Tag: Marwa Esmael Hasanin

Effect of pilates exercises on stress urinary incontinence in post-menopausal women: A randomized control trial

Wafaa M. Ghoniem, Amel M. Youssef, Said A. Mohamed, Mohammed F. Abo Elinin, Marwa Esmael Hasanin


Wafaa M. Ghoniem, Amel M. Youssef, Said A. Mohamed, Mohammed F. Abo Elinin, Marwa Esmael Hasanin – Effect of pilates exercises on stress urinary incontinence in post-menopausal women: A randomized control trial. Fizjoterapia Polska 2022; 22(2); 82-87

Abstract
Background and objective. Urinary incontinence (UI) is very common all over the world, especially among women, the current study conducted to investigate the effects of adding Pilates exercises to pelvic floor exercises aiming to manage postmenopausal women stress urinary incontinence. Methods. thirty postmenopausal women with mild to moderate stress urinary incontinence their age ranged from 50-60 years old, were allocated into two equal groups randomly Group A (control) group received pelvic floor muscle exercises from different positions (crock-lying, sitting, and standing) while group B (study) group received both Pilates exercises with pelvic floor exercises. All exercises were performed twice a week, for twelve weeks. Perineometer was used for measuring pelvic floor muscles strength (pneumatic pelvic muscle trainer XFT-0010) and severity of stress urinary incontinence was measured by The Revised Urinary Incontinence Scale (RUIS) before and after treatment program. Results. A significant improve of Squeeze vaginal pressure after in compared to before treatment and significant reduction of Revised urinary incontinence scale after treatments in compared to before treatment in both groups. Moreover, no significant mean values differences in “post” test in-between both groups in the two tested variables. However, a clinically valuable improve was in favour of study group. Conclusion. Pelvic Floor Muscle Exercises (PFE) is effective in improving post-menopausal stress urinary incontinence either alone or with Pilates exercises but doing both types of exercise together is more valuable from the practical point of view.
Key words:
stress urinary incontinence, revised urinary incontinence scale, squeeze vaginal pressure, pelvic floor exercises, pilates exercises
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Treadmill weight-bearing exercise versus electromagnetic field on bone mineral density in women with osteoporosis secondary to aromatase inhibitors: A randomized controlled trail

Haidy Nadi Ashem, Amira Hussein Draz, Amr Almaz Abdel-aziem, Marwa Esmael Hasanin, Mohamed Abdelrahman

Haidy Nadi Ashem, Amira Hussein Draz, Amr Almaz Abdel-aziem, Marwa Esmael Hasanin, Mohamed Abdelrahman – Treadmill weight-bearing exercise versus electromagnetic field on bone mineral density in women with osteoporosis secondary to aromatase inhibitors: A randomized controlled trail. Fizjoterapia Polska 2019; 19(3); 138-143

Abstract
Background and objective. Aromatase inhibitor therapy for postmenopausal women with breast cancer is associated with a decrease in bone mineral density (BMD). Both Pulsed electromagnetic fields (PEMFs) and treadmill walking exercises have a positive effect on bone osteoporosis. So, this study aimed to evaluate the effect of PEMFs and treadmill weight bearing exercises on the BMD of the lumbar spine in women with osteoporosis secondary to adjuvant hormonal treatment with aromatase inhibitor.
Methods. A total of 45 female breast cancer patients with osteoporosis secondary to adjuvant aromatase inhibitor were randomly assigned into three equal groups. The control group received only pharmacological treatment (Bisphosphonates, Calcium and Vitamin D). In the other 2 groups, the same drug therapy was consolidated by a program of treadmill weight bearing exercises (treadmill exercise group; 30 min/session, 3 sessions/week), and PEMFs (PEMFs group; 30 min/session, 3 sessions/week). The BMD of the spinal vertebrae was assessed before and after 3 months of intervention by using the Dual energy X-rays (DEXA).
Results, The post value of the PEMFs group was significantly higher than those of the treadmill exercise group and the control group (p = 0.002, 0.001 respectively), and the post value of the treadmill exercise group was significantly higher than that of the control group (p= 0.001), The post values of the three groups were higher than pre values (p = 0.001).
Conclusion. Both treadmill weight bearing exercises and PEMFs were effective in improving the BMD. Moreover, the BMD response to PEMFs was better than treadmill weight bearing exercise.

Key words:
Bone mineral density, weight bearing exercise, pulsed electromagnetic field, breast cancer, aromatase inhibitors

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