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   Table of Contents - Current issue
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July-December 2018
Volume 23 | Issue 2
Page Nos. 43-107

Online since Thursday, December 27, 2018

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ORIGINAL ARTICLES  

Whole-body vibration versus Tai Chi exercise for controlling balance in lower-limb ulcers: a pilot, randomized, controlled trial p. 43
Eman M Othman, Asmaa F El-Sayed, Heba M Mohamady
DOI:10.4103/bfpt.bfpt_21_16  
Background Foot and leg ulcers are serious complications to both patients and healthcare systems, which may contribute to impaired balance and increased risk of falling. Purpose This study was designed to determine which approach is more effective in improving balance in lower-limb ulcers cases − whole-body vibration or Tai Chi exercise. Patients and methods Thirty (12 females and 18 males) patients with foot ulcers were randomly assigned into two equal groups of 15 individuals. Both groups received their routine medical and physical therapy. In addition, group A received whole-body vibration at a frequency of 25–30 Hz and amplitude of 3–5 mm, 30 min/session, three times/week for 6 weeks, whereas group B received 6 weeks of Tai Chi exercise [In Balance (IB) program] for 15–45 min, three times/week for 6 weeks. The overall stability index was measured using a Biodex balance system at two time intervals − before treatment and 6 weeks after treatment. Results Both whole-body vibration (1.7±0.51) and Tai Chi exercise (2.53±0.48) groups showed significant improvement in stability index values 6 weeks after treatment with better improvement in the whole-body vibration group (P=0.0001). Conclusion Both Tai Chi exercise and whole-body vibration therapy have positive effects on balance in patients with foot ulcers. However, whole-body vibration therapy is more effective.
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Effect of pulsed ultrasound versus low level laser therapy on Swelling of Knee Hemoarthrosis in Hemophilic children p. 53
Alaa R Morgan
DOI:10.4103/bfpt.bfpt_10_17  
Background Pulsed ultrasound (PUS) and low-level laser therapy (LLT) have effects in treating swelling in knee hemarthrosis of hemophilic children as they play an important role in decreasing swelling and improving muscle function. Aim The aim was to compare the effect of PUS versus low-level laser in the modulation of swelling and range of motion in patients with knee hemarthrosis in hemophilic children (after 3 successive months of treatment). Settings and design A total of 40 hemophilic patients with knee hemarthrosis from both sexes were selected from the outpatient clinic of the Faculty of Physical Therapy, Cairo University and ElBhose Center, with age ranging from 9 to 14 years. They were divided randomly into two groups (group A and group B). Patients and methods Both groups received selected physical therapy program (stretching and strengthening exercises) three times per week for 3 months. Group A received PUS whereas group B received LLT in addition to the same program given to both groups. Results Results have shown that there was a significant reduction of swelling and significant improvement in most of the measured variables of the two groups (P<0.005), with significant improvement in favor of group A. Conclusion It may be concluded that PUS is more effective than LLT in reducing joint swelling and increasing the range of motion in knee hemarthrosis of hemophilic children.
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Effect of laser acupuncture on fecal incontinence after anorectal surgery p. 60
Nesma M Allam, Hussein G Mogahed
DOI:10.4103/bfpt.bfpt_12_17  
Background Fecal incontinence (FI) is considered a common complication after anorectal surgeries because of sphincter injury. Application of laser acupuncture (LA) on acupoints is a noninvasive modality that may assist in the treatment of FI and in decreasing the frequency of incontinence. Aim This study investigated the effect of laser stimulation to acupoints on anal pressure during rest and squeeze, and the frequency and consistency of defecation in FI after anorectal surgery. Settings and design This study was carried out as a randomized-controlled trial of 40 patients (17 men and 23 women) diagnosed with moderate FI after anorectal surgery. Patients and methods The ages of the patients ranged from 40 to 70 years. They were assigned randomly to two equal groups: the experimental (LA) group, which received 60 s laser stimulation for acupuncture points plus pelvic floor exercises three sessions per week for 4 weeks, and the control (placebo) group, who received sham LA plus pelvic floor exercises three sessions per week for 4 weeks. Anorectal manometry was used to measure resting anal pressure and squeeze anal pressure. The frequency of FI was measured using the FI severity index. Assessment was carried out before and after 1 month of treatment. Results The results showed that there was a significant increase in resting anal pressure and squeeze anal pressure of the study group compared with that of the control group after treatment (P> 0.001). Also, there was a significant decrease in the fecal incontinence severity index of the study group after treatment compared with that of the control group (P>0.001). Conclusion It was concluded that stimulation of laser to acupuncture points for 4 weeks is an effective approach for FI after anorectal surgery.
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Response of lipids, estradiol level, and liver size to diet and high-intensity interval training in postmenopausal women with fatty liver p. 69
Abeer M ElDeeb, Hany F Elsisi, Yasser R Lasheen
DOI:10.4103/bfpt.bfpt_6_18  
Background Menopause is associated with changes in body composition and distribution, as well as reduced estradiol level that affect the development and progression of fatty liver diseases. Aims To determine anthropometric measurements, lipid and estradiol levels, and size of liver in response to diet and high-intensity interval training (HIIT) in postmenopausal women with hepatic steatosis. Setting and design A single blind, randomized controlled trial was conducted on a total of 56 postmenopausal women with hepatic steatosis. Patients and methods Participants were randomized to one of two groups. Diet group consisting of 30 patients received hypocaloric diet for 12 weeks, while diet–HIIT group consisting of 26 patients received hypocaloric diet and HIIT three times/week for 12 weeks. Anthropometric measurements including weight, BMI, and waist girth were taken. Blood samples were collected to determine the levels of lipids, including total cholesterol, triglycerides (TGs), high-density lipoprotein cholesterol (HDL-C), and low-density lipoprotein cholesterol, as well as estradiol level. Also, ultrasonography was used to measure the liver size. All outcomes were measured at starting and after 12 weeks of the treatment course. Results The diet–HIIT group showed a greater decrease in the waist girth (0.0001), TG (P=0.002), and liver size (P=0.005), as well as a greater increase in HDL-C (P=0.03) and estradiol level (P<0.0001) than the diet group. Linear regression analysis showed that the mean change in estradiol level accounted for 52% of variability in the liver size. Conclusion Hypocaloric diet–HIIT intervention is a more effective treatment for improving waist girth, HDL-C, TGs, estradiol level, and liver size than hypocaloric diet alone. The mean change of estradiol level is a significant predictor for improving liver size in obese postmenopausal women with hepatic steatosis.
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Effect of foot reflexology adjunct to paced respiration on vasomotor symptoms during menopause: randomized-controlled trail p. 77
Asmaa M El-Bandrawy, Wafaa M Kamal, Hassan O Ghareeb
DOI:10.4103/bfpt.bfpt_10_18  
Background The most common vasomotor symptoms (VMS) are hot flashes and night sweats, which occur in as many as 68.5% of women as a result of menopause. Symptoms caused by fluctuating levels of estrogen may be alleviated by hormone therapy (HT), but a marked global decline in its use has resulted from concerns about the risks and benefits of HT. Consequently, many women in the postmenopausal period search for alternative natural treatment options to manage menopause. As large numbers of women are choosing not to take HT, it is increasingly important to identify evidence-based foot reflexology with paced respiration that has the potential to reduce vasomotor menopausal symptoms. Aim To examine the combined effect of foot reflexology with paced respiration versus paced respiration on VMS in symptomatic menopausal women. Patients and methods A total of 50 women of menopausal age, 45–55 years were studied; their BMI was less than 30 kg/m2. They were allocated randomly to two groups with equal numbers of participants (A and B). The participants in group A received foot reflexology in addition to paced respiration, whereas the participants in group B received the paced respiration training only. The treatment program was conducted three times per week for 8 weeks. Assessment of all participants in both groups (A and B) was carried out before and after the treatment program throughout by determining blood cortisol level in addition to the use of the menopause rating scale (MRS). Results Both groups (A and B) showed a significant reduction in their blood cortisol and MRS values after the end of the 8 weeks of the training program. The mean values of blood cortisol after treatment were 15.40±1.47, 16.32±1.70 in both groups A and B, respectively. The mean values of total MRS were 8.12±2.19, 12.56±2.96 in both groups A and B, respectively. However, the participants who received foot reflexology plus paced respiration, group A, showed a greater reduction in the blood cortisol value and total MRS (P<0.001 and <0.001), respectively. Conclusion It could be concluded that foot reflexology in addition to paced respiration are more effective than paced respiration only in decreasing blood cortisol level as well as VMS in symptomatic menopausal women.
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Jebsen Taylor Hand Function test: Gender, dominance, and age differences in healthy Egyptian population p. 85
Mary K.N Takla, Enas A.K Mahmoud, Neveen Abd El-Latif
DOI:10.4103/bfpt.bfpt_11_18  
Background The Jebsen–Taylor Hand Function Test (JTHFT) was established to provide a standardized and objective evaluation of fine and gross motor hand function using simulated activities of daily living. Aim The aims of this study were to establish normative data for hand function using JTHFT and to investigate the effect of age, sex and dominance differences on hand function in healthy Egyptian individuals. Participants and methods One shot cross-sectional descriptive design was used. One hundred and fifty normal Egyptians were equally stratified into three age groups: 20–29, 30–39, and 40–50. JTHFT subtests were introduced to all participants, which included writing, turning over 3 by 5-inch cards, picking up small common objects, simulated feeding, stacking checkers, picking up large objects, and picking up a large heavy object. Speed on completing each JTHFT subtest was calculated in seconds, and the total score was computed. Results Statistically significant differences were found between sex, age and dominance (P<0.0001). Conclusion This study presents normative data of JTHFT among middle-aged Egyptians. Our results provide evidence that handedness and age may affect hand function, especially high-level fine dexterity activities. Moreover, no significant relationship was found between sex and hand function in individuals who were 20–50 years of age in the Egyptian population.
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Efficacy of Xbox Kinect virtual gaming system on hand function and quality of life in children with juvenile idiopathic arthritis p. 94
Shamekh M El-Shamy
DOI:10.4103/bfpt.bfpt_1_18  
Background Juvenile idiopathic arthritis (JIA) is the most common chronic rheumatic disease in childhood, which exerts a negative effect on a child’s daily life. Purpose The purpose of this study was to investigate the effectiveness of Xbox Kinect system training on hand function and quality of life in children with JIA. Patients and methods A total of 34 children with JIA, with ages ranging from 8 to 12 years, were selected for this randomized controlled study and randomly assigned into two groups. The study group received Xbox training involving five games for 50 min a day, three times a week for 12 weeks, plus conventional treatment. The control group received conventional treatment alone. Outcomes were hand grip strength measured using a handheld dynamometer, hand function measured using the Duruöz Hand Index, and quality of life measured using the Pediatric Quality of Life Inventory. Outcomes were measured at baseline and after 12 weeks of intervention. Results Children in the study group showed significant improvement when compared with those in the control group. The grip strength after treatment was 24.4 and 17.5 kg for the study group and control group, respectively. The hand function scores after treatment were 5.2 and 15.7 for the study group and control group, respectively. The quality-of-life scores after treatment were 85.4 and 66.2 for the study group and control group, respectively. Conclusion Xbox Kinect system training plus conventional treatment increases grip strength, hand function, and quality of life in children with JIA.
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Effect of kinesio taping on chronic mechanical neck pain: a randomized controlled trial p. 101
Amira M El-Gendy, Olfat Ibrahim Ali, Hamada Ahmed Hamada, Rafik Radwan
DOI:10.4103/bfpt.bfpt_8_18  
Objective The purpose of this study was to investigate the effect of kinesio taping (KT) combined with exercises on pain, functional disability, and cervical range of motion (CROM) for patients with chronic mechanical neck pain (MNP) after 1 and 6 weeks of intervention. Patients and methods A total of 60 patients with MNP participated in this randomized clinical trial; their age ranged from 30 to 40 years. They were assigned randomly into two equal groups: the control group received infrared, stretching, isometric, and strengthening exercises 3 days per week for 6 weeks, and the experimental group received KT in addition to the same program as the control group. Pain level, neck function, and CROM were measured by visual analog scale, neck disability index (NDI), and CROM, respectively. Data were collected at baseline, after 1 week, and after 6 weeks of intervention for both groups. Results Multivariate analysis of variance test showed a significant reduction in pain level (F=6.588, P=0.016), and NDI (F=4.961, P=0.034) after 1 week favoring the experimental group. There was a main significant effect of time (P<0.05) after 6 weeks; however, there was no significant interaction for pain, NDI, and CROM after 6 weeks (P>0.05). Conclusion KT combined with conventional treatment after 1 week was found to be effective in improving pain, and functional ability than conventional treatment alone in patients with MNP, while there was no difference between both groups after 6 weeks.
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