Tag: Gehan M. Ahmed

Torso based balance weighting versus tailored physical therapy program in postural control in patients with multiple sclerosis

Fatma Ibrahim, Gehan M Ahmed, Waleed T Mansour, Ahmed H Elsheshiny, Khaled H. Yousef, Hosam M Alsaid, Mohamed H Aboueleni, Abdelaziz Abdelaziz Elsherif


Fatma Ibrahim, Gehan M Ahmed, Waleed T Mansour, Ahmed H Elsheshiny, Khaled H. Yousef, Hosam M Alsaid, Mohamed H Aboueleni, Abdelaziz Abdelaziz Elsherif – Torso based balance weighting versus tailored physical therapy program in postural control in patients with multiple sclerosis. Fizjoterapia Polska 2022; 22(4); 142-147

DOI: https://doi.org/10.56984/8ZG1A66hK

Abstract
Purpose. To compare between the effect of torso based balance weighting and tailored physical therapy program on balance and postural control in ataxic MS patients. Methods. Ninety patients diagnosed as ataxic multiple sclerosis with impaired balance and postural control were selected from outpatient clinic of two hospitals. The patients randomly assigned into two groups, group (A: n = 30) received torso-based balance weighting and selected physical therapy program and group (B; n = 60) received tailored physiotherapy program and the same selected physical therapy program. Treatment lasted eight weeks, three times per week. Pre- and post-treatment assessment using berg balance scale and overall stability index were done for all patients. Results. Post-treatment comparisons between the two groups showed a statistically significant improvement in Berg balance (p < 0.05) in favor of group (B) and both groups showed clinical improvement. Conclusion. The tailored physical therapy program was more statistically effective in improving balance disorders than torso based balance weighting in ataxic MS patients, and there was clinical effect on improving postural control of both groups.

Keywords
multiple sclerosis, postural control, torso based balance weighting, tailored physical therapy

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Effect of Aerobic Training on Muscle Performance and Quality of Life in Patients with Multiple Sclerosis. A Randomized Controlled Trial

Gehan M. Ahmed, Ebtesam M. Fahmy, Mohamed F. Ibrahim, Amina Awad

Gehan M. Ahmed, Ebtesam M. Fahmy, Mohamed F. Ibrahim, Amina Awad – Effect of Aerobic Training on Muscle Performance and Quality of Life in Patients with Multiple Sclerosis. A Randomized Controlled Trial. Fizjoterapia Polska 2020; 20(5); 174-181

DOI: https://doi.org/10.56984/8ZG2084A3

Abstract
Background. Compromised muscle performance is common problem in multiple sclerosis (MS) patients and subsequently affects activities of daily living and quality of life (QoL). Objective. to investigate the additional effect of short-term aerobic training on both of muscle performance and QoL in patients with MS. Design. Single blinded, parallel randomized controlled trial. Setting. Faculty of Physical Therapy, Cairo University, Egypt. Participants: 40 patients with relapsing remitting MS (RRMS) were randomly divided into two equal groups; intervention (n = 20) and control (n = 20) groups. Intervention. Both groups received a therapeutic exercise program of active strengthening and stretching exercises for selected lower limbs muscles. Only intervention group received aerobic training using bicycle ergometer three sessions weekly for eight successive weeks. Outcomes measures: isokinetic dynamometer parameters; total work, power and fatigue index, to evaluate muscle performance. The Short Form health survey (SF-36) was also applied to evaluate the QoL. Results. Intervention group showed a remarkable significant improvement in all of the isokinetic parameters and in several subscales of SF-36 questionnaire as well when compared with the control group (p < 0.05). Conclusion. adding aerobic training to physical therapy program can be more beneficial in improving muscle performance and quality of life in patients with MS.
Key words:
Aerobic training, Muscle performance, Quality of life, Multiple sclerosis
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Changes in Hand Flexors Spasticity and Strength after Radial Extracorporeal Shock Wave Therapy in Post-Stroke Patients: A Randomized Controlled Trial

Gehan M. Ahmed, Bassam A. Elnassag, Ayman A. Nassif, Ebtesam M. Fahmy, Amira M. El Gohary, Elham N. Salem

Gehan M. Ahmed, Bassam A. Elnassag, Ayman A. Nassif, Ebtesam M. Fahmy, Amira M. El Gohary, Elham N. Salem – Changes in Hand Flexors Spasticity and Strength after Radial Extracorporeal Shock Wave Therapy in Post-Stroke Patients: A Randomized Controlled Trial. Fizjoterapia Polska 2020; 20(4); 34-39

Abstract
Background. Radial Extracorporeal Shock Wave Therapy (rESWT) has been reported to be an alternative, safe and noninvasive treatment for spasticity. Objective. This study aimed to determine its additional effect to a selected physical therapy program on spasticity of wrist and fingers flexors and hand grip strength in patients with stroke. Design. A single blinded, parallel randomized controlled trial. Setting. Faculty of Physical Therapy and Department of Clinical Neurophysiology, Faculty of Medicine, Cairo University, Egypt. Participants. Thirty stroke patients were divided randomly into two equal groups. Interventions. Group (A): received four successive sessions of rESWT as one session/week over flexor carpi ulnaris, flexor carpi radials and hand intrinsic muscles. Control group (B): received sham rESWT and both groups received a selected physical therapy program for stroke over a period of four weeks as three sessions/week. Outcomes measures. The Modified Ashworth’s Scale, Hand grip strength and H/M ratio were performed for all patients before and after treatment. Results. Intervention group showed significant improvements in wrist and fingers flexor muscles’ tone and hand grip strength compared to the control group (p < 0.05). The H/M ratio results revealed statistically non-significant difference between both groups (p > 0.05). Conclusion. Adding rESWT to a selected physical therapy program can increases its effectiveness in reducing spasticity and improving strength of treated muscles in patients with stroke.

Key words:
Radial Extracorporeal Shock Wave Therapy, Wrist and Fingers flexor Spasticity, Stroke
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