Tag: Hamada A. Hamada

多囊卵巢综合症女性激素水平对内脏操纵影响的随机试验

Eman E. Kamel, Hamada A. Hamada, Amel M. Yousef, Fahima M. Okeel, Mohamed Hassan, Hatem M. Hassan

Eman E. Kamel, Hamada A. Hamada, Amel M. Yousef, Fahima M. Okeel, Mohamed Hassan, Hatem M. Hassan – Influence of visceral manipulation on hormonal profile in women with polycystic ovarian syndrome: A randomized trial –  Fizjoterapia Polska 2024; 24(1); 279-284

DOI: https://doi.org/10.56984/8ZG2EF8860

摘要
背景。多囊卵巢综合症（PCOS）是生育年龄女性中最常见的内分泌疾病，并被认为是心脏代谢疾病的一个风险因素。根据所采用的诊断标准，大约10-15%的生育年龄女性受到PCOS的影响。目的。研究内脏操纵如何影响多囊卵巢综合症女性的激素水平。设计。前瞻性随机单盲对照试验。环境。萨达特综合医院的门诊部。方法。招募了30名多囊卵巢综合症女性患者，并将她们随机分为两个等组：对照组接受了12周低热量地中海饮食指导治疗，而研究组在接受同样的对照组干预措施外，还额外进行了内脏操纵（VM）。生化分析（FSH和LH）和BMI是主要结果。所有变量在干预前和干预后12周时测量。结果。通过配对t检验进行统计分析，显示两组均有显著改善。因此，使用混合设计的MANOVA和多重成对比较测试（事后测试）对治疗后的BMI和LH/FSH比率进行了分析，结果显示，与A组相比，B组的LH/FSH比率显著降低（p=0.007），两组之间的BMI没有显著差异（p=0.443），显示VM组（B）在生化分析上比组（A）更有效（p<0.05）。结论。结合使用内脏操纵和标准的低热量地中海饮食计划对多囊卵巢综合症女性的激素水平有更多益处。
关键词
多囊卵巢综合症，内脏操纵，低热量饮食，黄体生成激素，促卵泡激素
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Terapia manualna dla bólu miednicy o podłożu miofascjalnym: opis przypadku i przegląd narracyjny

Amira N. Abdellatif, Amel M. Youssef, Hamada A. Hamada, Karima A. Hassan


Amira N. Abdellatif, Amel M. Youssef, Hamada A. Hamada, Karima A. Hassan – Manual therapy formyofascial pelvic pain: A case report and narrative review. Fizjoterapia Polska 2023; 23(3); 126-137

DOI: https://doi.org/10.56984/8ZG1435AD

Streszczenie
Wstęp. Ból miednicy o podłożu miofascjalnym (MFPP) charakteryzuje się obecnością wrażliwych punktów spustowych mięśniowo-powięziowych (MTrPs) w mięśniach i powięzi dna miednicy. Terapia manualna dna miednicy jest często proponowana jako pierwsza linia leczenia MFPP.
Istniejąca literatura potwierdza korzystne wyniki terapii manualnej w leczeniu MFPP i oferuje zwięzłe podsumowanie, jak te techniki są stosowane u pacjentów z MFPP. Literatura zawiera dziesięć technik; (1) uwalnianie punktów spustowych miofascjalnych, (2) masaż Thiele, (3) wewnętrzny samomasaż, (4) masaż krocza, (5) łączone techniki manualne, (6) mobilizacja miofascjalna miednicy, (7) manualna terapia narządów wewnętrznych, (8) manipulacja tkanki łącznej, (9) uwalnianie blizny, oraz (10) wewnętrzna manipulacja kości guzicznej.
Metody. Przeprowadzono przegląd narracyjny w celu podsumowania dostępnych dowodów na temat technik terapii manualnej dna miednicy dla MFPP.
Kluczowe treści i wyniki. Po przeglądzie aktualnych badań, dwadzieścia pięć badań spełniło kryteria włączenia. Dostępne dowody sugerują, że terapia manualna dna miednicy jest skuteczna w leczeniu MFPP.
Wnioski. Chociaż obecnie dostępne badania są ograniczone pod względem liczby i mają pewne ograniczenia w projekcie badania, terapia manualna jest uważana za obiecującą, skuteczną i bezpieczną opcję leczenia MFPP.

Słowa kluczowe:
ból miednicy o podłożu miofascjalnym, przewlekły ból miednicy, punkty spustowe miofascjalne, terapia manualna, manipulacja

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Laser Acupuncture: Could it be a New Complementary Intervention in Management of Peripheral Arterial Disease?

Abeer Ahmad Farghaly, Hesham Mostafa, Hasnaa Ahmed Abdel-Aziz, Hamada A. Hamada

Abeer Ahmad Farghaly, Hesham Mostafa, Hasnaa Ahmed Abdel-Aziz, Hamada A. Hamada – Laser Acupuncture: Could it be a New Complementary Intervention in Management of Peripheral Arterial Disease?. Fizjoterapia Polska 2020; 20(5); 226-232

Abstract
Laser acupuncture has produced promising results in the management of many medical conditions; it has been used as a non-invasive therapy with no puncture pain which represents a major advantage over traditional acupuncture or electroacupuncture. The research question of this study is: Does the Aluminum Gallium Arsenide (AlGaAs) LASER acupuncture affect the lower limb blood supply and functional walking ability in patients with peripheral arterial disease (PAD)?. Thirty male patients’ diagnosis with PAD were recruited from Kasr El-ainy Hospital, and were randomly divided into two equal groups: study group and control group. Both groups received the routine medical treatment whereas study group received laser acupuncture therapy twice weekly for five weeks. Ankle brachial pressure index (ABPI), six-minute walk test (6MWT), and rating of perceived exertion using modified Borg scale were measured. The 2×2 mixed design MANOVA showed that laser acupuncture has induced highly statistically significant improvements in all the measured outcomes (p < 0.05). However, results revealed no significant difference between the two groups except for modified Borg scale. It was concluded that, AlGaAs Laser acupuncture could be an effective non-pharmacological intervention for improving circulation and functional walking performance in PAD patients and may be recommended as a complementary therapy in the management protocols of PAD.
Key words:
Laser acupuncture, peripheral arterial disease, Ankle brachial pressure index, six-minute walk test
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Vacuum Assisted Closure Therapy Versus Polarized Light in The Treatment of Pressure Ulcer: A randomized controlled trial

Haidy N. Ashem, Rami L. Abbas, Hamada A. Hamada, Marwa M. Eid

Haidy N. Ashem, Rami L. Abbas, Hamada A. Hamada, Marwa M. Eid – Vacuum Assisted Closure Therapy Versus Polarized Light in The Treatment of Pressure Ulcer: A randomized controlled trial. Fizjoterapia Polska 2020; 20(4); 154-159

Abstract

Purpose. This study was conducted to determine the effect of vacuum assisted closure therapy (VAC) versus polarized light or bioptron light therapy (BLT) in the treatment of pressure ulcers (PUs). Materials and Methods. Sixty patients of both sexes suffering from pressure ulcers classified between grade II and III according to the European Pressure Ulcer Advisory Panel (NPUAP), undergoing traditional medical treatment, participated in this study and were randomly assigned into two groups; group A, received polarized light 3 sessions per week for 8 weeks, and group B, received vacuum assisted closure therapy daily for 8 weeks. In addition to wound culture recording, wound surface area (WSA) and wound depth assessment were conducted before starting the treatment and at the end of treatment after 8 weeks of intervention. Results. Statistical analysis showed reduction in ulcer surface area and depth after treatment for both groups with high significant improvement in ulcer surface area and depth using polarized light. Conclusion. It can be concluded that both polarized light and vacuum assisted closure therapy had significant effect on pressure ulcers healing with high significant improvement in ulcer surface area and depth using polarized light compared with vacuum assisted closure therapy.

 

Key words:

polarized light or bioptron light therapy, vacuum assisted closure therapy, pressure ulcers

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Could it be a New Complementary Intervention in Management of Peripheral Arterial Disease?

Abeer Ahmad Farghaly, Hesham Mostafa, Hasnaa Ahmed Abdel-Aziz, Hamada A. Hamada

Abeer Ahmad Farghaly, Hesham Mostafa, Hasnaa Ahmed Abdel-Aziz, Hamada A. Hamada – Laser Acupuncture: Could it be a New Complementary Intervention in Management of Peripheral Arterial Disease? Fizjoterapia Polska 2020; 20(3); 184-190

Abstract
Laser acupuncture has produced promising results in the management of many medical conditions; it has been used as a non-invasive therapy with no puncture pain which represents a major advantage over traditional acupuncture or electroacupuncture. The research question of this study is: Does the Aluminum Gallium Arsenide (AlGaAs) LASER acupuncture affect the lower limb blood supply and functional walking ability in patients with peripheral arterial disease (PAD)? Thirty male patients’ diagnosis with PAD were recruited from Kasr El-ainy Hospital, and were randomly divided into two equal groups: study group and control group. Both groups received the routine medical treatment whereas study group received laser acupuncture therapy twice weekly for five weeks. Ankle brachial pressure index (ABPI), six-minute walk test (6MWT), and rating of perceived exertion using modified Borg scale were measured. The 2×2 mixed design MANOVA showed that laser acupuncture has induced highly statistically significant improvements in all the measured outcomes (p < 0.05). However, results revealed no significant difference between the two groups except for modified Borg scale. It was concluded that, AlGaAs Laser acupuncture could be an effective non-pharmacological intervention for improving circulation and functional walking performance in PAD patients and may be recommended as a complementary therapy in the management protocols of PAD.
Key words:
Laser acupuncture, peripheral arterial disease, Ankle brachial pressure index, six-minute walk test
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Effect of interferential Electrical Stimulation on pain perception and disability level on Interstitial Cystitis: a randomized controlled trial

Ghada Ebrahim El Refaye, Hamada A. Hamada, Ibtissam M. Saab, Najlaa Fathi Ewais

Ghada Ebrahim El Refaye, Hamada A. Hamada, Ibtissam M. Saab, Najlaa Fathi Ewais – Effect of interferential Electrical Stimulation on pain perception and disability level on Interstitial Cystitis: a randomized controlled trial. Fizjoterapia Polska 2020; 20(3); 102-106

DOI: https://doi.org/10.56984/8ZG140EA9

Abstract
Background. Interstitial cystitis is a range of urological manifestations that are characterized by bladder, pelvic and urethral pain, just as irritative voiding side effects. It is characterized by the International Continence Society as the protest of suprapubic pain, identified with bladder filling combined by different manifestations, for example, expanded day time and evening time recurrence, without demonstrated urinary contamination or different evident pathology of the lower urinary tract. Objective. To investigate the effect of interferential electrical stimulation on pain perception and disability level on interstitial cystitis. Participants and methods. A total of 40 volunteering women diagnosed with interstitial cystitis. Their ages were ranged between 25 to 40 years old and their body mass index was > 30 kg/m2. Participants were randomly assigned to two equally numbered groups; group (A) receiving interferential current at the lower abdomen, in addition to a routine medical intervention, or group (B) receiving solely routine medical intervention for 8 successive weeks. Participants were assessed for pain using visual analog scale (VAS), related disability index using levels using O’Leary–Sant Symptom Index or Interstitial Cystitis Index (ICSI), and blood cortisol concentration. Measurements were taken before and after eight weeks of intervention. Results. The analysis of the results revealed a significant reduction in VAS score (P < 0.0001), ICSI scores (P < 0.0001), and the plasma cortisol concentration (P < 0.0001) in the participants of group (A) at the end of the treatment, compared to group (B). Conclusion. These results concluded that adding IC therapy to routine medical intervention had an excellent effect on the management of interstitial cystitis associated signs and symptoms particularly pain, plasma cortisol levels, related disabilities.
Key words:
Interferential current, pain perception, disability level, interstitial Cystitis
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Mechanical Response of Hip and Knee Muscles Following Randomized Crossover Trials in Patellofemoral Pain Syndrome

Hamada A. Hamada, Hossam E. Fawaz, Ghada Koura, Noran A. Elbehary, Salam M. Elhafez

Hamada A. Hamada, Hossam E. Fawaz, Ghada Koura, Noran A. Elbehary, Salam M. Elhafez – Mechanical Response of Hip and Knee Muscles Following Randomized Crossover Trials in Patellofemoral Pain Syndrome. Fizjoterapia Polska 2020; 20(1); 160-168

Abstract
Background. Faulty hip kinematics during weight bearing activities is proposed to contribute to patellofemoral pain syndrome (PFPS). However, limited information exists to determine the effectiveness of exercises programs that not only act on the knee joint, but also on the hip joint in patients with PFPS. Purpose. The purpose of this study was to compare between the effect of the starting with hip strengthening exercises before knee exercises program and the starting with knee exercises program before hip strengthening exercises on pain intensity, Kujala questionnaire scale, quadriceps angle (Q-angle), anteversion angle, and eccentric peak torques (PT) for hip abductors, external rotators, and knee extensors in patients with PFPS. Materials and Methods. Twenty-four patients suffering from PFPS were randomly assigned into two equal groups of twelve. Group (A): their mean age, weight, height and BMI values were 23.33 ± 5.39 years, 71.16 ± 13.05 kg, 164.75 ± 4.5 cm, and 26.21 ± 4.71 kg/m² respectively. They received hip abductors and external rotators strengthening exercises for three weeks followed by knee extensors strengthening exercises and stretching exercises for hamstring quadriceps, iliotibial band and gastrocnemus for another three weeks. Group (B): their mean age, weight, height and BMI values were 23.16 ± 6.33 years, 69.41 ± 18.14 kg, 164.66 ± 7.27 cm, and 25.2 ± 6.2 kg/m² respectively. They received knee extensors strengthening exercises and stretching exercises for hamstring, quadriceps, iliotibial band and gastrocnemus for three weeks followed by hip abductors and external rotators strengthening exercises for another three weeks. Both groups received three to four sessions per week for six weeks. Pain level, Kujala scale, Q-angle, anteversion angle, and isokinetic eccentric PT for hip abductors, external rotators, and knee extensors were recorded before, after three weeks, and after six weeks of exercises. Results. 2×3 Mixed Design MANOVA revealed that there was a significant reduction in level of perceived pain and improvement of Kujala scale in group (A) compared with group (B) after six weeks of exercise (p < 0.05). However, there was no significant difference in the Q-angle, anteversion angle, and isokinetic eccentric PT for hip abductors, external rotators, and knee extensors between the tested groups after six weeks of exercise (p > 0.05). Conclusion. Starting rehabilitation program with hip strengthening exercises before knee exercises program is more effective than starting with knee exercises program before hip strengthening exercises in reducing pain and improving knee function in patients with PFPS. Consequently, this may help physiotherapists in designing the most effective and efficient prevention and rehabilitation programs for patients suffering from PFPS.

Key words:
Patellofemoral Pain Syndrome, Hip, Knee, Strengthening Exercises, Q -Angle, Anteversion Angle

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前位头部错姿对青春期后女性的颞下颔关节本体感觉的影响：观察性研究

Nehal G. Omran, Amel M. Yousef, Hamada A. Hamada, Ayman Gouda Matar, Doaa A. Osman

Nehal G. Omran, Amel M. Yousef, Hamada A. Hamada, Ayman Gouda Matar, Doaa A. Osman – Effect of Forward Head Posture on Temporomandibular Joint Proprioception in Post-Pubertal Females: An Observational Study. Fizjoterapia Polska 2019; 19(2); 142-146

摘要
目的。探讨前位头部错姿（FHP）对青春期后女性的颞下颔关节（TMJ）本体感觉的影响。
材料和方法。共40名青春期后女性参与研究，她们将背依照颅锥角（CVA）分为两组。前位头部错姿（FHP）组的CVA小于48° (n=21)，而对照组的CVA大于48° (n=19)。通过游标卡尺测量两组女性的TMJ复位的准确度。
结果。统计分析显示两组间在睁眼或闭眼的TMJ各方向复位（张口、突出和侧向运动）间无显著差异（p>0.05）。
结论和讨论。在青春期后女性中FHP对所有方向的TMJ本体感觉都没有负面影响，无论眼睛是张开或闭合。

关键词：
前位头部错姿、颅锥角、颞下颔关节、本体感觉、青春期后的女性

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