Browsing by Author "Omnia Saeed Mahmoud Ahmed"

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Effect of training using the Biodex system on dynamic balance and physical performance: a randomized controlled balance--training trial in hemodialysis patients with osteopenia
(Wydawnictwo Continuo, 2025-03-26) Hagar Ahmed El-Hadidy; Marwa Abdelfattah Gaballah; Sally Mohamed Abouelfetouh; Rania Hakim Hamed; Sara S. El-Din; Omnia Saeed Mahmoud Ahmed
Background. The Biodex Balance Training System (BBTS) has been utilized as an imbalance assessment/treatment tool in various populations and diseases. Objectives. The aim of this study was to investigate the effect of BBTS on dynamic balance and physical performance in hemodialysis (HD) patients with osteopenia. Material and methods. 58 women with HD and osteopenia were randomly assigned to a 12-week Biodex-training group (BTG, n = 29) or a non-trained group (n = 29). The training, 3 times per week, was conducted using BBTS and lasted for 10 minutes, with the two types of training – weight shift and postural stability – each lasting 5 minutes, allowing the HD patients to relax for 2 minutes between each type of exercise. HD patients’ femoral bone mineral density (T-score) was assessed in both groups. Dynamic balance was assessed in both groups via the HD participants’ BBTS-extracted overall stability index (OASI), BBTS-extracted anteroposterior stability index (APSI), and BBTS-extracted mediolateral stability index (MLSI). The HD patients’ physical performance was also evaluated using a 6-minute walking distance (6MWD) test and total scored points of a 3-component Short Physical Performance Battery (SPPB) test. Results. After using BBTS in a balance-training program, significant improvements in HD participants’ OASI, APSI, T-score, MLSI, SPPB, and 6MWT were recorded in the BTG, while all outcomes of the NTG did not show the same results. Conclusions. It can be concluded that utilizing BBTS in a 12-week balance-training program improves participants’ OASI, APSI, T-score, MLSI, SPPB, and 6MWT in HD patients with osteopenia.
Effects of diaphragmatic breathing exercise on sleeping quality, cortisol, cardiovascular autonomic functions, depression, and fatigue: a randomized-controlled trial in women with systemic sclerosis
(Termedia Publishing House Ltd, 2025-04-30) Ali Mohamed Ali Ismail; Nadia Saad Sayed Ahmed El Gressy; Mona Darwish Hegazy; Omnia Saeed Mahmoud Ahmed; Ahmed Mohamed Abdel-Halim Elfahl
Introduction: The available pharmacotherapies (immunosuppressant therapies) for systemic sclerosis (SSc) are not curative, especially in cases with non-lethal but challenging manifestations or complications of the disease. Fatigue, anxiety, depression, an over-activated hypothalamic–pituitary– adrenal axis (stress axis), and low sleeping quality are the common SSc-induced non-lethal manifestations that need close management. Diaphragmatic breathing tele-exercise (DBTE), as a standalone deep breathing retraining and tele-interventional technique, has not been utilized in the rehabilitation context of non-lethal complications in women with SSc. This online interventional study aimed to explore the efficacy of DBTE in controlling depression, cardiovascular autonomic functions, stress, sleep, and anxiety in women with SSc. Material and methods: This randomized controlled tele-interventional trial recruited 40 non-obese women with SSc (aged > 18 years old) from an Egyptian teaching hospital. Women were randomly assigned to the DBTE group (n = 20) or non-DBTE group (n = 20). The DBTE group underwent 12-week 20-minute morning and evening DBTE sessions (sessions were supervised daily through the Zoom video conference program). The non-DBTE group served as a waitlist control group. The outcomes of this study were diastolic blood pressure (BPD), serum cortisol, the total score of the Hamilton Anxiety Rating Scale (HARS-TS), systolic blood pressure (BPS), the general score of the Pittsburgh Sleep Quality Index (PSQI-GS), pulse rate (PR), the eight-item Patient Health Questionnaire (EI-PHQ8 ), respiratory rate (RR), and the Visual Analogue Scale of fatigue (VAS-F). Results: In the DBTE group, there were significantly lowered values of PSQI-GS, HARS-TS, EI-PHQ8, serum cortisol, VAS-F, and cardiovascular/respiratory autonomic functions (BPS, BPD, RR, and PR). In the non-DBTE group, no significant changes were observed for any variables. Conclusions: It can be concluded from this tele-interventional trial that the 12-week application of DBTE may reduce cortisol, EI-PHQ8 , PSQI-GS, HARS-TS, BPS, BPD, RR, PR, and VAS-F in women with SSc.
Inspiratory Muscle Trainer Versus Diaphragmatic Breathing Exercise on 6-Minute Walk Test in Adolescent Girls with End-Stage Renal Disease
(Prince of Songkla University, 2025-02-07) Donia M. Elmasry; Manal A. El-Shafei; Shimaa Abd EL-Rahim Abd EL-Aty; Omnia Saeed Mahmoud Ahmed
Objective: Inspiratory muscle weakness (IMW) is very common among adolescents with end-stage renal disease (ESRD). Untreated IMW in ESRD adolescents induces acute and chronic pulmonary complications, low physical performance, and impairment in quality of life (QoL). This was a 12-week breathing-retraining trial that compared the effects of threshold inspiratory muscle trainer (TIMT) versus the diaphragmatic breathing exercise procedure (DBEP), on ESRD adolescent girls’ maximal inspiratory pressure (MIP) and QoL, which was assessed by the Child Health Questionnaire (50-item parent form) (CHQ/PF50), pulmonary functions, and six-minute walk test (6MWT). Material and Methods: This breathing-retraining trial enrolled forty adolescent girls with ESRD. The girls were randomly divided into two groups: one group contained twenty girls that were trained by TIMT, while the other group contained 20 girls whom were trained by DBEP. The 20-minute rehabilitation of IMW by TIMT or DBEP was applied 3 times weekly. Adolescent girls’ forced vital capacity (FVC), CHQ/PF50-related score of physical summary, MIP, 6MWT, CHQ/PF50-related score of psychosocial summary, forced expiratory volume in the first second of girls’ expiration (FEV1), and 6MWT-associated physiological data (blood pressure, heart rate, and rate of perceived exertion) were assessed. Results: All outcomes of adolescent girls with ESRD in the first group that were trained by TIMT showed significant improvements, whereas the other group’s girls did not show the same reported significant improvements. Conclusion: Compared to DBEP, the 12-week training by TIMT significantly improved ESRD adolescent girls’ FVC, CHQ/PF50-related score of physical summary, MIP, 6MWT, CHQ/PF50-related score of psychosocial summary, FEV1, and 6MWT-associated physiological data.
Physical therapy in burn wound healing: Development of clinical prediction rules to identify the efficacy of pulsed electromagnetic therapy
(Universidad de Murcia, 2024-04-15) Ahmed Mohamed Nagy; Shaimaa Mohamed Ahmed Elsayeh; Mohamed Bayoumi Ibrahim Bayoumi; Shimaa Mohamed Metawee; Omnia Saeed Mahmoud Ahmed; Karim Ibrahim Saafan
Many studies have demonstrated the effect of pulsed electromagnetic therapy (PEMT) on wound healing. This study aimed to develop a clinical prediction rule (CPR) to assess PEMT's efficacy in burn healing, potentially enhancing treatment decisions and outcomes. It was a one-group intervention study with 46 patients (21 males, 25 females) aged 20 to 55 years, having partialthickness burns in the first or second healing stage, and a total burned surface area (TBSA) over 15%. The intervention involved pulsed electromagnetic therapy (Fisioline, Italy) for up to six weeks, with 60-minute sessions at 12 Hz and 12 Gauss, three times per week. The statistical analysis was conducted using the SPSS. The study revealed a significant decline in wound surface area (WSA) post-intervention (p < 0.05). A significant negative relationship was found between wound improvement and both age and total body surface area (TBSA) (p < 0.05), while a significant positive relationship was observed between wound improvement and initial wound size (p < 0.05). No significant relationship was found between wound improvement and wound stage (p > 0.05). The 3. Supplement 1. Article 33. study concluded that pulsed electromagnetic therapy significantly reduces wound surface area. Additionally, age, TBSA, and initial burn wound size are important predictors of the therapy's efficacy in treating burn wounds.
THE IMPACT OF ELECTROMAGNETIC THERAPY ON PAIN AND HEMODYNAMICS IN PERIPHERAL ARTERIAL DISEASE
(NII KPSSZ, 2025-05-09) Omnia Saeed Mahmoud Ahmed; Amir Al Araby Abou Tahoun; Alshaimaa Alsayed Ali; Mahmoud Nabawy Mahmoud Khattab; Hagar Ahmed El-Hadidy
Aim. Despite the improvement with rest, lower-limb intermittent claudication is a bothersome issue/symptom in patients with peripheral arterial disease (PAD). Utilizing its benefits in increasing vasodilation/angiogenesis in patients with circulatory disorders/issues, adding pulsed electromagnetic therapeutic modality (PEMTM) to exercise rehabilitation of PAD is a newly recommended intervention in managing PAD-induced lower-limb intermittent claudication. This interventional study aimed to check the effects of adding PEMTM to elliptical exercise on vascular hemodynamics, functional outcomes, and quality of life in PAD sufferers. Methods. PAD older men were assigned randomly into the group of elliptical exercise (n = 20, received only elliptical exercise and by-physician prescribed for-PAD pharmacotherapies) or study group (n = 20, received PEMTM, elliptical exercise, and by-physician prescribed for-PAD pharmacotherapies). The eight-week PEMTM or elliptical exercise was applied 3 times weekly. The following outcomes were evaluated: PAD patients’ ankle brachial index test, diameter of posterior tibial artery, lower-limb claudication pain time, lower-limb claudication pain distance, modified walking-impairment questionnaire, short-form-36 health survey, disease-specific quality-of-life evaluation by the intermittent claudication questionnaire, summation score of short physical performance battery, pain-free six-minute walked distance, and the total six-minute walked distance. Results. The present paper showed a significant effect of elliptical exercise alone or combined with PEMTM on all measured parameters with a significant superiority to the combined application of elliptical exercise and PEMTM. Conclusion. Gained hemodynamic and functional benefits of elliptical exercise in PAD elderly could be magnified by adding PEMTM to elliptical exercise.