Tag: Gehan A. Abdelsamea

Impact of TECAR therapy on post-natal rectus diastasis: A randomized trial

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

DOI: https://doi.org/10.56984/8ZG07B1B5

Streszczenie

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.

Słowa kluczowe:
diastasis recti, radiofrequency therapy, physical exercises, postpartum

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Effect of high-intensity interval exercise on pain, disability, and autonomic balance in female patients with nonspecific chronic low back pain

Haya Mohammed AlMaawy, Gehan A. Abdelsamea, Yassmin Essam Mohamed, Doaa Tammam Atia, Olfat Ibrahim Ali, Amira Mohamed El-Gendy


Haya Mohammed AlMaawy, Gehan A. Abdelsamea, Yassmin Essam Mohamed, Doaa Tammam Atia, Olfat Ibrahim Ali, Amira Mohamed El-Gendy – Effect of high-intensity interval exercise on pain, disability, and autonomic balance in female patients with nonspecific chronic low back pain. Fizjoterapia Polska 2022; 22(5); 130-138

DOI: https://doi.org/10.56984/8ZG20At5I

Abstract:

Aim. to assess the impact of a 6-weeks high-intensity interval exercise (HIIE) regimen on pain, disability, as well as autonomic balance in women with nonspecific chronic low back pain (NSCLBP). Materials and methods. Eighty females with mild to moderate NSCLBP, with ages of 18-65 years, were recruited from the physiotherapy department at King Fahd University Hospital, AlKhobar. They were assigned randomly into the control group (n = 40), which received standard regular physiotherapy, or the experimental group (n = 40), which received HIIE as well as conventional regular physiotherapy. Pre- and post-intervention (after 6 weeks) assessments included pain intensity via Numerical Rating Scale (NRS), disability via Oswestry Disability Index (ODI), as well as autonomic balance via heart rate variability (HRV) parameters & baroreceptor sensitivity (BRS) Both at rest and in reaction to an orthostatic challenge. Results. Both groups experienced significant improvements in pain and disability, with the HIIE group experiencing a higher improvement in both variables. For the HRV parameters after 6 weeks of intervention, the control group had a statistically significant reduction in high frequency (HF), and in response to the orthostatic challenge, a significantly higher rise in the normalized low frequency (LFnu) compared to the baseline. BRS showed a significant reduction and heart rate recovery was significantly faster post-intervention in the HIIE group in the 2nd and 3rd minutes, compared to the baseline values. Conclusions. HIIE can be a valuable addition to NSCLBP patients’ exercise routines in practice, since adding HIIE to standard physiotherapy resulted in more reduction in pain, disability compared to conventional physiotherapy alone, with enhanced autonomic regulation after six weeks of treatment.

Keywords:
chronic low back pain, Oswestry disability index, autonomic balance, heart rate variability

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Premenstrual syndrome and its biopsychosocial symptoms among physiotherapy students in Eastern Delta: An exploratory study

Gehan A. Abdelsamea, Mostafa Amr, Ahmed M. N. Tolba, Haitham O. Elboraie, Amir Soliman, Shereen Hamed Elsayed, Doaa A. Osman


Gehan A. Abdelsamea, Mostafa Amr, Ahmed M. N. Tolba, Haitham O. Elboraie, Amir Soliman, Shereen Hamed Elsayed, Doaa A. Osman – Premenstrual syndrome and its biopsychosocial symptoms among physiotherapy students in Eastern Delta: An exploratory study. Fizjoterapia Polska 2022; 22(5); 88-99

DOI: https://doi.org/10.56984/8ZG20A0LR

Abstract

Background. During the luteal phase of the menstrual cycle, a set of clinically significant physical and psychological symptoms known as premenstrual syndrome (PMS) emerge. This condition can be extremely distressing and hinder females’ ability to work.
Purpose. To calculate the prevalence and severity of PMS and its biopsychosocial symptoms in female physiotherapy students in Eastern Delta and to investigate the relationship between various socio-demographic and reproductive factors.
Methods. At Delta University for Science and Technology in Gamasa, Egypt, 396 female physiotherapy students participated in an exploratory cross-sectional survey with a mean age of 20.23±1.07 years and BMI with a mean of 28.86 ± 5.05 kg/m2. The premenstrual syndrome scale (PMSS) was adopted to assess the prevalence of PMS and related symptoms, and a self-administered questionnaire was used to gauge sociodemographic and reproductive data.
Results: Three hundred ninety-six females of 438 females completed the study. In 85% of cases, PMS predominated research calculations. The PMS group displayed symptoms of fatigue, cramping in the abdomen, tension, mood fluctuations, and decreased productivity more overtly. According to a multiple linear regression analysis, living in a rural area, hitting menarche earlier, having a higher BMI, and having a family history were all significantly linked to PMS (p < 0.05). Conclusion. Female students have a high prevalence of PMS and its biopsychosocial symptoms. Therefore, adoption of preventive reproductive health and counseling services should be implemented as a standard component of routine clinical treatment for university students.

Keywords:
premenstrual syndrome, Egypt, premenstrual syndrome scale, biopsychosocial symptoms, physiotherapy students

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