Faculty Of Physical Therapy Research Paper

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Burnout among Egyptian physical therapists in burn departments
(DJ Studio, 2024-11-03) Mohamed Bayoumi Ibrahim Bayoumi; Ahmed Mohamed Nagy; Saher Lotfy El Gayar; Shaimaa Mohamed Metawee; Nehad Mohamed AbdElnabi Mousa; Heba Mohamed Mohamady
Background. Burnout is a common syndrome among healthcare providers which affects their quality of life and the healthcare service they provide. Physical therapists in burn units are at high risk to develop burnout due to several stressors. Objective. This study's main objective was to evaluate the extent of burnout experienced by physical therapists employed in burn units. Design. The present study employed a cross-sectional study. Methods. A total of 520 physical therapists, aged 24–44 years, working in burn units of Egyptian hospitals participated in our study. Burnout evaluation was conducted using the Maslach Burnout Inventory Human Services Survey (MBI-HSS). Results. 520 physical therapists participated in the study, about 50% of them were aged between 30 and 40 years, and about 44.9% had a bachelor's degree. Females represented 63.3% of them. According to the results of the MBI-HSS assessment, it was found that 73.5% of the participants exhibited symptoms of burnout on the emotional exhaustion (EE) scale, while 44% displayed burnout on the depersonalization (DP) scale. Additionally, 51% of the participants reported low personal accomplishment (PA) on the scale measuring this construct. Results confirmed that men, more than women, experienced depersonalization, and they were less satisfied with their professional accomplishments. Conclusion. Physical therapists working in burn units who responded to the survey expressed severe burnout. To assess the impact of burnout on physical therapists working in burn units and to create strategies to lessen it, more study is needed.
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.
Efect of adding telerehabilitation home program to pharmaceutical treatment on the symptoms and the quality of life in children with functional constipation: a randomized controlled trial
(Springer Verlag, 2024-06) Soliman, Amir ; AboAli, Safy Eldin M; Abdel Karim, Amel E; Elsamahy, Sara A; Hasan , Judy ; Hassan, Badr Al‑Amir ; Mohammed, Amira H
Painful defecation, the passage of hard stools, unpleasant or irregular bowel deviation/movements from regular rate, and/or the feeling of not enough elimination of stool are common symptoms of functional constipation. The goals in treating constipation are to produce soft, painless stools and to prevent the re-accumulation of feces. This study looked at how the telerehabilitation home program (TRP) affected the symptoms of FC and the children who were constipated in terms of their quality of life. A randomized controlled trial included 400 children aging 4–18 years with functional constipation distributed in two groups: control group consisted of 200 children receiving pharmaceutical treatment and the intervention group consisted of 200 children receiving the telerehabilitation home program in addition to pharmaceutical treatment. Both groups received the interventions for 6 months. The outcomes in terms of functional constipation symptoms and quality of life are measured and compared pre- and post-interventions. Adding the telerehabilitation home program to pharmaceutical treatment of functional constipation in children results in prominent improvement in the condition; there is a significant difference between the intervention and control group in all Rome criteria which assess symptoms of functional constipation except rush to the bath-room to poop which showed non-significant difference; there is also a significant difference between the intervention and control group in all domains of the SF-36 questionnaire which assess quality of life except the mental health domain which showed non-significant difference. Conclusion: Adding the telerehabilitation home program to pharmaceutical treatment of functional constipation in children results in prominent improvement in symptoms of functional constipation and quality of life. Trial registration: Our study was registered retrospectively with Clinicaltrials.gov under the identifier NCT06207721 on 5 January 2024. (Table presented.)
Effect of adding telerehabilitation home program to pharmaceutical treatment on the symptoms and the quality of life in children with functional constipation: a randomized controlled trial
(Springer Verlag, 2024-09) Soliman, Amir ; AboAli, Safy Eldin M; Abdel Karim, Amel E; Elsamahy, Sara A; Hasan, Judy ; Hassan, Badr Al‑Amir ; Mohammed, Amira H
Painful defecation, the passage of hard stools, unpleasant or irregular bowel deviation/movements from regular rate, and/or the feeling of not enough elimination of stool are common symptoms of functional constipation. The goals in treating constipation are to produce soft, painless stools and to prevent the re-accumulation of feces. This study looked at how the telerehabilitation home program (TRP) affected the symptoms of FC and the children who were constipated in terms of their quality of life. A randomized controlled trial included 400 children aging 4–18 years with functional constipation distributed in two groups: control group consisted of 200 children receiving pharmaceutical treatment and the intervention group consisted of 200 children receiving the telerehabilitation home program in addition to pharmaceutical treatment. Both groups received the interventions for 6 months. The outcomes in terms of functional constipation symptoms and quality of life are measured and compared pre- and post-interventions. Adding the telerehabilitation home program to pharmaceutical treatment of functional constipation in children results in prominent improvement in the condition; there is a significant difference between the intervention and control group in all Rome criteria which assess symptoms of functional constipation except rush to the bath-room to poop which showed non-significant difference; there is also a significant difference between the intervention and control group in all domains of the SF-36 questionnaire which assess quality of life except the mental health domain which showed non-significant difference. Conclusion: Adding the telerehabilitation home program to pharmaceutical treatment of functional constipation in children results in prominent improvement in symptoms of functional constipation and quality of life. Trial registration: Our study was registered retrospectively with Clinicaltrials.gov under the identifier NCT06207721 on 5 January 2024. (Table presented.)
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.
Effect of electromagnetic stimulation combined with visceral manipulation on stress urinary incontinence in postmenopausal women: A randomized controlled trial
(Churchill Livingstone, 2024-10-18) Dina M.A. Mohamed; Dalia M. Kamel; Alaa M. El-Moatasem; Ebtesam A. Ali; Marwa A. Radwan; Sara M. Ahmed
Objectives: The aim of the study is to determine how electromagnetic stimulation and visceral manipulation can improve pelvic floor strength and reduce the severity of symptoms of postmenopausal stress urinary incontinence (SUI). Methods: This randomized controlled trial was conducted on 50 postmenopausal female participants aged 50–66 years with a body mass index (BMI) ≥ 30 kg/m2. Participants were equally randomized into the study (A) and control (B) groups. The study group (A) underwent 36 pulsed electromagnetic stimulation (PEMS) sessions (20 min/session; 3 sessions a week/12 weeks), 12 sessions of visceral manipulation therapy (VMT) maneuvers (once weekly/weeks), and 24 supervised pelvic floor muscle training (PFMT) sessions (45–60 min/session; twice weekly/12 weeks), along with general advice. For 12 weeks, the control group (B) received the same PFMT and general advice. Kegel perineometer was used to measure vaginal squeeze pressure (VSP) and the urogenital distress inventory questionnaire-short form (UDI-6) to assess the severity of urinary incontinence (UI) symptoms in both groups before and after the treatment. Results: The results revealed statistically significant improvements (p < 0.05) in both VSP and UDI-6 scores in group A compared to group B. Conclusion: Electromagnetic stimulation combined with visceral manipulation and supervised PFMT is more efficient than PFMT alone on SUI in postmenopausal women. Therefore, it is advisable to incorporate this combined approach into pelvic floor rehabilitation programs.
Effect of High-Intensity Laser Therapy on Carpal Tunnel Syndrome Patients: A Systematic Review and Meta-analysis
(Lippincott Williams and Wilkins Ltd., 2024-11-11) Mohamed M. ElMeligie; Mahmoud M. Ismail; Yasmine S. Gomaa; Amr M. Yehia; Hend R. Sakr; Omnia M. ElGendy
Objective: To provide a strong foundation for the use of high-intensity laser therapy in carpel tunnel syndrome, we conducted a systematic review and meta-analysis to investigate the outcomes of short- and long-term follow-up studies. Design: This is a systematic review and meta-analysis. Results: Sample sizes of included studies ranged from 16 to 98 patients (N = 308). Overall, a significant difference between the treatment and control groups were found across majority of the measures. Studies using a 4-wk follow-up period, however, only found significantly greater benefits for high-intensity laser therapy in visual analog scale compared with placebo (P = 0.0191), transcutaneous electrical nerve stimulation (P = 0.0026), and low-intensity laser therapy 20 J/cm(2) (P < 0.0002), and exercise (P < 0.0001). For improvement in visual analog scale score over a long treatment period, high-intensity laser therapy was also preferred over control group (P < 0.0071). Insufficient evidence exists to determine effect of high-intensity laser therapy on nerve conduction examinations. The only statistically significant differences observed in examinations were in relation to sensory nerve action potential (P = 0.0083) and sensory nerve conduction velocity (P = 0.0468). Conclusions: Moderate evidence exists regarding efficacy of high-intensity laser therapy compared with placebo, high-intensity laser therapy + wrist splint, and exercise in a short period of follow-up time but evidence on long-term follow-up is limited.
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.
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.
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.
Effectiveness of McKenzie exercises plus stabilization exercises versus McKenzie exercises alone on disability, pain, and range of motion in patients with nonspecific chronic neck pain: A randomized clinical trial
(IOS Press BV, 2024-11-08) Doaa I . Amin; Ghada I . Mohamed; Mohamed M. ElMeligie
BACKGROUND: Chronic nonspecific neck pain is a common disorder that causes disability and reduced quality of life. Effective conservative treatment options are needed to manage this condition. OBJECTIVE: This randomized trial compared the efficacy of McKenzie exercises alone versus McKenzie plus cervical and scapulothoracic stabilization training for patients with chronic nonspecific neck pain. METHODS: A randomized controlled trial was conducted in an outpatient physical therapy clinic. 76 patients with chronic (> 3 months) neck pain were randomized to 6 weeks of either McKenzie exercises alone (n= 38) or McKenzie plus stabilization exercise (n= 38). The McKenzie protocol included posture correction, range of motion exercises, and lateral neck stretches. The stabilization program added targeted exercises for the neck and scapula. RESULTS: The combination of McKenzie plus stabilization exercises resulted in significantly greater reduction in current neck pain intensity compared to McKenzie alone at 6 weeks (mean difference: -1.2 points on 0-10 scale, 95% CI -1.8 to -0.6; p< 0.001). Neck disability improved in both groups. Cervical range of motion also improved more with the addition of stabilization, except for extension. CONCLUSION: Adding specific cervical and scapulothoracic stabilization exercises to a standard McKenzie protocol led to clinically meaningful reductions in neck pain compared to McKenzie therapy alone in patients with chronic nonspecific neck pain. This combined approach can improve outcomes.
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.
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.
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.
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.
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
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.
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.
From contamination to detection: The growing threat of heavy metals
(Elsevier B.V, 2025-01-05) Basma Hossam Abdelmonem; Lereen T. Kamal; Rana M. Elbaz; Mohamed R. Khalifa; Anwar Abdelnaser
Heavy metals like lead, mercury, cadmium, and arsenic are environmental pollutants that accumulate in ecosystems and pose significant health risks to humans and wildlife, primarily through food chain contamination where plants absorb heavy metals, affecting their growth and threatening consumer health. Cognitive and cardiovascular functions are particularly affected by exposure to heavy metals even at low concentrations through the induction of oxidative stress. Various analytical techniques are used in measuring heavy metals in different environmental and biological samples. The atomic absorption spectroscopy (AAS) offers low cost, simplicity, and portability but lacks sensitivity for certain metals. Although more sensitive, the high cost of inductively coupled plasma mass spectrometry (ICP-MS) may limit laboratory accessibility. The inductively coupled plasma with atomic emission spectrometry (ICP-AES) is known for its broad dynamic linear range and ability to identify minute variations in concentration. Atomic fluorescence spectrometry (AFS) is considered a powerful tool for quantifying heavy metals due to its high sensitivity, low detection limits, and wide linear range. The current article reviews heavy metal pollution’s impact on health and spectrometric techniques for the detection of these contaminants. This may help efforts of international, and regional policies towards preventing this health hazard problem.

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