Effect of progressive resistance training on post prostatectomy stress urinary incontinence: A randomized controlled study

Zakaria Mowafy Emam Mowafy, Fouad Abd Elshaheed Fouad, Samy Ramzy Shehata, Aml Hamdy Abd El Salam, Khadra Mohamed Ali


Zakaria Mowafy Emam Mowafy, Fouad Abd Elshaheed Fouad, Samy Ramzy Shehata, Aml Hamdy Abd El Salam, Khadra Mohamed Ali – Effect of progressive resistance training on post prostatectomy stress urinary incontinence: A randomized controlled study. Fizjoterapia Polska 2022; 22(4); 48-55

DOI: https://doi.org/10.56984/8ZG1A6IT9

Abstract
Purpose. The aim of this study was to investigate the effectiveness of progressive resistance training on post prostatectomy stress urinary incontinence. Materials and Methods. Sixty male patients who complaint from post prostatectomy stress urinary incontinence were participated in this study, their ages were ranged from 40 to 75 years and they were randomly assigned into two equal groups. Group (A) (Study group): This group included 30 patients who had post prostatectomy stress urinary incontinence and they received progressive resistance training in addition to interferential current stimulation and routine medical treatment three sessions per week for 12 weeks. Group (B) (Control group): This group included 30 patients who had post prostatectomy stress urinary incontinence and they received interferential current stimulation and routine medical treatment three sessions per week for 12 weeks. Pre- and post-treatment assessment using DANTIC UD 5000/5500 Urodynamic investigation system & Severity index scale were done for all patients. Results. The obtained results of the present study indicated significant difference of all measured variables when comparing between pre and post- treatment values of the groups (A and B) and revealed significant difference when comparing between post- treatment values of the groups (A and B) in favor of group (A). Conclusion. Progressive resistance training had an effect on reducing post prostatectomy stress urinary incontinence and there was significant difference when comparing between post-treatment values of the groups (A and B) in favor of group (A).

Keywords
progressive resistance training, post prostatectomy, stress urinary incontinence

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Effect of Concurrent Training on Hand Grip after Gunshot Wounds in Upper Extremity: A Randomized Controlled Trial

Zakaria Mowafy Emam Mowafy, Mohamed Ali Elsafory, Ashraf Ahmed Mohamed Enb

Zakaria Mowafy Emam Mowafy, Mohamed Ali Elsafory, Ashraf Ahmed Mohamed Enb – Effect of Concurrent Training on Hand Grip after Gunshot Wounds in Upper Extremity: A Randomized Controlled Trial – preliminary report. Fizjoterapia Polska 2020; 20(4); 184-188

Abstract

Purpose. to evaluate effect of concurrent training on hand grip after gunshot wounds in upper extremity. Design. single blind randomized controlled trial. Methods. Forty patients with Gunshot Wounds in Upper Extremity participated in the study, they were recruited from the police hospital, Egypt; their ages ranged from 20-50 years old. Confidentiality was assured. They were assigned randomly into two groups equally in number; 20 patients each: study Group (A) received concurrent training In addition to their traditional physical therapy program while control group (B) received traditional physical therapy program only. All treatments were administered on the affected upper limb, 3 times a week for 8 weeks. Measurement of disabilities of the arm, shoulder and hand questionnaire (DASH) scale was used to evaluate upper limb disability and Jamar hand dynamometer was used to assess hand grip strength (HGS). Descriptive statistics as mean, standard deviation, minimum and maximum were calculated for each group. Unpaired t test was conducted for comparison of (HGS) and (DASH) between both groups. Paired t test was conducted for comparison of (HGS) and (DASH) between pre and post treatment in each group. Alpha point of 0.05 was used as a level of significance. Results. When compared to the pre-treatment condition, HGS / DASH improved in the post test condition in group A and B. Between the groups, There was statistically significant difference was noted between the mean value of all dependent variables in group A and their corresponding value in group B. Conclusion: Concurrent training was effective and beneficial in improving hand grip strength after gunshot wounds in upper extremity as manifested by the highly increased (HGS) and the significant decrease in (DASH).

 

Key words:

Arm, Shoulder and Hand Questionnaire (DASH), concurrent training, hand grip strength, gunshot wounds in upper extremity, and Jamar held dynamometer

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