Tag: Amel M. Yousef

Wpływ treningu propriocepcji odcinka lędźwiowego na kobiety z pierwotnym bolesnym miesiączkowaniem: przegląd aktualnych dowodów

Nehal G. Omran, Amel M. Yousef, Hamada A. Hamada, Hosam Eldeen H. Kamel, Doaa A. Osman

Nehal G. Omran, Amel M. Yousef, Hamada A. Hamada, Hosam Eldeen H. Kamel, Doaa A. Osman – Effect of lumbar proprioception training on females with primary dysmenorrhea: a review of current evidence –  Fizjoterapia Polska 2025; 25(4); 220-224

DOI: https://doi.org/10.56984/8ZGA4318HQZ

Streszczenie
Wprowadzenie. Pierwotne bolesne miesiączkowanie (PD) jest jedną z głównych przyczyn bólu menstruacyjnego u kobiet w wieku rozrodczym. Choć tradycyjnie wiązane jest z kurczami macicy wywołanymi przez prostaglandyny, coraz więcej badań wskazuje na znaczenie czynników nerwowo-mięśniowych, szczególnie dysfunkcji sensomotorycznej odcinka lędźwiowego.
Cel. Niniejszy przegląd narracyjny syntetyzuje aktualne dowody dotyczące kontroli sensomotorycznej odcinka lędźwiowego w PD, ze szczególnym uwzględnieniem dokładności odtwarzania pozycji, związanych deficytów neuromięśniowych oraz potencjału treningu propriocepcji jako interwencji niefarmakologicznej.
Metody. Przeglądu literatury dokonano do czerwca 2025 roku w ośmiu bazach danych, wykorzystując hasła MeSH obejmujące „primary dysmenorrhea,” „lumbar proprioception,” „repositioning accuracy” i „sensorimotor control.” Do analizy kwalifikowano badania oceniające propriocepcję tułowia lub interwencje ukierunkowane na funkcję sensomotoryczną odcinka lędźwiowego w PD lub innych stanach bólowych.
Wyniki. Do analizy włączono sześć badań: dwa RCT (jedno w toku), jedno pilotażowe studium przypadku, jedno badanie obserwacyjne w PD, jedno przekrojowe dotyczące bólu krzyża oraz jeden przegląd systematyczny. We wszystkich badaniach konsekwentnie wykazano zaburzenia kontroli propriocepcyjnej w populacjach z dolegliwościami bólowymi. Ćwiczenia bazujące na pracy mięśni głębokich wydają się poprawiać dokładność propriocepcji i zmniejszać ból, jednak bezpośrednie dowody dotyczące odtwarzania pozycji lędźwiowej w PD są ograniczone i metodologicznie niespójne.
Wnioski. Wstępne dowody wskazują, że trening propriocepcji odcinka lędźwiowego może stanowić nowatorskie uzupełnienie terapii PD. Do potwierdzenia tych obserwacji i wdrożenia ich do praktyki klinicznej potrzebne są wysokiej jakości badania RCT z zastosowaniem obiektywnych wskaźników neuromięśniowych.
Słowa kluczowe
pierwotne bolesne miesiączkowanie, propriocepcja, dokładność odtwarzania pozycji, stabilność tułowia, kontrola lędźwiowo-miedniczna, dysfunkcja sensomotoryczna
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Wpływ terapii mięśniowo-powięziowej blizny po cesarskim cięciu na ból szyi i zakres ruchu u kobiet z niespecyficznym bólem szyi

Asmaa K. Mohamed, Dalia M. Kamel, Hamed M. ELkhaozamy, Amel M. Yousef, Reham H Saad

 

Asmaa K. Mohamed, Dalia M. Kamel, Hamed M. ELkhaozamy, Amel M. Yousef, Reham H Saad – Effect of myofascial release of cesarean scar on neck pain and range of motion in females with nonspecific neck pain –  Fizjoterapia Polska 2025; 25(1); 389-394

DOI: https://doi.org/10.56984/8ZG007D4HBJ

Streszczenie
Cel. Zbadanie wpływu terapii mięśniowo-powięziowej (MFR) blizny po cesarskim cięciu na ból szyi i zakres ruchu (ROM) u kobiet cierpiących na przewlekły niespecyficzny ból szyi.
Metody. Do badania zakwalifikowano 30 kobiet z przewlekłym niespecyficznym bólem szyi i historią cesarskiego cięcia (CS) z poradni ortopedycznej na wydziale fizjoterapii Uniwersytetu Kairskiego. Wiek uczestniczek wynosił od 20 do 35 lat, a ich wskaźnik masy ciała mieścił się w przedziale 20–30 kg/m2. Wszystkie pacjentki przeszły CS co najmniej dwa lata przed rozpoczęciem badania. Uczestniczki poddano terapii mięśniowo-powięziowej blizny po CS (30 minut, dwie sesje tygodniowo przez dwa tygodnie). Intensywność bólu, zakres ruchu szyi oraz mobilność blizny oceniano przed i po leczeniu za pomocą numerycznej skali oceny bólu, inklinometru oraz adheremetru.
Wyniki. Wyniki badania wykazały istotne statystycznie zmniejszenie intensywności bólu po leczeniu (p < 0,05) oraz znaczną poprawę zakresu ruchu szyi i mobilności blizny (p < 0,05).
Wnioski. Terapia mięśniowo-powięziowa blizny po cesarskim cięciu jest skuteczną metodą zmniejszania bólu szyi oraz poprawy zakresu ruchu u pacjentek po CS.

Słowa kluczowe
cesarskie cięcie, blizna po cesarskim cięciu, terapia mięśniowo-powięziowa, ból szyi, dysfunkcja szyi

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Korelacija između usklađenosti kralježnice i zdjelice te dimenzija maternice u primarnoj dismenoreji: studija slučaja i kontrole

Randa G. Mohamed, Amel M. Yousef, Hamada Ahmed Hamada, Doaa A. Osman

 

Randa G. Mohamed, Amel M. Yousef, Hamada Ahmed Hamada, Doaa A. Osman – Correlation between spinopelvic alignment and uterine dimensions in primary dysmenorrhea: A case-control study –  Fizjoterapia Polska 2024; 24(3); 23-29

DOI: https://doi.org/10.56984/8ZG020AEL0

Sažetak

Pozadina. Visoka prevalencija primarne dismenoreje (PD) među mladim ženama potaknula je interes za istraživanje njenih multifaktorijalnih uzroka. Jedno od područja istraživanja je odnos između mišićno-koštanog držanja i ginekološkog zdravlja. Svrha. Istražiti moguću korelaciju između usklađenosti kralježnice i zdjelice te dimenzija maternice kod žena s i bez PD-a. Metode. Ova opservacijska studija slučaja i kontrole uključivala je 40 žena s redovitim menstrualnim ciklusima, podijeljenih u dvije skupine: 20 s PD-om (studijska skupina) i 20 bez PD-a (kontrolna skupina). Parametri usklađenosti kralježnice i zdjelice, uključujući torakalnu kifozu, lumbalnu lordozu, nagib zdjelice i torziju zdjelice, procijenjeni su korištenjem 4D formetričkog uređaja. Dimenzije maternice, uključujući duljinu i širinu tijela maternice, kao i duljinu i širinu cerviksa, mjerene su ultrazvukom. Rezultati. U studijskoj skupini s PD-om nisu pronađene značajne korelacije između usklađenosti kralježnice i zdjelice te dimenzija maternice (p > 0,05). Međutim, u kontrolnoj skupini bez PD-a, postojale su značajne umjerene negativne korelacije između širine tijela maternice i kuta torakalne kifoze (p < 0,05), kao i između duljine cerviksa i nagiba zdjelice (p < 0,05). Zaključak. Kod žena s PD-om ne postoje značajne korelacije između usklađenosti kralježnice i zdjelice te dimenzija maternice. Nasuprot tome, kod žena bez dismenoreje postoje značajne korelacije između širine tijela maternice i kuta torakalne kifoze te između duljine cerviksa i nagiba zdjelice.

Ključne riječi

primarna dismenoreja, usklađenost kralježnice i zdjelice, dimenzije maternice

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Posturalni odgovor i ponašajne navike kod adolescentica u javnim i međunarodnim školama. Promatračka studija slučaja i kontrole

Doaa S. Mohamed, Hamada A. Hamada, Amel M.Yousef, Wael O. A. Abd El-khalek, Noha A.F Abd-Elrahman

Doaa S. Mohamed, Hamada A. Hamada, Amel M.Yousef, Wael O. A. Abd El-khalek, Noha A.F Abd-Elrahman – Postural response and behavioral habits in adolescent girls at public and international schools. An observational case control study –  Fizjoterapia Polska 2024; 24(2); 101-107

DOI: https://doi.org/10.56984/8ZG5608G1D

Abstract

Pozadina: Utjecaj čimbenika rizika ponašanja, posebice posturalnih navika i prisutnosti posturalnih promjena, identificiran je kao značajna zabrinutost za adolescentice, osobito u javnim školama.

Svrha: Ova studija ima za cilj provesti usporednu analizu posturalnih promjena, posturalnih ponašanja, bolova u leđima i ponašajnih navika među adolescenticama u javnim i međunarodnim školama.

Metode: Provedena je studija slučaja i kontrole koja je uključivala 200 adolescentica u dobi od 13 do 17 godina. Sudionici su podijeljeni u dvije skupine: skupinu (A) iz javnih škola i skupinu (B) iz međunarodnih škola. Proces evaluacije uključivao je kombinaciju video i slikovne analize pomoću Kinovea i instrumenta za procjenu boli u leđima i tjelesnog držanja.

Rezultati: Statistička analiza nije otkrila značajnu razliku između skupina (A i B) u pogledu prednje glave (cranio-vertebral angle by Kinova). Međutim, primijećena je značajna razlika između skupina u pogledu bolova u leđima, ponašajnih navika, nasljednih čimbenika i socioekonomskog statusa.

Zaključak: Iako su obje skupine pokazale prevalenciju prednje glave među adolescenticama, skupina (A) iz javnih škola pokazala je višu učestalost bolova u leđima, povezanu s ponašajnim navikama, socioekonomskim čimbenicima i nasljednim utjecajima na bol u leđima. Posturalne promjene i bolovi u leđima u javnim školama pripisani su čimbenicima kao što su opterećenje, trajanje gledanja televizije, nedostatak vježbanja, trajanje nošenja ruksaka, nasljedni čimbenici i socioekonomski status (obrazovna razina roditelja do srednje škole).

Keywords

posturalni odgovor, ponašajne navike, adolescentice, javne škole, međunarodne škole

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Utjecaj manipulacije visceralnim organima na hormonski profil kod žena s sindromom policističnih jajnika: Randomizirano ispitivanje

Eman E. Kamel, Hamada A. Hamada, Amel M. Yousef, Fahima M. Okeel, Mohamed Hassan, Hatem M. Hassan

Eman E. Kamel, Hamada A. Hamada, Amel M. Yousef, Fahima M. Okeel, Mohamed Hassan, Hatem M. Hassan – Influence of visceral manipulation on hormonal profile in women with polycystic ovarian syndrome: A randomized trial –  Fizjoterapia Polska 2024; 24(1); 279-284

DOI: https://doi.org/10.56984/8ZG2EF8860

Sažetak
Pozadina. Sindrom policističnih jajnika (PCOS) najčešći je endokrini poremećaj kod žena reproduktivne dobi i sugeriran je kao faktor rizika za kardimetaboličke bolesti. Ovisno o primijenjenim dijagnostičkim kriterijima, približno 10–15% žena reproduktivne dobi pogođeno je PCOS-om. Cilj. Ispitati kako manipulacija visceralnim organima utječe na hormonski profil kod žena s PCOS-om. Dizajn. Prospektivno randomizirano jednostruko slijepo kontrolirano ispitivanje. Okruženje. Ambulante Opće bolnice Sadat. Metode. Trideset pacijentica s PCOS-om regrutirano je i randomizirano u dvije jednake skupine: kontrolna skupina primila je terapiju smjernicama prehrane u obliku hipokalorične mediteranske dijete tijekom 12 tjedana, dok je istraživačka skupina primila iste intervencije kontrolne skupine uz dodatak manipulacije visceralnim organima (VM). Primarni ishodi bili su biokemijska analiza (FSH i LH) i BMI. Sve varijable mjerene su na početku i nakon 12 tjedana intervencije. Rezultati. Statistička analiza provedena je korištenjem sparivanog testa koji je pokazao značajno poboljšanje u obje skupine. Stoga, korištenjem mješovitog dizajna MANOVA i višestrukih parnih usporednih testova (post hoc testovi) za BMI i omjer LH/FSH nakon tretmana otkriveno je da su značajna smanjenja omjera LH/FSH (p = 0.007) u korist skupine B u usporedbi sa skupinom A, bez značajnih razlika u BMI između obiju skupina (p = 0.443), pokazujući da je VM skupina (B) učinkovitija od skupine (A) u biokemijskoj analizi (p < 0.05). Zaključak. Korištenje manipulacije visceralnim organima uz standardni program hipokalorične mediteranske dijete ima korisnije učinke na hormonski profil kod žena s PCOS-om.
Ključne riječi
sindrom policističnih jajnika, manipulacija visceralnim organima, hipokalorična dijeta, luteinizirajući hormon, hormon koji stimulira folikule
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Impact of different types of anaesthesia for cesarean delivery on subacute low back pain intensity and disability: A retrospective cohort study

Mohamed G. Ali, Mohammed A. Soliman, Amel M. Yousef, Fahima M. Okeel, Mohammed A.M. Sarhan


Mohamed G. Ali, Mohammed A. Soliman, Amel M. Yousef, Fahima M. Okeel, Mohammed A.M. Sarhan – Impact of different types of anaesthesia for cesarean delivery on subacute low back pain intensity and disability: A retrospective cohort study. Fizjoterapia Polska 2022; 22(3); 116-121

DOI: https://doi.org/10.56984/8ZG142IT9

Abstract
Background. Low back pain (LBP) is common after cesarean delivery. So, this study was conducted to assess and compare the intensity of subacute LBP and disability among women who underwent cesarean delivery with different anaesthetic types.
Methodology. This retrospective cohort study was conducted to 38 women “26 of them underwent cesarean delivery, assessed after 6 to 12 weeks from delivery, they were classified into: [epidural anaesthetic group (Group A) n = 6, spinal anaesthetic group (Group B) n = 13, general anaesthetic group (Group C) n = 7], they were either primiparous or multiparous who did not receive anaesthesia for at least one year prior to the last delivery, the other 12 women were the control group (Group D) who didn’t experience pregnancy or anaesthesia”.
Results. The mean values of visual analogue scale (VAS) in Group A, Group B, Group C, and Group D were 5.00 ± 1.67, 4.62 ± 1.12, 5.14 ± 1.21, and 2.17 ± 0.71, respectively. The ANOVA test revealed a significant difference in VAS (P = 0.0001; P < 0.05) among the four groups. while the post-hoc test revealed non-significant differences (P = 1.000; P > 0.05) between the three anaesthetic groups. Also, the mean values of Oswestry Disability Index (ODI) in the same four groups were 26.00 ± 16.68, 27.00 ± 11.72, 30.00 ± 6.87, and 25.00 ± 9.33, respectively. The ANOVA test revealed non-significant difference in ODI (P = 0.838; P < 0.05) among the four groups.
Conclusion. Epidural, spinal and general anaesthesia for cesarean delivery are associated with increased intensity of subacute LBP, but without significant differences between these anaesthetic types. However, they do not increase the disability.

Key words:
neuraxial anaesthesia, general anaesthesia, cesarean delivery, subacute period, low back pain

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Effect of whole body vibration versus high intensity interval training on interleukin-6 in obese post-menopausal women

Fayka E Ali, Fahima M Okeel, Amir A Gabr, Amel M Yousef, Abdullah M. Al-Shenqiti, Mohamed Ahmed Elbedewy


Fayka E Ali, Fahima M Okeel, Amir A Gabr, Amel M Yousef, Abdullah M. Al-Shenqiti, Mohamed Ahmed Elbedewy – Effect of whole body vibration versus high intensity interval training on interleukin-6 in obese post-menopausal women. Fizjoterapia Polska 2022; 22(2); 144-149

Abstract
Background. Menopause and aging affect the health of obese women, provoking accumulation of visceral adipose tissue (VAT) and inflammation. Obesity leads to major health problems, which increase the risk of debilitating diseases that lead to death. Thus, loss of weight and VAT are primary goals of treatment through modifications of dietary habits and exercise. Purpose of the study. This study was conducted to determine which is more effective on interleukin- 6 (IL-6) levels for obese post-menopausal women, whole body vibration training (WBVT) or high intensity interval training (HIIT). Subjects and methods. 45 post-menopausal obese women diagnosed with higher level of IL-6, their body mass index (BMI) > 30 kg/m2 and waist/hip ratio (W/H ratio) > 0.8 participated at this study. Women were divided randomly into 3 equal groups in numbers; Group (A) followed low caloric diet (1200 Cal), Group (B) received WBVT and Group (C) received HIIT. Both groups (B & C) followed the same low caloric diet as group (A). Evaluation was done before and after 3 months of treatment, through measuring weight, BMI, waist as well as hip circumferences, W/H ratio and IL-6 levels. Results. The three groups revealed statistically significant improvements (P < 0.05) in all parameters after treatment compared to baseline. Also, there were statistically differences between the 3 groups after treatment, with the group (B) more favorable than groups (A & C). Conclusion. WBVT is more effective than HIIT on reducing inflammation via reducing IL-6 level in obese post-menopausal women.
Key words:
obesity, menopause, whole body vibration exercise, high intensity interval training, interleukin-6
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Effect of cold and ultrasonic therapy on postural kyphosis in pre and post-menopausal women: A randomized controlled trial

Marwa M. Mahran, Soheir M. Elkosery, Mohamed H. Mustafa, Amel M. Yousef

Marwa M. Mahran, Soheir M. Elkosery, Mohamed H. Mustafa, Amel M. Yousef – Effect of cold and ultrasonic therapy on postural kyphosis in pre and post-menopausal women: A randomized controlled trial. Fizjoterapia Polska 2021; 21(5); 20-25

Abstract
Background. Thoracic kyphosis is one of the manifestations of post-menopausal spinal osteoporosis so it is preferable to prevent incidence of kyphosis related to estrogen deficiency especially for premenopausal whose kyphosis start to be developed. Purpose. The aim of this study was to detect the effect of cold and ultrasonic therapy on postural kyphosis with middle back pain in pre and post-menopausal women. Materials and Methods. Sixty non-osteoporotic pre and post-menopausal women between the ages of 40 and 60 years, assigned randomly into 3 groups equal in numbers; each group consisted of 10 pre and 10 post-menopausal women; Group (A) received physiotherapy program followed by cold therapy, Group (B) received ultrasonic therapy followed by physiotherapy program, and Group (C) received ultrasonic then the physiotherapy program followed by cold therapy. The three groups followed the same physiotherapy program in form of strengthening, stretching and postural reeducation, three sessions per week for three months. The kyphotic index and pain were assessed by flexicurve ruler and visual analogue scale (VAS) respectively pre- and post-interventions. Results. Within the three groups (A, B & C) the kyphotic index and pain showed significant decrease (P < 0.0001) post treatment in both pre- and post-menopausal conditions, while they showed clinical improvement and non-significant difference (P > 0.05) when compared pre to post-menopause conditions in the pre- and post-treatment. The clinical improvement in the kyphotic index in group (A), (B) & (C) at pre as well as post-menopausal conditions were equal [(↓8.44% & ↓7.1%), (↓7.7% &↓8.12%) & (↓9.68% &↓11.08%)] and VAS were [ (↓32%&↓35%), (↓40% & 30%) & (↓37.55%, ↓31.57%)] respectively post treatment. Conclusion. Adding cold and ultrasound therapy to physiotherapy program have a clinical impact in reducing kyphosis and pain in pre- and post-menopausal women.
Key words:
cold, ultrasonic, menopause, kyphosis, flexicurve ruler
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Effect of aerobic exercise on inflammation and sex hormones in obese polycystic ovarian syndrome women: A randomized controlled study

Doaa A. Abd El Aziz, Fahima M. Oqeel, Magid M. Labib, Amel M. Yousef

Doaa A. Abd El Aziz, Fahima M. Oqeel, Magid M. Labib, Amel M. Yousef – Effect of aerobic exercise on inflammation and sex hormones in obese polycystic ovarian syndrome women: A randomized controlled study. Fizjoterapia Polska 2021; 21(4); 204-209

Abstract
Purpose. This study aimed to investigate the effect of aerobic exercise on inflammation and female sex hormones in obese PCOS women. Materials and methods. Forty volunteer obese PCOS women were participated in this study, their ages ranged from 20 to 35 years and body mass index (BMI) ranged from 30 to 34.9 kg/m2, they randomly divided into two equal groups in numbers; group A, followed diet control therapy and group B, participated in an aerobic exercise three times per week and followed the same diet control therapy as group A. Both groups were evaluated before and after therapy (12weeks) through measuring their BMI, C-reactive protein (CRP), luteinizing hormone (LH), follicular stimulating hormone (FSH), LH/FSH ratio and modified Ferryman–Gallwey (mFG) scoring system for hirsutism Results. showed that there was a statistically significant difference (P < 0.05) in both groups (A&B) in BMI, LH, FSH, LH/FSH ratio, CRP and mFG in favor to group (B) after therapy (12 weeks). Conclusions. revealed that aerobic exercises are effective in decreasing weight and inflammation which lead to improve fertility by improving female sex hormonal variables.
Key words:
Polycystic ovarian syndrome, Aerobic exercise, Follicular stimulating hormone, luteinizing hormone, C-reactive protein
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Additional Effect of Electrical Stimulation for Women with Stress Urinary Incontinence: Literature Review

Reem H. Abdelhady, Amel M. Yousef, Maya G. Aly

Reem H. Abdelhady, Amel M. Yousef, Maya G. Aly – Additional Effect of Electrical Stimulation for Women with Stress Urinary Incontinence: Literature Review. Fizjoterapia Polska 2021; 21(3); 80-85

Abstract
Aims. This narrative review aims to investigate the effect of adding electrical stimulation (ES) to pelvic floor muscles training (PFMT) in the management of stress urinary incontinence (SUI) in women. Also, this review aims to provide a framework for future research in order to formulate more comprehensive, lifestyle-centered guidelines for treating women with SUI. Methods. A literature search was conducted in PubMed, PEDro, Cochrane library, and Google Scholar databases using the keywords “Physical therapy modalities”, “Pelvic floor muscle training”, “Exercise”, “Electrical stimulation”, “Interferential”, “Pelvic floor disorders”, “Stress urinary incontinence” and “Women”. Reviewed literature was descriptively analyzed and summarized. Results. ES is effective in the treatment of the SUI comparing to control or placebo treatment, while there is a little evidence that support the use of ES as an additional treatment for women with SUI as studies showed high diversity of ES parameters used. Conclusion. Adding ES to PFMT may be helpful for women who find difficulty to voluntarily contract their pelvic floor muscles. More well-designed studies are needed to strength the evidence of using ES for treatment of women with SUI.
Key words:
electrical stimulation, pelvic floor exercises, stress urinary incontinence, women
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