Effect of Aquatic Therapy on Ventilatory Functions in Patients with Duchenne Muscular Dystrophy: A Randomized Controlled Trial

Nehad A. Abo-zaid, Heba A. Khalifa, Faten Ali, Mohamed Y. Abdelhamid Abdelsamee, Walaa E. Heneidy

Nehad A. Abo-zaid, Heba A. Khalifa, Faten Ali, Mohamed Y. Abdelhamid Abdelsamee, Walaa E. Heneidy – Effect of Aquatic Therapy on Ventilatory Functions in Patients with Duchenne Muscular Dystrophy: A Randomized Controlled Trial. Fizjoterapia Polska 2021; 21(1); 206-214

Abstract
Objectives. To investigate the effect of aquatic therapy on ventilatory functions, and its impact on functional capabilities in boys with Duchenne muscular dystrophy (DMD). Subjects and Methods. Twenty-four boys with DMD were enrolled in this study, their ages ranged from seven to eleven years. They were randomly assigned into two groups of equal numbers; the land-based group received a designed land-based physical therapy program while the aquatic group received the same program underwater at the pool of the hydrotherapy unit. The treatment was conducted for all boys twice weekly for three successive months. A spirometer was used to measure the ventilatory functions including forced vital capacity (FVC), forced expiratory volume in the first second (FEV1), and FEV1/FVC% ratio. Timed function tests (TFTs) including 10-m walk/run test, climb, or/descend 4 standard-size stairs test and, stand from a supine position test, followed by 6-min. walk test (6MWT) were used to assess the functional capability for both groups, before and after treatment. Results. Post-treatment findings, revealed no statistically significant differences in all variables (P > 0.05) except for FEV1/ FVC% ratio that showed a statistically significant difference (P = 0.0001) in both groups. Conclusion. Aquatic therapy has no statistically significant effect on ventilatory functions and functional capabilities among boys with Duchenne muscular dystrophy.
Key words:
Duchenne muscular dystrophy, Ventilatory functions, Aquatic therapy
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Effect of preoperative graduated abdominal exercises and russian stimulation on muscle strength after abdominoplasty: A randomized controlled trial

Mahmoud Ewidea, Ayman M. Elmakaky, Faten Ali, Mohamed Y. Abdelhamid Abdelsamee

Mahmoud Ewidea, Ayman M. Elmakaky, Faten Ali, Mohamed Y. Abdelhamid Abdelsamee – Effect of preoperative graduated abdominal exercises and russian stimulation on muscle strength after abdominoplasty: A randomized controlled trial. Fizjoterapia Polska 2021; 21(1); 158-163

Abstract
Objectives. To investigate the effect of preoperative graduated abdominal exercises and Russian stimulation on the strength of abdominal muscles after abdominoplasty. Methods. Sixty patients before abdominoplasty were enrolled in this study after the assessment of their eligibility, their age ranged from 20 to 45 years, they were randomly distributed into four equal groups. The ultrasonography was used to evaluate abdominal muscle thickness as an indicator for muscle strength on 4 occasions, initial assessment, pre-operative assessment, 2 Months post-operative assessment, and finally 4 Months post-operative assessment. For study group (A); received only graduated abdominal exercises, group (B); received only Russian stimulation on abdominal muscles, group (c); received graduated abdominal exercises and Russian stimulation on abdominal muscles, all participants in the study groups received the treatment protocol for 30 min., 3 times/week for 6 successive weeks preoperatively for control group (D); were instructed to presume in normal activities of daily living preoperatively. Results. Post-treatment findings, revealed a statistically significant increase in abdominal muscle strength preoperatively and postoperatively in the three study groups compared to the control group in favor of group C. Conclusion. The pre-operative graduated abdominal exercises and Russian current stimulation has a significant effect in strengthening abdominal muscles after abdominoplasty.
Key words:
abdominoplasty, abdominal exercises, ultrasonography, muscle strength, russian stimulation
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