Tag: Shaima M. Abdelmageed

Refractory error outcome and pachymetric changes of simultaneous versus sequential intracorneal ring segment implantation with femtosecond laser and corneal collagen crosslinking for keratoconus in Egyptian patients

Moataz Mohamed Nasrat, Ahmed Medhat Abdelsalam, Mohamed Bassam Goily, Amr A Eldib, Gehan A Hegazy


Moataz Mohamed Nasrat, Ahmed Medhat Abdelsalam, Mohamed Bassam Goily, Amr A Eldib, Gehan A Hegazy – Refractory error outcome and pachymetric changes of simultaneous versus sequential intracorneal ring segment implantation with femtosecond laser and corneal collagen crosslinking for keratoconus in Egyptian patients. Fizjoterapia Polska 2022; 22(3); 138-143

Abstract
Keratoconus is degenerative, non-inflammatory corneal disease. Primary keratoconus treatment is corneal collagen cross-linking (CXL) to stabilize coning. Additional therapy as intra-corneal rings segment (ICRS) required improving visual acuity. This study aimed to evaluate refractive outcomes and pachymetric changes of combined simultaneous ICRS and CXL on one session (Simultaneous) versus two sessions (Sequential). This Prospective Intervention Comparative Study included forty patients (60 eyes) with mild to moderate KC. Patients sorted into 2 groups: Simultaneous group includes 21 KC patients (30 eyes) undergo two procedures (ICRS then CXL) at same session and Sequential group includes 19 KC patients (30 eyes) undergo ICRS then CXL on two sessions with 3-4 weeks. Patients followed up at end of 1st, 3rd and 6th months. Assessment included changes in uncorrected visual acuity (UCVA), best corrected visual acuity (BCVA), refractive errors sphere and cylinder, and Pachymetry. Improvement of UCVA, Sphere and Cylinder mean in Simulations and Sequential groups occurred at postoperative period at end of 1st; 3rd and 6th month; while BCVA values significantly improvement at postoperative period at end of 3rd and 6th month versus preoperative value. In conclusion, combined ICRS and CXL performed effectively in one or two sessions.

Key words:
corneal collagen crosslinking, ectasia, femtosecond laser, intracorneal ring segments insertion, keratoconus, refractory error, sequential, simultaneous

Pobierz/Download/下載/Cкачиваете Download for free (English)

Carry over effect of different cervical mobilization techniques on shoulder muscle strength in rotator cuff tendinitis patients: A randomized control trial

Noha Elserty, Dina Othman Shokri Morsigalal, Shaima M. Abdelmageed, Eman Wagdy, Rania Reda Mohamed


Noha Elserty, Dina Othman Shokri Morsigalal, Shaima M. Abdelmageed, Eman Wagdy, Rania Reda Mohamed – Carry over effect of different cervical mobilization techniques on shoulder muscle strength in rotator cuff tendinitis patients: A randomized control trial. Fizjoterapia Polska 2022; 22(3); 130-137

DOI: https://doi.org/10.56984/8ZG1420LR

Abstract
Objective. To study if different cervical mobilizations have a long-term effect on pain relief and strengthening of external rotators and abductors in rotator cuff tendinitis. Method. Seventy-five patients with rotator cuff tendinitis were recruited from outpatient clinic, with age ranged from 25 to 40 years. Group A: C5-6 antero-posterior cervical mobilization and ultrasound therapy. Group B: C5-6 lateral glide cervical mobilization and Ultrasound. Group C: C5-6 Postero-anterior cervical mobilization and US. The Visual Analogue Scale measured pain severity level and Lafayette Manual Muscle Tester measured shoulder external rotators and abductors isometric muscle strength. Results. The Wilcoxon test revealed a statistically significant difference in shoulder external rotators, abductors strength, and pain reduction between pre, immediate post-mobilization, 10 minutes post-mobilization, and 30 minutes post-mobilization within the three groups. But, the immediate post-mobilization and 10 minute post-mobilization median values of external rotators were statistically significant differences among the three groups, while the 30 minute post-mobilization median values of external rotators were not. For Abductors: Among the three groups, there were no statistically significant differences in abductors’ immediate post-mobilization, 10 minute post-mobilization, or 30 minute post-mobilization, but there were statistically significant differences in pain scores immediate post-mobilization, 10 minute post-mobilization, and 30 minute post-mobilization. Conclusion. The study found that all three kinds of cervical mobilization are useful in reducing pain and strengthening the external rotators and abductors muscles and that the most effective method is antero-posterior in treating rotator cuff tendinitis.

Key words:
lateral glide, antero-posterior mobilization, postero-anterior glide, muscle strength, rotator cuff tendinitis

Pobierz/Download/下載/Cкачиваете Download for free (English)

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
Pobierz/Download/下載/Cкачиваете Download for free (only English version)

Effect of Extracorporeal Shock Wave Therapy on Pain Intensity, Functional Abilities, and Trunk Range of Motion in Patients with Chronic Lumbar Disc Prolapse: A Randomized Clinical Trial

Shaima M. Abdelmageed, Nagwa Ibrahim Rehab, Marwa M Mahfouz, Manal Bakry Abd El Fatah, Dina O. Galal, Mahmoud Y. Elzanaty

Shaima M. Abdelmageed, Nagwa Ibrahim Rehab, Marwa M Mahfouz, Manal Bakry Abd El Fatah, Dina O. Galal, Mahmoud Y. Elzanaty – Effect of Extracorporeal Shock Wave Therapy on Pain Intensity, Functional Abilities, and Trunk Range of Motion in Patients with Chronic Lumbar Disc Prolapse: A Randomized Clinical Trial. Fizjoterapia Polska 2021; 21(2); 116-120

DOI: https://doi.org/10.56984/8ZG0DD311

Abstract
Objectives. This research aimed to assess the impact of extracorporeal shock wave therapy (ESWT) on pain severity, functional abilities, and trunk range of motion in patients with lumbar disc prolapse (LDP). Methods. Design of study was randomized clinical study. Forty male patients had disc prolapse at L5–S1 spine segment with chronic pain. Patients have been randomly divided to two equal groups. The patients in study group received extracorporeal shock wave therapy (ESWT) in addition to conventional physical therapy program. Patients in control group were treated with the conventional physical therapy program which composed of electrotherapy using TENS (15 minutes) and exercise program. Visual analogue scale (VAS) was used to evaluate pain. Functional disability was evaluated by Oswestry disability index (ODI). The Back range of motion device (BROM) has been utilized to measure trunk motion (flexion, extension, side bending, external and internal rotation). For all patients prior to and after six weeks of the therapy program, all outcome measures were evaluated. Results. In the research and control groups, there was a substantial reduction in post-treatment VAS and ODI as compared to pre-therapy (p > 0.001). In both groups, there was a substantial increase in post-therapy ROM compared to pre-therapy (p > 0.001). The comparison among the study and post-therapy control groups showed a substantial decrease in the study group’s VAS and ODI relative to the control group (p > 0.001). There was also a substantial increase in the study group’s trunk flexion, extension, and rotation relative to that of the control group (p > 0.01). Conclusion. The ESWT had a significant analgesic effect and improved functional abilities relative to the conventional physiotherapy program in patients with LDP. Also ESWT had substantial enhancements in trunk ROM relative to conventional physiotherapy.
Key words:
extracorporeal shock wave therapy, lumbar disc prolapse, functional ability, pain
Pobierz/Download/下載/Cкачиваете Download for free (only English version)