Faculty Of Physical Therapy Research Paper

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Evaluation And Re-Evaluation Of Post-Mastectomy Pain Syndrome By Breast Cancer Edge Task Force Outcomes: Clinical Measures Of Pain After Pain Management Protocol Of Physiotherapy
(Wolters Kluwer Medknow Publications, 2022-07) Ahmed, Omnia Saeed Mahmoud; Youssef, Lamiaa; Moaz, Inas; Aboali, Safy Eldin Mahmoud
Introduction In many societies, the prevalence of chronic pain following breast cancer therapy ranges from 25% to 60%. Patients undergoing surgery may be more likely to experience chronic, often neuropathic pain after surgery due to the mechanism of post- mastectomy pain syndrome (PMPS), pain sensitivity, and/or central sensitization. PMPS is evaluated and reevaluated using the Evaluation Database to Guide Effectiveness (EDGE) task force outcome measurements. Methods. 10 female patients from a Baheya Center for Early Detection and Treatment of Breast Cancer facility were diagnosed with PMPS following mastectomy. The purpose of this study is to evaluate PMPS in patients who have had mastectomy before and after a pain treatment protocol of six physiotherapy sessions, followed by follow-up. Results. A total of 10 women answered the questionnaires and showed changes in patient feeling is heavy sensation according to the McGill pain Questionnaire-short form (MPQ-S.F) results (p-value = 0.02), and in patient's activities of daily living (ADLs) disability is recreation according to the Pain disability index (PDI) results (p-value = 0.02), and in neuropathic signs and symptoms is tingling sensation according to the Neuropathic pain scale (NPS) results (p-value = 0.02), and in patient's physical well-being is a feeling of nausea (p-value = 0.03) and spending time in bed (p-value = 0.04). Conclusions. According to this study, there have been initial improvements in the feeling of heaviness, neuropathic symptoms like tingling and discomfort in the hands and feet, physical wellbeing, and facial expressions. Trial Registration. NCT05458154
Sensory-based motor processing in children with specific learning disabilities
(University School of Physical Education in Wroclaw, 2022-07) Hussein, Zeinab Ahmed; Abdel-Aty, Shimaa Abdel-Rahim; Elmeniawey, Gehan Hassan
Introduction. Children with learning disabilities not only experience difficulties in academic performance but have neurological risks of motor and sensory processing. Evaluation of such a group might help in early identification of their deficits even before early adolescence. To evaluate sensory and motor problems in children with different types of specific learning disabilities. Methods. A cross-sectional study was performed on students of 4th, 5th, and 6th grades in governmental schools, Cairo, Egypt. 200 children with poor scholastic achievement were screened by intelligent quotient test (The Raven’s Progressive Matrices). The learning disabilities were evaluated by Fathi al-Zayyat battery. Then Quick neurological screening test was used to evaluate motor and sensory problems. Results. Fifty children out of 772 screened children were confirmed to have learning disabilities (29 dyscalculia, 11dyslexia, and 10 mixed), which represented 6.47% of the sample. Also neurological signs were positive in all children with specific learning disabilities while 82% of them were below average. Conclusions. The study proposed that 82% of children with specific learning disabilities at 4th, 5th and 6th grades were below age with a moderate discrepancy in the development of sensory and motor process. Finger to nose test, double simultaneous stimulation of hand and cheek test, stand on leg test, and tandem walk test are associated tests with the type of SLD either dyscalculia, dyslexia or mixed were:
Efficacy Of Energy Conservation Techniques On Pulmonary Functions In Children With Cystic Fibrosis
(Wolters Kluwer Medknow Publications, 2023-01) Ibrahim, Mohamed Bedier; Labib, Mahmoud Ahmed; Moussa, Hany Hussein; Taha, Taher Salah El-din; Abo Ali, Safy Eldin Mahmoud
Background: Cystic fibrosis (CF) has a wide-ranging impact on health, but the lungs in particular suffer. It produces fatigue and shortness of breath, both of which interfere with ADL performance; patient training in energy conservation techniques (ECTs) may help improve ADL tolerance and performance. Objectives: The purpose of this research was to determine if patients with CF might lower their energy use during an activity by practicing educational ECTs after a 12-week ECT teaching period. Methods: Forty CF children, (24 boys and 16 girls), with ages range from six to eight years were randomly divided into 2 groups: content group and study group. Pulmonary functions were assessed by spirometry before and after 12 weeks of treatment using forced expiratory volume (FEV1) which measures how much air a person can forcefully exhale in the first second of forced expiration. The forced expiratory flow 25 (FEF 25) test assesses the rate of airflow when between 25% and 72% of the air in the lungs has been expelled, providing insight into how clear or obstructed the tiny airways are. The third pulmonary function test was forced vital capacity (FVC) how much air a someone can expel quickly as well as forcefully after taking a deep inhalation. Control group received pulmonary rehabilitation programe (postural drainage, breathing exercises study group received energy conservation programe in addition to the traditional pulmonary rehabilitation, postural drainage, pursed-lip breathing and an ergonomic way of performing activities & the used of assistive devices. Results: When comparing the mean values of the two groups before and after treatment, there was a statistically significant increase in all of the measured parameters. After treatment, however, a statistically significant difference favouring the energy-conservation group developed. Conclusion: Findings from the data suggest that the energy conservation techniques were beneficial to improve lung function in children with CF.
EXTENT OF PLASTIC SURGEON AWARENESS OF PHYSICAL THERAPY ROLE IN BURN CENTERS
(Deuton-X Ltd., 2023-04) El Nawawy, Alaa Tarek Mostafa; Abd El Baky, Amal Mohmmed; Darwish, Ahmed Aly Mohamed Taha; Ibrahim, Mohamed Bayoumi
Background: Physical therapy is a crucial aspect of medical disciplines all around the world, and it has expanded into many numerous specialties. One of them is burn care, and physical therapists who work in burn care always play a crucial part in patient care. Physician all around Giza and Cairo hospitals were non significantly aware of role of physiotherapy role in burn rehab. Aim of the study: was to investigate awareness of physician about physical therapy role in burn rehab according to their level of experience in burn rehab and their working place. Subjects and Methods: One hundred and thirty-four physicians from both sexes participated in this study. All Physicians had experience in burn rehab and had previously worked with burn cases. The awareness of physicians were studied by self-structured close-end questionnaire. Results: Based on the information gathered from questionnaire. Physician responses about 94.53% were aware of the skills and knowledge of physical therapist while 5.47% are not aware. Regarding different physiotherapy field, plastic surgeons are the well aware with orthopedic 92.19%, neurology 86.72%, and 89.06% surgery and burn departments while less well-known other fields. Plastic surgeons have knowledge 54.69% about burn rehab provided by physiotherapy. The plastic surgeons were Mostly aware of physiotherapy hand burn 95.31% while less aware of other burn case referred to physiotherapy. Burn patients are prone many complications as decreased joint mobility, muscle mass loss, and abnormalities. The physician knowledge of physiotherapy intervention to avert these problems were 86.72% while 10.94% not aware. 93.75% of plastic surgeons are aware of the physical therapy use orthosis to treat post burn deformities. 77.43% Plastic surgeons have read about physical therapy implement hydrotherapy for burn cases but unfortunately not seen in real life. 83.59% have at least some knowledge about physical therapy modalities that enhance burn healing. Conclusion: We need to focus on improving physician awareness of the modalities used in burn treatment and the ongoing development of these instruments and procedures. Plastic surgeons had a positive perspective on physical therapy role in burn rehab.
Risk and Protective Factors for ADHD in Damietta, Egypt
(Dougmar Publishing Group Inc., 2023-04) Soliman, Amir; AboAli, Safy Eldin Mahmoud; Abdelhady Mohammed, Dania; Sarhan, Ahmed E; Elsheikh, Mohamed; Al-Emrany, Asmaa M; Saeed Mahmoud Ahmed, Omnia
Background: With the world widely increasing burden of neurodevelopmental disorders in general and ADHD in particular the need for more studies about its risk and protective factors becomes urgent, working in this research area will enable us to find better ways to reduce incidence of ADHD. Results: To assess possible risk and protective factors of ADHD in children in Damietta governorate this case-control study included100 ADHD patients and 100 matched controls, 70% males and 30% females, aged between 3 and 18 years, patients were recruited from specialized institutions and controls from regular schools in Damietta in a period of 6 months, the study suggested some risk factors for ADHD as residence in urban areas, parental consanguinity, prenatal maternal active or passive exposure to tobacco smoke, regular maternal psychoactive drugs intake, maternal high intake of sugar, family exposure to furniture paints, family regular intake of food additives, having a sibling with ADHD, and some protective factors which are regular maternal iron intake, folic acid intake, and omega3 intake during pregnancy. Conclusion: Risk factors revealed by the study for ADHD are residence in urban areas, parental consanguinity, prenatal maternal active or passive exposure to tobacco smoke, regular maternal psychoactive drugs intake, maternal high intake of sugar, family exposure to furniture paints, family regular intake of food additives, having a sibling with ADHD and protective factors are regular maternal iron intake, folic acid intake, and omega3 intake during pregnancy.
A Fully Integrated Biorefinery Process for the Valorization of Ulva fasciata into Different Green and Sustainable Value-Added Products
(MDPI AG, 2023-04) El-Gendy, Nour Sh; Nassar, Hussein N; Ismail, Abdallah R; Ali, Hager R; Ali, Basma Ahmed; Abdelsalam, Khaled M; Mubarak, Manal
In the framework of a sustainable marine bioeconomy, the present work describes an advanced, eco-friendly, fully integrated biorefinery process for marine Ulva fasciata macroalgae. That would serve as a solution for ecosystem bioremediation, an effective utilization of marine macroalgal resources, and a new initiative to promote a green and low-carbon economy. Ulva fasciata biomass can be utilized as an organic fertilizer with total N, P2O5 , and K2O contents of 3.17% and a C/N ratio of 11.71. It can also be used as a solid biofuel with a sufficient calorific value of 15.19 MJ/kg. It has high carbohydrate content and low lignin content of approximately 44.85% and 1.5%, respectively, which recommend its applicability in bioethanol and biobutanol production. Its protein, fiber, lipid, and ash contents of approximately 13.13%, 9.9%, 3.27%, and 21%, respectively with relatively high concentrations of omega-3 fatty acids (n-3 PUFAs) and omega-9 fatty acids (n-9 MUFAs) and relatively low omega-6 fatty acids (n-6 PUFAs) and a n-6/n-3 ratio of 0.13 also recommend its applicability as food additives and animal feeders. Moreover, the suggested sequential zero-waste biomass residue process yielded 34.89% mineral-rich water extract (MRWE), 2.61% chlorophylla,b, 0.41% carotenoids, 12.55% starch, 3.27% lipids, 22.24% ulvan, 13.37% proteins, and 10.66% cellulose of Ulva fasciata dry weight. The efficient biocidal activity of extracted ulvan against pathogenic microorganisms and sulfate-reducing bacteria recommends its application for medical purposes, water densification, and mitigation of microbially induced corrosion in the oil and gas industry.
The Impact of Interactive Infographic in Enhancing the Quality of Education in Physiotherapy Field
(Helwan university, 2023-06) Ali, ٍSara Ahmed Sayed; Diab, Olfat
Quality of education is the fourth factor in The Sustainable Development Goals (SDG) 2030 Agenda, thus considering the de- velopment of education in the different fields is crucial nowadays, Physiotherapy field is an important health profession that consid- ers the human anthropometry and the ergonomic considerations in the design of workplace. Thus, this field needs to be developed by integrating new interactive and technological ways of learning to enhance its quality of education like Interactive infographic which are a Simplified illustrations relies on icons, imagery and minimal text that explain information in an interactive visual way, the prob- lem of this paper can be summarized in the following questions: q1- What is the impact of using interactive infographic on Phys- iotherapy Medicine students? q2- What are the appropriate design considerations in interactive infographic to enhance the quality of education in Physiotherapy Medicine field? ,This paper aims to enhance the quality of education in biomechanics course for phys- ical therapy students by using interactive infographic as a new in- teractive visual tool in the learning process, the paper followed the applied approach by designing one topic in the field of Phys- iotherapy using interactive infographic and measure its impact on students. and Teaching staff. Results, clarified a satisfactory im- pact of the usage of interactive infographic on the cognitive skills of students moreover, adding entertainment and joyful feeling to the whole educational process in Physiotherapy field. Conclusion: The findings of this paper redirect the attention of instructors in biomechanics and ergonomics fields to add interactive infographic as a new tool in the teaching strategies to empower student learning
Randomized controlled effect of treadmill walking exercise on liver enzymes, psychological burden, and erectile dysfunction in men with hepatitis C
(Termedia Publishing House Ltd., 2023-07) Ismail, Ali Mohamed Ali; El Gressy, Nadia Saad Sayed Ahmed; Hegazy, Mona Darwish; Elfahl, Ahmed Mohamed Abdel-Halim; Ahmed, Omnia Saeed Mahmoud
Introduction: Exercise is a simple, safe, and affordable solution that can be easily taught to men with chronic illnesses to improve their psychological burden and sexual health. Aim: Since the role of exercise in ameliorating the psychological burden associated with erectile dysfunction (ED) in hepatitis C (HC) men was not explored, this research aimed to explore this role. Material and methods: This HC study was a randomized-controlled exercise-rehabilitation trial. Recruitment of HC men with ED was conducted from El-Sahel Teaching Hospital, Cairo, Egypt. Men (n = 46) were randomly assigned to a 12-week walking-ex- ercise group (WEG, n = 23 HC men with ED received a one-hour treadmill walking 3 times weekly) or a control group (n = 23 HC men with ED, who did not change their daily physical activity during the research period). Besides Beck’s Depression Inventory (BDI), Arabic Version of the Five-Item Version International Index of Erectile Function (IIEF-5), Profile of Mood States Question- naire (POMSQ), and Ten-Statement Rosenberg self-esteem scale (TSRSE), HC participants’ liver enzymes, alanine transaminase (ALT), and aspartate transaminase (AST) were assessed. Results: Significant improvements of POMSQ, BDI, AST, IIEF-5, ALT, and TSRSE within the WEG only were seen. No significant changes occurred in the control group’s parameters. Conclusions: Exercise (walking) is a good modality to improve liver enzymes, ED, and ED-associated psychological burden (depression, low self-esteem, and mood disturbances) in HC men with ED.
Effect Of COVID 19 Pandemic On The Academic Performance Of Physical Therapy Students
(Pakistan Medical Association, 2023-07) Torad, Ahmed Ali Mohammed; Ahmed, Omnia Saeed; Elkalla, Reham Alaa
Objective: To examine the impact of university closure and recourse to internet-based learning on the academic achievement of physical therapy students. Method: The retrospective study was conducted at Kafrelsheikh University, Egypt, and comprised academic grades of physical therapy students related to pre-coronavirus disease-2019 pandemic academic year 2019-2020 in group 1 and per-pandemic 2020-2021 session group 2. Data was analysed using SPSS 26. Results: Of the 8,190 students, 4,764(58.2%) were females and 3,426(41.8%) were males with age range 17-23 years who were studying at 5 academic levels. There were 3,732(45.6%) students in group 1 and 4,458(54.4%) in group 2. There were significant difference in the academic grades between the groups (p<0.005). There was greater improvement in the mean results of students’ grades (p=0.001) and less variation between students in group 2 compared to group 1 (p<0.05). Conclusion: Online learning was found to be an effective teaching method for physical therapy students during the coronavirus disease-2019 pandemic with respect to basic medical knowledge. However, its impact on clinical and practical skills of the students was not confirmed.
Influence of Schroth Best Practice Therapy on Ventilatory Function in Adolescent Idiopathic Scoliosis: Randomized Controlled Study Design
(Cosmos Scholars Publishing House, 2023-09) Hegazy, Alaa Abdelmonem Ahmed; Sayed, Akram Abd El Aziz; Rahmy, Awny Fouad; Elsayed, Mahmoud Ibrahim; Shauosh, Ali Mohamed Mohamed; Negm, Mohamed AbdelMonem
Introduction: Approximately 2%-3% of the population develops idiopathic scoliosis, making it the most prevalent structural spinal deformity in children as well as adolescents. Objective: To find out the efficacy of Schroth Best Practice therapy on pulmonary functions in adolescent idiopathic scoliosis. Methods: Sixty female subjects with adolescent idiopathic scoliosis were recruited from Outpatient Department at AlKasr Al-Ainy Hospital from May 2022 to July 2023 were enrolled in that study. They were randomized into two equivalent groups: Either the intervention group: Group A (Study group) consists of 30 subjects received the Schroth Best Practice exercises program for 18 weeks, or the control group Group B: consists of 30 subjects received traditional exercise program for 18 weeks. Both groups were given 3 sessions a week. Both groups received assessment of pulmonary functions: Forced Vital Capacity (FVC), forced expiratory volume in the first second (FEV1) As well as Peak Expiratory Flow (PEF) on 1st and 18th week. Measuring pulmonary function with digital handheld spirometer before and after treatment. These selective subjects were randomized into two equal groups. Results: There was a statistically significant difference (p<0.05) among the two groups when comparing the mean values of all measured variables pre and post treatment. All analyses were performed at the 0.05 level of significance. With the initial alpha level set at 0.05, in favor of group A. Conclusion: Both Schroth Best Practice exercise program and traditinal exercise program have a significant effect in adolescent idiopathic scoliosis, and the integrated Schroth Best Practice exercise program was more effective than traditional exercise alone.
Correlation between contractile properties of quadriceps muscle and functional performance in runners with patellofemoral pain syndrome
(Universidad de Murcia, 2023-10) Elmahdy, Menan A; Ayad, Khaled; Abdelrahman, Amira Metwally; Abdelsalam, Mohammed Shawki
Background: Long distance runners commonly complain from patellofemoral pain syndrome (PFPS) that limits their performance and return to sport. Abnormal neuromuscular control of the quadriceps has been demonstrated to cause patellar mal-tracking and hence PFPS. Changes in muscle morphology and neural activity have a role in neuromuscular changes, a key contributor to either primary or secondary injuries. Poor landing mechanics, impaired postural control, as well as changed peripheral muscle activation are all clinical manifestations of neuromuscular control deficiencies caused by central nervous system defects that have a deleterious effect on the contractile characteristics of skeletal muscle. Objectives: The purpose of this study was to investigate the correlation between contractile properties of quadriceps muscle and functional performance in long distance runners with PFPS. Study design: Cross-sectional study. Methods: Thirty runners were recruited form multiple Egyptian clubs. Tensiomyography (TMG) Parameters were assessed regarding Contraction time (Tc), Maximal displacement (Dm), Sustain time (Ts), Relaxion time (Tr) and Delay time (Td) in Rectus femoris (RF), Vastus medialis (VM) and Vastus lateralis (VL) separately and correlated with functional performance; number of repetitions in 30 seconds for anteromedial lunge test, balance and reach test and step-down test. Outcome measures: Functional performance was measured using functional performance tests; anteromedial lunge test, balance and reach test and step-down test. Results: It was found that VM Tc, VL Dm, were moderately positively correlated with anteromedial lunge (r = 0.583, 0.404, p<0.05) respectively. In contrast, RF Tr was negatively correlated with anteromedial lunge (-0.364, p<0.05);VM Ts,Tr,Dm; VL Td were moderately negatively correlated with balance and reach (r = --0.577, - 0.388, 0.655 and -0.385, respectively, p<0.05). In contrast, VL Tc was moderately positively correlated with step-down (r = 0.424, p = 0.019). Conclusion: All contractile properties of quadriceps muscle are significantly correlated with functional performance in long distance runners with PFPS. Future studies should address these properties, using proper rehabilitation strategies, to improve performance of runners with PFPS.
EFFECT OF USING ATHLETIC RIGID TAPE FOR FOOT REALIGNMENT ON BALANCE IN SELECTED SPORT’S ACTIVITIES
(Asociacion Canaria de Psicologia del Deporte, 2023-12) Othman, Yasmin M; Diab, Olfat A; Abdel Raoof, Neveen A
Background: In the world of sports, balance is essential in enhancing performance and reducing the risk of injuries. Basketball, being a dynamic as well as physically demanding sport, demands athletes to exhibit exceptional balance and stability. Various techniques and interventions have been explored to optimize balance and prevent injuries among basketball players. One such intervention is the use of anti-pronation taping, which aims to realign the foot and ankle Purpose: The objective of this study was to examine the impact of using athletic rigid tape for foot realignment on balance in selected sport’s activities in pronated feet. Materials and Methods: Forty-Two female basketball players aged from fifteen to thirty years were included in this study. The participants were allocated into two groups using a random assignment method; Rigid athletic tape was applied to one group and no taping was applied to the other group. Dynamic Postural Balance was assessed using Biodex Balance System before and after 2 weeks from participation for the two groups. Results: There was improvement in both groups (Study and control groups) with significant improvement in study group (at P value < 0.05). Conclusion: Using athletic rigid taping for realignment can improve balance in pronated foot in basketball players. This may redirect the attention of sport’s rehabilitation specialists to include rigid taping to improve the performance of in sports including jumping as well as for prevention of injury.
EFFECT OF USING ATHLETIC RIGID TAPE FOR FOOT REALIGNMENT ON BALANCE IN SELECTED SPORT’S ACTIVITIES
(Asociacion Canaria de Psicologia del Deporte, 2023-12) Othman, Yasmin M; Diab, Olfat A; Abdel Raoof, Neveen A
Background: In the world of sports, balance is essential in enhancing performance and reducing the risk of injuries. Basketball, being a dynamic as well as physically demanding sport, demands athletes to exhibit exceptional balance and stability. Various techniques and interventions have been explored to optimize balance and prevent injuries among basketball players. One such intervention is the use of anti-pronation taping, which aims to realign the foot and ankle Purpose: The objective of this study was to examine the impact of using athletic rigid tape for foot realignment on balance in selected sport’s activities in pronated feet. Materials and Methods: Forty-Two female basketball players aged from fifteen to thirty years were included in this study. The participants were allocated into two groups using a random assignment method; Rigid athletic tape was applied to one group and no taping was applied to the other group. Dynamic Postural Balance was assessed using Biodex Balance System before and after 2 weeks from participation for the two groups. Results: There was improvement in both groups (Study and control groups) with significant improvement in study group (at P value < 0.05). Conclusion: Using athletic rigid taping for realignment can improve balance in pronated foot in basketball players. This may redirect the attention of sport’s rehabilitation specialists to include rigid taping to improve the performance of in sports including jumping as well as for prevention of injury.
Myofascial release; a diagnostic tool for kneeabdomen and knee myofascial pain syndromes in knee osteoarthritic patients. An interventional based prevalence study
(DJ Studio, 2024) Olfat Diab Kandil; Hamed Mohammed Elkhozamy; Ibrahim Tobba Mohamed; Bassem Galal Eldein El Nahass,
Background. Knee osteoarthritis (OA) is detected in all grades in imaging of asymptomatic individuals. Knee‑abdomen syndrome (KAS) and knee myofascial pain syndrome (KMPS) are newly identified syndromes of knee pain originating from myofascial induced stress upon knee’s capsule. Objective. To measure prevalence of KAS and KMPS among knee OA patients, and to explore concepts of the new syndromes. Methods. Intervention based prevalence study. Representative sample of 61 patients (pts) of knee OA underwent one session of Myofascial release (MFR). Pain was evaluated and averaged pre and immediately after MFR, during standing, active knee flexion and extension, and squat. Pain reduction of 50% is considered diagnostic for KMPS and KAS. Pain reduction maintained for one week is diagnostic for KAS. Results. KAS and KMPS are reconstructed as knee myofascial pain spectrum (KMPs). 13% of patients have KMPs and asymptomatic OA with 100% pain reduction after MFR. 20% of pts have symptomatic OA with no pain reduction. 67% have KMPs with more than 20% pain reduction. Conclusion. KMPs is identified in most knee OA patients. Asymptomatic knee OA is misdiagnosed as source of pain in one in every ten patients.
Effect of Trunk Muscles Strengthening on Hip Abductors Strength and Endurance in Young Adults
(Faculty of Medicine, Ain Shams University, 2024-01) Abdel latif, Ahmed S; Abdel Raoof, Neveen A; Diab, Olfat A
Background: Hip abductors muscles are extremely important during several activities and its weakness can affect our daily life activities. Objective: This study aimed to investigate the effect of strengthening trunk muscles on Hip abductors strength and endurance in young adults. Patients and methods: This study was conducted on 58 patients. They were assigned into 2 equal groups: Group A (Control group) consisted of 29 subjects received conventional hip abduction exercises from standing position against a theraband and group B (Study group) consisted of 29 subjects received the same hip abduction exercises plus a curl up exercise performed 3 days a week at October University for Modern Sciences and Art (MSA). Results: There was statistically significant differences in the mean values of maximum abductor isometric strength post-study between both groups (p= 0.038) in favor of group B, in the mean values of time of unilateral bridging test post-study between both groups (p= 0.046) in favor of group B and in the mean values of time of hip abductor endurance post-study between both groups (p= 0.005) in favor to group B. Conclusion: Curl up exercise combined with hip abduction resisted exercise against an elastic band did a significant improvement regarding the maximum hip abductors isometric strength, and there was a significant difference in Hip abductors endurance compared to doing just hip abductors resisted exercise only. It’s recommended to add curl up exercise in programs aimed to improve Hip abductors strength and endurance.
Prevalence of Forward Head Posture among Cleaning Workers and Its Correlation to Physical Workload
(Faculty of Medicine, Ain Shams University, 2024-01) Ibrahim, Heba Mohamed; Abdel Raoof, Neveen Abdel Latif; Diab, Olfat Abdelrahman; Khalil, Aya Abdelhamid
Background: Cleaning workers often perform repeated activities in awkward postures, exposing them to postural malalignment and musculoskeletal disorders. Objective: This study aimed to investigate the prevalence of forward head posture (FHP) among cleaning workers and to determine its associated risk factors with a correlational analysis to physical workload. Methods: This cross-sectional observational research was conducted using Photogrammetry to determine the craniovertebral angle and a Rapid Upper Limb Assessment (RULA) working sheet to evaluate the physical workload and the risk level for developing musculoskeletal disorders (MSDs) in 104 cleaning workers. Results: The prevalence of forward head posture among cleaning workers was 61.54% with 95% CI (51.94- 70.32%). FHP was significantly associated with higher weight status and working years (p<0.05). A Binary logistic regression determined that overweight and obese participants were 0.11 times more likely to have FHP compared to normal weight participants (Odds Ratio = 0.11, 95% CI 0.04-0.34). Participants with working 5-30 years were 0.23 times more likely to have FHP than participants with 1- 4 working years (Odds Ratio = 0.23, 95% CI 20.09-0.53). RULA score among them was 6.33 ± 0.73. There is a significant moderate positive correlation between the FHP and RULA score (rpb = 0.49 p < 0.05). Conclusion: 61.54% of cleaning workers exhibited forward head posture. High BMI and long working years were the associated risk factors. High RULA scores emphasized the need for preventive actions to lower the risk of developing FHP and other MSDs.
Efficacy of high-frequency chest wall oscillations vs. lung flute in chronic obstructive pulmonary disease patients with post-COVID
(Verduci Editore, 2024-02) Ahmed, Omnia Saeed Mahmoud; ABD EL-ATY, S. ABD EL-RAHIM; EL-HADIDY, H. AHMED; ABDELHAKIEM, N. MOHAMED; EL-MOATASEM, A. MOHAMED
OBJECTIVE: In chronic obstructive pulmonary disease (COPD), high-frequency chest wall oscillations (HFCWO) and lung flute (LF) are used to improve COPD patients’ pulmonary functions, exertional dyspnea, as well as life quality. This comparative study aimed to assess the efficiency of HFCWO vs. LF in post-coronavirus-disease (COVID) men with COPD. PATIENTS AND METHODS: Sixty postCOVID men with COPD, who were aged 40-60 years old, were included in this HFCWO-vs.-LF comparative study and were divided into two groups. One group (N=30) received HFCWO, and the other group (N=30) received LF three times per week. Both groups’ pulmonary functions, including forced vital capacity (FVC), forced expiratory volume at the first second (FEV1), the ratio of FEV1/FVC (FEV1/FVC), forced expiratory flow between 25% and 75% of the pulmonary volume (FEF25-75%) were assessed. Also, the COPD assessment test score (CAT score) and 6-minute walk distance (6MWD) were measured before and following the trial. RESULTS: Regarding all variables (postCOVID patients’ FVC, FEV1, FEV1/FVC, FEF25- 75%, CAT score, as well as 6MWD), both groups had substantial changes after the three-week HFCWO-vs.-LF interventional period as the p-value was below 0.05. The changes in postCOVID patients’ FEV1, FEV1/FVC, and 6MWD were high in the HFCWO group, while the changes in post-COVID patients’ CAT score, FVC, and FEF25-75% were high in the LF group. CONCLUSIONS: HFCWO is more efficient than the LF in improving pulmonary functions and exertional dyspnea in post-COVID men with COPD.
Factors associated with mental health burdens in physical therapists during the late stage of the COVID-19 pandemic
(University School of Physical Education in Wroclaw, 2024-03) Mohammed, Marwa; Diab, Olfat Abdel Rahman; Li, Jianan
Introduction. It has been a long time since the emergence of COVID-19 in China and its spread worldwide. Vaccines are a promising solution to overcome COVID-19 infection. Still, vaccine hesitancy is the only barrier to controlling the pandemic, as thinking about its side eDects induces psychological exhaustion. There is still a lack of research targeting the mental health of Physical Therapists (PTsO, especially during the late stage of the COVID-19 pandemic, so the study’s main aim was to identify the prevalence of anxiety, depression and insomnia and identify risk factors that influence anxiety and depression. Methods. A cross-sectional online survey via anonymous questionnaires and questions about socio-demographic information was launched on social media in the second half of February 2021. Results. Prevalence of anxiety, depression, and insomnia was 42.7%, 50.10%, and 89.30%, respectively, among physical therapists. Common factors that induce anxiety and depression were having children and needing psychological support. Other risk factors for anxiety only were working in a quarantine hospital, being infected with COVID-19, self-isolation after return from the hospital, and hesitance about vaccine eDectiveness. Treating COVID-19 patients and having a family member who had died from COVID-19 were risk factors for depression. Consulting a psychiatrist reduced this risk of depression. Conclusions. Elevated mental health disturbances triggered the alarm for urgent psychological rehabilitation to prevent the failure of health care systems in this critical period. Additionally, fighting the anti-vaccine movement should be a priority along with enhancing telerehabilitation programs in hospitals.
Muscle energy techniques versus myofascial release on scoliosis in adolescent girls: A randomized controlled trial
(DJ Studio, 2024-03) Mohammed, Amira. H; AboAli, Safy Eldin M; Abdelmutilibe, Sahar M; Elsamahy, Sara. A; Elsherif, Nashwa. E; Elmahdy, Malak. A; Sheha, Samah. M
Background. Adolescent idiopathic scoliosis (AIS) is a complicated 3D structural spine condition occurring in children aged 10 to skeletal maturity. The study aimed to examine the impact of muscle energy technique and/or myofascial release on adolescent idiopathic scoliosis for large sample. Also, it aimed to compare muscle energy techniques versus myofascial release in idiopathic scoliosis. Methods. A total of 50 girls with idiopathic non‑bony structural scoliosis of the thoracic spine were included in this trial. They were randomly divided into two equal‑sized (n = 25 for each group). For three months, group A (Muscle energy technique Group), which received Scientif ic Exercises Approach to Scoliosis exercises in addition to Muscle energy technique; and group B (Myofascial release Group), which received the same Scientif ic Exercises Approach to Scoliosis exercises conducted to group A in addition to myofascial release. The primary outcome was a standing radiological evaluation of coronal Cobb´s angle. Results. According to this study's f indings, a highly signif icant difference was discovered in the mean values of Cobb´s angle between pre and post‑treatment in muscle energy technique group. When the mean values of Cobb´s angle was compared before and after treatment for myofascial release group, it was reveals a signif icant change. Conclusions. After treatment for three months, both groups improved signif icantly, with muscle energy technique group outperforming the myofascial release group by a large margin. So, muscle energy technique was more effective than myofascial release in reducing the abnormal thoracic curvature in adolescent idiopathic scoliosis. Trial registration. The study was registered with Clinicaltrials.gov under the identif ier NCT05120089.
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.

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