Faculty Of Physical Therapy Research Paper

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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.
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.
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.
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.
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 care: Development of clinical prediction rules to determine the efficacy of low-level laser therapy
(Universidad de Murcia, 2024-09-11) Mohamed Bayoumi Ibrahim Bayoumi; Asmaa Fawzy El-Sayed Attalla; Shimaa Sayed Mahmoud; Salah Eldin Bassit Elsayed; Shimaa Mohamed Metawee; Ahmed Mohamed Nagy
This study aimed to demonstrate the benefits of low-level laser therapy (LLLT) on burn healing and to investigate whether patients' age, burn wound size, wound stage, and total burned surface area influence the burn wound healing response to LLLT. This was a quasi-experimental study with a single-group design that included eighty male and female patients with partial-thickness burn wounds recruited from burn units. The participants were placed in a single intervention group receiving LLLT. The duration of the intervention was six weeks, divided into 18 sessions (three sessions per week). The statistical analysis was conducted using version 25 of the SPSS statistical package for Windows. The results showed a statistically significant negative relationship between wound improvement from LLLT and age (p < 0.05) and between total body surface area (TBSA) and wound improvement (p < 0.05). Additionally, a statistically significant positive relationship was found between initial wound size and wound improvement (p < 0.05). There was no statistically significant 3. Supplement 1. . relationship between wound improvement and wound stage (p > 0.05). The current study revealed that age, TBSA, and initial wound size can predict the efficacy of low-level laser treatment for burn wounds.
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.
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.)
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 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.
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.
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.
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.
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.
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.
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 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.
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.
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.

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