Tag: Mohamed Ali Elshafey

Posture deviation of head and neck in heavily using smart phone adolescents: An observational cross sectional study

Amal Youssef Elsaeed Wahba, Faten Hassan Abdelazeem, Mohamed Ali Elshafey

Amal Youssef Elsaeed Wahba, Faten Hassan Abdelazeem, Mohamed Ali Elshafey – Posture deviation of head and neck in heavily using smart phone adolescents: An observational cross sectional study. Fizjoterapia Polska 2020; 20(5);  44-49

Abstract

Objectives. To evaluate the head and neck posture in heavy using smart phone adolescents.
Methods. Two hundred twenty-four undergraduate male students were recruited from different faculties at Pharos University in Alexandria and assigned according to the number of hours spent daily on the smart phone into three groups. Group A used the smart phone for 10-16 hours/day (n = 25); group B used the smart phone for 5-9 hours/day (n = 64); group C used the smart phone for 1-4 hours/day (n = 11). The Postural assessment software (PAS/SAPO) was used to assess head and neck posture from digitalized pictures from anterior, right lateral and left lateral views.
Results. The horizontal alignment of the head and acromion from anterior view, and the vertical alignment of the head from right and left lateral views showed non-significant differences (p > 0.05) among three groups. However, the horizontal alignment of the head from right and left lateral views was significantly higher in group B compared to group A (p < 0.05), while there were non-significant differences (p > 0.05) between (group A versus C) and (group B versus C).
Conclusions. Heavily use of the smart phone negatively affects head and neck posture in adolescents and postural deviations in head and neck are directly proportional to the hours of using the smart phone daily.

Key words:
postural assessment software (PAS/SAPO), cranio-vertebral angle (CVA), smart phone addiction, forward head posture, adolescence
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Biofeedback on Faecal Incontinence After Anorectal Malformations Repair: Effects Through Four Months: A Randomized Controlled Trial

Mohamed Ali Elshafey, Mohamed Serag, Mohamed Samy Abdrabo

Mohamed Ali Elshafey, Mohamed Serag, Mohamed Samy Abdrabo – Biofeedback on Faecal Incontinence After Anorectal Malformations Repair: Effects Through Four Months: A Randomized Controlled Trial. Fizjoterapia Polska 2020; 20(4); 114-120

DOI: https://doi.org/10.56984/8ZG1A45D5

Abstract

Background. Surgical repair for anorectal malformation in children had post-operative unsatisfactory results as children still suffering from faecal incontinence. Objective. The effect of Biofeedback in treating children fecal incontinence after anorectal malformations repair was investigated. Methodology. A randomized controlled trial design was conducted in the Pediatric hospital, Mansoura University. Forty-eight children with postsurgical anorectal malformations repair were assessed for eligibility. Forty children (twenty-two boys and eighteen girls) underwent simple randomization into two matched groups, control and study group. The anal function was assessed by Anorectal manometry and faecal incontinence was evaluated by Baylor social continence scale. Measurements were done before and after two months of intervention, and after four months of follow-up. Result. There was statistically significant improvement in maximal resting anal pressure, maximal voluntary contraction pressure, voluntary contraction time, the threshold of rectal sensation, maximal tolerable rectal volume and Baylor social continence scale (P < 0.05) for biofeedback group after two months of intervention and four months of follow-up in comparison with conservative treatment. Conclusion. Biofeedback improved faecal incontinence after ARM repair and had an intermediate follow up effect in conjunction with conservative interventions.

Key words:

biofeedback, anorectal malformation, faecal incontinence, anorectal manometry

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