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   Table of Contents - Current issue
Coverpage
January-June 2018
Volume 23 | Issue 1
Page Nos. 1-42

Online since Wednesday, August 8, 2018

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ORIGINAL ARTICLES  

Short-term effect of cryotherapy on knee joint proprioception and quadriceps isometric strength in healthy young females p. 1
Ahmed M Aboeleneen, Ashraf A Darwesh, Heba Embaby, Mohamed F Elbanna
DOI:10.4103/bfpt.bfpt_13_17  
Background Cryotherapy is one of the essential modality in physical therapy being used since the time of the ancient Greeks. Objective The objective of this study was to investigate the short-term effect of cryotherapy on knee proprioception and isometric strength of quadriceps muscle. Participants and methods A total of 54 normal healthy female participants participated in this study, with an age between 19 and 28 years. They were divided into two equal groups, control and study, consisting of 27 participants in each group. The active knee joint position sense and isometric strength of quadriceps were tested by Biodex Multi-joint System 4 Pro Isokinetic Dynamometer. These measurements were taken before and after 20 min of resting period for the control group, whereas cryotherapy was applied for the study group instead of resting. Results After 20 min of cryotherapy application, the study group showed significant reduction in the proprioceptive error of the knee joint (P≤0.05) and no significant difference in isometric strength of quadriceps (P=0.686). For the control group, there were no significant differences for both proprioceptive accuracy of the knee joint (P=0.469) and isometric strength of quadriceps (P=0.121). In addition, there were no significant differences between the two groups for both proprioceptive accuracy of the knee joint and isometric strength of quadriceps (P>0.05). Conclusion The findings of the study show that cryotherapy does not impair the proprioceptive accuracy of the knee joint or isometric strength of quadriceps muscle, so cryotherapy can be used safely during physical activities and training programs.
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Influence of obesity on proprioception of knee and ankle joints in obese prepubertal children p. 9
Marwa S.M Saleh, Walaa Abd El-Hakiem Abd El-Nabie
DOI:10.4103/bfpt.bfpt_11_17  
Purpose The aim of this study was to investigate the effect of obesity on proprioception of knee and ankle joints in obese prepubertal children. Participants and methods Forty-two prepubertal children of both sexes ranging in age from 8 to 12 years participated in this study. Among these children, there were 21 obese children, with BMI 30–35 kg/m2, and 21 normal-weight child, with BMI 18–25 kg/m2.The active angle repositioning test was used to assess the proprioception of the knee joint at 45° flexion and the ankle joint at 30° planter flexion using the Biodex System 3 pro isokinetic dynamometer. Results The statistical analysis showed that there was a significant increase in the repositioning error of the knee joint in obese children compared with normal-weight children as the mean values of repositioning errors were 6.35±1.2 for obese children and 3.91±0.98 for normal-weight children (P=0.0001), whereas there was no significant difference in proprioception of the ankle joint as the mean values of repositioning errors were 4.69±0.79 for obese children and 4.3±1.02 for normal-weight children (P=0.13). Conclusion Obese prepubertal children showed a decline in proprioception of the knee joint, which might be an important contributing factor toward the decreased postural control capacity in obese children as reported in the previously published works, because proprioceptive function is one of the most important components that contributes toward postural stability.
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Effects of the suboccipital muscle inhibition technique on pain intensity, range of motion, and functional disability in patients with chronic mechanical low back pain p. 15
Basma H Hasaneen, Reda S.A Eweda, Alaa E.A Hakim Balbaa
DOI:10.4103/bfpt.bfpt_67_16  
Background Chronic mechanical low back pain is a common clinical condition encountered by physical therapists. It has a mechanical origin that lasts more than 3 months. Aim The aim of this study was to investigate the effects of the suboccipital muscle inhibition technique on pain intensity, range of motion (ROM), and functional disability in patients with chronic mechanical low back pain. Patients and methods Thirty female patients with a mean age of 23.8±0.86 years who had chronic mechanical low back pain were randomly assigned to two equal groups. Group A received exercise training (stretching and strengthening) and the suboccipital muscle inhibition treatment for five consecutive sessions. Group B received only exercise training (stretching and strengthening) for five consecutive sessions. Both groups were assessed using the visual analog scale for pain intensity, Modified–Modified Schober’s test for ROM of lumbar flexion and extension, and the Oswestary functional disability questionnaire for functional disability. Patients were assessed before and after treatment. Results The results of this study showed that there were significant improvements in pain, ROM in the lumbar region (flexion and extension), and functional disability in both groups A and B (P<0.05). There was no statistical significant difference between the two groups; however, there was a clinical difference in favor of group A. Conclusion It was concluded that the suboccipital muscle inhibition technique combined with exercises have better clinical effects than exercises alone in patients with chronic mechanical low back pain.
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Neurobehavioral response to multisensory stimulation programme in high-risk neonates p. 22
Eman K Mohamed, Faten Abdelazeim, Mohamed A Elshafey, Nehad Nasef
DOI:10.4103/bfpt.bfpt_5_18  
Context High-risk neonates admitted to the neonatal intensive care unit (NICU) are suffering from lack of sensory experiences that are vital for normal brain development, rather are exposed to excessive or inappropriately timed stimulation in the NICU that leads to deleterious effects on premature infants whose brains are immaturely developed. Aim The aim of this study was to investigate the effect of multisensory stimulation programme on neurobehavioral development in high-risk neonates. Settings and design A prospective randomized controlled trial was conducted on 40 high-risk neonates, who were selected from NICUs, with mean gestational age of33±1.03 weeks according to new Ballard score and mean weight 1442±228.5 g. They were allocated into either the control group or the study group. Participants and methods The control group received routine medical and nursery care in the NICU, whereas the study group received the same programme given to the control group in addition to the multisensory stimulation programme given daily for 2 successive weeks. The outcomes were measured before and after the intervention by Morgan neonatal neurobehavioral examination and Brazelton neonatal behavioural assessment scale. Results There was a significant improvement in all measured variables in the study group after the intervention programme (P<0.05) except in the state regulation and autonomic system, whereas the control group showed no significant difference in all measured variables except in weight gain. Conclusion Multisensory stimulation improved neurobehavioral development in high-risk neonates. This could be a vital part of the routine neonatal physiotherapy for preterm and high-risk neonates.
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Aloe vera gel phonophoresis versus silver nanoparticles phonophoresis on burn wound: a prospective randomized double-blinded trial p. 30
Ereny S Wahba
DOI:10.4103/bfpt.bfpt_16_17  
Background Burn trauma ranges from a minor burn to devastating injuries, which can affect all aspects of a person’s life including esthetic appearance, relationships with others, and psychological, social, and physical functioning. Objective This study was conducted to compare the effect of aloe vera gel phonophoresis and silver nanoparticles (SNPs) phonophoresis for second-degree burn wound healing. Patients and methods Forty patients with second-degree burn wounds were included, and their age ranged from 20 to 40 years. Patients were randomly assigned into two groups: group A underwent aloe vera gel phonophoresis and group B underwent SNPs phonophoresis. All treatment interventions were applied at a frequency of three sessions per week for 12 weeks. Outcome measures were performed through wound surface area in cm2 via Transparency Method, which is the tracing method. The assessment was done before treatment, after 6 weeks, and after 12 weeks of the treatment. Results There was a highly significant decrease in the wound surface area between aloe vera gel phonophoresis (group A) compared with that of SNPs phonophoresis (group B) (P<0.0001). Conclusion It was concluded that aloe vera gel phonophoresis has greater efficacy than SNPs phonophoresis for treating second-degree burns.
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The effect of maternal exercise program on fetal growth in pre-eclampsia: a prospective, randomized controlled clinical trial p. 36
Sally A Asker, Faten H Abdelazeim, Naglaa A Zaky, Alaa Wageh
DOI:10.4103/bfpt.bfpt_4_18  
Background Pre-eclampsia affects 2–8% of all pregnancies globally and the condition is estimated to account for 10–15% of maternal deaths worldwide. Preterm birth accounts for 15% of pre-eclampsia disorders. Pre-eclampsia-associated morbidities and mortality can also lead to intrauterine growth restriction and death ‏. So a maternal exercise program has been recommended to prevent and/or decrease pre-eclampsia complications for both the mother and the fetus. Objective The aim of this study was to assess the effect of maternal exercise program on fetal growth in pre-eclampsia. Patients and methods Thirty pregnant women who suffered from pre-eclampsia were selected from the inpatient Clinic of Mansoura University Hospitals; they were at 27th week of gestation. The participants were randomly assigned into two groups (control and study). The participants in the study group received a designed maternal exercise program. The outcome measure was fetal growth. Results Fetal growth measures were significantly higher in the study group compared with the control group (P< 0.013).? Conclusion It was concluded that the maternal exercise program improved fetal growth in pre-eclampsia.
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