Tag: Nermeen Bleedy

Capsular stretching as physiotherapy technique for Sudanese patients with knee osteoarthritis in Al-Neelain University Physiotherapy Outpatient Clinic

Heba Alkazaleh, Yosra Adam, Hassan Abdelnour, Nermeen Bleedy

Heba Alkazaleh, Yosra Adam, Hassan Abdelnour, Nermeen Bleedy – Capsular stretching as physiotherapy technique for Sudanese patients with knee osteoarthritis in Al-Neelain University Physiotherapy Outpatient Clinic –  Fizjoterapia Polska 2024; 24(5); 195-200

DOI: https://doi.org/10.56984/8ZG020CXF6T

Abstract Background. Osteoarthritis (OA) is a chronic articular disorder of multifactorial etiology. Its pathogenesis contributes to the degradation of articular cartilage, periarticular bone remodeling, and capsular fibrosis. It is conventionally treated by a combination of pharmacologic and non-pharmacologic modalities and surgical interventions. Physiotherapy is considered a first- and second-line treatment. Recent developments in manual therapy have shown very promising improvements in pain and physical function. Purpose of the study. To explore the prevalence of knee osteoarthritis patients in Al-Neelain University Faculty of Physiotherapy Outpatient Clinic. Materials and methods. It’s a single-blinded randomized controlled trial conducted in the outpatient clinic of the Faculty of Physiotherapy at Al-Neelain University. Thirty patients were recruited for the study and divided randomly into two groups; 15 (experimental), known as group A, received capsular stretching technique & 15 (control), known as group B, received no treatment. Both groups were assessed at the baseline and after two weeks for ROM by electro-goniometer, and functional performance by WOMAC scale. Data was analyzed by Statistical Package for the Social Sciences (SPSS). Results. The group A that received capsular stretching showed statistically significant improvement in knee ROM (both flexion & extension; active & passive) compared with no treatment. Regarding functional performance; WOMAC scores showed a highly statistically significant difference between comparative groups with P value = 0.00003 in Group A and = 0.28 in Group B. Conclusion. The study concluded that the capsular stretching technique is effective in treating & improving patients with knee OA in pain, ROM, and functional performance.
Key words knee osteoarthritis, manual therapy, capsular stretching
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Low-level laser therapy effect on vertebral artery blood flow in elderly with cervical disc degeneration. A randomized controlled trial

Shymaa Yussuf Abo-zaid, Nermeen Bleedy, Abdelrazak A. Ahmed, Mahmoud S. Asal, Amany M Abbas, Ibrahim ismail Abuzaid

Shymaa Yussuf Abo-zaid, Nermeen Bleedy, Abdelrazak A. Ahmed, Mahmoud S. Asal, Amany M Abbas, Ibrahim ismail Abuzaid – Low-level laser therapy effect on vertebral artery blood flow in elderly with cervical disc degeneration. A randomized controlled trial – Fizjoterapia Polska 2024; 24(2); 197-202

DOI: https://doi.org/10.56984/8ZG5608ML4

Abstract
Aims of the study. This study aimed to studying the effect of Low-level laser therapy (LLLT) on vertebral artery blood flow in elderly with cervical disc degeneration. The effect of degenerative changes in the cervical spine on the vertebral arteries and on the supply of blood to the brain stem and the inner ear is now well known. In 20–30% of cases, ischemia of the posterior cranial fossa caused by vertebrobasilar insufficiency leads to death. Materials and methods. Research involved sixty patients of both gender, whose ages between 60 and 75 years, how are suffering from cervical disc degeneration. Subjects were randomly assigned to two equal groups. Group (A), Study Group, received low-level laser therapy (LLLT) with a wavelength of 830 nm and power of 200 mW on vertebral artery bilaterally and routine physical therapy exercises. Group (B), the control group, received only routine physical therapy exercises. Both groups received three sessions per week for 12 weeks. Blood flow in both vertebral arteries was measured by assessing Resistivity Index using ultrasound Doppler, pre and post-treatment for both groups. Results. There was no significant difference between groups pretreatment (p > 0.05). There was a significant decrease in resistivity index of right and left vertebral arteries of group A compared with that of group B post treatment (p < 0.01). There was a significant decrease in resistivity index of right and left vertebral arteries of group A and B post treatment compared with pretreatment (p < 0.001). The percent of change of resistivity index of right and left vertebral arteries in group A was 8.7 and 6.12% respectively and that in group B was 2.63 and 1.45% respectively. Conclusion. When LLLT was applied using the study’s settings, older patients with cervical disc degeneration experienced bilateral improvements in blood flow through the vertebral arteries.
Key words
low level laser therapy, vertebral artery, blood flow, cervical disc degeneration
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Effectiveness of mirror therapy for amputation patients at National Authority of Prosthesis and Orthosis in Sudan

Nema Bushra, Roula Francis, Hassan Abdelnour, Nermeen Bleedy

Nema Bushra, Roula Francis, Hassan Abdelnour, Nermeen Bleedy – Effectiveness of mirror therapy for amputation patients at National Authority of Prosthesis and Orthosis in Sudan. Fizjoterapia Polska 2023; 23(5); 253-257

DOI: https://doi.org/10.56984/8ZG20BxlA

Abstract
Introduction. Mirror Therapy (MT) seems to be a promising strategy in amputation rehabilitation by creating a visual representation of the missing limb. The study exploring the effect of MT and conventional rehabilitation in the treatment of post-amputation phantom lower limp pain in National Authority of Prosthesis and Orthosis (NAPO). Method. An experimental study was done on 20 patients that were found for the study (these were the only available cases with phantom lower limb pain), was divided into: Group (A) conventional rehabilitation, Group (B) MT, 10 patients were selected randomly in each group. Questioner with sixteen close end questions was distributed to the patients of the two groups for post rehabilitation assessment to reassess the effect of each treatment for post amputated phantom lower limp pain. Results. There were 50% of the participants were above 60 years old and 60% of participants had Trans – Femoral amputation. Diabetic was the major cause of Amputation (55%). According to participants perception, 40% of participants undergone MT thing it is effective in reducing phantom lower pain while only 10% of participants undergone conventional therapy think it is effective in reducing phantom lower pain. Conclusion. As known, diabetes is still the major cause of lower limb amputation in Sudan. Both conventional therapy and MT are found to be effective in the treatment of phantom lower limb pain, but MT is shown to be more effective compared to conventional therapy.

Keywords
mirror therapy (MT), conventional physiotherapy, National Authority for Prosthetic and Orthotics (NAPO)

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