Tag: Mahmoud Y. Elzanaty

Comparing between the efficacy of underwater treadmill and over-ground treadmill training program on trunk kinematics in stroke patients: A randomized controlled trial

Zeinab M. Abdelrehim, Nahed A. Salem, Hossam M. El khatib, Mahmoud Y. Elzanaty

Zeinab M. Abdelrehim, Nahed A. Salem, Hossam M. El khatib, Mahmoud Y. Elzanaty – Comparing between the efficacy of underwater treadmill and over-ground treadmill training program on trunk kinematics in stroke patients: A randomized controlled trial. Fizjoterapia Polska 2021; 21(5); 14-18

Abstract
Background. Gait disorder is a common clinical problem for stroke survivors. Trunk movement, control and symmetry are important prerequisite for gait. Trunk kinematics rarely investigated during gait cycle. Objective. This study was conducted to compare between the efficacy of underwater treadmill training program (TTP) and over-ground (TTP) in improving trunk kinematics during the gait cycle of stroke patients. Study design. randomized control trial. Methods. Forty male patients suffering from post-stroke gait deficits were assigned randomly into two equal groups: study group (A): received underwater treadmill training program. Control group (B) received over-ground treadmill training program. Patients of both groups were assessed for trunk range of motion (ROM) during gait cycle using slow motion video and goniometer iPad application. Assessment was done before and after four weeks of treatment for both groups. Results. the comparison between groups post treatment showed a significant increase in trunk lateral flexion toward affected and significant decrease in trunk lateral flexion toward unaffected during stance phase with increase in trunk symmetry between both sides in the study group (A) compared with that of control group (B). Conclusion. under water TTP is more effective than over-ground TTP on improving trunk kinematics during the gait cycle of stroke patients.
Key words:
stroke, trunk kinematics, underwater treadmill, over-ground treadmill
Pobierz/Download/下載/Cкачиваете Atsisiųskite straipsnį anglų kalba nemokamai

Effect of Extracorporeal Shock Wave Therapy on Pain Intensity, Functional Abilities, and Trunk Range of Motion in Patients with Chronic Lumbar Disc Prolapse: A Randomized Clinical Trial

Shaima M. Abdelmageed, Nagwa Ibrahim Rehab, Marwa M Mahfouz, Manal Bakry Abd El Fatah, Dina O. Galal, Mahmoud Y. Elzanaty

Shaima M. Abdelmageed, Nagwa Ibrahim Rehab, Marwa M Mahfouz, Manal Bakry Abd El Fatah, Dina O. Galal, Mahmoud Y. Elzanaty – Effect of Extracorporeal Shock Wave Therapy on Pain Intensity, Functional Abilities, and Trunk Range of Motion in Patients with Chronic Lumbar Disc Prolapse: A Randomized Clinical Trial. Fizjoterapia Polska 2021; 21(2); 116-120

DOI: https://doi.org/10.56984/8ZG0DD311

Abstract
Objectives. This research aimed to assess the impact of extracorporeal shock wave therapy (ESWT) on pain severity, functional abilities, and trunk range of motion in patients with lumbar disc prolapse (LDP). Methods. Design of study was randomized clinical study. Forty male patients had disc prolapse at L5–S1 spine segment with chronic pain. Patients have been randomly divided to two equal groups. The patients in study group received extracorporeal shock wave therapy (ESWT) in addition to conventional physical therapy program. Patients in control group were treated with the conventional physical therapy program which composed of electrotherapy using TENS (15 minutes) and exercise program. Visual analogue scale (VAS) was used to evaluate pain. Functional disability was evaluated by Oswestry disability index (ODI). The Back range of motion device (BROM) has been utilized to measure trunk motion (flexion, extension, side bending, external and internal rotation). For all patients prior to and after six weeks of the therapy program, all outcome measures were evaluated. Results. In the research and control groups, there was a substantial reduction in post-treatment VAS and ODI as compared to pre-therapy (p > 0.001). In both groups, there was a substantial increase in post-therapy ROM compared to pre-therapy (p > 0.001). The comparison among the study and post-therapy control groups showed a substantial decrease in the study group’s VAS and ODI relative to the control group (p > 0.001). There was also a substantial increase in the study group’s trunk flexion, extension, and rotation relative to that of the control group (p > 0.01). Conclusion. The ESWT had a significant analgesic effect and improved functional abilities relative to the conventional physiotherapy program in patients with LDP. Also ESWT had substantial enhancements in trunk ROM relative to conventional physiotherapy.
Key words:
extracorporeal shock wave therapy, lumbar disc prolapse, functional ability, pain
Pobierz/Download/下載/Cкачиваете Atsisiųskite straipsnį anglų kalba nemokamai