Autor: Gehan M. Ahmed, Ebtesam M. Fahmy, Mohamed F. Ibrahim, Amina Awad

Effect of Aerobic Training on Muscle Performance and Quality of Life in Patients with Multiple Sclerosis. A Randomized Controlled Trial

Gehan M. Ahmed, Ebtesam M. Fahmy, Mohamed F. Ibrahim, Amina Awad

Gehan M. Ahmed, Ebtesam M. Fahmy, Mohamed F. Ibrahim, Amina Awad – Effect of Aerobic Training on Muscle Performance and Quality of Life in Patients with Multiple Sclerosis. A Randomized Controlled Trial. Fizjoterapia Polska 2020; 20(5); 174-181

DOI: https://doi.org/10.56984/8ZG2084A3

Streszczenie
Background. Compromised muscle performance is common problem in multiple sclerosis (MS) patients and subsequently affects activities of daily living and quality of life (QoL). Objective. to investigate the additional effect of short-term aerobic training on both of muscle performance and QoL in patients with MS. Design. Single blinded, parallel randomized controlled trial. Setting. Faculty of Physical Therapy, Cairo University, Egypt. Participants: 40 patients with relapsing remitting MS (RRMS) were randomly divided into two equal groups; intervention (n = 20) and control (n = 20) groups. Intervention. Both groups received a therapeutic exercise program of active strengthening and stretching exercises for selected lower limbs muscles. Only intervention group received aerobic training using bicycle ergometer three sessions weekly for eight successive weeks. Outcomes measures: isokinetic dynamometer parameters; total work, power and fatigue index, to evaluate muscle performance. The Short Form health survey (SF-36) was also applied to evaluate the QoL. Results. Intervention group showed a remarkable significant improvement in all of the isokinetic parameters and in several subscales of SF-36 questionnaire as well when compared with the control group (p < 0.05). Conclusion. adding aerobic training to physical therapy program can be more beneficial in improving muscle performance and quality of life in patients with MS.
Słowa kluczowe:
Aerobic training, Muscle performance, Quality of life, Multiple sclerosis
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Role of Triceps Kinesiology Taping on Elbow Flexion Tightness in Extended Erb’s Palsy Infants: A Randomized Controlled Trial

Radwa S ElKhatib, Emam H ElNegmy, Gehan M AbdelMaksood, Amina H Salem, Nehad A. Abo-zaid

Radwa S ElKhatib, Emam H ElNegmy, Gehan M AbdelMaksood, Amina H Salem, Nehad A. Abo-zaid – Role of Triceps Kinesiology Taping on Elbow Flexion Tightness in Extended Erb’s Palsy Infants: A Randomized Controlled Trial . Fizjoterapia Polska 2020; 20(5); 166-173

Streszczenie
Objective. To investigate the effect of kinesiotaping in preventing elbow flexion tightness in infants with extended erb’s palsy.
Method. Thirty-two infants from both genders, aged 3-6 months, and diagnosed with extended Erb’s palsy, were aimlessly allocated into two groups equally. Group (i) received a constructed program of physical therapy triweekly for three months, while group (ii) received equal therapy in addition to Triceps kinesiotaping. Assessment of muscle power was performed using the Toronto Active Motion Scale and assessment of the elbow extension range of motion was performed using the smartphone goniometer “G-Pro” application, which was conducted prior to and after the treatment program for both groups.
Results. Group (i) showed significant difference in elbow extension range of motion when comparing the affected side with the non-affected side, after the treatment, exposing that elbow flexion tightness unfortunately had occurred, while there was non-significant difference in group (ii). Significant improvements of elbow extensors’ and flexors’ muscle strength were verified post-treatment within groups, while comparing between-groups revealed significant improvement (p < 0.05), in favor of group (ii).
Conclusion. Kinesiotaping of the Triceps muscles is an effective modality for boosting muscle power, supporting function and preventing the occurrence of elbow flexion tightness in affected infants.
Słowa kluczowe:
kinesiology taping, infants, kinesiotaping in preventing elbow flexion
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Effect of Bioptron Light Therapy on Postmenopausal Osteoporosis: A Randomized Controlled Trial

Mohamed O. Abd Elhamid, Amel M. Yousef, Rokia A. El-Banna, Reda Kotb abd elrazik, Doaa A. Osman

Mohamed O. Abd Elhamid, Amel M. Yousef, Rokia A. El-Banna, Reda Kotb abd elrazik, Doaa A. Osman – Effect of Bioptron Light Therapy on Postmenopausal Osteoporosis: A Randomized Controlled Trial. Fizjoterapia Polska 2020; 20(5); 160-165

Streszczenie
Objectives. Postmenopausal osteoporosis, a major public health problem worldwide, is associated with low quality of life, morbidity, significant mortality and huge socio-economic burden. Therefore, this study aimed to investigate the effect of bioptron light therapy on postmenopausal osteoporosis.
Methods. Thirty postmenopausal women with hip osteoporosis, aged 50-60 years, were randomized into 2 equal groups. Group (A) received medical treatment in the form of calcium, vitamin D3 and sodium fluoride supplementation for 4 weeks (n = 15), while group (B) received the same medical treatment in addition to bioptron light therapy for 4 weeks (n = 15). The primary outcome was total hip T–score, while the secondary outcome was total score of Quality of Life Questionnaire of the European Foundation for Osteoporosis (QUALEFFO-41). The outcome measures were evaluated pre- and post-treatment.
Results. Comparing both groups pre- and post-treatment revealed that there was a statistically non-significant difference in total hip T–score (P > 0.05). Also, total score of QUALEFFO-41 revealed a statistically non-significant difference pre-treatment (P > 0.05), while post-treatment, it revealed a statistically significant reduction (P < 0.05) in favour of group (B). The percentages of improvement post-treatment in total hip T–score and total score of QUALEFFO-41 were 2.4% and 15.65% in group (A), while they were 11.29% and 31.63% in group (B).
Conclusions. Bioptron light therapy is effective in treating postmenopausal women with hip osteoporosis through producing a greater improvement percentage in total hip T–score and improving their quality of life.
Słowa kluczowe:
Postmenopausal osteoporosis, Bioptron Light Therapy, Quality of Life Questionnaire
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Ocena zależności między poziomem sprawności fizycznej a jakością życia u kobiet po 60 – tym roku życia uczęszczających na zajęcia ruchowe w porównaniu do nietrenujących rówieśniczek

Dominika Drelich, Katarzyna Michalak, Elżbieta Poziomska-Piątkowska

Dominika Drelich, Katarzyna Michalak, Elżbieta Poziomska-Piątkowska – Assessment of the relationship between the level of physical fitness and the quality of life among women over 60 years old attending physical activity classes in comparison with their non – training peers. Fizjoterapia Polska 2020; 20(5); 150-159

Streszczenie
Cel pracy: Celem pracy była ocena wpływu regularnej aktywności fizycznej na poziom sprawności ogólnej i jakości życia kobiet po 60 – tym roku życia.
Materiały i metodyka: Badaniami objęto 36 zdrowych kobiet (18 trenujących i 18 nietrenujących) po 60 – tym roku życia, wśród których wykonano Senior Fitness Test oraz przeprowadzono Kwestionariusz WHOQOL – BREF
Wyniki: Analiza testu U Manna – Whitneya wykazała istotne statystycznie różnice dla większości zmiennych między badanymi grupami (p<0,05) w Senior Fitness Test poza próbą „uginanie ramion” (p=0,137) na korzyść kobiet trenujących. Na podstawie wyników skróconej wersji kwestionariusza WHOQOL – BREF zaobserwowano, iż seniorki uczęszczające na zajęcia ruchowe uważają przeciętnie swój poziom życia za istotnie statystycznie lepszy aniżeli nietrenujące rówieśniczki.
Wnioski:
1) Kobiety powyżej 60 – tego roku życia regularnie uczęszczające na zajęcia ruchowe wykazują się istotnie statystycznie wyższym poziomem sprawności fizycznej
w porównaniu do nieaktywnych rówieśniczek.
2) Seniorki aktywne ruchowo uważają przeciętnie swój poziom życia za istotnie statystycznie lepszy w porównaniu do kobiet nietrenujących.
3) Wysoki poziom sprawności fizycznej dodatnio koreluje z ogólną oceną jakości życia.
Słowa kluczowe:
sprawność fizyczna, jakość życia, Senior Fitness Test, WHOQOL – BREF
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Validity and Reliability of Smartphone Application in Measuring Knee Range of Motion in Patients with Patellofemoral Pain Syndrome

Labib Mousa Ghali, Enas Fawzy Youssef, Ahmad Hamdi Azzam, Samah Saad Zahran

Labib Mousa Ghali, Enas Fawzy Youssef, Ahmad Hamdi Azzam, Samah Saad Zahran – Validity and Reliability of Smartphone Application in Measuring Knee Range of Motion in Patients with Patellofemoral Pain Syndrome. Fizjoterapia Polska 2020; 20(5); 144-149

Streszczenie

Background. Limitation in knee range of motion (ROM) is frequently compromised in patients with patellofemoral pain syndrome (PFPS). Smartphones have become the most widely used device and begun to enter the field of musculoskeletal evaluation. Objective. to investigate the concurrent validity and reliability of the smartphone “Goniometer Records” application in assessing knee ROM in patients with PFPS. Methods. thirty-six PFPS patients (age: 22.82 ± 1.76 years, male:28, female:8) were participated. Knee ROM was measured simultaneously by the smartphone “Goniometer Records” application and by the bubble inclinometer. These measurements were repeated by the same experienced examiner on the same day to measure intra-rater reliability, and by another experienced examiner on the same day to measure inter-rater reliability and after one-week to measure test-retest reliability Results. There was a strong positive correlation to confirm concurrent validity between the smartphone application and the bubble inclinometer (r = 0.97-0.98; p = 0.0001. Intra-rater, inter-rater and test-retest reliabilities of smartphone application suggested excellent reliability for knee flexion and extension (ICC = 0.988-0.997), (ICC = 0.985-0.994), (ICC = 0.984-0.994) respectively. Conclusion. Smartphone application is a valid and reliable alternative for bubble inclinometer in measuring active knee ROM in patients with PFPS.

Słowa kluczowe:
reliability, validity, ROM, patellofemoral pain syndrome, smartphone
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Effect of Aerobic Power Training on Walking Efficiency and Function in Children with Cerebral Palsy

Amira Y. EL-Dwiny, Kamal E.Shoukry Aziza K.Omar, Asmaa A.Abonour

Amira Y. EL-Dwiny, Kamal E.Shoukry Aziza K.Omar, Asmaa A.Abonour – Effect of Aerobic Power Training on Walking Efficiency and Function in Children with Cerebral Palsy. Fizjoterapia Polska 2020; 20(5); 136-143

Streszczenie

Objectives. Poor endurance and early fatigue are factors contributing to ambulatory decline in cerebral palsy that was associated with lack of physical activity and secondary impairments. Therefore, this study aimed to investigate the effect of aerobic power training on walking efficiency and function in children with cerebral palsy. Methods. Thirty children with spastic cerebral palsy, of both sexes, aged between 6.41 to 16.8 years, were randomly allocated to either study or control group. Study group participated in aerobic power training with heart rate biofeedback for 30 minutes, 3 days per week, for 8 weeks in addition to a traditional physical therapy program, whereas control group received only traditional physical therapy program. Energy expenditure index (EEI) and its corresponding walking speed on a treadmill and gross motor function for standing and walking were measured pre- and post-treatment. Results. Comparing the results of pre- and post-treatment revealed that the measured variables were improved by statistically significant difference within both study and control groups, with a higher effect size and percentage of improvement in the study group. Post-training results revealed statistically non-significant differences between groups regarding the measured variables (EEI, TWS, GMFM-D, and GMFM-E). Conclusions. There was no statistical additional effect for the aerobic power training program. However, it was effective in improving walking efficiency and function in children with spastic cerebral palsy with higher percentage of improvement than the traditional physical therapy training program.

Słowa kluczowe:
aerobic power training, energy expenditure index, Gross Motor Function Measure, heart rate biofeedback, and spastic cerebral palsy
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Effects of low level laser therapy and median nerve mobilization after carpal tunnel release: A randomized controlled trial

Moussa A. Sharaf, Mona S. Faggal, Marwa S. Saleh, Nagwa I. Rehab

Moussa A. Sharaf, Mona S. Faggal, Marwa S. Saleh, Nagwa I. Rehab – Effects of low level laser therapy and median nerve mobilization after carpal tunnel release: A randomized controlled trial. Fizjoterapia Polska 2020; 20(5); 128-134

Streszczenie

Background. Although various rehabilitation methods have been used to enable patients to return to their normal activities after carpal tunnel release (CTR) such as low level laser therapy (LLLT) and median nerve mobilization, up till now, there is no evidence for the comparison of effects of these two techniques in patients with CTR. Purpose. To investigate and compare the effectiveness of LLLT and median nerve mobilization after CTR on the electrophysiological parameters of median nerve, pain, hand grip and pinch strength. Methods. Forty-five patients of both sexes with unilateral CTR participated in the study. They were randomly assigned into three equal groups. Group I received LLLT and group II received median nerve mobilization three sessions per week for five successive weeks. Group III was the control group. Electrophysiological parameters of the median nerve, visual analogue scale (VAS), hand grip and pinch strength were assessed pre, post-treatment and after three months (follow-up). Results. There was no significant difference between GI and GII in all variables at post-treatment and follow-up. However, there was significant difference in all variables at post-treatment in GI and GII as compared to GIII. At follow-up for all variables, there was no significant difference between GI and GIII (except for pain) with significant difference between GII and GIII. Conclusion. Both of neural mobilization and LLLT lead to better improvement in the electrophysiological parameters of the median nerve, pain and hand function after CTR (in favor of neural mobilization group). Also, median nerve mobilization is more effective on improving hand function than LLLT at follow-up.

Słowa kluczowe:
Carpal tunnel release, low level laser therapy, median nerve mobilization, electrophysiological parameters, hand grip, pinch strength
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Lung Vital Capacity Levels on disability in Swimming Learning

Susanto, Siswantoyo, Sumaryanto, Adi Wijayanto

Susanto, Siswantoyo, Sumaryanto, Adi Wijayanto – Lung Vital Capacity Levels on disability in Swimming Learning. Fizjoterapia Polska 2020; 20(5); 122-126

Streszczenie

This study discusses how the vital lung capacity of disabled students can be achieved in swimming learning at the Yakkum rehabilitation center. The purpose of this study is to find a real picture of the vital lung capacity level of students with disabilities in learning to swim at the Yakkum rehabilitation center. The research method uses descriptive quantitative research methods. The population used in this study were students with disabilities in learning to swim for 2 years. This study used the entire population as a sample of 50 students, consisting of 25 men and 25 women. This type of research is a descriptive study, with one research variable, namely vital lung capacity. The research instrument for collecting data is a spirometer. To analyze the data collected the researchers used quantitative descriptive analysis techniques with percentages and SPSS 12 statistical assistance. The results showed that the vital lung capacity of students with disabilities in swimming learning was 42% very good, 22% good, 20% enough and less categories 16%. Thus, students with disabilities in swimming lessons have the same vital lung capacity as the average vital lung capacity in normal people in general.

Słowa kluczowe:
vital lung capacity, students with physical disabilities, swimming learning
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Szyja tekstowa a ból szyi

Wojciech Błachnio

W. Błachnio – Text neck vs. neck pain. Fizjoterapia Polska 2020; 20(5); 114-121

Streszczenie

Ból szyi jest jedną z głównych przyczyn niepełnosprawności współczesnego człowieka. Szyja tekstowa wynika z nieprawidłowości postawy górnej części ciała. Powstaje na skutek nieergonomicznych pozycji, w jakich człowiek używa nowoczesnych urządzeń technologii informatycznej. Najpoważniejszą konsekwencją tej złej postawy jest ból szyi i górnej części pleców. Powszechność stosowania tych szczególnie mobilnych urządzeń multimedialnych stanowi zagrożenie wystąpienia bólu szyi, szczególnie wśród młodych pokoleń populacji ludzkiej. Artykuł ten stara się odpowiedzieć na dwa pytania: 1. Jakie czynniki wpływają na pojawienie się bólu w „zespole szyi tekstowej”? 2. Jak dokonywać pomiaru zniekształceń postawy ciała w „zespole szyi tekstowej”?

Słowa kluczowe:
szyja tekstowa, ból szyi
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