Effect of ultraviolet on vitamin D activation and balance in postmenopausal women: A randomized controlled trial

Eman J. Hassan, Hala M. Omara, Mohamed A. Awad, Hossam H. Salem

Eman J. Hassan, Hala M. Omara, Mohamed A. Awad, Hossam H. Salem – Effect of ultraviolet on vitamin D activation and balance in postmenopausal women: A randomized controlled trial. Fizjoterapia Polska 2020; 20(5);  90-95

Abstract

Aim. To determine the effect of ultraviolet on vitamin D activation and balance in postmenopausal woman. Materials and methods. This study was conducted on forty postmenopausal women suffering from vitamin D deficiency (diagnosed by physician), with their age ranged from 50 to 60 years. They were randomly assigned into two equal groups. Group (A) received ultraviolet for 12 weeks (n = 20), while group (B) served as a control group (n = 20). Vitamin D was evaluated by blood analysis while balance was evaluated by Biodex balance system before and after treatment for both groups. Results. Comparing both groups post-treatment showed that there was a statistically significant increase in vitamin D (p < 0.05) and statistically significant reduction in all balance indices (p < 0.05) in favor of group (A). Conclusions. Ultraviolet radiation is effective, easy to apply, simple and successful method in improving vitamin D concentration and balance in postmenopausal women.

Key words:
ultraviolet, vitamin D, balance, post menopause
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Effect of Lumbar Stabilization Exercises versus Kinesio Taping on Non-Specific Low Back Pain in Post-Menopausal Women. A randomized Controlled Trial

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

Abstract
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.
Key words:
Lumbar stabilization, Kinesio taping, Non-specific low back pain, Post menopause
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Effect of Different Heel Height Shoes on Spinal Configuration In Osteoporotic Post Menopausal Women: Repeated Measure Design

Manal M. Fahim Salib, Hamada Ahmed Hamada, Amel M. Yousef, Azza B. Nashed Kassab, Nagui S. Nassif, Mohamed H. Mostafa

Manal M. Fahim Salib, Hamada Ahmed Hamada, Amel M. Yousef, Azza B. Nashed Kassab, Nagui S. Nassif, Mohamed H. Mostafa – Effect of Different Heel Height Shoes on Spinal Configuration In Osteoporotic Post Menopausal Women: Repeated Measure Design. Fizjoterapia Polska 2019; 19(4); 104-109

Abstract
Background. Menopause causes reduction in bone strength. Wearing shoes with different heights in old women, affecting their performance while they’re working either in erect position or in 90˚ trunk flexion or complete trunk flexion. Purpose. This study was designed to investigate the effect of different heel height shoes on spinal configuration in osteoporotic post menopausal women, in different trunk positions. Methods. This study was carried out upon 40 post menopausal osteoporotic women who were selected from faculty of physical therapy wearing different shoes: flat, sneakers and 3cm heel height.Their mean age was, 49.05 ± 2.14 (years), mean body mass 79.02 ± 7.7 (kg), mean height 163.06 ± 6.17 (cm), and mean body mass index BMI 29.57 ± 1.9 (kg/m2). The spinal angle deviation was measured between 2 definite vertebrae while wearing different heel height and comparing it with the spine deviation using flat shoes. The changes in the spine position were recorded for (flat shoes, sneakers and 3cm heel height shoes) during erect position, flexion trunk 90 degrees and complete flexion trunk by the spinal mouse device. The spinal angle deviation was measured in 4 levels T1–T2, T7–T8, T12–L1, L5–S1 levels. Result. There was a significant effect of different trunk position on deviation of spinal angle. At the level of T1-T2, there was a significant difference in the mean value of spinal angle between the 3 positions using sneakers and 3 cm heel shoes. At the level of T7–T8,there was a significant difference in the mean values of spinal angle between the 3 positions using flat shoes, sneakers and 3 cm heel shoes. At level of T12–L1, there was a significant difference between the mean values of spinal angle while wearing 3 types of shoes, flat shoes, sneakers, 3 cm heel, from 90˚ trunk flexion and a significant difference in the mean value of spinal angle between the 3 positions using flat shoes, sneakers and 3 cm heel shoes. At the level of L5–S1, there was a significant difference between the mean values of spinal angle of the 3 types of shoe, at erect position and significant difference in the mean value of spinal angle between the 3 positions using flat shoes, sneakers and 3 cm heel shoes. Conclusion. At level of T1– T2 and T7–T8, as the trunk flexion increases the spinal angle deviation decrease. At T12– L1 level, when flexion 90˚ the flat shoes is the best, followed by the 3 cm heel height. At the level of L5–S1 at erect position the flat is the best,followed by the 3 cm heel height.

Key words:
post menopause, spinal angles, different heel height shoes, Spinal Mouse different trunk positions

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