Eman Awad, Ali Mobark, Yasser Khamis, Hamada Ahmed Hamada, Amal Yousef, Doaa Saeed
Eman Awad, Ali Mobark, Yasser Khamis, Hamada Ahmed Hamada, Amal Yousef, Doaa Saeed – Effect of Spontaneous Cephalic Version Techniques with Acoustic Stimulation on Maternal and Neonatal outcomes in Breech Presentation: A randomized clinical trial. Fizjoterapia Polska 2023; 23(3); 20-24
Cel. Położenie miednicowe płodu komplikuje 3-4% wszystkich porodów w terminie. Celem tego badania było zbadanie wpływu połączenia technik spontanicznego ułożenia główkowego (SCV) ze stymulacją akustyczną na pozycję płodów w położeniu miednicowym oraz ich wpływ na wyniki matczyno-noworodkowe.
Materiały i metody. Przeprowadzono randomizowane badanie kontrolne z udziałem 60 ciężarnych kobiet w 32-34 tygodniu ciąży, które spodziewały się pojedynczego płodu w pełnym położeniu miednicowym. Zostały one podzielone na dwie równe grupy:
Grupa (A) składała się z uczestniczek interwencji, które stosowały techniki SCV w połączeniu z akustyczną stymulacją od 34 tygodnia ciąży, wraz z rutynową opieką przedporodową.
Grupa (B) skupiała uczestniczki kontrolne, które kontynuowały rutynową opiekę przedporodową do porodu.
Wyniki. Test chi-kwadrat wykazał statystycznie istotny wzrost liczby porodów drogą pochwową wśród uczestniczek z grupy (A) dzięki obróceniu się płodów w pozycję główkową. Tymczasem noworodki z grupy (B) wykazały statystycznie istotnie wyższy wynik w skali Apgar w pierwszej minucie życia w porównaniu z noworodkami z grupy (A).
Wnioski. Techniki spontanicznego ułożenia główkowego w połączeniu ze stymulacją akustyczną skutecznie przestawiają płód w położeniu miednicowym w pozycję główkową, co prowadzi do zmniejszenia liczby cięć cesarskich oraz powiązanych z nimi powikłań dla matki i noworodka.
położenie miednicowe płodu, położenie miednicowe płodu, stymulacja akustyczna, pozycja główkowa
Eman A. Elhosary, Hamada Ahmed Hamada, Doaa Rafat ElAzab, Yassmin Essam, Gehan A. Abdelsamea
Eman A. Elhosary, Hamada Ahmed Hamada, Doaa Rafat ElAzab, Yassmin Essam, Gehan A. Abdelsamea – Impact of TECAR therapy on post-natal rectus diastasis: A randomized trial. Fizjoterapia Polska 2023; 23(1); 54-59
Background. Rectus diastasis is a common problem affecting postpartum mothers. It decreases the integrity as well as functional strength of the abdominal wall, and causes low back pain and pelvic instability
Objective. To examine how TECAR therapy (monopolar capacitive resistance radiofrequency of 448 KHz) affects rectus diastasis in postpartum women.
Design. A prospective randomized controlled trial.
Setting. Outpatient physical therapy clinic, Kafr El Sheikh University.
Methods. Forty postnatal women having diastasis recti abdominis (DRA) > 2.5 cm were recruited and randomized into two equal groups; the control group received a program of selected abdominal exercises and low caloric diet of 1200 kcal/ day for 4 weeks, and the study group received the same control group interventions in addition to TECAR application. DRA degree was the primary outcome, while weight and body mass index measures were the secondary outcomes. All variables were measured at the baseline and after 4 weeks of the intervention by rectus diastasis test, abdominal ultrasonography, and calibrated weight scale.
Results. Analysis showed a significant reduction (P < .05) in weight, body mass index, rectus diastasis test, and ultrasound measures in both groups in favor of the study group
Conclusion. Using TECAR with a standard program of abdominal exercises and low caloric diet has more beneficial effects on postnatal DRA than practicing the exercise program alone with the low-calorie diet.
diastasis recti, radiofrequency therapy, physical exercises, postpartum
Doaa A. Osman, Abdullah M. Al-Shenqiti, Hamada Ahmed Hamada, Mohamed Ibrahim Mabrouk
Doaa A. Osman, Abdullah M. Al-Shenqiti, Hamada Ahmed Hamada, Mohamed Ibrahim Mabrouk – Effect of exercise versus diet on visceral adiposity indicators in obese postmenopausal diabetic women: A comparative study. Fizjoterapia Polska 2022; 22(2); 42-48
Objective. To evaluate the effect of aerobic exercise versus dietary modification on visceral adiposity indicators in obese postmenopausal diabetic women. Design. A prospective, randomized, controlled comparative study.
Methods. Thirty-six obese postmenopausal women, suffering from type 2 diabetes (T2D), participated in this study. They were randomized into two equal groups. The exercise group received aerobic exercise program for 8 weeks (n = 18), whereas the diet group received dietary modification for 8 weeks (n = 18). The anthropometric parameters, fasting blood glucose (FBG), triglyceride (TG), high density lipoprotein (HDL) and visceral adiposity indicators were evaluated for all women in the two groups before and following 8 weeks of treatment.
Results. All outcome measures showed statistically significant improvements within both groups (p < 0.05), with statistically non-significant differences between both groups after treatment (p > 0.05).
Conclusion. Aerobic exercise and dietary modification have similar positive effects on visceral adiposity indicators in obese postmenopausal diabetic women.
aerobic exercise, dietary modification, visceral adiposity indicators, postmenopausal women, diabetes, obesity
Nasr Awad Abdelkader, Walaa Mohsen Mohamed, Nagy Ahmed Zaky, Hamada Ahmed Hamada, Nadia Abdelazim Fayaz
Nasr Awad Abdelkader, Walaa Mohsen Mohamed, Nagy Ahmed Zaky, Hamada Ahmed Hamada, Nadia Abdelazim Fayaz – Relationship between Hamstring Length and Gluteus Maximus Strength with and without Normalization in Patients with Mechanical Low Back Pain. Fizjoterapia Polska 2021; 21(2); 16-20
Background. Muscle strength is an important tool for the assessment of muscle function and is strongly influenced by body size. Therefore, utilization of strength body-size-independent measurements for muscle strength testing is important in comparing the strength measured in large populations. Mechanical low back pain is the commonest musculoskeletal disorder in clinical practice and is associated with gluteus maximus weakness and hamstring tightness. Objective. This study aimed to determine the correlation between hamstring length and gluteus maximus strength with and without normalization in patients with mechanical low back pain. Methods. Seventy-three patients diagnosed with mechanical low back pain participated in this study. First, gluteus maximus strength was measured isometrically as a force (kg) and then converted to torque (Nm). Gluteus maximus strength was normalized for body weight and height using the following formula:% (body weight × height) = torque (N × m) ×100 / body weight (N) × height (m), then the hamstring length was measured using the active knee extension test. Results. The study population consisted of 38 females and 35 males with mean age, body mass and height values of 31.42 ± 6.78 years, 75.63 ± 12.77 kg, and 170.43 ± 9.24 cm respectively. The Spearman product-moment correlation between hamstring length and gluteus maximus strength revealed that there was a positive strong correlation (p < 0.05) between hamstring length and gluteus maximus strength with and without normalization. Conclusion. Contrary to our expectations, there was a highly significant positive correlation between gluteus maximus strength (with normalization) and hamstring length, and a positive correlation between gluteus maximus strength (without normalization) and hamstring length.
Hamstring length, Gluteus maximus strength, Normalization, Mechanical low back pain
Hanaa Kenawy Atta, Abeer Mohamed ElDeeb, Hamada Ahmed Hamada, Yasser Mohamed Aneis
Hanaa Kenawy Atta, Abeer Mohamed ElDeeb, Hamada Ahmed Hamada, Yasser Mohamed Aneis – Muscle energy technique versus core stability exercises on asymptomatic lumbar hyperlordosis in adults: A Randomized controlled trial. Fizjoterapia Polska 2020; 20(4); 50-56
Purpose. This study aimed to evaluate and compare the impact of muscle energy technique and core stability exercises on lumbar lordosis angle, pelvic inclination angle, and lumbar range of motion (ROM) in adults with asymptomatic hyperlordosis. Materials and methods. Sixty subjects with documented lumbar hyper-lordosis, aged 18-30, had a lumbar lordosis angle > 58.5 ° with a body mass index of ˂ 29.9 kg/m2, were assigned randomly into three groups. Group (A) underwent muscle energy technique in addition to postural correction exercises, group (B) received core stability exercises along with postural correction exercises, while group (C) got a postural correction exercise only. The intervention was administered for 12 weeks, three days a week. Plain X-ray and double inclinometers were used respectively for the assessment of lumbar lordosis and pelvic inclination angles and lumbar flexion and extension ROM. Results. All groups reported a substantial decrement in both lumbar lordotic and pelvic inclination angles as well as a marked increment in lumbar flexion and extension ROM following intervention relative to baseline. Differences between groups were noteworthy with respect to lumbar lordotic angle, pelvic angle of inclination and lumbar flexion ROM with significant enhancements in favor of group A and B compared to group C, however, there was no difference between groups regarding lumbar extension ROM. Conclusions. Both muscle energy technique and core stability exercises are equally effective in correcting hyperlordosis and pelvic tilting, as well as in increasing lumbar flexion and extension ROM through improving lumbopelvic stability and pelvic symmetry in adults with asymptomatic hyperlordosis.
Muscle energy technique, core stability exercises, hyperlordosis
Eman Abdelfatah Mohamed Elhosary, Hamada Ahmed Hamada, Mahmoud Ewidea, Zizi M. Ibrahim
Eman Abdelfatah Mohamed Elhosary, Hamada Ahmed Hamada, Mahmoud Ewidea, Zizi M. Ibrahim – Impact of pulsed electromagnetic field on pain level in Females with chronic pelvic inflammatory disease: A randomized controlled trial. Fizjoterapia Polska 2020; 20(3); 116-120
Purpose. Pelvic inflammatory disease (PID) is an infection-induced inflammation of the female upper reproductive tract some cases not respond to medical treatment, the aim of the study to detect the effect of pulsed electromagnetic (PEMF)in treatment of chronic pelvic inflammatory disease. Materials and Methods. this study was designed as single blind randomized controlled trial. Forty females complain from PID, their age ranged from (20-40) years and their body mass index (BMI) not exceeds 30 kg/m², they and were randomly assigned into 2 equal groups: Study group (A) received oral antibiotic (doxycycline100 mg) twice daily for 7 days in addition to PEMF for1 hour, 3 times per week for 12 sessions with 50 Hz in frequency and 60 G in intensity. Control group (B) received routine medical treatment by oral antibiotic (doxycycline100 mg) twice daily for 7 days. Both groups were assessed by present pain intensity scale, estimation of C-reactive protein and ESR level in blood before the treatment and after 12 sessions of PEMF. Results. There were significant differences in pain scores presented by Mean Difference (MD) and 95% Confidence Interval(CI) (MD 2; 95%CI 1.8 to 2.21), ESR (MD 16.75; 95%CI 13.973 to 19.52) and CRP (MD 35.8; 95%CI 31.97 to 39.63) between the both groups. The significant improvement from pretreatment to post treatment, was seen in all dependent variables at study group (p < 0.05) and in pain severity and CRP in control group. Conclusion. Pulsed electromagnetic yields improvement in pain and decrease in inflammation measured by decrease inflammatory markers in the treatment of pelvic inflammatory disease.
Pelvic inflammatory disease, Pulsed electromagnetic field, ESR, C-reactive protein
Hanaa Kenawy Atta, Abeer Mohamed ElDeeb, Hamada Ahmed Hamada, Magda Ramadan Zahran
Hanaa Kenawy Atta, Abeer Mohamed ElDeeb, Hamada Ahmed Hamada, Magda Ramadan Zahran – Effect of Lumbar Stabilization Exercises versus Kinesio Taping on Non-Specific Low Back Pain in Post-Menopausal Women. A randomized Controlled Trial. Fizjoterapia Polska 2020; 20(3); 46-52
Purpose. This study aimed to investigate and compare the effect of lumbar stabilization exercises versus Kinesio taping on pain intensity level, functional disabilities, and lumbar range of motion (ROM) on non-specific LBP in post-menopausal women. Materials and Methods. 60 post-menopausal women diagnosed with chronic non-specific LBP participated in this study. Their ages ranged from 50 to 60 years. They were randomly assigned into three groups equal in numbers. Group A received traditional physical therapy only. Group B received lumbar stabilization exercises and traditional physical therapy. Group C received Kinesio taping technique and traditional physical therapy. All patients received the treatment 3 times per week for 6 weeks. The pain was measured by visual analogue scale (VAS), functional disability was measured by the Oswestry disability index (ODI), and lumbar ROM was measured by a double inclinometer. Results. The group A, B, and C revealed significant decreases in VAS score, ODI score, and significant increases in lumbar flexion and extension ROM post=treatment. Group B and C showed significant decreases in VAS score, and ODI score, and significant increases in lumbar flexion and extension ROM when compared to group A. However, there were no significant differences between group B and group C in all variables post=treatment. Conclusions. Both lumbar stabilization exercises and Kinesio taping have beneficial and similar effects in reducing pain, improving functional ability, and increasing ROM in postmenopausal women with non-specific LBP.
Lumbar stabilization, Kinesio taping, Non-specific low back pain, Post menopause
Nisreen Afify Abd El Rasheed, Maya Galal Aly, Rehab Hamid Sedik, Dalia Mohammed Mosaad, Ayman Noaman Elhenawy, Shaimaa Abd El-Hamid Abase, Hamada Ahmed Hamada
Nisreen Afify Abd El Rasheed, Maya Galal Aly, Rehab Hamid Sedik, Dalia Mohammed Mosaad, Ayman Noaman Elhenawy, Shaimaa Abd El-Hamid Abase, Hamada Ahmed Hamada – Effect of 632 nm He-Ne Laser on Gram-Positive Bacteria in Deep Partial Thickness Pediatric Burn: A Prospective Double-Blind Randomized Controlled Trial. Fizjoterapia Polska 2020; 20(1); 124-128
Background. Burns are one of the most common injuries in pediatric population, gram-positive bacteria is the main pathogens responsible for wound infection that is the leading cause of morbidity and sometimes mortality in growing children with burn. Low level laser is a new treatment option that is increasingly used in the field of wound healing. Aim. To investigate the effect of He-Ne laser on gram-positive bacteria and healing time of deep second-degree pediatric burn. Methods. Thirty children of both genders aged from 2 to 9 years old with 2nd degree upper limb burn infected with gram-positive bacteria participated in this study. They were randomly assigned into two equal groups; either the control group (group A) received systematic antibiotic and 10 minutes’ placebo laser light, or the laser group (group B) received 632 nm laser light, 6 J/cm2 scanning technique for 10 minutes. All patients received regular wound care (dressing). The study protocol was once a day, 3 times / week for one month. Pre and post-treatment evaluation of wound culture and the healing time was recorded for both groups. Results. Wound culture of all children in both groups were negative after two weeks of the study and wound healing time was significantly shorter in the laser group (14.6±5.7 days) than the control group (27±7.3 days). Conclusion. He-Ne laser is an effective option of treatment for 2nd-degree pediatric burn as it has a bactericidal effect on gram-positive bacteria and accelerates wound healing process significantly.
pediatric burn, low-level laser therapy, positive-gram bacteria
Amr A. Abo Gazya, Abdel Aziz A. Serief, Ayman Gouda Matar, Wael Shendy, Hamada Ahmed Hamada
Amr A. Abo Gazya, Abdel Aziz A. Serief, Ayman Gouda Matar, Wael Shendy, Hamada Ahmed Hamada – Impact of Hand-Arm Bimanual Intensive Therapy Versus Shock Wave Therapy on Hand Function and Grip Strength in Children with Hemiplegic Cerebral Palsy. Fizjoterapia Polska 2020; 20(1); 92-98
Background and purpose. Children with hemiplegic cerebral palsy have impairments in fine motor skills above and beyond their unilateral impairments. The current study was conducted to compare the effect of hand-arm bimanual intensive therapy (HABIT) versus shock wave therapy on the affected upper extremity in children with hemiplegic cerebral palsy. Materials and methods. Thirty hemiplegic children ranged in age from 4 to 8 years with hand spasticity ranged between 1 and 1+ grades according to the Modified Ashworth Scale participated in this study. They were assigned randomly into two equal study groups. Group A received a designed physical therapy program and shock wave therapy one session 2000 shock, while the group B received the same physical therapy program in addition to bimanual arm therapy. Both groups received treatment sessions three times per week for three successive moths. Each child in the two groups was evaluated before and after the suggested treatment duration for detecting the level of hand performance using the Peabody Developmental Test of Motor Proficiency while, hand grip strength by a hand held dynamometer and active abduction and external rotation range of motion were measured by a standard universal goniometer. Results. The results revealed non-significant differences when comparing the pre-treatment mean values of all measuring variables for the two groups (p > 0.05), while significant improvement was observed in the two groups when comparing their pre and post treatment mean values. Also, significant differences were observed when comparing the post treatment results of the two groups in favor of the group B (p < 0.05). Conclusion. The results suggested that, hand-arm bimanual intensive therapy appears to have a positive impact on hand function in children with hemiplegic cerebral palsy.
Cerebral palsy, Hemiplegic, Hand-arm bimanual intensive therapy, shock wave therapy
Nancy Hassan Aboelnour, Najlaa Fathi Ewais, Hamada Ahmed Hamada
Nancy Hassan Aboelnour, Najlaa Fathi Ewais, Hamada Ahmed Hamada – Focused versus radial extracorporeal shock wave therapy in post burn hypertrophic scar: A single blinded randomized controlled trial. Fizjoterapia Polska 2019; 19(4); 150-155
Purpose. Hypertrophic scar (HTS) is one of the common post-burn complications that lead to functional and cosmetic impairments, so we pursued to examine efficacy of extracorporeal shock wave therapy (ESWT) on HTS in expression of improving scar thickness and appearance. Materials and Methods. 60 patients with post burn HTS were recruited in this trial and divided randomly into 3 equal groups. Group A: received focus ESWT (100 shock waves per cm2, 0.037 mJ/mm2, 4 Hz, 2 times/week for six weeks) plus traditional topical medication (MEBO Scaro cream). Group B: received radial ESWT (500 shock waves per cm2, 0.13 mJ/mm2, 6 Hz, 2 times/week for six weeks) plus MEBO Scaro cream. Group: received only MEBO Scaro cream. Ultrasonography was utilized for scar thickness measurement and scar characteristics assessment was done by Modified Vancouver Scar Scale (MVSS). All measures were gathered before the start of the study, and after termination of the trial (after 6 weeks). Results. Both focus and radial ESWT showed significant advance in scar thickness and MVSS post treatment (p > 0.001), without statistical differences between them (p > 0.05), while group C showed only a significant diminution in MVSS post treatment (p > 0.001), without any change in scar thickness. Conclusion. Higher statistical results were achieved with both focus and radial ESWT without any side effects, confirming the safety and efficiency of ESWT in HTS management.
hypertrophic scar, Extracorporeal Shock Wave Therapy (ESWT), Modified Vancouver Scar Scale (MVSS), ultrasonography
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