Tag: Najlaa Fathi Ewais

Effect of interferential Electrical Stimulation on pain perception and disability level on Interstitial Cystitis: a randomized controlled trial

Ghada Ebrahim El Refaye, Hamada A. Hamada, Ibtissam M. Saab, Najlaa Fathi Ewais

Ghada Ebrahim El Refaye, Hamada A. Hamada, Ibtissam M. Saab, Najlaa Fathi Ewais – Effect of interferential Electrical Stimulation on pain perception and disability level on Interstitial Cystitis: a randomized controlled trial. Fizjoterapia Polska 2020; 20(3); 102-106

DOI: https://doi.org/10.56984/8ZG140EA9

Abstract
Background. Interstitial cystitis is a range of urological manifestations that are characterized by bladder, pelvic and urethral pain, just as irritative voiding side effects. It is characterized by the International Continence Society as the protest of suprapubic pain, identified with bladder filling combined by different manifestations, for example, expanded day time and evening time recurrence, without demonstrated urinary contamination or different evident pathology of the lower urinary tract. Objective. To investigate the effect of interferential electrical stimulation on pain perception and disability level on interstitial cystitis. Participants and methods. A total of 40 volunteering women diagnosed with interstitial cystitis. Their ages were ranged between 25 to 40 years old and their body mass index was > 30 kg/m2. Participants were randomly assigned to two equally numbered groups; group (A) receiving interferential current at the lower abdomen, in addition to a routine medical intervention, or group (B) receiving solely routine medical intervention for 8 successive weeks. Participants were assessed for pain using visual analog scale (VAS), related disability index using levels using O’Leary–Sant Symptom Index or Interstitial Cystitis Index (ICSI), and blood cortisol concentration. Measurements were taken before and after eight weeks of intervention. Results. The analysis of the results revealed a significant reduction in VAS score (P < 0.0001), ICSI scores (P < 0.0001), and the plasma cortisol concentration (P < 0.0001) in the participants of group (A) at the end of the treatment, compared to group (B). Conclusion. These results concluded that adding IC therapy to routine medical intervention had an excellent effect on the management of interstitial cystitis associated signs and symptoms particularly pain, plasma cortisol levels, related disabilities.
Key words:
Interferential current, pain perception, disability level, interstitial Cystitis
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Focused versus radial extracorporeal shock wave therapy in post burn hypertrophic scar: A single blinded randomized controlled trial

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

DOI: https://doi.org/10.56984/8ZG1A3652

Abstract
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.

Key words:
hypertrophic scar, Extracorporeal Shock Wave Therapy (ESWT), Modified Vancouver Scar Scale (MVSS), ultrasonography

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Effect of Laser Acupuncture on Immunological Factors in Breast Milk: A Randomized Clinical Trial

Asmaa M. El Bandrawy, Wafaa M. Kamal, Najlaa Fathi Ewais

Asmaa M. El Bandrawy, Wafaa M. Kamal, Najlaa Fathi Ewais – Effect of Laser Acupuncture on Immunological Factors in Breast Milk: A Randomized Clinical Trial. Fizjoterapia Polska 2019; 19(4); 42-47

Abstract
Background. Breast feeding maintains the maternal foetus link and it is a significant contributory additional defensive factor to the immunity system of the neonate. Acupuncture enhances the release of specific neurotransmitters, specially opioids, in the CNS and stimulates parasympathetic or sympathetic nervous systems, hence elicits an intensive effect on immune system modulation.
Purpose of the study was conducted to investigate laser acupuncture effect on immunological factors of breast milk.
Subjects and methods. 30 sedentary absolutely breast-feeding women were randomly allocated to study group A (n = 15) who received relaxation techniques in addition to laser acupuncture, 3 days per week, for 6 weeks or a control group B (n = 15) who received relaxation techniques only. Each breast-feeding mother in both groups (A & B) received breast feeding advice and nutritional counselling. A brochure was given about proper breast-feeding technique, breast massage techniques, proper maternal nutrition and fluid intake during breast feeding. IgA and total leukocytes count were assessed at base line and after 6 weeks.
Results. Statistical analysis revealed that the breast milk IgA and total leukocytes count showed a significant increase (P < 0.05) within both groups, while comparing both groups post-program it showed a significant increase of the breast milk IgA in group A compared to group B post-intervention (P < 0.05).
Conclusion. Laser acupuncture plus relaxation training during lactation yield more improvement in breast milk IgA than relaxation training alone.

Key words:
Relaxation techniques, Immunological Factors, Breast Milk

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