Tag: Rania Reda Mohamed

Refractory error outcome and pachymetric changes of simultaneous versus sequential intracorneal ring segment implantation with femtosecond laser and corneal collagen crosslinking for keratoconus in Egyptian patients

Moataz Mohamed Nasrat, Ahmed Medhat Abdelsalam, Mohamed Bassam Goily, Amr A Eldib, Gehan A Hegazy


Moataz Mohamed Nasrat, Ahmed Medhat Abdelsalam, Mohamed Bassam Goily, Amr A Eldib, Gehan A Hegazy – Refractory error outcome and pachymetric changes of simultaneous versus sequential intracorneal ring segment implantation with femtosecond laser and corneal collagen crosslinking for keratoconus in Egyptian patients. Fizjoterapia Polska 2022; 22(3); 138-143

Abstract
Keratoconus is degenerative, non-inflammatory corneal disease. Primary keratoconus treatment is corneal collagen cross-linking (CXL) to stabilize coning. Additional therapy as intra-corneal rings segment (ICRS) required improving visual acuity. This study aimed to evaluate refractive outcomes and pachymetric changes of combined simultaneous ICRS and CXL on one session (Simultaneous) versus two sessions (Sequential). This Prospective Intervention Comparative Study included forty patients (60 eyes) with mild to moderate KC. Patients sorted into 2 groups: Simultaneous group includes 21 KC patients (30 eyes) undergo two procedures (ICRS then CXL) at same session and Sequential group includes 19 KC patients (30 eyes) undergo ICRS then CXL on two sessions with 3-4 weeks. Patients followed up at end of 1st, 3rd and 6th months. Assessment included changes in uncorrected visual acuity (UCVA), best corrected visual acuity (BCVA), refractive errors sphere and cylinder, and Pachymetry. Improvement of UCVA, Sphere and Cylinder mean in Simulations and Sequential groups occurred at postoperative period at end of 1st; 3rd and 6th month; while BCVA values significantly improvement at postoperative period at end of 3rd and 6th month versus preoperative value. In conclusion, combined ICRS and CXL performed effectively in one or two sessions.

Key words:
corneal collagen crosslinking, ectasia, femtosecond laser, intracorneal ring segments insertion, keratoconus, refractory error, sequential, simultaneous

Pobierz/Download/下載/Cкачиваете  免費下載（僅限英文版）

Carry over effect of different cervical mobilization techniques on shoulder muscle strength in rotator cuff tendinitis patients: A randomized control trial

Noha Elserty, Dina Othman Shokri Morsigalal, Shaima M. Abdelmageed, Eman Wagdy, Rania Reda Mohamed


Noha Elserty, Dina Othman Shokri Morsigalal, Shaima M. Abdelmageed, Eman Wagdy, Rania Reda Mohamed – Carry over effect of different cervical mobilization techniques on shoulder muscle strength in rotator cuff tendinitis patients: A randomized control trial. Fizjoterapia Polska 2022; 22(3); 130-137

DOI: https://doi.org/10.56984/8ZG1420LR

Abstract
Objective. To study if different cervical mobilizations have a long-term effect on pain relief and strengthening of external rotators and abductors in rotator cuff tendinitis. Method. Seventy-five patients with rotator cuff tendinitis were recruited from outpatient clinic, with age ranged from 25 to 40 years. Group A: C5-6 antero-posterior cervical mobilization and ultrasound therapy. Group B: C5-6 lateral glide cervical mobilization and Ultrasound. Group C: C5-6 Postero-anterior cervical mobilization and US. The Visual Analogue Scale measured pain severity level and Lafayette Manual Muscle Tester measured shoulder external rotators and abductors isometric muscle strength. Results. The Wilcoxon test revealed a statistically significant difference in shoulder external rotators, abductors strength, and pain reduction between pre, immediate post-mobilization, 10 minutes post-mobilization, and 30 minutes post-mobilization within the three groups. But, the immediate post-mobilization and 10 minute post-mobilization median values of external rotators were statistically significant differences among the three groups, while the 30 minute post-mobilization median values of external rotators were not. For Abductors: Among the three groups, there were no statistically significant differences in abductors’ immediate post-mobilization, 10 minute post-mobilization, or 30 minute post-mobilization, but there were statistically significant differences in pain scores immediate post-mobilization, 10 minute post-mobilization, and 30 minute post-mobilization. Conclusion. The study found that all three kinds of cervical mobilization are useful in reducing pain and strengthening the external rotators and abductors muscles and that the most effective method is antero-posterior in treating rotator cuff tendinitis.

Key words:
lateral glide, antero-posterior mobilization, postero-anterior glide, muscle strength, rotator cuff tendinitis

Pobierz/Download/下載/Cкачиваете  免費下載（僅限英文版）

Comparative study of the effectiveness of phonophoresis and low-level laser therapy on myofascial trigger points of upper fibers of the trapezius muscle

Ahmed Mahmoud Mohamed, Rania Reda Mohamed, Noha Gohdan Hussein, Mona Ebrahim Morsy


Ahmed Mahmoud Mohamed, Rania Reda Mohamed, Noha Gohdan Hussein, Mona Ebrahim Morsy – Comparative study of the effectiveness of phonophoresis and low-level laser therapy on myofascial trigger points of upper fibers of the trapezius muscle. Fizjoterapia Polska 2022; 22(1); 214-221

Abstract
Background. Myofascial trigger points and hypersensitive taut bands within the muscles can be a very distressing condition. It’s linked to regional muscular spasms, tightened related joints, and a restricted range of motion. Purpose. This study aimed to investigate the effectiveness of phonophoresis and low-level laser therapy on trigger points of the upper fibers of the trapezius. Methods. It was a randomized controlled trial that conducted on forty-five patients from both genders, with their age ranging from 20-40 years that had myofascial trigger points in the upper trapezius, selected from El-Ahram physical therapy center, Giza and randomly assigned into three groups. All groups received traditional treatment in addition to low-level laser therapy in group (A), phonophoresis in group (B), and a combined treatment of low-level laser therapy and phonophoresis in group (C). Cervical range of motion was measured by cervical range of motion device and pain intensity by pressure algometer before and after 12 sessions of the treatment. Results. All groups saw a significant increase in cervical range of motion (P = 0.0001) and a significant decrease in pain after treatment.The improvement in pain level and left side bending motion range was in favor of group (C) than group (A) and (B). Conclusion. According to the findings, both low-level laser and phonophoresis are helpful in enhancing cervical range of motion and decreasing pain intensity in upper trapezius myofascial pain, with the combination therapy being superior in reducing pain and improving left side bending.
Key words:
low level laser therapy, phonophoresis, myofascial pain syndromes
Pobierz/Download/下載/Cкачиваете   免費下載（僅限英文版）