Pub Date : 2024-07-01DOI: 10.21608/bijpt.2024.292535.1027
Samar Abdelrahman, S. Abdelmegeed, Wael Shendy, Hosam Salah
Background: Cervical radiculopathy is a pathological condition of the cervical nerve root , causing sensory and motor deficits. The greater demand for neurological physical therapy identifies the need for more evidence-based techniques. Purpose: To compare the effect of neurodynamic mobilization versus sustained natural apophyseal glides in the management of patients with chronic discogenic unilateral cervical radiculopathy. Methods: 42 patients complaining from cervical radiculopathy with age from 30 to 45years were randomly assigned to three equal groups. Group (A) received neural mobilization for median and radial nerve in addition to conventional treatment group (B) received sustained natural apophyseal glide (SNAG) in addition to the conventional treatment group (C) received a conventional physiotherapy program (Hot pack, stretching and strengthening exercises for cervical muscles) for 12 sessions during 4 weeks, 3 sessions /week. All patients were evaluated with the Visual analogue scale, Arabic version of the neck disability index and cervical range of motion device. Results: All groups had statistically significant improvements in all outcome measures post treatment. No significant differences were recorded among the three groups in the pain post treatment. Group A and B similarly improved and higher than group C in respect to neck functional performance. Group B showed significant improvement in cervical range of motion post treatment more than group A and C. Conclusion: Adding sustained natural apophyseal glide or neural mobilization to traditional physiotherapy program is beneficial in management of individuals with chronic unilateral discogenic cervical radiculopathy.
背景：颈椎病是颈神经根的一种病理状态，会导致感觉和运动障碍。随着神经理疗需求的增加，需要更多循证技术。目的：在治疗慢性椎间盘源性单侧颈椎根病变患者时，比较神经动力动员与持续自然顶骨滑行的效果。方法：将年龄在 30 至 45 岁之间的 42 名颈椎病患者随机分为三组。A组：在常规治疗的基础上，对正中神经和桡神经进行神经移位术治疗；B组：在常规治疗的基础上，进行持续自然椎弓根滑行术（SNAG）治疗；C组：进行常规物理治疗（热敷、颈部肌肉拉伸和强化训练），为期4周，每周3次，共12次。所有患者均接受了视觉模拟量表、阿拉伯语版颈部残疾指数和颈椎活动范围测量仪的评估。结果所有治疗组在治疗后的所有结果指标上都有明显改善。三组在治疗后疼痛方面无明显差异。在颈部功能表现方面，A 组和 B 组同样有所改善，且高于 C 组。治疗后，B 组在颈椎活动范围方面的改善明显高于 A 组和 C 组：在传统的物理治疗方案中加入持续的自然顶叶滑动或神经调动，对慢性单侧椎间盘源性颈椎病患者的治疗是有益的。
{"title":"Sustained natural apophyseal glide versus neurodynamic mobilization in the management of chronic unilateral discogenic cervical radiculopathy","authors":"Samar Abdelrahman, S. Abdelmegeed, Wael Shendy, Hosam Salah","doi":"10.21608/bijpt.2024.292535.1027","DOIUrl":"https://doi.org/10.21608/bijpt.2024.292535.1027","url":null,"abstract":"Background: Cervical radiculopathy is a pathological condition of the cervical nerve root , causing sensory and motor deficits. The greater demand for neurological physical therapy identifies the need for more evidence-based techniques. Purpose: To compare the effect of neurodynamic mobilization versus sustained natural apophyseal glides in the management of patients with chronic discogenic unilateral cervical radiculopathy. Methods: 42 patients complaining from cervical radiculopathy with age from 30 to 45years were randomly assigned to three equal groups. Group (A) received neural mobilization for median and radial nerve in addition to conventional treatment group (B) received sustained natural apophyseal glide (SNAG) in addition to the conventional treatment group (C) received a conventional physiotherapy program (Hot pack, stretching and strengthening exercises for cervical muscles) for 12 sessions during 4 weeks, 3 sessions /week. All patients were evaluated with the Visual analogue scale, Arabic version of the neck disability index and cervical range of motion device. Results: All groups had statistically significant improvements in all outcome measures post treatment. No significant differences were recorded among the three groups in the pain post treatment. Group A and B similarly improved and higher than group C in respect to neck functional performance. Group B showed significant improvement in cervical range of motion post treatment more than group A and C. Conclusion: Adding sustained natural apophyseal glide or neural mobilization to traditional physiotherapy program is beneficial in management of individuals with chronic unilateral discogenic cervical radiculopathy.","PeriodicalId":518116,"journal":{"name":"Benha International Journal of Physical Therapy","volume":"17 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141713719","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-07-01DOI: 10.21608/bijpt.2024.291841.1026
Marwa Gamal Abdelghany, Manal Mohamed Ismail, Sarah Mohamed Samir, Ahmed Omar abdelnaem
Background: Knee osteoarthritis (OA) is a highly prevalent degenerative joint disease with a significant global healthcare burden. Over 70% of the population experiences symptomatic knee OA. Purpose: This study compared the efficacy of adding retro-walking (RW) or whole-body vibration (WBV) on knee functional disability in individuals with chronic grade III knee OA. Methods: A randomized controlled trial enrolled 45 participants diagnosed with chronic grade III knee OA, aged 40-55 years. Participants were randomly assigned into three groups (n=15/group): Group A: Routine physiotherapy program (straight leg raise, isometric quadriceps, isometric hip adduction, terminal knee extension, semi-squat, and leg press). Group B: Routine physiotherapy program, in addition to the RW program. Group C: Routine physiotherapy program and WBV training. Knee functional disability was assessed using the Arabic version of the Western Ontario and McMaster Universities Osteoarthritis Index (ArWOMAC) at baseline and after six weeks. Results: All groups showed significant improvements in knee function (pain, stiffness, physical function) (p < 0.05) after six weeks compared to baseline. However, no statistically significant differences (p > 0.05) were noticed between the groups in any subscales or the total ArWOMAC scores post-treatment. Conclusion: Adding RW or WBV to the routine physiotherapy program produces a similar improvement in knee function as the routine physiotherapy program. So, when routine physiotherapy is used, either adding RW or WBV will not produce better results for improving knee function in individuals with chronic grade III knee OA.
背景：膝关节骨性关节炎（OA）是一种发病率极高的退行性关节疾病，给全球医疗保健带来沉重负担。超过 70% 的人患有无症状的膝关节 OA。目的：本研究比较了增加逆向行走（RW）或全身振动（WBV）对慢性 III 级膝关节 OA 患者膝关节功能障碍的疗效。方法：随机对照试验一项随机对照试验招募了 45 名被诊断为慢性 III 级膝关节 OA 的患者，年龄在 40-55 岁之间。参与者被随机分为三组（每组 15 人）：A组常规物理治疗项目（直腿抬高、等长股四头肌、等长髋关节内收、末端伸膝、半蹲和压腿）。B 组除常规物理治疗项目外，还包括 RW 项目。C 组常规物理治疗项目和 WBV 训练。在基线和六周后，使用阿拉伯语版的西安大略和麦克马斯特大学骨关节炎指数（ArWOMAC）对膝关节功能障碍进行评估。结果显示与基线相比，六周后所有组的膝关节功能（疼痛、僵硬、身体功能）都有明显改善（P < 0.05）。然而，治疗后各组之间在任何分量表或 ArWOMAC 总分上都没有发现明显的统计学差异（P > 0.05）。结论在常规物理治疗项目中加入 RW 或 WBV，对膝关节功能的改善效果与常规物理治疗项目相似。因此，在使用常规物理治疗的情况下，无论是添加RW还是WBV，都不会对慢性III级膝关节OA患者的膝关节功能改善产生更好的效果。
{"title":"Effect of adding retro-walking or whole-body vibration in the routine physiotherapy program on knee functional disability in patients with chronic knee osteoarthritis: A randomized controlled study.","authors":"Marwa Gamal Abdelghany, Manal Mohamed Ismail, Sarah Mohamed Samir, Ahmed Omar abdelnaem","doi":"10.21608/bijpt.2024.291841.1026","DOIUrl":"https://doi.org/10.21608/bijpt.2024.291841.1026","url":null,"abstract":"Background: Knee osteoarthritis (OA) is a highly prevalent degenerative joint disease with a significant global healthcare burden. Over 70% of the population experiences symptomatic knee OA. Purpose: This study compared the efficacy of adding retro-walking (RW) or whole-body vibration (WBV) on knee functional disability in individuals with chronic grade III knee OA. Methods: A randomized controlled trial enrolled 45 participants diagnosed with chronic grade III knee OA, aged 40-55 years. Participants were randomly assigned into three groups (n=15/group): Group A: Routine physiotherapy program (straight leg raise, isometric quadriceps, isometric hip adduction, terminal knee extension, semi-squat, and leg press). Group B: Routine physiotherapy program, in addition to the RW program. Group C: Routine physiotherapy program and WBV training. Knee functional disability was assessed using the Arabic version of the Western Ontario and McMaster Universities Osteoarthritis Index (ArWOMAC) at baseline and after six weeks. Results: All groups showed significant improvements in knee function (pain, stiffness, physical function) (p < 0.05) after six weeks compared to baseline. However, no statistically significant differences (p > 0.05) were noticed between the groups in any subscales or the total ArWOMAC scores post-treatment. Conclusion: Adding RW or WBV to the routine physiotherapy program produces a similar improvement in knee function as the routine physiotherapy program. So, when routine physiotherapy is used, either adding RW or WBV will not produce better results for improving knee function in individuals with chronic grade III knee OA.","PeriodicalId":518116,"journal":{"name":"Benha International Journal of Physical Therapy","volume":"17 S2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141715621","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-06-03DOI: 10.21608/bijpt.2024.291359.1025
A. Zedan, Esraa Zakarya Mohamed Abdu, Reda Kotb Abdelrazik
Background: Irritable bowel syndrome (IBS) is one of the most prevalent gastro-intestinal disorders, causing abdominal pain and altered bowel habits with unknown organic pathology. Studying the prevalence of such disorders among students may help make comparisons among universities and countries and determine their association with academic achievement. Purpose : This study aims to determine the prevalence of IBS among undergraduate students of faculty of physical therapy, Benha University, Egypt. Methods: This is a cross-sectional study. A survey includes some baseline data, Rome IV criteria for IBS, and if diagnosed by a physician with IBS. Forty students responded, and their characteristics were presented and the prevalence of IBS among them was calculated. Results: The prevalence of IBS among the sample was 25% (10 out of 40). Conclusion: IBS is common among undergraduate students of the faculty of physical therapy at Benha University, affecting about 25%. Further studies linking this disorder with the level of stress and academic achievement are needed .
{"title":"Prevalence of irritable bowel syndrome among Egyptian undergraduate physiotherapy students of Benha University","authors":"A. Zedan, Esraa Zakarya Mohamed Abdu, Reda Kotb Abdelrazik","doi":"10.21608/bijpt.2024.291359.1025","DOIUrl":"https://doi.org/10.21608/bijpt.2024.291359.1025","url":null,"abstract":"Background: Irritable bowel syndrome (IBS) is one of the most prevalent gastro-intestinal disorders, causing abdominal pain and altered bowel habits with unknown organic pathology. Studying the prevalence of such disorders among students may help make comparisons among universities and countries and determine their association with academic achievement. Purpose : This study aims to determine the prevalence of IBS among undergraduate students of faculty of physical therapy, Benha University, Egypt. Methods: This is a cross-sectional study. A survey includes some baseline data, Rome IV criteria for IBS, and if diagnosed by a physician with IBS. Forty students responded, and their characteristics were presented and the prevalence of IBS among them was calculated. Results: The prevalence of IBS among the sample was 25% (10 out of 40). Conclusion: IBS is common among undergraduate students of the faculty of physical therapy at Benha University, affecting about 25%. Further studies linking this disorder with the level of stress and academic achievement are needed .","PeriodicalId":518116,"journal":{"name":"Benha International Journal of Physical Therapy","volume":"8 11","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141388305","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: Patients with fibromyalgia usually have chronic, widespread musculoskeletal pain and associated fatigue, sleep disturbances, and other cognitive and somatic symptoms. Purpose: To investigate the efficacy of Qigong exercise on sleep quality in patients with fibromyalgia . Methods: Forty-five females with fibromyalgia participated in this study. They were selected from outpatient clinics at Al-Azhar University Hospitals from September to November 2023. Their ages were 30–50 years old. Subjects were subdivided into two groups. The study group, consisting of thirty patients, received Qigong (active and passive) exercise, medical treatment, and an anti-inflammatory diet, while the control group, consisting of fifteen patients, received medical treatment and nutritional interventions. Treatment lasted 8 weeks, and the exercises were performed three times per week. The outcome measures were reassessed at baseline and after 8 weeks. Outcome measures included sleep quality and fatigue, which were assessed by the Pittsburgh Sleep Quality Index and Fatigue Severity Scale, respectively. Results: The results showed that there was a significant decrease in the Pittsburgh Sleep Quality Index and Fatigue Severity Scale post-treatment within groups compared with pre-treatment (p > 0.001), while there was no significant difference between groups post-treatment (p> 0.05). Conclusion: Qigong exercise had no additional benefit over the traditional program of medications and diet.
{"title":"Efficacy of Qigong exercise on sleep quality in patients with fibromyalgia","authors":"Alaa Agwa, Nesreen El-nahas, Samir Algazzar, Hani Ali, Salma Alghitany, Shymaa Ali","doi":"10.21608/bijpt.2024.283227.1021","DOIUrl":"https://doi.org/10.21608/bijpt.2024.283227.1021","url":null,"abstract":"Background: Patients with fibromyalgia usually have chronic, widespread musculoskeletal pain and associated fatigue, sleep disturbances, and other cognitive and somatic symptoms. Purpose: To investigate the efficacy of Qigong exercise on sleep quality in patients with fibromyalgia . Methods: Forty-five females with fibromyalgia participated in this study. They were selected from outpatient clinics at Al-Azhar University Hospitals from September to November 2023. Their ages were 30–50 years old. Subjects were subdivided into two groups. The study group, consisting of thirty patients, received Qigong (active and passive) exercise, medical treatment, and an anti-inflammatory diet, while the control group, consisting of fifteen patients, received medical treatment and nutritional interventions. Treatment lasted 8 weeks, and the exercises were performed three times per week. The outcome measures were reassessed at baseline and after 8 weeks. Outcome measures included sleep quality and fatigue, which were assessed by the Pittsburgh Sleep Quality Index and Fatigue Severity Scale, respectively. Results: The results showed that there was a significant decrease in the Pittsburgh Sleep Quality Index and Fatigue Severity Scale post-treatment within groups compared with pre-treatment (p > 0.001), while there was no significant difference between groups post-treatment (p> 0.05). Conclusion: Qigong exercise had no additional benefit over the traditional program of medications and diet.","PeriodicalId":518116,"journal":{"name":"Benha International Journal of Physical Therapy","volume":"15 8","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141235294","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-06-01DOI: 10.21608/bijpt.2024.279955.1020
Shimaa Sherif, Nessrien Elnahass, Mahmoud Rizk, Asmaa Mohamed, Shymaa Ali
Background: In gastroesophageal reflux disease (GERD), opposite to traditional medications which do not target the pathophysiological mechanism of GERD, manual diaphragmatic activation maneuver (MDAM) directly corrects the pathophysiological mechanism of GERD, as it strengthens/augments the anti-reflux barrier. Purpose: This study aimed to investigate the effect of MDAM on GERD patients' diaphragmatic excursion (DE), diaphragmatic thickness fraction (DTF), and 19-item Pittsburgh sleep quality index (PSQI). Methods: Thirty GERD sufferers were randomly assigned into two 15-patient groups, the MDAM group (study group) and the control group. Both GERD groups received for-GERD-designed medical routine/care for 2 months. A 30-minute manual diaphragmatic activation maneuver was applied to the MDAM group only three times per week for 2 months. For all GERD patients in both groups, DE, DTF, and PSQI were the outcomes of this randomized GERD trial. Results: All outcomes (DE, DTF, and PSQI) of this GERD trial significantly improved in both GERD groups. The percent of change in GERD patients' DE, DTF, and PSQI of the MDAM group was 8.65, 19.56, and 60.40%, respectively, and that in the GERD group that received only GERD routine medical care was 2.43, 5.80, and 34.82%, respectively. Conclusions: manual diaphragmatic activation maneuvers improve GERD in DE, DTF, and PSQI more than the other group who received only traditional medical care.
{"title":"Effect of manual diaphragmatic activation on diaphragm function in patients with gastroesophageal reflux disease","authors":"Shimaa Sherif, Nessrien Elnahass, Mahmoud Rizk, Asmaa Mohamed, Shymaa Ali","doi":"10.21608/bijpt.2024.279955.1020","DOIUrl":"https://doi.org/10.21608/bijpt.2024.279955.1020","url":null,"abstract":"Background: In gastroesophageal reflux disease (GERD), opposite to traditional medications which do not target the pathophysiological mechanism of GERD, manual diaphragmatic activation maneuver (MDAM) directly corrects the pathophysiological mechanism of GERD, as it strengthens/augments the anti-reflux barrier. Purpose: This study aimed to investigate the effect of MDAM on GERD patients' diaphragmatic excursion (DE), diaphragmatic thickness fraction (DTF), and 19-item Pittsburgh sleep quality index (PSQI). Methods: Thirty GERD sufferers were randomly assigned into two 15-patient groups, the MDAM group (study group) and the control group. Both GERD groups received for-GERD-designed medical routine/care for 2 months. A 30-minute manual diaphragmatic activation maneuver was applied to the MDAM group only three times per week for 2 months. For all GERD patients in both groups, DE, DTF, and PSQI were the outcomes of this randomized GERD trial. Results: All outcomes (DE, DTF, and PSQI) of this GERD trial significantly improved in both GERD groups. The percent of change in GERD patients' DE, DTF, and PSQI of the MDAM group was 8.65, 19.56, and 60.40%, respectively, and that in the GERD group that received only GERD routine medical care was 2.43, 5.80, and 34.82%, respectively. Conclusions: manual diaphragmatic activation maneuvers improve GERD in DE, DTF, and PSQI more than the other group who received only traditional medical care.","PeriodicalId":518116,"journal":{"name":"Benha International Journal of Physical Therapy","volume":"21 20","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141235372","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-06-01DOI: 10.21608/bijpt.2024.288444.1024
Adel Zedan
Background: Human’s Coronavirus Disease 2019 (COVID-19) is a pandemic syndrome with many musculoskeletal manifestations besides respiratory, internal, neurological, and psychosocial symptoms. Physiotherapy can have a role in resolving these problems. Purpose: to review the literature about musculoskeletal symptoms in COVID-19 and rehabilitation. Besides, this study was to describe a 70-year-old male patient post-COVID-19, including the description of physical therapy interventions and their effects on various outcome measures such as oxygen saturation, heart rate, and function. Methods: A literature search on databases using keywords (exercises, rehabilitation, physical therapy, COVID-19, musculoskeletal) was done. As well, a 70-year-old male post-ICU patient was physically assessed and underwent physical therapy interventions. Results: COVID-19 had a significant negative impact on patients, musculoskeletal and general health. Several physiotherapeutic interventions were reported. Exercise significantly improved the disability of a 70-year-old male post-ICU patient. Conclusion: Musculoskeletal symptoms are prevalent among COVID-19 patients, which negatively affect function. Physical therapy, especially exercises, is crucial for the management of musculoskeletal symptoms and associated disability in post-COVID-19 patients.
{"title":"Musculoskeletal symptoms in COVID-19 and physiotherapy role: Literature review and case study","authors":"Adel Zedan","doi":"10.21608/bijpt.2024.288444.1024","DOIUrl":"https://doi.org/10.21608/bijpt.2024.288444.1024","url":null,"abstract":"Background: Human’s Coronavirus Disease 2019 (COVID-19) is a pandemic syndrome with many musculoskeletal manifestations besides respiratory, internal, neurological, and psychosocial symptoms. Physiotherapy can have a role in resolving these problems. Purpose: to review the literature about musculoskeletal symptoms in COVID-19 and rehabilitation. Besides, this study was to describe a 70-year-old male patient post-COVID-19, including the description of physical therapy interventions and their effects on various outcome measures such as oxygen saturation, heart rate, and function. Methods: A literature search on databases using keywords (exercises, rehabilitation, physical therapy, COVID-19, musculoskeletal) was done. As well, a 70-year-old male post-ICU patient was physically assessed and underwent physical therapy interventions. Results: COVID-19 had a significant negative impact on patients, musculoskeletal and general health. Several physiotherapeutic interventions were reported. Exercise significantly improved the disability of a 70-year-old male post-ICU patient. Conclusion: Musculoskeletal symptoms are prevalent among COVID-19 patients, which negatively affect function. Physical therapy, especially exercises, is crucial for the management of musculoskeletal symptoms and associated disability in post-COVID-19 patients.","PeriodicalId":518116,"journal":{"name":"Benha International Journal of Physical Therapy","volume":"5 51","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141230388","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-06-01DOI: 10.21608/bijpt.2024.286797.1023
Sabrin Taha, Afaf M Botla
Background: Polycystic ovarian syndrome (PCOS) is a frequent disease in women that affects their ability to reproduce, their metabolism, and their ability to control their androgen levels. It is brought on by an imbalance of female sex hormones as well as being aggravated by obesity. Purpose: To examine the effects of cryolipolysis on hormonal profile and menstrual regularity in obese women with PCOS. Methods: 50 female patients, aged from 18 to 30 years, were split into two groups of 25 patients each at random. Group A (control group), treated by a diet regime and aerobic exercise for 12 weeks; Group B (study group): treated by the same diet regime and aerobic exercise as Group A in addition to cryolipolysis for 45 minutes per session, every 2 weeks for 12 weeks. Assessment of all females was carried out through measuring weight, body mass index (BMI), waist hip ratio, luteinizing hormone (LH), follicle-stimulating hormone (FSH), and insulin resistance (IR), in addition to menstrual regularity pre-and post-treatment. Results: There was a significant improvement (P<0.05) in all measured variable after treatment compared to before treatment in both group A and B, by comparing post treatment values there is a significant difference (p<0.05) in all measured variable favouring the study group (group B). Conclusions: Cryolipolysis in addition to diet regime and aerobic exercise has significant effect on hormonal profile as well as menstrual regularity in obese women suffering from PCOS.
{"title":"Effect of cryolipolysis on hormonal profile and menstrual regulation in obese women with polycystic ovarian syndrome","authors":"Sabrin Taha, Afaf M Botla","doi":"10.21608/bijpt.2024.286797.1023","DOIUrl":"https://doi.org/10.21608/bijpt.2024.286797.1023","url":null,"abstract":"Background: Polycystic ovarian syndrome (PCOS) is a frequent disease in women that affects their ability to reproduce, their metabolism, and their ability to control their androgen levels. It is brought on by an imbalance of female sex hormones as well as being aggravated by obesity. Purpose: To examine the effects of cryolipolysis on hormonal profile and menstrual regularity in obese women with PCOS. Methods: 50 female patients, aged from 18 to 30 years, were split into two groups of 25 patients each at random. Group A (control group), treated by a diet regime and aerobic exercise for 12 weeks; Group B (study group): treated by the same diet regime and aerobic exercise as Group A in addition to cryolipolysis for 45 minutes per session, every 2 weeks for 12 weeks. Assessment of all females was carried out through measuring weight, body mass index (BMI), waist hip ratio, luteinizing hormone (LH), follicle-stimulating hormone (FSH), and insulin resistance (IR), in addition to menstrual regularity pre-and post-treatment. Results: There was a significant improvement (P<0.05) in all measured variable after treatment compared to before treatment in both group A and B, by comparing post treatment values there is a significant difference (p<0.05) in all measured variable favouring the study group (group B). Conclusions: Cryolipolysis in addition to diet regime and aerobic exercise has significant effect on hormonal profile as well as menstrual regularity in obese women suffering from PCOS.","PeriodicalId":518116,"journal":{"name":"Benha International Journal of Physical Therapy","volume":"36 44","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141232821","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-04-02DOI: 10.21608/bijpt.2024.266297.1015
Taher Taha, Mohammed Elsayed, Shymaa Maaty, Osama Abbas
Background: Physical activity level hinders all patients' ability to participate in physical therapy practices. However, physical therapists might benefit from knowledge about different patient groups' activity levels when implementing physical therapy programs. Purpose: to compare the activity level of adolescents with a history of rheumatic fever and receiving penicillin injections with normal adolescents. Methods: This case control study was conducted on sixty adolescents, divided into two groups: group 1 (thirty normal adolescents) and group 2 (thirty adolescents receiving penicillin as prophylactic management at an outpatient clinic of the National Heart Institute). All participants were asked to answer the International Physical Activity Questionnaire-Short Form (IPAQ-SF) in order to evaluate their physical activity level. Results: A non-significant difference was found when comparing the means of groups 1 and 2 in age (p-value = 0.48), weight (p-value = 0.48), and height (p-value = 0.09). The Pearson chi square test showed a non-significant difference was found between male and female distribution within groups 1 and 2 (p-value = 0.79). Significant differences were detected in the physical activity category distribution within groups 1 and 2 (p-value = 0.007). A non-parametric test (Mann-Whitney U test) showed a significant difference between group 1 and group 2 in MET-min per week (p-value = 0.0001). Conclusion: Activity level in adolescents with a history of rheumatic fever and receiving penicillin injection is lower than activity level in normal adolescents, so physical therapists should consider the physical activity level of adolescents who had rheumatic fever and received penicillin injection during evaluation and treatment as their activity level is significantly lower than average.
{"title":"Comparison of activity level between normal adolescent and adolescent receiving penicillin injection post rheumatic fever: a case control study.","authors":"Taher Taha, Mohammed Elsayed, Shymaa Maaty, Osama Abbas","doi":"10.21608/bijpt.2024.266297.1015","DOIUrl":"https://doi.org/10.21608/bijpt.2024.266297.1015","url":null,"abstract":"Background: Physical activity level hinders all patients' ability to participate in physical therapy practices. However, physical therapists might benefit from knowledge about different patient groups' activity levels when implementing physical therapy programs. Purpose: to compare the activity level of adolescents with a history of rheumatic fever and receiving penicillin injections with normal adolescents. Methods: This case control study was conducted on sixty adolescents, divided into two groups: group 1 (thirty normal adolescents) and group 2 (thirty adolescents receiving penicillin as prophylactic management at an outpatient clinic of the National Heart Institute). All participants were asked to answer the International Physical Activity Questionnaire-Short Form (IPAQ-SF) in order to evaluate their physical activity level. Results: A non-significant difference was found when comparing the means of groups 1 and 2 in age (p-value = 0.48), weight (p-value = 0.48), and height (p-value = 0.09). The Pearson chi square test showed a non-significant difference was found between male and female distribution within groups 1 and 2 (p-value = 0.79). Significant differences were detected in the physical activity category distribution within groups 1 and 2 (p-value = 0.007). A non-parametric test (Mann-Whitney U test) showed a significant difference between group 1 and group 2 in MET-min per week (p-value = 0.0001). Conclusion: Activity level in adolescents with a history of rheumatic fever and receiving penicillin injection is lower than activity level in normal adolescents, so physical therapists should consider the physical activity level of adolescents who had rheumatic fever and received penicillin injection during evaluation and treatment as their activity level is significantly lower than average.","PeriodicalId":518116,"journal":{"name":"Benha International Journal of Physical Therapy","volume":"24 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140753654","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-04-02DOI: 10.21608/bijpt.2024.265870.1014
Essraa Abd El-Hady, Khaled Shalash, Mennatallah Mohammed, Malak. A. Elmahdy
postnatal
产前
{"title":"Effect of cryolipolyis on localized adiposity in postnatal women: a randomized controlled trial","authors":"Essraa Abd El-Hady, Khaled Shalash, Mennatallah Mohammed, Malak. A. Elmahdy","doi":"10.21608/bijpt.2024.265870.1014","DOIUrl":"https://doi.org/10.21608/bijpt.2024.265870.1014","url":null,"abstract":"postnatal","PeriodicalId":518116,"journal":{"name":"Benha International Journal of Physical Therapy","volume":"30 16","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140752934","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-01-20DOI: 10.21608/bijpt.2024.259573.1010
Amgad Hussein, Asmaa El-sayed
Background: As spasticity in cerebral palsy is the major restriction in the rehabilitation process and the main cause of limb range limitations and joint contractures, we try to follow the pathway of spasticity and make a change from the origin by using a physical agent and trying its effect on muscle tone. Purpose: This study aims to look into how transcutaneous electrical nerve stimulation (TENS) affects children's calf muscle tone immediately following application. Methods: A pilot study of ten children was performed to determine the sample size needed for the randomized control trial. Subjects were divided into two groups: the study group received TENS, and the control group received a sham current. Each subject received TENS on one limb and received the sham current on the other limb at the same time. Muscle tone and range of motion were measured before and after the application of high TENS using a goniometer for measuring range of motion, electromyography, and a modified Ashworth scale for measuring muscle tone. Results: There was a significant increase in the ROM of the study group post-treatment in contrast to the control group's (p < 0.001). There wasn't a significant variation in spasticity and H/M ratio between the study and control groups after the intervention (p > 0.05). Conclusion: The current study provides promising results to prove that there is an effect on the range of motion and muscle tone after applying high TENS. The authors also stand on the sample size for the randomized control trial.
{"title":"Immediate effect of transcutaneous electrical nerve stimulation on muscle tone in children with spastic cerebral palsy: a pilot study","authors":"Amgad Hussein, Asmaa El-sayed","doi":"10.21608/bijpt.2024.259573.1010","DOIUrl":"https://doi.org/10.21608/bijpt.2024.259573.1010","url":null,"abstract":"Background: As spasticity in cerebral palsy is the major restriction in the rehabilitation process and the main cause of limb range limitations and joint contractures, we try to follow the pathway of spasticity and make a change from the origin by using a physical agent and trying its effect on muscle tone. Purpose: This study aims to look into how transcutaneous electrical nerve stimulation (TENS) affects children's calf muscle tone immediately following application. Methods: A pilot study of ten children was performed to determine the sample size needed for the randomized control trial. Subjects were divided into two groups: the study group received TENS, and the control group received a sham current. Each subject received TENS on one limb and received the sham current on the other limb at the same time. Muscle tone and range of motion were measured before and after the application of high TENS using a goniometer for measuring range of motion, electromyography, and a modified Ashworth scale for measuring muscle tone. Results: There was a significant increase in the ROM of the study group post-treatment in contrast to the control group's (p < 0.001). There wasn't a significant variation in spasticity and H/M ratio between the study and control groups after the intervention (p > 0.05). Conclusion: The current study provides promising results to prove that there is an effect on the range of motion and muscle tone after applying high TENS. The authors also stand on the sample size for the randomized control trial.","PeriodicalId":518116,"journal":{"name":"Benha International Journal of Physical Therapy","volume":"5 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140531085","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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