Torso based balance weighting versus tailored physical therapy program in postural control in patients with multiple sclerosis

Fatma Ibrahim, Gehan M Ahmed, Waleed T Mansour, Ahmed H Elsheshiny, Khaled H. Yousef, Hosam M Alsaid, Mohamed H Aboueleni, Abdelaziz Abdelaziz Elsherif


Fatma Ibrahim, Gehan M Ahmed, Waleed T Mansour, Ahmed H Elsheshiny, Khaled H. Yousef, Hosam M Alsaid, Mohamed H Aboueleni, Abdelaziz Abdelaziz Elsherif – Torso based balance weighting versus tailored physical therapy program in postural control in patients with multiple sclerosis. Fizjoterapia Polska 2022; 22(4); 142-147

DOI: https://doi.org/10.56984/8ZG1A66hK

Abstract
Purpose. To compare between the effect of torso based balance weighting and tailored physical therapy program on balance and postural control in ataxic MS patients. Methods. Ninety patients diagnosed as ataxic multiple sclerosis with impaired balance and postural control were selected from outpatient clinic of two hospitals. The patients randomly assigned into two groups, group (A: n = 30) received torso-based balance weighting and selected physical therapy program and group (B; n = 60) received tailored physiotherapy program and the same selected physical therapy program. Treatment lasted eight weeks, three times per week. Pre- and post-treatment assessment using berg balance scale and overall stability index were done for all patients. Results. Post-treatment comparisons between the two groups showed a statistically significant improvement in Berg balance (p < 0.05) in favor of group (B) and both groups showed clinical improvement. Conclusion. The tailored physical therapy program was more statistically effective in improving balance disorders than torso based balance weighting in ataxic MS patients, and there was clinical effect on improving postural control of both groups.

Keywords
multiple sclerosis, postural control, torso based balance weighting, tailored physical therapy

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Does cervical proprioception affect hand dexterity of physiotherapists with and without mechanical neck pain?

Hend Refaat Kamal, Ebtesam Mohamed Fahmy, Wanees Mohamed Badawy, Hager Rasmy Elserougy, Hoda Mohamed Zaki, Abdelaziz Abdelaziz Elsherif

Hend Refaat Kamal, Ebtesam Mohamed Fahmy, Wanees Mohamed Badawy, Hager Rasmy Elserougy, Hoda Mohamed Zaki, Abdelaziz Abdelaziz Elsherif – Does cervical proprioception affect hand dexterity of physiotherapists with and without mechanical neck pain? Fizjoterapia Polska 2021; 21(5); 50-56

DOI: https://doi.org/10.56984/8ZG209590

Abstract
Purposes. This study was conducted to compare between cervical proprioception and hand dexterity in physiotherapists with and without mechanical neck pain, and to determine the relationship between cervical proprioception and hand dexterity in physiotherapists. Materials and methods. Sixty physiotherapists (30 with chronic mechanical neck pain (G1), mild to moderate neck pain lasted more than 6 months and 30 healthy control (GII)). Both sexes were enrolled with; age ranged from 25 to 35 years, normal body mass index (BMI) and at least one year of practice of manual work. All participants undergone evaluation of cervical joint position error (JPE) using cervical range of motion device (CROM) through head-to-neutral repositioning (NHR) and head-to-target repositioning (THR) tests in flexion direction in addition to evaluation of hand dexterity using Purdue pegboard test. Results. There was statistically significant difference in median values of JPE and hand dexterity between both groups. There was statistically significant indirect medium to strong correlation between JPE in flexion (NHR and THR) and hand dexterity (in dominant and assembly tests). Conclusions. Physiotherapists with neck pain have impairment in cervical proprioception which in turn negatively affects hand dexterity. Hand dexterity is important functional property for physiotherapist to apply different manual techniques. So, impairment of hand dexterity may interfere with the efficiency of manual application.
Key words:
cervical proprioception, joint position error, hand dexterity, chronic neck pain
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