Tag: Amel M. Yousef

多囊卵巢综合症女性激素水平对内脏操纵影响的随机试验

Eman E. Kamel, Hamada A. Hamada, Amel M. Yousef, Fahima M. Okeel, Mohamed Hassan, Hatem M. Hassan

Eman E. Kamel, Hamada A. Hamada, Amel M. Yousef, Fahima M. Okeel, Mohamed Hassan, Hatem M. Hassan – Influence of visceral manipulation on hormonal profile in women with polycystic ovarian syndrome: A randomized trial –  Fizjoterapia Polska 2024; 24(1); 279-284

DOI: https://doi.org/10.56984/8ZG2EF8860

摘要
背景。多囊卵巢综合症（PCOS）是生育年龄女性中最常见的内分泌疾病，并被认为是心脏代谢疾病的一个风险因素。根据所采用的诊断标准，大约10-15%的生育年龄女性受到PCOS的影响。目的。研究内脏操纵如何影响多囊卵巢综合症女性的激素水平。设计。前瞻性随机单盲对照试验。环境。萨达特综合医院的门诊部。方法。招募了30名多囊卵巢综合症女性患者，并将她们随机分为两个等组：对照组接受了12周低热量地中海饮食指导治疗，而研究组在接受同样的对照组干预措施外，还额外进行了内脏操纵（VM）。生化分析（FSH和LH）和BMI是主要结果。所有变量在干预前和干预后12周时测量。结果。通过配对t检验进行统计分析，显示两组均有显著改善。因此，使用混合设计的MANOVA和多重成对比较测试（事后测试）对治疗后的BMI和LH/FSH比率进行了分析，结果显示，与A组相比，B组的LH/FSH比率显著降低（p=0.007），两组之间的BMI没有显著差异（p=0.443），显示VM组（B）在生化分析上比组（A）更有效（p<0.05）。结论。结合使用内脏操纵和标准的低热量地中海饮食计划对多囊卵巢综合症女性的激素水平有更多益处。
关键词
多囊卵巢综合症，内脏操纵，低热量饮食，黄体生成激素，促卵泡激素
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Impact of different types of anaesthesia for cesarean delivery on subacute low back pain intensity and disability: A retrospective cohort study

Mohamed G. Ali, Mohammed A. Soliman, Amel M. Yousef, Fahima M. Okeel, Mohammed A.M. Sarhan


Mohamed G. Ali, Mohammed A. Soliman, Amel M. Yousef, Fahima M. Okeel, Mohammed A.M. Sarhan – Impact of different types of anaesthesia for cesarean delivery on subacute low back pain intensity and disability: A retrospective cohort study. Fizjoterapia Polska 2022; 22(3); 116-121

Abstract
Background. Low back pain (LBP) is common after cesarean delivery. So, this study was conducted to assess and compare the intensity of subacute LBP and disability among women who underwent cesarean delivery with different anaesthetic types.
Methodology. This retrospective cohort study was conducted to 38 women “26 of them underwent cesarean delivery, assessed after 6 to 12 weeks from delivery, they were classified into: [epidural anaesthetic group (Group A) n = 6, spinal anaesthetic group (Group B) n = 13, general anaesthetic group (Group C) n = 7], they were either primiparous or multiparous who did not receive anaesthesia for at least one year prior to the last delivery, the other 12 women were the control group (Group D) who didn’t experience pregnancy or anaesthesia”.
Results. The mean values of visual analogue scale (VAS) in Group A, Group B, Group C, and Group D were 5.00 ± 1.67, 4.62 ± 1.12, 5.14 ± 1.21, and 2.17 ± 0.71, respectively. The ANOVA test revealed a significant difference in VAS (P = 0.0001; P < 0.05) among the four groups. while the post-hoc test revealed non-significant differences (P = 1.000; P > 0.05) between the three anaesthetic groups. Also, the mean values of Oswestry Disability Index (ODI) in the same four groups were 26.00 ± 16.68, 27.00 ± 11.72, 30.00 ± 6.87, and 25.00 ± 9.33, respectively. The ANOVA test revealed non-significant difference in ODI (P = 0.838; P < 0.05) among the four groups.
Conclusion. Epidural, spinal and general anaesthesia for cesarean delivery are associated with increased intensity of subacute LBP, but without significant differences between these anaesthetic types. However, they do not increase the disability.

Key words:
neuraxial anaesthesia, general anaesthesia, cesarean delivery, subacute period, low back pain

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Effect of whole body vibration versus high intensity interval training on interleukin-6 in obese post-menopausal women

Fayka E Ali, Fahima M Okeel, Amir A Gabr, Amel M Yousef, Abdullah M. Al-Shenqiti, Mohamed Ahmed Elbedewy


Fayka E Ali, Fahima M Okeel, Amir A Gabr, Amel M Yousef, Abdullah M. Al-Shenqiti, Mohamed Ahmed Elbedewy – Effect of whole body vibration versus high intensity interval training on interleukin-6 in obese post-menopausal women. Fizjoterapia Polska 2022; 22(2); 144-149

Abstract
Background. Menopause and aging affect the health of obese women, provoking accumulation of visceral adipose tissue (VAT) and inflammation. Obesity leads to major health problems, which increase the risk of debilitating diseases that lead to death. Thus, loss of weight and VAT are primary goals of treatment through modifications of dietary habits and exercise. Purpose of the study. This study was conducted to determine which is more effective on interleukin- 6 (IL-6) levels for obese post-menopausal women, whole body vibration training (WBVT) or high intensity interval training (HIIT). Subjects and methods. 45 post-menopausal obese women diagnosed with higher level of IL-6, their body mass index (BMI) > 30 kg/m2 and waist/hip ratio (W/H ratio) > 0.8 participated at this study. Women were divided randomly into 3 equal groups in numbers; Group (A) followed low caloric diet (1200 Cal), Group (B) received WBVT and Group (C) received HIIT. Both groups (B & C) followed the same low caloric diet as group (A). Evaluation was done before and after 3 months of treatment, through measuring weight, BMI, waist as well as hip circumferences, W/H ratio and IL-6 levels. Results. The three groups revealed statistically significant improvements (P < 0.05) in all parameters after treatment compared to baseline. Also, there were statistically differences between the 3 groups after treatment, with the group (B) more favorable than groups (A & C). Conclusion. WBVT is more effective than HIIT on reducing inflammation via reducing IL-6 level in obese post-menopausal women.
Key words:
obesity, menopause, whole body vibration exercise, high intensity interval training, interleukin-6
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Effect of cold and ultrasonic therapy on postural kyphosis in pre and post-menopausal women: A randomized controlled trial

Marwa M. Mahran, Soheir M. Elkosery, Mohamed H. Mustafa, Amel M. Yousef

Marwa M. Mahran, Soheir M. Elkosery, Mohamed H. Mustafa, Amel M. Yousef – Effect of cold and ultrasonic therapy on postural kyphosis in pre and post-menopausal women: A randomized controlled trial. Fizjoterapia Polska 2021; 21(5); 20-25

Abstract
Background. Thoracic kyphosis is one of the manifestations of post-menopausal spinal osteoporosis so it is preferable to prevent incidence of kyphosis related to estrogen deficiency especially for premenopausal whose kyphosis start to be developed. Purpose. The aim of this study was to detect the effect of cold and ultrasonic therapy on postural kyphosis with middle back pain in pre and post-menopausal women. Materials and Methods. Sixty non-osteoporotic pre and post-menopausal women between the ages of 40 and 60 years, assigned randomly into 3 groups equal in numbers; each group consisted of 10 pre and 10 post-menopausal women; Group (A) received physiotherapy program followed by cold therapy, Group (B) received ultrasonic therapy followed by physiotherapy program, and Group (C) received ultrasonic then the physiotherapy program followed by cold therapy. The three groups followed the same physiotherapy program in form of strengthening, stretching and postural reeducation, three sessions per week for three months. The kyphotic index and pain were assessed by flexicurve ruler and visual analogue scale (VAS) respectively pre- and post-interventions. Results. Within the three groups (A, B & C) the kyphotic index and pain showed significant decrease (P < 0.0001) post treatment in both pre- and post-menopausal conditions, while they showed clinical improvement and non-significant difference (P > 0.05) when compared pre to post-menopause conditions in the pre- and post-treatment. The clinical improvement in the kyphotic index in group (A), (B) & (C) at pre as well as post-menopausal conditions were equal [(↓8.44% & ↓7.1%), (↓7.7% &↓8.12%) & (↓9.68% &↓11.08%)] and VAS were [ (↓32%&↓35%), (↓40% & 30%) & (↓37.55%, ↓31.57%)] respectively post treatment. Conclusion. Adding cold and ultrasound therapy to physiotherapy program have a clinical impact in reducing kyphosis and pain in pre- and post-menopausal women.
Key words:
cold, ultrasonic, menopause, kyphosis, flexicurve ruler
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Effect of aerobic exercise on inflammation and sex hormones in obese polycystic ovarian syndrome women: A randomized controlled study

Doaa A. Abd El Aziz, Fahima M. Oqeel, Magid M. Labib, Amel M. Yousef

Doaa A. Abd El Aziz, Fahima M. Oqeel, Magid M. Labib, Amel M. Yousef – Effect of aerobic exercise on inflammation and sex hormones in obese polycystic ovarian syndrome women: A randomized controlled study. Fizjoterapia Polska 2021; 21(4); 204-209

Abstract
Purpose. This study aimed to investigate the effect of aerobic exercise on inflammation and female sex hormones in obese PCOS women. Materials and methods. Forty volunteer obese PCOS women were participated in this study, their ages ranged from 20 to 35 years and body mass index (BMI) ranged from 30 to 34.9 kg/m2, they randomly divided into two equal groups in numbers; group A, followed diet control therapy and group B, participated in an aerobic exercise three times per week and followed the same diet control therapy as group A. Both groups were evaluated before and after therapy (12weeks) through measuring their BMI, C-reactive protein (CRP), luteinizing hormone (LH), follicular stimulating hormone (FSH), LH/FSH ratio and modified Ferryman–Gallwey (mFG) scoring system for hirsutism Results. showed that there was a statistically significant difference (P < 0.05) in both groups (A&B) in BMI, LH, FSH, LH/FSH ratio, CRP and mFG in favor to group (B) after therapy (12 weeks). Conclusions. revealed that aerobic exercises are effective in decreasing weight and inflammation which lead to improve fertility by improving female sex hormonal variables.
Key words:
Polycystic ovarian syndrome, Aerobic exercise, Follicular stimulating hormone, luteinizing hormone, C-reactive protein
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Additional Effect of Electrical Stimulation for Women with Stress Urinary Incontinence: Literature Review

Reem H. Abdelhady, Amel M. Yousef, Maya G. Aly

Reem H. Abdelhady, Amel M. Yousef, Maya G. Aly – Additional Effect of Electrical Stimulation for Women with Stress Urinary Incontinence: Literature Review. Fizjoterapia Polska 2021; 21(3); 80-85

Abstract
Aims. This narrative review aims to investigate the effect of adding electrical stimulation (ES) to pelvic floor muscles training (PFMT) in the management of stress urinary incontinence (SUI) in women. Also, this review aims to provide a framework for future research in order to formulate more comprehensive, lifestyle-centered guidelines for treating women with SUI. Methods. A literature search was conducted in PubMed, PEDro, Cochrane library, and Google Scholar databases using the keywords “Physical therapy modalities”, “Pelvic floor muscle training”, “Exercise”, “Electrical stimulation”, “Interferential”, “Pelvic floor disorders”, “Stress urinary incontinence” and “Women”. Reviewed literature was descriptively analyzed and summarized. Results. ES is effective in the treatment of the SUI comparing to control or placebo treatment, while there is a little evidence that support the use of ES as an additional treatment for women with SUI as studies showed high diversity of ES parameters used. Conclusion. Adding ES to PFMT may be helpful for women who find difficulty to voluntarily contract their pelvic floor muscles. More well-designed studies are needed to strength the evidence of using ES for treatment of women with SUI.
Key words:
electrical stimulation, pelvic floor exercises, stress urinary incontinence, women
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Effect of Pulsed Electromagnetic Field on Depression and Anxiety in Obese Women with Polycystic Ovary Syndrome

Shimaa S. Mohamed, Magdy M. Abd Al Rahman, Amel M. Yousef

Shimaa S. Mohamed, Magdy M. Abd Al Rahman, Amel M. Yousef – Effect of Pulsed Electromagnetic Field on Depression and Anxiety in Obese Women with Polycystic Ovary Syndrome. Fizjoterapia Polska 2021; 21(1); 48-53

Abstract
Purpose. To determine the effect of pulsed electromagnetic field (PEMF) on depression and anxiety in obese women with Polycystic Ovary Syndrome (PCOS). Methods. Thirty four obese women with PCOS were involved and distributed randomly and equally in number into: group (A), who received PEMF and followed diet control program for 12 weeks, and group (B), who followed the same diet control program as group (A). Both groups were evaluated pre and post treatment using hormonal analysis [Follicular stimulating hormone (FSH), Luteinizing hormone (LH) and LH/FSH ratio] with C reactive protein (CRP) and anthropometric measurements [weight, body mass index (BMI) and waist hip ratio (WHR)] in addition to Hamilton rating for depression and anxiety. Results. Statistical analysis revealed that there were a statistically non-significant differences (P > 0.05) between groups in LH, LH/FSH ratio, weight and WHR, while, there were statistically significant decreases (P < 0.05) in BMI, CRP and Hamilton rating scales and a statistically significant increase (P < 0.05) in FSH in favoring to group (A) post treatment. Conclusion. PEMF is effective in decreasing depression, anxiety and inflammation with modulating female sexual hormones in obese PCOS women.
Key words:
Polycystic ovarian syndrome, Electromagnetic, Hamilton scales, inflammation
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Effect of Bioptron Light Therapy on Postmenopausal Osteoporosis: A Randomized Controlled Trial

Mohamed O. Abd Elhamid, Amel M. Yousef, Rokia A. El-Banna, Reda Kotb abd elrazik, Doaa A. Osman

Mohamed O. Abd Elhamid, Amel M. Yousef, Rokia A. El-Banna, Reda Kotb abd elrazik, Doaa A. Osman – Effect of Bioptron Light Therapy on Postmenopausal Osteoporosis: A Randomized Controlled Trial. Fizjoterapia Polska 2020; 20(5); 160-165

Abstract
Objectives. Postmenopausal osteoporosis, a major public health problem worldwide, is associated with low quality of life, morbidity, significant mortality and huge socio-economic burden. Therefore, this study aimed to investigate the effect of bioptron light therapy on postmenopausal osteoporosis.
Methods. Thirty postmenopausal women with hip osteoporosis, aged 50-60 years, were randomized into 2 equal groups. Group (A) received medical treatment in the form of calcium, vitamin D3 and sodium fluoride supplementation for 4 weeks (n = 15), while group (B) received the same medical treatment in addition to bioptron light therapy for 4 weeks (n = 15). The primary outcome was total hip T–score, while the secondary outcome was total score of Quality of Life Questionnaire of the European Foundation for Osteoporosis (QUALEFFO-41). The outcome measures were evaluated pre- and post-treatment.
Results. Comparing both groups pre- and post-treatment revealed that there was a statistically non-significant difference in total hip T–score (P > 0.05). Also, total score of QUALEFFO-41 revealed a statistically non-significant difference pre-treatment (P > 0.05), while post-treatment, it revealed a statistically significant reduction (P < 0.05) in favour of group (B). The percentages of improvement post-treatment in total hip T–score and total score of QUALEFFO-41 were 2.4% and 15.65% in group (A), while they were 11.29% and 31.63% in group (B).
Conclusions. Bioptron light therapy is effective in treating postmenopausal women with hip osteoporosis through producing a greater improvement percentage in total hip T–score and improving their quality of life.
Key words:
Postmenopausal osteoporosis, Bioptron Light Therapy, Quality of Life Questionnaire
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不同高跟鞋对绝经后骨质疏松妇女的脊椎形态影响：重复量数设计

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

摘要
背景。更年期导致骨质强度降低，年长妇女穿不同高度的鞋子将影响其以直立姿势、90°躯干弯曲或完全驱赶弯曲工作时的性能。目的。本研究旨在调查不同高跟鞋对绝经后骨质疏松妇女在不同躯干姿势下的脊椎形态影响。方法。本研究由从物理治疗学系选出的40名绝经后骨质疏松妇女进行，她们分别穿着不同鞋子：平底、帆布胶鞋和3厘米鞋跟的鞋。其平均年龄为49.05 ± 2.14 （岁），平均体重79.02 ± 7.7 （公斤），平均身高163.06 ± 6.17 （厘米）且平均体重指数BMI 为29.57 ± 1.9 （公斤/平方米）。在穿着不同鞋跟高度的两个确切脊椎骨间测量脊柱角度偏差，并将其与穿平底鞋的脊柱偏差比较。脊柱位置变化依（平底鞋、帆布胶鞋和3厘米鞋跟的鞋）在直立姿势、躯干90度弯曲和躯干完全弯曲时记录。脊柱角度偏差依T1-T2、T7-T8、T12-L1、L5-S1 等4个级别测量。结果。不同躯干姿势对脊柱角度偏差有显著影响。在T1-T2级别上，使用帆布胶鞋和3厘米鞋跟高度的鞋的三种姿势在脊柱角度平均值上有显著差异。在T7-T8级别上，使用平底鞋、帆布胶鞋和3厘米鞋跟的鞋的三种姿势在脊柱角度平均值上有显著差异。在T12-L1级别上，穿着平底鞋、帆布胶鞋、3厘米鞋跟的鞋等3种类型鞋子在脊柱角度平均值和90°躯干弯曲间有显著差异，穿着平底鞋、帆布胶鞋和3厘米鞋跟的鞋在3中姿势的脊柱角度平均值上有显著差异。在L5-S1级别上，3种类型的鞋、直立姿势的脊柱角度平均值间有显著差异，穿着平底鞋、帆布胶鞋和3厘米鞋跟的鞋在3种姿势的脊柱角度平均值间有显著差异。结论。T1- T2 和 T7-T8级别上，随着躯干弯曲度增加，脊柱角度偏差减小。在T12- L1级别上，90˚弯曲时平度鞋最佳，之后为3厘米高度的鞋跟。在L5-S1级别上，直立姿势时平底鞋为最佳，之后为3厘米高度的鞋跟。

关键词：
绝经后、脊柱角度、不同鞋跟的高跟鞋、不同躯干位置的脊柱形态测量仪

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前位头部错姿对青春期后女性的颞下颔关节本体感觉的影响：观察性研究

Nehal G. Omran, Amel M. Yousef, Hamada A. Hamada, Ayman Gouda Matar, Doaa A. Osman

Nehal G. Omran, Amel M. Yousef, Hamada A. Hamada, Ayman Gouda Matar, Doaa A. Osman – Effect of Forward Head Posture on Temporomandibular Joint Proprioception in Post-Pubertal Females: An Observational Study. Fizjoterapia Polska 2019; 19(2); 142-146

摘要
目的。探讨前位头部错姿（FHP）对青春期后女性的颞下颔关节（TMJ）本体感觉的影响。
材料和方法。共40名青春期后女性参与研究，她们将背依照颅锥角（CVA）分为两组。前位头部错姿（FHP）组的CVA小于48° (n=21)，而对照组的CVA大于48° (n=19)。通过游标卡尺测量两组女性的TMJ复位的准确度。
结果。统计分析显示两组间在睁眼或闭眼的TMJ各方向复位（张口、突出和侧向运动）间无显著差异（p>0.05）。
结论和讨论。在青春期后女性中FHP对所有方向的TMJ本体感觉都没有负面影响，无论眼睛是张开或闭合。

关键词：
前位头部错姿、颅锥角、颞下颔关节、本体感觉、青春期后的女性

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