Tag: Soheir Shehata Rezkallah

Efficacy of cervical stabilization exercises on hand grip strength in chronic myofascial neck pain: a randomized controlled study

Fatma Alzahraa Mohamed Ali, Soheir Shehata Rezkallah, Ghada Abd Elmoneim Abdullah, Haidy Samir Roshdy

Fatma Alzahraa Mohamed Ali, Soheir Shehata Rezkallah, Ghada Abd Elmoneim Abdullah, Haidy Samir Roshdy – Efficacy of cervical stabilization exercises on hand grip strength in chronic myofascial neck pain: a randomized controlled study –  Fizjoterapia Polska 2025; 25(2); 384-391

DOI: https://doi.org/10.56984/8ZG00E1Y752

Abstract
Background. Myofascial pain syndrome is considered a common non-articular musculoskeletal pain and a major cause of chronic neck pain. Cervical stabilization exercises have been shown to reduce neck pain and disability by increasing the activation of deep neck flexor muscles and improving coordination between superficial and deep cervical muscles.
Purpose. To assess the efficacy of cervical stabilization exercises in chronic myofascial neck pain in terms of hand grip and key pinch strength, intensity of neck pain, pain pressure threshold, and hand function.
Methods. Fifty-two female patients diagnosed with chronic myofascial neck pain with active myofascial trigger points in the upper trapezius were randomly assigned into two equal groups.
Experimental Group A was treated with cervical stabilization exercises and integrated neuromuscular inhibition technique. Their mean ± SD age, weight, height, and BMI were 30.12 ± 5.44 years, 66.58 ± 7.10 kg, 159.23 ± 5.59 cm, and 26.22 ± 1.92 kg/m², respectively.
Control Group B was treated with integrated neuromuscular inhibition technique alone. Their mean ± SD age, weight, height, and BMI were 31.31 ± 5.68 years, 67.35 ± 9.91 kg, 160.54 ± 6.47 cm, and 26.10 ± 3.40 kg/m², respectively.
Treatment was administered three sessions per week for one month. Hand grip strength was measured using a handheld dynamometer, key pinch strength with a pinch dynamometer, pain pressure threshold via pressure algometer, neck pain intensity using a visual analogue scale, and hand function via the Michigan Hand Questionnaire.
Results. All measurements showed statistically significant improvements in both groups (p < 0.05). Additionally, the experimental group outperformed the control group in terms of progress.
Conclusion. Adding cervical stabilization exercises to integrated neuromuscular inhibition technique has a superior effect on hand grip strength compared to the inhibition technique alone in patients with chronic myofascial neck pain.
Key words
cervical stabilization exercises, hand grip strength, myofascial neck pain
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Effects of vestibular rehabilitation on postural stability in anterior circulation stroke patients: A randomized controlled trial

Ahmed Said Abd Elwahed, Wadida Hassan Abd Elkader, Soheir Shehata Rezkallah, Ehab Shaker Belal, Ahmed Ismaeil Abbas

Ahmed Said Abd Elwahed, Wadida Hassan Abd Elkader, Soheir Shehata Rezkallah, Ehab Shaker Belal, Ahmed Ismaeil Abbas – Effects of vestibular rehabilitation on postural stability in anterior circulation stroke patients: A randomized controlled trial. Fizjoterapia Polska 2021; 21(5); 172-181

Abstract
Background. Postural stability after anterior circulation stroke is considered a major cause of falling and functional dependence. Recently, special attention regarding mechanisms about standing balance recovery following stroke has been grown. Evidence supports the effectiveness of vestibular rehabilitation therapy for patients with central vestibular disorders. Objective. A randomized controlled trial was designed to investigate the effects of vestibular rehabilitation on postural stability in anterior circulation stroke patients. Methods. Thirty-six patients (27 males, 9 females) their age range from (44 to 72 years) diagnosed with anterior circulation stroke were enrolled and assigned randomly into two similar groups: experimental group (A) received vestibular rehabilitation therapy in addition to conventional treatment 3 sessions per week for six consecutive weeks, but the conventional group received only conventional treatment. All patients were assessed for postural stability using sensory organization test and berg balance scale and for gait performance using time up and go test at baseline and after 6 weeks at end of the rehabilitation process. Results. Statistical analyses using mixed design MANOVA showed that there was statistical significant difference (p < 0.05) in all outcome variables for both groups in favor to VR group especially in SOT5, SOT6 while there were non-significant differences between groups in SOT1 variable. Conclusion. Vestibular rehabilitation may be a promising approach if it is integrated as standard in the rehabilitation program for improving postural control after anterior circulation stroke affecting parieto insular region.
Key words:
vestibular rehabilitation, postural stability, anterior circulation stroke, parieto insular cortex
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Influence of biofeedback training time on muscle torque and knee excursion following semitendinosus release in spastic quadriplegic children with cerebral palsy: A randomized controlled trial

Heba A. Bahey El- Deen, Radwa S. Abdul-Rahman, Magda Ramadan Zahran, Shaimaa Abdalaleem Abdelgeleel

Heba A. Bahey El- Deen, Radwa S. Abdul-Rahman, Magda Ramadan Zahran, Shaimaa Abdalaleem Abdelgeleel – Influence of biofeedback training time on muscle torque and knee excursion following semitendinosus release in spastic quadriplegic children with cerebral palsy: A randomized controlled trial. Fizjoterapia Polska 2021; 21(5); 166-171

DOI: https://doi.org/10.56984/8ZG2093B2

Abstract
Background. Medial hamstring shortening represents a serious common complication in children suffering from spastic quadriplegic cerebral palsy. Objective. The purpose of the study was to examine the efficacy of biofeedback training timing following tendon release in spastic quadriplegic cerebral palsied children. Design. a prospective, single-blind, randomized controlled trial. Setting: several hospitals across Giza and Cairo, where children were operated. Methods. Thirty spastic quadriplegic cerebral palsied children of both genders, with their ages ranged from 7 to 9 years (x ̅  = 8.2 ± 0.86 yr.) were randomly assigned into two equal groups (A and B). The control group (A) was trained using electromyographic biofeedback daily for two weeks after removal of plaster cast, in addition to an hour/ day of a designed physical therapy program, while the study group (B) was trained by electromyographic biofeedback during the immobilization period and for two weeks after removal of the cast along with the same physical therapy program as the group (A). The knee extensors’ peak torque and knee excursion angle were measured immediately and two weeks following cast removal by MERAC isokinetic system and electro-goniometer, respectively. Results. The findings exhibited a significant increase (P < 0.05) in the peak torque of knee extensors and an increase in knee excursion in the group (B) immediately and after two weeks of the cast removal when compared with the results of the group (A) after the same period. Conclusion. Applying electromyographic biofeedback training at the two-week immobilization period resulted in a strengthening of the quadriceps and maintaining the obtained range of knee extension following semitendinosus muscle release in spastic quadriplegic children with cerebral palsy.
Key words:
cerebral palsy, spastic quadriplegia, biofeedback, dynamometer
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Exergaming versus Aerobic Training Exercise on Natural Killer Cells in Normal Weight and Obese Children

Sahar Mahmoud Mohamed El Sayed, Mohsen Mohamed ElSayyad, Omaima M Kattabei, Soheir Shehata Rezkallah, Zainab Ali El-Saadany

Sahar Mahmoud Mohamed El Sayed, Mohsen Mohamed ElSayyad, Omaima M Kattabei, Soheir Shehata Rezkallah, Zainab Ali El-Saadany – Exergaming versus Aerobic Training Exercise on Natural Killer Cells in Normal Weight and Obese Children. Fizjoterapia Polska 2020; 20(5); 192-197

Abstract
Objectives. To compare the effect of exergaming versus aerobic exercise on natural killer (NK) cells in normal weight and obese children. Methods. Sixty children of both sexes were divided into four equal groups: exergaming normal weight group (A), exergaming obese group (B), aerobic normal weight group (C), and aerobic obese group (D). Both (A) & (B) groups played exergaming on Nintendo Wii. (C) & (D) groups performed moderate aerobic exercise. All groups practiced 3 sessions per week, for 4 weeks. The NK cell count and its subsets (CD56dim and CD56bright) in blood were evaluated pre- and post-exergame and aerobic exercise practice. Results. Wilcoxon test and Kruskal-Wallis test revealed that the NK cell count and CD56dim showed significant reductions within group (B) (p < 0.05), while they showed significant increases within group (D) post-treatment compared to pre-treatment(p < 0.05). However, CD56bright showed significant reductions within the four groups post-treatment compared to pre-treatment (p < 0.05). Between group comparison, pre- and post-treatment, revealed non-significant differences in NK cell count and its subsets (CD56dim and CD56bright) (p > 0.05). Conclusions. Exergaming has a significant suppressive effect in obese and not in normal weight children, while aerobic exercise has a significant boosting effect in obese and not in normal weight children. However, there were no significant differences between exergaming and aerobic exercise in NK cell count in normal weight and obese children. Exergaming may be considered a novel tool for a more active and healthy lifestyle, but it may not exert the same as more as traditional physical activity.
Key words:
Exergaming, aerobic exercise, natural killer cells, CD56dim, CD56bright
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