Tag: Marwa Shafiek Mustafa Saleh

Effect of Siwa sand baths versus sulphurous water bath on inflammatory biomarkers, pain, and physical function in patients with rheumatoid arthritis: A randomized, single-blind controlled trial

Marwa Shafiek Mustafa Saleh, Rasha Mohammed Samy Mahrous, Mohamed Maher El Keblawy


Marwa Shafiek Mustafa Saleh, Rasha Mohammed Samy Mahrous, Mohamed Maher El Keblawy – Effect of Siwa sand baths versus sulphurous water bath on inflammatory biomarkers, pain, and physical function in patients with rheumatoid arthritis: A randomized, single-blind controlled trial. Fizjoterapia Polska 2022; 22(2); 18-24

Abstract
Background. Sand baths and sulphurous water bath has been approved as alternative modalities for treating various musculoskeletal diseases. Although that, current evidence is not clear enough to support naturotherapy modalities as an effective method to treat Rheumatoid Arthritis (RA).
Objectives. This study aimed to compare the effect of Siwa sand baths and Sulphurous water bath on inflammatory biomarkers (ESR, CRP, RF), pain intensity, physical function, and wrist Range of Motion (ROM) in patients with RA.
Methods. A randomized single-blind controlled clinical trial was designed to treat 30 patients with chronic RA. These patients were randomly assigned into two groups of 15 patients each: Group A (n = 15) received Siwa sand baths, and group B (n = 15) received sulphurous water bath (each bath lasting 20 minutes, for 7 successive days). Inflammatory biomarkers, physical function, pain intensity, and wrist joint ROM were measured for all patients at three intervals (before treatment, after 7 days of treatment, and after 1-month follow-up).
Results. The results showed that after 7 days of treatment there were significant differences between both groups in all measured variables in favor of group B, ESR (p = 0.0001), CRP (p = 0.001), RF (p = 0.0001), HAQ (p = 0.0001), pain (p = 0.001), wrist extension (p = 0.001), wrist flexion (p = 0.0001). While at 1-month follow-up, the analysis showed significant differences between both groups in all measured variables in favor of group A (p < 0.05).
Conclusion. Both Siwa sand baths and sulphurous water bath have an improvement effect on inflammatory biomarkers, pain, daily activities, and wrist ROM but Siwa sand baths has more effect in the long term better than sulphurous water bath.
Key words:
Siwa sand baths, Sulphurous water bath, Rheumatoid arthritis, Inflammatory biomarkers
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Effect of different therapeutic modalities on cervical joint position sense, neck pain and dizziness in patients with cervical spondylosis: A randomized controlled trial

Nagwa Ibrahim Rehab, Marwa Shafiek Mustafa Saleh, Shaima M. Abdelmageed, Noura Elkafrawy

Nagwa Ibrahim Rehab, Marwa Shafiek Mustafa Saleh, Shaima M. Abdelmageed, Noura Elkafrawy – Effect of different therapeutic modalities on cervical joint position sense, neck pain and dizziness in patients with cervical spondylosis: A randomized controlled trial. Fizjoterapia Polska 2021; 21(3); 170-177

Abstract
Background. Dizziness is a common symptom following cervical spondylosis which is due to disturbed sensory input from the neck proprioceptors. Both manual therapy and deep neck flexors training improve cervical joint position sense but yet there is no evidence about the most effective method for improving cervical joint position sense and dizziness in patients with cervical spondylosis. Purpose. To investigate and compare the effect of Mulligan sustained natural apophyseal glides (SNAGs), Maitland mobilization and deep cervical flexors (DCFs) training on cervical joint position sense, neck pain and dizziness in patients with cervical spondylosis. Methods. 56 patients with cervical spondylosis of both sexes aging from 40 to 55 years contributed in this study. Patients were chosen from Out-Patient Clinic, Faculty of Physical Therapy, Cairo University. They were randomly assigned to four groups (one control group and three study groups). Study group I received Mulligan SNAGs mobilization plus conventional physical therapy (Moist hot pack, Transcutaneous nerve stimulation (TENS), deep neck flexors exercises), study group II received Maitland passive mobilization plus conventional physical therapy, study group III received DCFs training plus conventional physical therapy and control group IV received conventional physical therapy only. Primary outcome was cervical joint position sense assessed by Head Repositioning Accuracy (HRA) measurement and secondary measures include assessment of dizziness intensity by dizziness- visual analogue scale (VAS), disability caused by dizziness using dizziness handicap inventory (DHI) and neck pain intensity using Numeric Pain Rating Scale (NPRS), all outcomes measures were assessed for each patient pre and post 6 weeks of treatment program in the four groups (3 sessions ∕week). Results. There was no significant difference in all measured variables (RT HRA, LT HRA, NPRS, Dizziness-VAS and DHI) between group I and II post six weeks of the treatment (p > 0.05). While there was a significant decrease in all measured variables in both group I and II in comparison with that of group III and group IV post treatment (p < 0.05) and in group III in comparison with that of group IV post treatment (p < 0.05).Conclusions. The results showed that both Mulligan SNAGs and Maitland passive mobilization have similar effect on cervical joint position sense, neck pain and dizziness in patients with cervical spondylosis. Each of them was more effective than DCFs in improving these problems.
Key words:
Cervicogenic dizziness; Neck proprioception; Neck pain; Maitland mobilization, Mulligan mobilization; Deep cervical flexors training; Cervical spondylosis
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Effect of Russian Current Stimulation on Abdominal Strength and Endurance in Postnatal Diastasis Recti: A Randomized Controlled Trial

Afaf Mohamed Mahmoud Botla, Marwa Shafiek Mustafa Saleh

Afaf Mohamed Mahmoud Botla, Marwa Shafiek Mustafa Saleh – Effect of Russian Current Stimulation on Abdominal Strength and Endurance in Postnatal Diastasis Recti: A Randomized Controlled Trial. Fizjoterapia Polska 2020; 20(1); 16-22

Abstract
Background. Postnatal diastasis recti (DR) can result in cosmetic defects, psychological discomfort, and other related problems such as low back pain (LBP) and pelvic instability. Although, Russian current stimulation is one of the most widely used modalities for improving muscle strength, there is still inconclusive evidence to support its effectiveness in patients with postnatal DR. Objective. This study was conducted to investigate the effect of Russian current stimulation on abdominal strength and endurance in postnatal DR. Methods. Thirty six women suffering from postnatal DR randomly assigned to study or a control group. The control group (n = 18) participated in an abdominal exercise program for 30 minutes per session, whereas the study group (n = 18) received Russian stimulation to rectus abdominis muscles in addition to the same abdominal exercise program. Outcome measures included inter recti distance (IRD), waist/hip ratio (WHR), abdominal muscle strength (peak torque, maximum repetition total work, and average power), abdominal endurance and body appreciation. Measures were assessed for all participants in both groups before and after 6 weeks of treatment program. Results. Analysis showed that both groups had improved in all outcomes measures. Further, there was a significant difference between the two groups in favor of the study group for all of the measured variables. Conclusions. The study showed that adding Russian current stimulation to abdominal exercises program is more effective than abdominal exercises program only in treatment of postnatal DR.

Key words:
Diastasis recti, Abdominal exercises, Russian stimulation, Abdominal strength, Abdominal endurance

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