Tag: Fatma Aboelmagd M.

Potential effects of extracorporeal shock wave therapy and photobiomodulation in the treatment of older adults with diabetic foot ulcer

Fatma Aboelmagd M, Samah A. Moawd, Salah Eldin Bassit Elsayed, Anju Verma


Fatma Aboelmagd M, Samah A. Moawd, Salah Eldin Bassit Elsayed, Anju Verma – Potential effects of extracorporeal shock wave therapy and photobiomodulation in the treatment of older adults with diabetic foot ulcer. A randomized clinical trial. Fizjoterapia Polska 2022; 22(2); 186-192

Abstract
Purpose of the study. To compare between the effectiveness of extracorporeal shock wave therapy (ESWT), photobiomodulation(PBMT) and patients receiving routine physical therapy(PT) on tissue viability, pain, and quality of life in older adults with diabetic foot ulcer.
Methods. Forty-five older adults with diabetic foot ulcer (age, 62-70 years) were enrolled into a randomized control trial with parallel group design, assigned into three equal groups; two study groups (ESWT group and PBMT group), and control group (CG). All the groups received the routine PT program, in addition, ESWT group received ESWT and PBMT group received LLLT. Tissue viability, pain, and quality of life (QoL) were assessed pre- and immediately post-treatment.
Results. Non-significant differences in the outcome measures between groups pre-treatment(P > 0.05). Regarding the post-treatment, the study groups showed significant improvements in the study outcome measures (P < 0.001), whereas the control group did not show significant changes (p ˃ 0.05).
Conclusion. ESWT and PBMT produced similar effects on tissue viability, pain, and QoL in older adults with DFU.
Key words:
diabetic foot ulcer, extracorporeal shock wave therapy, photobiomodulation, older adults
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Potential effect of aerobika oscillating positive expiratory pressure training on arterial blood gases, functional capacity and quality of life in patients with bronchiectasis

Mai Abdel-Ghani E., Nagwa Mohamed B., Shaimaa Aboeldahab A., Fatma Aboelmagd M.

Mai Abdel-Ghani E., Nagwa Mohamed B., Shaimaa Aboeldahab A., Fatma Aboelmagd M. – Potential effect of aerobika oscillating positive expiratory pressure training on arterial blood gases, functional capacity and quality of life in patients with bronchiectasis. Fizjoterapia Polska 2021; 21(5); 212-218

Abstract
Background. In patients with bronchiectasis, the elastic and muscular tissue is lost, obstructing the normal drainage of bronchial secretions, which can become chronically compromised, resulting in mild to moderate airway obstruction, which affects blood oxygenation and, as a consequence, the patients’ quality of life. Purpose: The aim of the study was to evaluate the potential effect of Aerobika oscillating positive expiratory pressure training on arterial blood gases, functional capacity, and quality of life in patients with bronchiectasis. Materials and Methods. The study recruited the participation of sixty bronchiectasis patients of both genders (24 males and 36 females). They were divided into two major categories, each with 30 patients: study and control. Both groups continued to take their medications during the study period, and the study group received twice-daily training with the Aerobika positive expiratory pressure device. Before and after the study, both groups had their arterial PaO2 and PaCO2 measured, as well as their quality-of-life questionnaire (STGRQ) score and functional capacity (6MWT and percent predicted 6-MWD). Results. The study group at the end of the study showed improvement (P < 0.05) in arterial PaO2 and PaCO2, as well as their quality-of-life questionnaire (STGRQ) score and functional capacity (6MWT and percent predicted 6-MWD with no change in the control group (P > 0.05). The mean value of 6MWT showed a strong positive correlation with PaO2 (r = 0.86, P = 0.001) and at the same time showed a strong negative correlation with the SGRQ score (r = −0.64, P = 0.001). Conclusions. Aerobika positive expiratory pressure therapy provided an appropriate physiotherapy procedure for patients with bronchiectasis; it maximizes airflow, improves expiratory time and alveolar ventilation, and promotes gas exchange; overall, Aerobika demonstrated great efficacy in draining sputum and improving oxygenation.
Key words:
bronchiectasis, aerobika pep device, blood gases, functional capacity, quality of life
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吸气肌训练对老年人膈肌运动和功能性能力的影响：随机临床试验

Fatma Aboelmagd M., Hamada Ahmed Hamada, Ibtissam M. Saab

Fatma Aboelmagd M., Hamada Ahmed Hamada, Ibtissam M. Saab – Effect of Inspiratory Muscle Training on Diaphragm Mobility and Functional Capacity in Elderly: A randomized clinical trial. Fizjoterapia Polska 2019; 19(2); 28-32

摘要
目的。因衰老导致的吸气肌张力降低将使运动表现和生活质量受限，本研究的目的在评估老年人吸气肌训练的临床和功能性结果。
材料和方法。共47名年龄在60至70岁间不同性别的不吸烟老年人参与研究，他们被随机分配到人数相同的两组中。研究组接受阈值吸气肌训练器（IMT）训练，初始评估期间测量的PImax为40%，每周通过评估PImax重新调整，而对照组接受设备提供的最低压力阈值IMT训练，每周三次，持续10周。两组在训练前后都通过超声测量膈肌运动、最大吸气压力测量并通过6MWT测量功能性能力。
结果。在研究结束时，研究组内的膈肌运动、最大吸气压力测量值和 6MWT期间的行走距离显著增加（p < 0.05），而对照组内则无显著变化（p > 0.05）。研究结束时两组间的比较显示，研究组在膈肌运动和最大吸气压力测量值比起对照组有显著增加（p <0.05），而两组在6MWT期间的步行距离无显著差异（p > 0.05）。
结论。吸气肌训练应列为老年人日常生活的一部分，因为它对临床测量结果具正面效果，且具改善功能结果的特性。

关键词：
老年人、吸气肌训练、膈肌超声检查、六分钟步行测试

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