The 17th International Scientific Conference

Faculty of Physical Therapy

Cairo, 10-11 March, 2016

ABSTRACT

Background: Elbow stiffness is a common sequel of elbow trauma in children. Restoration of joint range of motion (ROM) and functional activities can be a difficult, time consuming, and costly challenge. The purpose of the study was to investigate the effect of iodine iontophoresis in treating post traumatic elbow stiffness in children Methods: 42 patients with posttraumatic elbow stiffness, ranged in age from 6-12 years participated in the study. Patients were randomly assigned into two equal groups. Control group (n=21) and study group (n=21).  Patients in the control group received superficial heat, stretching and strengthening exercises for 8 weeks, while patients in the study group received the same program plus application of iodine iontophoresis (2 mA for 15min/session). Patients were evaluated by electrogoniometer for active range of motion of the elbow joint, the disability of arm shoulder and hand (DASH) questionnaire for assessment of functional activities of the arm and the recovery time was calculated. The evaluation was applied at baseline and after last session of corresponding intervention (8weeks) Results: There was no significant differencesbetween-groups at baseline in ROM of the elbow joint and DASH scores. At the end of the 8-weeks of intervention,Subjects in the study group experienced significant increase in ROM of the elbow and improvement in elbow function activities with greater reduction of the recovery time than those in the control group (P>0.05).Conclusion: The results of this study suggested that iontophoresis application could be an effective and non-invasive modality for decreasing the duration of rehabilitation, improving ROM and functional activities of the elbow joint in children with post traumatic elbow stiffness. Further studies were needed to investigate the mechanism underling the therapeutic action of iodine iontophoresis. Keywords: Posttraumatic elbow stiffness, pediatrics, Iodine iontophoresis.

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Selective Physical Therapy Modality for Treating Children

 With Post Traumatic Elbow Stiffness

 

 

 

 

 

 

 

Azza M. Atya , Mohsen M. El- Sayyad , Mahmoud M.Nasser

 

 

 

 

 

 

 

 

 

ABSTRACT

Background: Very little is known about fetal movements in utero during pregnancy. Despite these movements are crucial to normal musculoskeletal development. Purpose: To describe kinematically normal fetal lower limbs movements in three trimesters of pregnancy. Study design:  cross sectional study. Subjects: Forty five healthy fetuses were diagnosed by obstetrician. They were assigned into three equal groups (A, B &C); according to trimesters of pregnancy (1st,2nd,and 3rd) respectively. Methods: fetuses were scanned in their mothers’ wombs via four dimensional cine ultrasound devices. Kinematic analysis was done for hip, knee and ankle including instantaneous angular positions, joint ranges and velocity parameters for the three groups. AutoCAD program was used to measure the angles.  The results of this study showed that there were some of developmental variability in knee and ankle tested parameters which can be explained by the consistency of hip joint parameters among the three trimesters of pregnancy. Conclusion: Kinematic analysis of fetal lower limbs’ movements may reflect the processes of motor development for fetuses among three trimesters of pregnancy.Key words: Fetal movements, Movement patterns, kinematic analysis, Lower Limbs.

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Kinematic Description of Fetal Lower Limbs Movements in theThree Trimesters of Pregnancy

 

 

 

 

Hend Mohamed Aly, Prof. Dr. Eman Ibrahim El-Hadidy, PhD, and Dr. Manal Radwn Salim

 

 

 

 

 

ABSTRACT

Back ground: Low back pain (LBP) refers to pain at the lower back or lumbosacral region. It is a very common symptom and is associated with a high rate of disability. Spinal instability is believed to be an independent risk factor for the development and progression of LBP. Patients with LBP showed defective proprioception, especially position sense, compared to healthy individuals. Proprioceptive defect was attributed to ischemia and depletion of mechanoreceptors within thoracolumbar fascia. Thus, therapeutic interventions that may help in reversing proprioception deficits such as electromagnetic field can be used as preventive and therapeutic methods. Purpose: The present study aimed at investigating the effects of Electromagnetic field (EMF) on the number of mechanoreceptors in thoracolumbar fascia. Methods: Sixteen healthy adult Wister male rats weighing between 250 to 300 gm were randomly divided into two groups: (I) EMF exposed (experimental) and (II) sham exposed animals. Each one of the EMF exposed animals was placed in a separate plastic cage inside electromagnetic set up cylinder coil (42cm diameter) that was connected to a main power supply (AC -50 Hz) and adjusted via variac to produce EMF of 0.3 mT. The EMF intensity was monitored with a probe connected to a digital tesla meter. Rats were exposed for 1h/day at the same time every day, six days/week for two weeks.Sham exposed animals went through the same procedures except that no EMF was generated. Six-hours following the last session, all animals were sacrificed. Tissues were harvested and the thoracolumbar fascia stained with1% gold chloride solution for histological examination. Results: The number of Pacinian corpuscles significantly increased in the experimental group compared to that of the sham exposed group (P < 0.05). The Golgi tendon organs number and Ruffini corpuscles number were statistically not different between the two groups (p> 0.05). Conclusion: EMF is effective in increasing the number of Pacinian corpuscles in thoracolumbar fascia but not the number of Golgi tendon organs or Ruffini corpuscles in healthy Wister rats. Key words: Electromagnetic Therapy, fascia, mechanoreceptor, rats.

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Effect of Electromagnetic Therapy on Mechanoreceptor Number as A risk Factor of Low Back Pain

 

 

 

 

 

 

Mahmoud Mohamed Mahmoud Nabhan, HaithamSharaf El-Din Mohammed, AlaaEldin Abd Elhakeem Balbaa

 

 

 

 

 

 

 

ABSTRACT

Objective: The purpose of this study is to test intra rater reliability of placement of facial markers for calculation of facial angles utilizing moiré topography. Design: randomized non experimental design. Setting: Faculty of Physical Therapy, Cairo University. Materials and Methods: Twenty five healthy subjects were randomly selected from both gender, They were participated in the study after signing institutionally approved consent form prior to data collection .Five facial angles were measured at both sides of the face which done by five muscles includes: ( frontalis, orbicularis oculi, levatorangulioris, zygomaticus major , buccinators) after putting twenty two passive reflective markers made of plastic balls of 5mm in diameter on the face of the subjects then asked each subject to raising eye brow then relax and after light eye closure then smiling then kissing and finally blowing  to measure each angle two times at one day apart between each measurement by using Moiré topography. Results: There was a strong positive correlation between first and second readings for all the five angles of the face right and left side at one day apart measurements by using moiré topography, these angles were including: (raising, closing, smiling, kissing and blowing angles). Conclusions: There was a strong correlation between first and second reading of each angles of the five angles of the face that repeated two times at a separate one day by using moiré topography that is accurate and reliable methods to measure facial movements. Keywords: Moiré Topography, Intra rater- reliability, facial markers, healthy.

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Intra- rater Reliability of facial markers placement

 Utilizing Moiré Topography: pilot study.

 

 

 

 

 

 

 

Rania Reda Mohammed , Mohsen Mohamed El Sayyad, Neveen Abdel Latif, Ragya M. Kamel

 

 

 

 

 

 

 

 

ABSTRACT

Background: The objectives of any health system are good health, responsiveness, and fair financing. Responsiveness refers to how a system facilitates people to meet their legitimate non health expectations. Purpose: This study was conducted to determine the real responses of women to non clinical services in some physical therapy departments in General Organization for Teaching Hospitals and Institutes, and how they rated the domains of responsiveness from their point of view; such as: which domain was the most important and which domain is the least important, and what is the rate for each domain on a 0-10 scale where 0 was not important at all while 10 was the most important to these women. Participants: 412 women, varying in age and educational level while all of urban areas in residence, were selected from Physical Therapy Departments in National Institute for Neuromotor System; El Sahel, EL Mataria, Ahmed Maher, and El Galaa Teaching Hospitals; and National Institute for Nutrition. Methods: A developed questionnaire and modulated to be suitable for asking about the responsiveness of ambulatory care visits in Physical Therapy Departments was used. Analysis: Frequency and percentage had been used to describe the entire data outcomes, while mean of highest responses in percent to questions B13, B24, B34, B43, B53, B63, and B73 was used to rank the total responsiveness between the hospitals and institutes of the study as descriptive statistics. Kruskal Wallis Test had been used to evaluate and compare between the responsiveness domains (for selected questions because of the large entire data outcomes) in each age group and category of education; because of the data are non-parametric; as analytical statistics:  The selected questions from section “B” were the previously mentioned, as well as all the questions of sections “C” and “D”. Results: Moderate level of responsiveness, with dignity is the most important domain and autonomy is the least important domain; all over the hospitals and institutes included in the study. Age and educational level had influences on the responses to the questionnaire in women. Conclusion: Dignity was the most important domain while autonomy was the least important domain. Dignity, confidentiality, clear communication, prompt attention, and choice of health care provider were well acting; while quality of basic amenities and autonomy were not well acting. All over, there was no excellence in performing any domain. Key words: Responsiveness, non clinical services, domains, age groups, educational level.

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Responsiveness of Women in Physical Therapy Departments

 

 

 

 

 

 

 

 

 

 

 

Mohamed Farouk Abdel Fattah, Amel Mohamed Yousef, Magda Abdel Fattah Moussa, and Adly Ali Sabbour

 

 

 

 

 

 

 

 

 

 

ABSTRACT

Purpose: The study was conducted to investigate the prevalence and prediction rules for hip joint overuse sports injuries among children and adolescent in karate sport. Subjects & Methods: Fifty nine children and adolescent karate players from port-said private and public clubs and Karate schools of both sexes (45 boys and 14 girls) were enrolled in this study. The players age ranged from 8 to 18 years, with training experience in karate of at least 3 years and a training intensity of at least 3 hours/week. Their belt ranks were between (orange-black). Overuse injury questionnaire was used to collect the data required to proceed the study.  Results: The results revealed that the injury of the hip joint represents 22.7% from the total injuries the occurred to the participated Karate players with a frequency of 10 injuries per year. Regarding the prevalence of overuse injury, 59% of the players complained at least one problem at the hip joint. Regression model was used to identify risk factors (age, training age, sex, rank, style, training frequency/week and training time/day) for hip joint overuse sports injuries. The results revealed statistically non-significant prediction (p>0.05). Conclusion: There is a high prevalence of overuse sports injury of the hip joint among children and adolescent Karate players with no clinical prediction rules for hip joint sports injuries. Keywords: Overuse injuries – Clinical prediction rules – Hip joint .

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Prevalence and prediction rules for pediatric hip joint overuse injury

 

 

 

 

 

Mona Mahmoud Abd El Ghany, Abdel Wahab M Salah, Samia A. Abdel Rahman

 

 

 

 

 

ABSTRACT

Background: Heart failure is a syndrome characterized by cardiac dysfunction, myocardial impairment or loss, with either left ventricular dilation or hypertrophy or both, responsible for it's cardinal manifestations of dyspnea, fatigue and exercise intolerance. Purpose: To determine the effect of low frequency neuromuscular stimulation on ergoreflex activity in advanced heart failure. Methods: Thirty patients of both sexes (7 women and 23 men) with advanced heart failure were included in this study with mean age of 60.13 years. They were chosen from outpatient clinic, Eldemerdash university hospital. They were assigned in a single group which received eight weeks (four times a week) of increasing amplitude low frequency neuromuscular stimulation on Quadriceps and calf muscles after thorough assessment of ergoreflex, ejection fraction and assessment of disability via Minnesota Living with Heart Failure Questionnaire. Results: Statistical significant alteration of ergoreflex contribution associated with decreased disability without any statistically significant changes in ejection fraction. The percentages of changes in minute ventilation (VE) and carbon dioxide dioxide production (VCO2) and maximum oxygen production (VO2) were 37.83%, -36.38% and 25.46% respectively. These changes were associated with improved functional, emotional and psychological status of the patients with a decline of Minnesota Living with Heart Failure Questionnaire score by -29.87% without any significant statistical change in ejection fraction with a change percentage of 2.06%.Conclusion: eight weeks of low frequency neuromuscular stimulation altered ergoreflex contribution leading to a higher functional levels without causing significant central changes regarding ejection fraction. Key Words: Heart Failure/Low Frequency Neuromuscular Stimulation/ Muscles/ Ergoreflex.

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Does Low Frequency Neuromuscular Stimulation modulate Ergoreflex Activity in Advanced Heart Failure?

 

 

 

 

 

 

Nesreen G. El-Nahas, Hazem M. Khorshid, Donia M. El-Masry

 

 

 

 

 

 

 

 

ABSTRACT

Objective: The purpose of this study was to investigate the effect of different age groups and gender on facial movement by using Moiré Topography.Design: one shot non experimental design.Setting: The Faculty of Physical Therapy, Cairo University.Materials and Methods: One hundred and fifty healthy subjects, both genders (75 males, 75 females), Age range from 20-50years. it was classified into three groups(20-30),(30-40)and (40-50 years old) five facial angles were measured at both sides of the face for each subject three times during static position and during contraction ,this angles were raising, closing, smiling, kissing and blowing angles and  the AutoCAD program used to calculate and analyze this angles.Results: There were a significant effect of age groups on the five facial movements including right and left raising, closing, smiling, kissing and blowing, also there was a significant effect of sex on the five facial angles and finally there was a significant interaction effect of age groups and sex difference on the same five facial movements by Two Way ANOVA. The regression analysis indicated that the correlations between age groups and facial movement were moderate negative significant correlation for all the five angles at right and left side and also there was a moderate negative significant correlation between sex and five facial angles.Conclusions: there were a significant effect of  age and sex different on the facial movements  including the five angles of the face right and left side and that  the female are more than male in the five facial movements and that with increasing age, there is a decrease in the range of the five angles of the face.Keywords: Moiré topography, Healthy, Auto CAD.

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Effects of Age and Gender on Facial Movements: Utilizing Moire Topography

 

 

 

 

 

 

 

 

Rania Reda Mohammed, Neveen  Abdel Latif, Mohsen M. El Sayyad,  Ragya M. Kamel

 

 

 

 

 

 

 

 

ABSTRACT

Background: Whole body vibration has been increasingly used for performance enhancement as well as treatment of some conditions. Although there is much focus on studying muscular performance accompanied with whole body vibrations, till now little is known about its effect on motor units whether it has excitatory or inhibitory effects. The purpose of this study was to investigate the effect of a single bout of whole body vibration on motor neuron excitability in healthy subjects immediately and 30 minutes post application.Participant and Methods: Sixty healthy male subjects participated in this study; their age was ranging between 18 and 25 years old. They were randomly divided into two equal groups; experimental and control groups, each group contained thirty subjects by drawing ballots from sealed envelopes. Experimental groupreceived whole body vibration with a frequency (50-60 Hz), and amplitude (0-10 mm) for 1 minute, 1minute rest period between each vibration set that was repeated 5 times. Control group stood on whole body vibration device for the same duration while it was off.H-reflex amplitude and H/M ratio were measured from soleus muscle (posterior tibial nerve) before, immediately (0 minute) and 30 minutes post application in both groups using surface EMG. Results: There were significant decrease in H-reflex amplitude at 0 min and 30 min measurements in the study group compared with control group (p = 0.002, 0.01 respectively). Moreover, there were significant decrease in H/M ratio at 0 min, and 30 min measurements in the study group compared with control group (p = 0.0001, 0.03 respectively).Conclusion: Whole body vibration decrease motor neuron excitability.So, whole body vibration may have therapeutic implications for people of central nervous system disorders, where spasticity is a major manifestation. Key words: Whole- body vibration, H-Reflex, motor neurons

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Effect of Whole Body Vibration on MotorNeuron Excitability in Healthy Subjects: A Randomized Controlled Trial

 

 

 

 

 

 

Salah Eldin B. Elsayed , Neveen A. Abdel Raoof, Omnia M. Elsayed

 

 

 

 

 

 

 

 

ABSTRACT

Background: Management of burn injury has always been the domain of burn specialists. Management of burn wound inflected by the different physical and chemical agents requires different regimes which are poles apart from the regimes used for any of the other traumatic wounds. Purpose: The purpose was to evaluate the efficacy of superficial versus deep nano silver gel phonophoresis on burn wound. Material & methods: Thirty patients with deep partial thickness burn wound from Kasr Aini Hospital, Burn Unit, were randomly assigned into three groups (Group (A), Group (B) and Group(C)) of equal number. Patients were (12 males and 18 females), their ages ranged from 20-40 years, they were free from any other diseases that might affect or influence the results. Patients in group (A) (Deep phonophoresis group) received deep phonphoresis of Nano silver gel three times per week for 3 weeks while patients in group (B) (Superficial phonophoresis group) received superficial phonophoresis of Nano silver gel three times per week for 3 weeks while in group (C) (Nano silver gel group) received Nano silver gel three times per week for 3 weeks. Assessment: The method of assessment was tracing method then calculates the area by AutoCAD program. The results: Results showed a significant improvement in the three groups in favor of group (A). Conclusions From the findings of the current study it is concluded that deep phonophoresis of Nano silver gel is more effective than superficial phonophoresis in improving burn wound healing.Key Words: Nano silver, Phonophoresis, Burn wound.

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Efficacy of Superficial Versus Deep Nano Silver Gel Phonophoresis on Burn Wound

 

 

 

 

 

 

 

Samah S. Mohamed, Mohamed M. Khalaf, Ahmed M. Kenawy, Ereny Sobhy