Tag: Reda Kotb Abd Elrazik

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

Abstract
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.
Key words:
Postmenopausal osteoporosis, Bioptron Light Therapy, Quality of Life Questionnaire
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Effect of Pilates Exercises on Shoulder Dysfunction Post Thyroidectomy: A Prospective Randomized Controlled Trial

Ereny S. Wahba, Noran A. Elbehary, Reda Kotb Abd Elrazik, Hamada Ahmed Hamada

Ereny S. Wahba, Noran A. Elbehary, Reda Kotb Abd Elrazik, Hamada Ahmed Hamada – Effect of Pilates Exercises on Shoulder Dysfunction Post Thyroidectomy: A Prospective Randomized Controlled Trial. Fizjoterapia Polska 2019; 19(4); 136-141

Abstract
Introduction. Thyroid cancer is the most common type of cancer in the endocrine system. Thyroidectomy has potential complications. Shoulder dysfunction is the most reported physical complication following neck dissection surgery post thyroidectomy. Various treatment is utilized to diminish or counteract shoulder distortion. The purpose of this study was conducted to determine the effect of Pilates Exercises on Shoulder Dysfunction after Thyroidectomy. Methods. A prospective, randomized, controlled study with the pretest-posttest design was performed; 50 patients who were 6 months to 1-year post unilateral neck dissection and aged 30-50 years (at the time of surgery). They were randomly assigned to 2 groups: Experimental Group (Group- A): (25 Patients, 14 males and 11 females) were treated with Pilate’s exercises in the clinic under the supervision of a physiotherapist, for 12 weeks, 3 sessions /week. Control Group (Group-B): (25 patients, 12 males and 13 females) were treated with conventional therapy. All treatment interventions were applied at the frequency of 3 sessions/week for 12 weeks. The participants were recruited from the National Cancer Institute in Cairo to be treated in the outpatient clinic, Faculty of Physical Therapy, Cairo University at the period from September 2018 and May 2019. Results. Outcome measures were taken with Shoulder Pain and disability index (SPADI) was developed to evaluate the shoulder pain and disability and Shoulder range of motion: Active ROM of shoulder flexion, abduction, and external and internal rotation; was measured by a digital goniometer, before the treatment, and 12 weeks after the intervention. The comparison among the 2 groups revealed that there was a significant decrease in pain, disability and total percentage of SPADI of group A compared with that of group B (p < 0.05); Also there was a significant increase in flexion, abduction, external and internal shoulder ROM of group A compared with that of group B (p < 0.05). Conclusions. It was concluded that Pilate’s exercises have greater efficacy than conventional therapy in the rehabilitation of patients with shoulder dysfunction post thyroidectomy.

Key words:
thyroidectomy, shoulder dysfunction, Pilate’s exercises

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