned into
equal groups: Group A (Upright group) consisted of thirty women who
adopted the upright positions. Group B (Recumbent group) consisted of
thirty women who remained in bed (supine or sidelying positions).
Methods: Duration of stages of labour was assessed using stop watch.
Diastolic blood pressure was assessed by using sphygmomanometer at the
beginning and after 2, 4, 6, 8 hours of first stage of labour for both
groups A and B. Results: revealed that duration of first, second and
third stage of labour of upright group decreased significantly than
recumbent group. Diastolic blood pressure was decreased significantly in
(recumbent) group B than (upright) group A. All women in both groups A
and B delivered normal labour with episiotomy (100%) and none of them
delivered instrumental or caesarean deliveries (0%). Conclusion: Upright
positions had positive effect on progress of labor and decreased
duration of the three stages of labour.
Keywords: Upright positions,
Recumbent positions, Labour, Labour outcomes.
|Yahiya Zakaria, Mary Kamal NassifTakla, Magda GayedSedhom.||Effect of cervical radiculopathy on
handgrip strength in Egyptian dentists.
radiculopathy is a sensorimotor deficit syndrome that can cause of pain,
numbness, and tingling in the upper extremity to electrical type pains
or even weakness. Dentistry demands high accuracy and dentists
frequently assum a rotated and forward head posture. This produces high
static load in the neck region; with extended work duration, this static
load may result in neck pain, muscle imbalance or cervical instability.
Aim of this study: was toinvestigate the effect of cervical
radiculopathy on handgrip strength in egyptian dentists. Participants
and method: Case control study was used. One hundred right handed
dentists were selected from different hospitals with age ranging from 25
to 35 years old and with work experience from 5 to 15 years. Dentists
were then stratified into two groups; cervical radiculopathy group A
that was confirmed with a positive Spurling sign as well as a score
above 30 of neck disability index. Both groups handgrip strength was
measured by Jamar handgrip dynamometer .group B consists of normal
healthy dentists have experienced no pain 3 months prior to the study.
Results: There was a significant decrease of the handgrip strength in
group A when compared with that of group B (p< 0.0001). Conclusion:
based on the findings of this study, our results conclude that there was
a significant decrease of the handgrip strength in dentists suffering
from unilateral cervical radiculopathy when compared to healthy pain
radiculopathy, hand grip, dynamometer
|Yasmin Mahmoud Rabie, Khadyga S. Abdel-Aziz; Ghada E. El-Refaye; Hassam Omar.||Effect Of Aerobic Exercise Training Combined With Isoflavone Supplementation On Lipids In Postmenopausal Women.||
Background: Menopause is
defined as the permanent cessation of menstrual periods that occurs
naturally or is induced by surgery, chemotherapy, or radiation. Purpose:
This current study was designed to investigate and compare the effect of
aerobic exercise training, isoflavone supplementation and aerobic
exercise training with isoflavone supplementation on lipids in
post-menopausal women. Subjects and Methods: This study was conducted in
Mashtoul Hospital Central Market, El Sharkeya. And outpatient clinics
from Mansoura Hospital. Sixty post-menopausal women participated in the
study. Patients were randomly divided into three equal groups, for 12
weeks, post 1 after 8 weeks, post 2 after 4 weeks from post: Group (A)
(aerobic exercises group), Group (B) (isoflavone supplementation group)
and Group (C) (combination group). Results: The mean age of group A, B
and C were 52.15 ± 4.17, 49.8 ± 5.25 and 50.9 ± 4.08 respectively, all
groups showed significant improvement in low density lipoprotein, Height
density lipoprotein, triglycerides and total cholesterol regarding
pre-values, post 1 value and post 2 values (P> 0.05), also there is
statistically significant difference between the three groups in post 1
value and post 2 values (P> 0.05) in all groups favouring group C over
the others, Conclusion: we could conclude that there is statistically
significant effect of exercise training, isoflavone supplementation and
exercise training combined with isoflavone supplementation on lipids in
postmenopausal women but combined technique express better results.
|Yasmin Mohamed Mahmoud, Amira Mohamed El-Tohamy, Walaa Abd El-Hakiem Abd El-Nabie, and Faten Abdo-Almonem Amara.||
Heart rate and Its Variability in Response to Submaximal Cycle
Ergo-meter in Children with Cerebral Palsy.
Background: Irregular heart rate (HR) and heart rate variability (HRV) are common problems among children with cerebral palsy (CP) which may be associated with low physical tolerance. The aim of the current study was to investigate the response of HR and HRV at rest, during submaximal cycle ergo-meter and at first and second minutes rest post exercise in children with CP. Methods: Thirty children with spastic CP of both sexes, aged from 7 to 11 years were participated in the present cross-sectional study. They were divided into two equal groups (15 children in each group); A and B. Children with spastic hemiplegia were allocated to group A while children with spastic diplegiawere allocated to group B. HR and HRV were assessed and monitored by the Polar Advanced Heart Rate Monitor (RC800CX) at four-time intervals. Four-time intervals were; five minutes rest pre cycle ergo-meter, during last stage of submaximal cycle ergo-meter, and at first and second minutes rest post cycle ergo-meter. Results: The results of the current study revealed that, in group A there were significant difference in HR and HRV between the four-time intervals (p=0.001,0.0001) respectively. Also in group B there were significant difference in HR and HRV between four-time intervals (p=0.001, 0.0001) respectively. Conclusion: In children with CP, HR and HRV responded to submaximal cycle ergo-meter.
|Yosra M. Mohamed Ali1, Eman I. Elhadidy2, Rania G. Eldeen Abdou3,Shora Y. Darwish.||Effect Of Whole Body Vibration On Quadriceps Muscle Performance In Hemiparetic Children.||
children present with weakness and motor skill deficits on one side of
the body. Muscle performance elements are strength, power and endurance
which are affected in all cases of hemiplegia. the aim of this study is
to determine the effect of whole body vibration (WBV) on quadriceps
muscle performance in hemiparetic children. Methods: Forty hemiparetic
children were selected from the outpatient clinic of the Faculty of
physical therapy, Cairo University and private clinics. The children
were grade 1to1+ according to modified ashwarth scale and their ages
ranged from 4to8 years, They were assigned into two groups of equal
numbers study and control groups. The control group received selected
physical therapy program and study group received the same selected
program as control group plus vibration programboth groups received
treatment 3 times/week for two successive months, Lafayette device was
used to asses quadriceps muscle strength, six minute walk test (6MWT)
was used to asses endurance and vertical jump test was used to asses
average power. Results: There were no significant differences in
Quadriceps force, 6MWT and average power between both groups
pre-treatment (p > 0.05). Comparison between the control and study
groups post treatment revealed that there were significant increase in
Quadriceps force, 6MWT and average power in the study group compared
with that of the control group (p > 0.05). Conclusion: the study
indicates that WBV has beneficial effect on quadriceps muscle
performance, so its highly recommended in physical therapy treatment
Keywords: cerebral palsy,
whole body vibration, muscle performance, quadriceps, children.