Browsing by Author "Shaimaa Mohamed Ahmed Elsayeh"

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Efficacy of mirror therapy in improving hand function post flexor tendon repair
(Universidad de Murcia, 2024-04-15) Mohamed Bayoumi Ibrahim Bayoumi; Ahmed Mohamed Nagy Saleh; Karim Ibrahim Saafan; Shaimaa Mohamed Ahmed Elsayeh
The aim of this study was to determine the efficacy of mirror therapy (MT) in improving the total active range of motion (AROM) of the affected finger, hand grip strength, and hand function in patients with flexor tendon repair (FTR) in zone II. The study was an open-label, parallel-group, randomized controlled trial. Thirty patients with zone II FTR, aged 20-45 years, were recruited and randomized into two equal groups: the MT group and the sham MT group. The intervention began in the fourth week post-operation, consisting of thirty minutes of MT or sham MT, three sessions per week for four weeks, in addition to the traditional physical therapy (PT) program. The total AROM of the interphalangeal (IP) joints of the affected fingers, hand grip strength, and hand function were assessed. After four weeks of intervention, the percentage change in total AROM was 25.7% in the MT group and 19.93% in the sham MT group. Additionally, hand grip strength and Michigan Hand Outcomes Questionnaire (MHQ) scores showed greater improvement in the MT group compared to the sham MT group (p < 0.05). Adding MT to the traditional PT program may be more effective than the traditional PT program alone in improving the AROM of the interphalangeal (IP) joints of the operated fingers, grip strength, and MHQ scores.
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.