Tag: Mohamed A Awad

Effect of foot reflexology on perimenopausal mild hypertension

Hala M Hanfy, Mohamed A. Awad, Hossam El Dien H Kamel, Nermeen K Eid

Hala M Hanfy, Mohamed A. Awad, Hossam El Dien H Kamel, Nermeen K Eid – Effect of foot reflexology on perimenopausal mild hypertension. Fizjoterapia Polska 2022; 22(1); 44-50

Abstract
Purpose. to investigate the effect of foot reflexology on perimenopausal mild hypertension. Methods. Fifty perimenopausal women suffering from mild hypertension were selected randomly from the outpatient clinic of the gynecology department in Sayed Galal University Hospital in Cairo, Al Azhar University, shared in this study. Their ages were ranged from 48 to 50 years old. Their body mass index (BMI) did not exceed 30kg/m. The physician diagnosed them as mild hypertensive patients (stage 1). Patients with bronchial asthma, history of hypertension before the 4th decade, diabetes mellitus and mental health problems such as depression and anxiety are excluded from the study. The design of the study was an experimental study (two groups pre-test post-test design). The patients were divided randomly into two equal groups (A&B): Group A (Control group); consisted of twenty-five patients. They performed aerobic exercises only three times per week for 8 weeks. Group B (Study group); consisted of twenty-five patients. They performed aerobic exercises and received foot reflexology three times per week for 8 weeks. Body mass index was assessed using a standard weight and height scale. Blood pressure was assessed using a mercury sphygmomanometer, blood analysis for TC, TG, LDL and HDL for both groups A and B before and after treatment.
Results. showed that, within groups, there was a significant decrease in systolic blood pressure, diastolic blood pressure, cholesterol, triglyceride, LDL and a significant increase in HDL in both groups A and B post-treatment in comparison with pre-treatment values. Between groups, pre-treatment there was no significant difference in systolic blood pressure, diastolic blood pressure, cholesterol, triglyceride, LDL and HDL. While, post-treatment there was a significant difference between groups A and B in systolic blood pressure, diastolic blood pressure, cholesterol, triglyceride, LDL (more decrease in group B) and HDL (more increase in group B).
Conclusion. Foot reflexology is an effective method in treating perimenopausal mild hypertension through decreasing SBP, DBP, cholesterol, TG, LDL and increasing HDL.
Key words:
foot reflexology, perimenopausal, hypertension
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Effect of pulsed electromagnetic field versus interferential current on abdominal fat thickness in postnatal women

Menna Allah Y. Nasr Eldien, Khadiga S. Abd El Aziz, Mohamed A. Awad, Amir A. Gabr

Menna Allah Y. Nasr Eldien, Khadiga S. Abd El Aziz, Mohamed A. Awad, Amir A. Gabr – Effect of pulsed electromagnetic field versus interferential current on abdominal fat thickness in postnatal women. Fizjoterapia Polska 2021; 21(5); 144-151

Abstract
Objective. To compare the efficacy of the pulsed electromagnetic field and the interferential current effects on abdominal fat thickness in postnatal women.
Method. This study enlisted the participation of sixty obese postnatal multipara women, ages ranged between 30 and 40 years, body mass index ranged between 30 to 39.9 kg/m2, and they were chosen at least two years after the previous delivery. They were selected and equally divided at random into two groups (A&B). Group A (n = 30) was treated with pulsed electromagnetic field on the abdomen. Each session lasted about 20 minutes and was held three days per week for four weeks. Group B (n = 30) was treated with interferential current on the abdomen. Each session lasted about 20 minutes and was held three days per week for four weeks.
Body mass index was evaluated by weight and height scale, waist circumference was evaluated by tape measurement, abdominal subcutaneous fat thickness was evaluated by skin fold caliper, and blood lipid profile was measured in both groups before and after treatment.
Results: Within groups, there were significant reduction in BMI, WC, abdominal subcutaneous thickness, and blood lipids profile (TC, TG, LDL, and VLDL), and significant increase in HDL in both groups (A&B) post-treatment in compare to pre-treatment. Between groups, there were no significant differences in all measurement values between both groups (A&B) pre and post-treatment.
Conclusion: PEMF and IFC are safe and have the same effect in reducing BMI, WC, abdominal subcutaneous fat thickness, and blood lipids in postnatal women.
Key words:
pulsed electromagnetic field, interferential current, abdominal fat thickness, postnatal women, waist circumference
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Effect of Life Style Modification on Premenopausal Uterine Fibroids: A randomized controlled trial

Hala M Hanfy, Mohamed A. Awad, Abd El-Hamid Abd El-Maksod Abd El-Aaty, Hoda H El dahesh

Hala M Hanfy, Mohamed A. Awad, Abd El-Hamid Abd El-Maksod Abd El-Aaty, Hoda H El dahesh – Effect of Life Style Modification on Premenopausal Uterine Fibroids: A randomized controlled trial. Fizjoterapia Polska 2021; 21(4); 18-24

Abstract
Purpose. This study was designed to investigate the effect of life style modification on premenopausal uterine fibroids. Materials and methods. Forty pre-menopausal women diagnosed as uterine fibroids shared in this study. They were selected randomly from the Out-patient clinic of gynecology department in Damanhour Medical National Institute in Damanhour. Their ages were ranged from 36-47 years old. Their body mass index (BMI) didn’t exceed 35 kg/m2. They were diagnosed as subserosal and intramural uterine fibroids. Pregnant women, patients with malignant disease, cardiac pacemakers, myomectomy, psychological problems, postmenopausal patients or hormonal replacement therapy are excluded from study. The design of study was pre-test post-test experimental design. They were divided into two equal groups: Group A (Control group) consisted of 20 patients who received moderate restricted Mediterranean diet for six months. Group B (Study group) consisted of 20 patients who treated by lifestyle intervention program in the form of moderate restricted Mediterranean diet and aerobic exercises (5 times /week) for six months. Each patient in both groups was asked to take 3-4 teabag of Lipton green tea per day. Body mass index (BMI) was assessed by using standard weight-height scale, waist circumference (WC) was assessed by tape measurement; severity of symptoms was assessed by symptoms severity scale questionnaire (SSS) for all patients in both groups A and B before and after treatment. Serum Estradiol (E2), total cholesterol (TC) and triglyceride (TG) were assessed for all patients in both groups A and B before and after treatment. Results. pretreatment, there was no statistical significant difference between both groups A and B in the mean values of BMI, waist circumference, symptoms severity subscale (SSS), serum estradiol (E2), total cholesterol (TC) and triglyceride level (TG). While post treatment, there was statistical significant difference between both groups A and B in the mean values of BMI, waist circumference, symptoms severity subscale (SSS), serum estradiol (E2), total cholesterol (TC) and triglyceride level (TG) (more decrease in group B). Conclusion. Life style modification through aerobic exercise and Mediterranean diet is effective in reducing severity of symptoms and improve quality of life in premenopausal uterine fibroids patients.
Key words:
Life style, Premenopausal, Uterine fibroid, Exercise
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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 acupressure on prostaglandin F2α in primary dysmenorrhea: A randomized controlled trial

Mohamed A. Awad, Esraa A. Khowailed, Amir A. Gabr, Magda Ramadan Zahran, Doaa A. Osman

Mohamed A. Awad, Esraa A. Khowailed, Amir A. Gabr, Magda Ramadan Zahran, Doaa A. Osman – Effect of acupressure on prostaglandin F2α in primary dysmenorrhea: A randomized controlled trial. Fizjoterapia Polska 2020; 20(4); 168-173

Abstract

Objectives. It is well documented that acupressure has a beneficial effect on reducing pain severity of primary dysmenorrhea; however, none of the previous studies had investigated the effect of acupressure on prostaglandin levels in females with primary dysmenorrhea. This study aimed to investigate the effect of acupressure on prostaglandin F2α (PGF2α) in primary dysmenorrhea.
Methods. A total of 50 adult females with primary dysmenorrhea participated in this study. Their ages ranged from 19 to 27 years and their body mass index (BMI) ranged from 20 to 25 kg/m2. They were randomized into 2 equal groups. Group (A) received nutritional modification for 3 consecutive menstrual cycles, while group (B) received the same nutritional modification in addition to acupressure at the liver point (LIV3) for 3 consecutive menstrual cycles. The primary outcome was plasma levels of PGF2α while the secondary outcome was short form of McGill pain questionnaire. The outcome measures were evaluated pre- and post- treatment.
Results. Comparing both groups post-treatment revealed that there were significant reductions in PGF2α levels and short form of McGill pain questionnaire scores (p < 0.0001) in favour of group (B).
Conclusions. Acupressure is effective in treating females with primary dysmenorrhea through reducing levels of PGF2α and scores of short form of McGill pain questionnaire.

Key words:

acupressure, prostaglandin F2α, short form of McGill pain questionnaire, primary dysmenorrhea

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Effect of Upright versus Recumbent Positions on Labour Outcomes

Mohamed A Awad, Wafaa M Kamal, Emad Salah

Mohamed A Awad, Wafaa M Kamal, Emad Salah – Effect of Upright versus Recumbent Positions on Labour Outcomes. Fizjoterapia Polska 2019; 19(3); 174-179

Abstract
Aim. This study was to find out the impact of uprighting versus lying down positions on labour outcomes.
Subjects. Sixty women between 37-41 weeks’ gestational ages in active phase of first stage of labour participated in this study. They were selected randomly from Kasre Al-Ainy University Hospital in Cairo, Cairo University. Their ages ranged from 18-35 years old and their BMI were not more than 35 kg/m2. They were with single live fetus and their fetus was in cephalic presentation. They were without any pregnancy or medical complications. participants were indiscriminately allocated into 2 identical groups: Group A (Upright group) composed of thirty women who adopted the upright positions. Group B (Recumbent group) consisted of thirty women who remained in bed (supine or side lying positions).
Methods. Body Mass Index was assessed by weight-height scale. Duration of stages of labour was assessed using stop watch. Labour pain intensity was assessed by using visual analogue scale at 3-5 cm and 7-8 cm of cervical dilatation. Fetal heart rate was assessed by using cardiotocography. Apgar score of the newborns was assessed by using Apgar test at 1 minute and at 5 minutes after birth.
Results. Results of this study revealed that duration of 1st, 2nd and 3rd stage of labour, labour pain and fetal heart rate decreased significantly in upright group than recumbent group. Apgar score of the newborns decreased significantly in recumbent group than upright group. 10% of upright group delivered normal labour with episiotomy while 30% in recumbent group. 6.6% of upright group used forceps delivery while 20% in recumbent group. 20% of upright group delivered cesarean section while 40% in recumbent group.
Conclusion. Upright positions had favorable impact on labor progression through decreasing length of labor course and labour pain and consequently better neonatal outcomes.

Key words:
Upright positions, Recumbent positions, Labour outcomes

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