Tag: Amel M. Yousef

Wpływ treningu propriocepcji odcinka lędźwiowego na kobiety z pierwotnym bolesnym miesiączkowaniem: przegląd aktualnych dowodów

Nehal G. Omran, Amel M. Yousef, Hamada A. Hamada, Hosam Eldeen H. Kamel, Doaa A. Osman

Nehal G. Omran, Amel M. Yousef, Hamada A. Hamada, Hosam Eldeen H. Kamel, Doaa A. Osman – Effect of lumbar proprioception training on females with primary dysmenorrhea: a review of current evidence –  Fizjoterapia Polska 2025; 25(4); 220-224

DOI: https://doi.org/10.56984/8ZGA4318HQZ

Streszczenie
Wprowadzenie. Pierwotne bolesne miesiączkowanie (PD) jest jedną z głównych przyczyn bólu menstruacyjnego u kobiet w wieku rozrodczym. Choć tradycyjnie wiązane jest z kurczami macicy wywołanymi przez prostaglandyny, coraz więcej badań wskazuje na znaczenie czynników nerwowo-mięśniowych, szczególnie dysfunkcji sensomotorycznej odcinka lędźwiowego.
Cel. Niniejszy przegląd narracyjny syntetyzuje aktualne dowody dotyczące kontroli sensomotorycznej odcinka lędźwiowego w PD, ze szczególnym uwzględnieniem dokładności odtwarzania pozycji, związanych deficytów neuromięśniowych oraz potencjału treningu propriocepcji jako interwencji niefarmakologicznej.
Metody. Przeglądu literatury dokonano do czerwca 2025 roku w ośmiu bazach danych, wykorzystując hasła MeSH obejmujące „primary dysmenorrhea,” „lumbar proprioception,” „repositioning accuracy” i „sensorimotor control.” Do analizy kwalifikowano badania oceniające propriocepcję tułowia lub interwencje ukierunkowane na funkcję sensomotoryczną odcinka lędźwiowego w PD lub innych stanach bólowych.
Wyniki. Do analizy włączono sześć badań: dwa RCT (jedno w toku), jedno pilotażowe studium przypadku, jedno badanie obserwacyjne w PD, jedno przekrojowe dotyczące bólu krzyża oraz jeden przegląd systematyczny. We wszystkich badaniach konsekwentnie wykazano zaburzenia kontroli propriocepcyjnej w populacjach z dolegliwościami bólowymi. Ćwiczenia bazujące na pracy mięśni głębokich wydają się poprawiać dokładność propriocepcji i zmniejszać ból, jednak bezpośrednie dowody dotyczące odtwarzania pozycji lędźwiowej w PD są ograniczone i metodologicznie niespójne.
Wnioski. Wstępne dowody wskazują, że trening propriocepcji odcinka lędźwiowego może stanowić nowatorskie uzupełnienie terapii PD. Do potwierdzenia tych obserwacji i wdrożenia ich do praktyki klinicznej potrzebne są wysokiej jakości badania RCT z zastosowaniem obiektywnych wskaźników neuromięśniowych.
Słowa kluczowe
pierwotne bolesne miesiączkowanie, propriocepcja, dokładność odtwarzania pozycji, stabilność tułowia, kontrola lędźwiowo-miedniczna, dysfunkcja sensomotoryczna
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Wpływ terapii mięśniowo-powięziowej blizny po cesarskim cięciu na ból szyi i zakres ruchu u kobiet z niespecyficznym bólem szyi

Asmaa K. Mohamed, Dalia M. Kamel, Hamed M. ELkhaozamy, Amel M. Yousef, Reham H Saad

 

Asmaa K. Mohamed, Dalia M. Kamel, Hamed M. ELkhaozamy, Amel M. Yousef, Reham H Saad – Effect of myofascial release of cesarean scar on neck pain and range of motion in females with nonspecific neck pain –  Fizjoterapia Polska 2025; 25(1); 389-394

DOI: https://doi.org/10.56984/8ZG007D4HBJ

Streszczenie
Cel. Zbadanie wpływu terapii mięśniowo-powięziowej (MFR) blizny po cesarskim cięciu na ból szyi i zakres ruchu (ROM) u kobiet cierpiących na przewlekły niespecyficzny ból szyi.
Metody. Do badania zakwalifikowano 30 kobiet z przewlekłym niespecyficznym bólem szyi i historią cesarskiego cięcia (CS) z poradni ortopedycznej na wydziale fizjoterapii Uniwersytetu Kairskiego. Wiek uczestniczek wynosił od 20 do 35 lat, a ich wskaźnik masy ciała mieścił się w przedziale 20–30 kg/m2. Wszystkie pacjentki przeszły CS co najmniej dwa lata przed rozpoczęciem badania. Uczestniczki poddano terapii mięśniowo-powięziowej blizny po CS (30 minut, dwie sesje tygodniowo przez dwa tygodnie). Intensywność bólu, zakres ruchu szyi oraz mobilność blizny oceniano przed i po leczeniu za pomocą numerycznej skali oceny bólu, inklinometru oraz adheremetru.
Wyniki. Wyniki badania wykazały istotne statystycznie zmniejszenie intensywności bólu po leczeniu (p < 0,05) oraz znaczną poprawę zakresu ruchu szyi i mobilności blizny (p < 0,05).
Wnioski. Terapia mięśniowo-powięziowa blizny po cesarskim cięciu jest skuteczną metodą zmniejszania bólu szyi oraz poprawy zakresu ruchu u pacjentek po CS.

Słowa kluczowe
cesarskie cięcie, blizna po cesarskim cięciu, terapia mięśniowo-powięziowa, ból szyi, dysfunkcja szyi

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原发性痛经中脊柱骨盆对齐与子宫尺寸的相关性: 一项病例对照研究

Randa G. Mohamed, Amel M. Yousef, Hamada Ahmed Hamada, Doaa A. Osman

 

Randa G. Mohamed, Amel M. Yousef, Hamada Ahmed Hamada, Doaa A. Osman – Correlation between spinopelvic alignment and uterine dimensions in primary dysmenorrhea: A case-control study –  Fizjoterapia Polska 2024; 24(3); 23-29

DOI: https://doi.org/10.56984/8ZG020AEL0

摘要

背景. 高发的原发性痛经（PD）在年轻女性中引起了人们对其多因素成因的关注。研究的一个领域是肌肉骨骼姿势与妇科健康的关系。目的. 研究有无PD的女性中脊柱骨盆对齐与子宫尺寸的潜在相关性。方法. 这项病例对照观察研究包括40名有规律月经周期的女性，分为两组：20名有PD（研究组）和20名无PD（对照组）。使用4D形态仪评估脊柱骨盆对齐参数，包括胸椎后凸、腰椎前凸、骨盆倾斜和骨盆扭转。通过超声检查测量子宫尺寸，包括子宫体长和宽度，以及宫颈长度和宽度。结果. 在有PD的研究组中，脊柱骨盆对齐与子宫尺寸之间未发现显著相关性（p > 0.05）。然而，在无PD的对照组中，子宫体宽度与胸椎后凸角度（p < 0.05）、宫颈长度与骨盆倾斜度（p < 0.05）之间存在显著的中等负相关。结论. 在有PD的女性中，脊柱骨盆对齐与子宫尺寸之间没有显著的相关性。相反，在无痛经的女性中，子宫体宽度与胸椎后凸角度以及宫颈长度与骨盆倾斜之间存在显著相关性。

关键词:

原发性痛经, 脊柱骨盆对齐, 子宫尺寸

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青少年女孩在公立和国际学校的姿势反应和行为习惯。一个观察性病例对照研究

Doaa S. Mohamed, Hamada A. Hamada, Amel M.Yousef, Wael O. A. Abd El-khalek, Noha A.F Abd-Elrahman

Doaa S. Mohamed, Hamada A. Hamada, Amel M.Yousef, Wael O. A. Abd El-khalek, Noha A.F Abd-Elrahman – Postural response and behavioral habits in adolescent girls at public and international schools. An observational case control study –  Fizjoterapia Polska 2024; 24(2); 101-107

DOI: https://doi.org/10.56984/8ZG5608G1D

Abstract

背景: 行为风险因素的影响，特别是姿势习惯和姿势变化的存在，已被确定为对青少年女性，特别是在公立学校环境中的一个显著关注点。

目的: 本研究旨在对公立和国际学校青少年女性的姿势变化、行为姿势、背痛和行为习惯进行比较分析。

方法: 进行了一项病例对照研究，涉及200名13至17岁的青少年女性。参与者分为两组：A组为公立学校，B组为国际学校。评估过程采用了Kinovea视频和图像分析以及背痛和身体姿势评估工具。

结果: 统计分析显示，A组和B组在前倾头姿（通过Kinova测量的头颈角度）方面没有显著差异。然而，在背痛、行为习惯、遗传因素和社会经济地位方面，两个组之间存在显著差异。

结论: 尽管两组青少年女性都表现出前倾头姿，但A组公立学校的学生表现出更高的背痛发生率，这与行为习惯、社会经济因素和遗传因素有关。公立学校的姿势变化和背痛归因于诸如负荷、电视观看时间、缺乏运动、背包携带时间、遗传因素和社会经济地位（父母教育水平为中学）等因素。

Keywords

姿势反应，行为习惯，青少年女性，公立学校，国际学校

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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

DOI: https://doi.org/10.56984/8ZG142IT9

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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