Effect of neurodevelopmental treatment on hospitalization and growth of premature infants in neonatal intensive care unit

Maha Khairy M. El-Shaarawy, Manal S. Abd El-Wahab, Samia A. Abdel Rahman, Mohammed Fakher H. Ali


Maha Khairy M. El-Shaarawy, Manal S. Abd El-Wahab, Samia A. Abdel Rahman, Mohammed Fakher H. Ali – Effect of neurodevelopmental treatment on hospitalization and growth of premature infants in neonatal intensive care unit. Fizjoterapia Polska 2022; 22(1); 240-244

Abstract
Background. Quality of life and standard of health care in a society is measured by preterm infants’ mortality rate. Alternative treatment may be effective in increasing survival rate of preterm infants. In premature infants, weight gain becomes the main criterion for hospital discharge. Neurodevelopmental treatment (NDT) can be safely ap-plied to premature infants who are in various physiological states and may enhance their weight. Purpose. This study aimed to investigate the effect of NDT on the duration of hospital stay and growth of premature infants at the Neonatal Intensive Care Units (NICU). Methods. This convenient quasi-experimental study was conducted from September 2019 to November 2020 in NICU of Damanhur Teaching Hospital, Egypt. A total of 108 premature infants between 32 to 37 weeks gestational age with birth weight between 1150 to 3900 grams participated in this study. They were assigned into control and study groups. Weight, length and head circumference were measured as an indicators for growth for both groups before, after one week of intervention and at discharge. Both groups received their medical treatment in addition to conventional chest physical therapy program. An additional NDT was applied for the study group. Results. There is a significant increase of weight in both groups with a significant difference between groups only after one week of intervention in favor for the study group. There is a significance increase of length only in the study group with no significance differences between groups. However, there is no significance change in head circumference either between groups or among the measurement periods for each group. Results also revealed a significant decrease in hospitalization in NICU for the study group when compared with that of control group. Conclusion. It could be concluded that NDT could improve growth and minimize hospitalization of preterm infants in the NICU.
Key words:
neurodevelopmental treatment, hospitalization, growth, premature infants, neonatal intensive care unit
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Development of a functional training protocol to improve lower limb motor recovery in early sub-acute stroke patients

Meenakshi Jharbade, Sivakumar Ramachandran, Shankar V, John M Solomon


Meenakshi Jharbade, Sivakumar Ramachandran, Shankar V, John M Solomon – Development of a functional training protocol to improve lower limb motor recovery in early sub-acute stroke patients. Fizjoterapia Polska 2022; 22(1); 234-239

Streszczenie
Abstract
Background. Functional training is a common intervention practiced in stroke rehabilitation. The efficacy of lower limb functional training to improve functions has been widely tested in patients with chronic stroke. Improvement in function generally does not reflect changes in motor recovery. The effect of this training on motor recovery has been less explored. Moreover, a standard protocol for lower limb functional training is elusive in literature.
Aim. To develop an intervention protocol of functional training for lower extremity to improve motor recovery and functions in acute and early subacute stroke patients.
Methods. Study was conducted in two phases. First phase involved literature review to identify the components for functional training for lower extremity in patients with stroke. Second phase involved two rounds of Delphi survey to design an intervention protocol. First round of Delphi survey was conducted to identify the functions of lower extremity that can be used as components of training and second round was conducted to receive the consensus on activities of lower extremity which can be practiced in acute and early subacute stroke patients.
Results. Functions of lower extremity and exercises of functional training which received consensus of atleast 70% and above in Delphi survey are selected to design the protocol. Weight-bearing, postural control, sit to stand, stepping, walking, standing, manipulation function was selected to design activities for functional training.
Conclusion. A Functional training protocol was developed with activities for weight bearing, postural control, manipulation and walking function.
Key words:
stroke, physiotherapy, functional training, rehabilitation, task oriented exercise
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The impact of high body weight on children’s aerobic capacity in the primary school age

Agata Dobrowolska, Małgorzata Domagalska-Szopa, Agnieszka Ostrowska, Andrzej Szopa


Agata Dobrowolska, Małgorzata Domagalska-Szopa, Agnieszka Ostrowska, Andrzej Szopa – The impact of high body weight on children’s aerobic capacity in the primary school age. Fizjoterapia Polska 2022; 22(1); 222-232

Abstract
Introduction. Overweight and obesity are among the greatest global challenges of the 21st century. In Poland, the number of overweight children has tripled in the last 20 years. In order to determine the level of aerobic capacity as well as the selection of forms and intensity of physical training in children with excess body weight, many methods are used, e.g. 6-minute walk test (6MWT) or spiroergometric test (CPET).
Aim od the study. The aim of the study was to evaluate the performance parameters of children with excess body weight in comparison to children with proper body weight. Additionally, an attempt was made to answer the question whether the results of the indirect method efficiency assessment are consistent with the results of the spiroergometric test.
Material and methodology. The research was carried out in a group of 25 children with excess body weight (study group; BMI 93.7 ± 4.11 percentile) and 25 children with normal body weight (control group; BMI 28 ± 19.62 percentile) aged 8-12 years. The tests consisted of 3 parts: 1) measurement of body weight, body height and body weight composition; 2) ergospirometric test (CPET) carried out on a cycloergometer using the Godfrey ramp type protocol; 3) assessment of aerobic capacity based on the result of the 6MWT test.
Results. There were significant differences in the VO2 / kg result in the studied children between the study group (26.2 ± 4.32 ml / kg / min) and the control group (36.2 ± 5.75 ml / kg / min) and the results of the 6MTW test in the study group was 486.5 ± 86.35 m, and in the control group 519.6 ± 85.40 m.
Conclusions. There were no differences in the value of the VO2peak parameter in children from the study and control groups; however, differences in the result of VO2 / kg were noticed. Children with hight BMI characterized by a greater difference between the observed and expected value of 6MWT than children with proper body weight.
Key words:
children’s aerobic capacity, CPET, 6MWT, excess body weight, high BMI
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Comparative study of the effectiveness of phonophoresis and low-level laser therapy on myofascial trigger points of upper fibers of the trapezius muscle

Ahmed Mahmoud Mohamed, Rania Reda Mohamed, Noha Gohdan Hussein, Mona Ebrahim Morsy


Ahmed Mahmoud Mohamed, Rania Reda Mohamed, Noha Gohdan Hussein, Mona Ebrahim Morsy – Comparative study of the effectiveness of phonophoresis and low-level laser therapy on myofascial trigger points of upper fibers of the trapezius muscle. Fizjoterapia Polska 2022; 22(1); 214-221

Abstract
Background. Myofascial trigger points and hypersensitive taut bands within the muscles can be a very distressing condition. It’s linked to regional muscular spasms, tightened related joints, and a restricted range of motion. Purpose. This study aimed to investigate the effectiveness of phonophoresis and low-level laser therapy on trigger points of the upper fibers of the trapezius. Methods. It was a randomized controlled trial that conducted on forty-five patients from both genders, with their age ranging from 20-40 years that had myofascial trigger points in the upper trapezius, selected from El-Ahram physical therapy center, Giza and randomly assigned into three groups. All groups received traditional treatment in addition to low-level laser therapy in group (A), phonophoresis in group (B), and a combined treatment of low-level laser therapy and phonophoresis in group (C). Cervical range of motion was measured by cervical range of motion device and pain intensity by pressure algometer before and after 12 sessions of the treatment. Results. All groups saw a significant increase in cervical range of motion (P = 0.0001) and a significant decrease in pain after treatment.The improvement in pain level and left side bending motion range was in favor of group (C) than group (A) and (B). Conclusion. According to the findings, both low-level laser and phonophoresis are helpful in enhancing cervical range of motion and decreasing pain intensity in upper trapezius myofascial pain, with the combination therapy being superior in reducing pain and improving left side bending.
Key words:
low level laser therapy, phonophoresis, myofascial pain syndromes
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Effect of transdermal insulin delivery by low intensity ultrasound in healing of chronic lower limb venous ulcer

Marwa A. Radwan, Amal M. Abd El Baky, Mohamed T. Yousef, Hany M. Elgohary


Marwa A. Radwan, Amal M. Abd El Baky, Mohamed T. Yousef, Hany M. Elgohary – Effect of transdermal insulin delivery by low intensity ultrasound in healing of chronic lower limb venous ulcer. Fizjoterapia Polska 2022; 22(1); 208-213

Abstract
Purpose. To determine the effect of Transdermal Delivery of Insulin by Low Intensity Ultrasound in healing of chronic lower limb venous ulcer. Methods. Sixty males and females participants who had chronic lower limb venous ulcer participated in this study. Their ages ranged from 40 to 60 years, distributed randomly into: group (A), 30 participants who received Transdermal Delivery of Insulin by Low Intensity Ultrasound in addition to regular medical care, and group (B), 30 participants who received topical insulin in addition to regular medical care. Both groups were evaluated pre-treatment, after 4 and 8 weeks from the beginning of the treatment by using (image j) software for measuring the ulcer surface area and normal saline for measuring the ulcer volume. Results. By comparison between both groups post treatment there were statistically significant decreases (P < 0.05) in wound surface area and wound volume in favor of group (A). Conclusion. transdermal delivery of insulin is a safe, non-invasive and beneficial modality in the treatment of lower limb venous ulcer and can be added to the treatment protocols for these debilitating conditions.
Key words:
transdermal delivery of insulin, topical insulin, low intensity ultrasound, chronic venous ulcer
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Factors determining the knowledge of women aged 30-40 from the Rzeszów poviat about urinary incontinence

Ewa Puszczałowska-Lizis, Paweł Rychter, Marcin Wilczyński, Monika Banek


Ewa Puszczałowska-Lizis, Paweł Rychter, Marcin Wilczyński, Monika Banek – Factors determining the knowledge of women aged 30-40 from the Rzeszów poviat about urinary incontinence. Fizjoterapia Polska 2022; 22(1); 198-206

Abstract
Introduction. Urinary incontinence is any incident of uncontrolled leakage of urine from the urethra, regardless of the cause. The aim of the study was to assess the dependencies of se-lected factors with the level of knowledge about urinary incontinence in women.
Material and methods. The diagnostic survey using the author’s questionnaire covered 207 women aged 30 to 40 from the Rzeszów poviat, The data were analyzed based on Pearson’s Chi-square test (χ2).
Results. A statistically significant dependence was found between the level of education and the level of knowledge about urinary incontinence (p = 0.001).
Conclusions. Women with higher education have more knowledge about urinary incontinence than women with secondary and vocational education. Educational activities should be aimed mainly at women with secondary and vocational education. The elimination of risk factors should be encouraged, as well as the necessity of early diagnosis of urinary incontinence and immediate treatment.
Key words:
pelvic floor, urinary incontinence, prophylaxis, diagnostics, therapy
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Effect of pilates exercises on postmenopausal symptoms and lumbar flexibilty

Norhan El Sayed Farouk Saleh, Soheir Mahmoud Elkosery, Hazem Salah EL Din El Ashmawi, Marwa Esmael Hasanin Esmael


Norhan El Sayed Farouk Saleh, Soheir Mahmoud Elkosery, Hazem Salah EL Din El Ashmawi, Marwa Esmael Hasanin Esmael – Effect of pilates exercises on postmenopausal symptoms and lumbar flexibilty. Fizjoterapia Polska 2022; 22(1); 192-197

Abstract
Background and objective. Postmenopausal women suffer from clinical symptoms such as vasomotor, psychological, physical, and genitourinary symptoms. 77% of postmenopausal women suffer from muscle and joint problems, loss of muscle strength and flexibility. This study was conducted to see effect of Pilates exercise on postmenopausal symptoms and lumbar flexibility.
Methods. Forty postmenopausal women at least 1 year from their last menstruation aged from 50-59 years there BMI does not exceed 30 kg/m2 were assigned randomly to 2 equal groups: Group A (study group) received calcium 500 mg/day, cholecalciferol (vitamin D3) (0.2mg)/day and Pilates exercises (hundred, saw, side kick spine stretch) for 45 minutes/ session, three times per week for 12 weeks. Group B (control group) only received calcium 500 mg/day and cholecalciferol (0.2 mg)/day for 12 weeks. Their menopausal symptoms were assessed through menopausal rating scale (MRS) and lumbar flexibility assessed by (modified Schober test, sit to reach test and fingertip to floor test) before and after treatment period.
Results. There was a significant decrease in MRS post treatment results in the study and control group compared with that of pretreatment ones (p > 0.01). there was a significant decrease in the post treatment results of MRS of Group A (study group) compared with that of Group B (control group). Regarding flexibility There was a significant increase in sit and reach distance, modified Schober test distance and significant decrease in fingertip-to-floor distance post treatment results in the study and control group compared with that pretreatment results (p < 0.001), there was a significant increase in lumbar flexibility of Group A (study group) compared with that of Group B (control group) post-treatment results.
Conclusion. Pilate’s exercise has a positive effect on postmenopausal symptoms and lumbar flexibility.
Key words:
Pilate’s exercise, menopause, postmenopausal symptoms, lumbar flexibility
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Aerobic exercise versus mediterranean diet on insulin resistance in obese prediabetic postmenopausal women: A randomized controlled study

Hala Mohamed Hanafy, Magda Sayed Morsi, Hosam El-Din Hussain Kamel, Safaa Al-Hossany Tawfiq, Sally Osama Baraka


Hala Mohamed Hanafy, Magda Sayed Morsi, Hosam El-Din Hussain Kamel, Safaa Al-Hossany Tawfiq, Sally Osama Baraka – Aerobic exercise versus mediterranean diet on insulin resistance in obese prediabetic postmenopausal women: A randomized controlled study. Fizjoterapia Polska 2022; 22(1); 184-190

Abstract
Purpose. To find out the effect of Mediterranean diet and exercise on weight reduction and their influences on insulin resistance in obese prediabetic postmenopausal women.
Methods. Randomized controlled trial. This study was carried out on 40 obese postmenopausal women with sedentary life and with insulin resistance. They were selected from Cairo University Medical Hospitals and divided randomly into two equal groups; group A, Diet group (n = 20), enrolled on a Mediterranean diet for 12 weeks and group B, Exercise group (n = 20), enrolled on exercise training for 12 weeks. For each patient the weight, height, body mass index (BMI), waist and hip circumferences and ratio and Hemoglobin A1c were estimated and recorded before and after intervention.
Results. After intervention, the Mediterranean diet and exercise groups showed significant weight reduction, lower BMI, waist and hip circumferences and ratio and HbA1c. However, there was significant differences between both groups. Mediterranean diet showed significant reduction in all weight parameters and HbA1c than exercise group.
Conclusion. The Mediterranean diet resulted in better weight reduction and improvement of insulin resistance than exercise in obese prediabetic postmenopausal women.
Key words:
obesity, mediterranean diet, exercise, postmenopausal women, prediabetic women, insulin resistance, waist, and hip circumferences
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Use of selected soft tissue therapy techniques in menstrual pain syndromes

Łukasz Skibiński, Jolanta Rojczyk-Chmarek


Łukasz Skibiński, Jolanta Rojczyk-Chmarek – Use of selected soft tissue therapy techniques in menstrual pain syndromes. Fizjoterapia Polska 2022; 22(1); 166-182

Abstract
Introduction. One of the more common ailments of young women in the reproductive period is dysmenorrhea (MSM). More than 50% of women complain of menstrual pain, and 10% of them are forced to give up their daily activities for the first 1-3 days of the menstrual cycle.
Objective of the work. The aim of the research was to check to what extent the selected techniques on soft tissues in strictly defined places will reduce the intensity of pain sensations occurring in the painful menstruation syndrome.
Material and methods. 23 women aged 19 to 48 participated in the study. Women with cyclical IBM-related pains that had been repeated for at least a year were invited to the study. Pain complaints were examined according to the VAS scale, which allows the assessment of pain on a scale of 1-10. Each visit began with the completion of a questionnaire. Thanks to it, pain sensations and other ailments or observations related to the menstrual cycle for 3 consecutive menstrual cycles were checked.
Results. The most common complaints were pain in the area of the lower abdomen, lumbar spine or head. There was a positive difference in the assessment of pain scale, pain duration and the assessment of improvement in health during menstruation. There was also a significant decrease in pain medication intake from 86 at the first treatment meeting, where only 21 was indicated at the last meeting.
Conclusions. The results of the presented studies have shown that the therapy of soft tissues at specific points has a positive effect on chronic menstrual pain and the reduction of painkillers. The author, through a detailed analysis of the subject of UBM, hopes that the presented content will increase the prevention and awareness of patients in the subject of UBM.
Key words:
menstruation, menstrual pain, visceral therapy, menstrual cycle, soft tissue therapy
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