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   2016| January-June  | Volume 21 | Issue 1  
    Online since August 9, 2016

 
 
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ORIGINAL ARTICLES
Effect of kinesio taping therapy combined with breathing exercises on childbirth duration and labor pain: a randomized controlled trial
Ghada E El-Refaye, Engy M El Nahas, Hassan O Ghareeb
January-June 2016, 21(1):23-31
DOI:10.4103/1110-6611.188026  
Background Labor pain is a common complaint. The method used to reduce maternal discomfort should be efficacious and safe for the mother and the child. Several alternative methods have been reported to reduce childbirth pain. Objective This study was conducted to evaluate the effect of kinesio taping combined with breathing exercises on childbirth duration and labor pain. Participants and methods This study was conducted on 40 normal full-term primigravida women during the first stage of labor with regular painful, palpable uterine contraction, and cervical dilatation between 3 and 5 cm. They were randomly assigned into two equal groups, group A and group B. Group A (the study group) consisted of 20 women, and group B (the control group) consisted of 20 women. All participants in both groups A and B performed breathing exercises in addition to conventional medical treatment. However, group A patients received kinesio taping at the lumbar region and anterior lower abdomen during the first stage of normal labor. Assessment of all participants in both groups A and B was carried out before and after the treatment program using visual analogue scale (VAS), cardiotocography, and by measuring the duration of the first stage of labor using a stopwatch. Results There was a nonsignificant difference between group A and group B in pain intensity using VAS in the first stage of labor at the first reading (cervical dilatation: 3–4 cm). However, there was a highly significant difference between group A and group B in the pain intensity using VAS in the first stage of labor at the second reading (cervical dilatation: 7–8 cm), favoring group A. Furthermore, there was a highly significant difference between group A and group B in the duration of the first stage of labor, favoring group A. Conclusion These results suggest that kinesio taping combined with breathing exercise is an effective method in reducing labor pain and shortening the duration of the first stage of labor.
  4,470 440 2
Efficacy of noninvasive respiratory techniques in the treatment of children with bronchial asthma: a randomized controlled trial
Ragab K Elnaggar, Mohammed A Shendy
January-June 2016, 21(1):1-10
DOI:10.4103/1110-6611.188025  
Background and purpose Although the effects of the respiratory techniques are appreciated, it is yet in need to be defined for the treatment of children with bronchial asthma. Thus, this study aimed to compare the effects of the active cycle of breathing technique (ACBT), Buteyko breathing technique (BBT), and thoracic lymphatic pump technique (TLPT) on the total serum immunoglobulin (Ig) E, ventilatory function, and asthma perception in children with bronchial asthma. Materials and methods In a randomized controlled trial, 54 children with bronchial asthma randomly allocated to three equal groups. The groups were then randomly assigned to the following interventions: the ACBT group, the BBT group, or the TLPT group. Total serum IgE, ventilatory function, and perception of asthma were evaluated before treatment and after 3 consecutive months of treatment. Results No significant differences were found between groups at entry (P>0.05). There were nonsignificant differences as regards all outcome measures within the ACBT group (P>0.05) and significant differences within the BBT group and the TLPT group (P<0.05). Significant difference in total serum IgE in favor of the BBT group was recorded when compared with ACBT group (P=0.046) and the TLPT group (P=0.036). Moreover, significant differences in ventilatory function measures favoring the BBT group in comparison with the ACBT group and the BBT group (P<0.05) were recorded. Finally, asthma control was significantly higher in the BBT group than ACBT group (P=0.017) but not BBT group (P=0.081). Conclusion The BBT and TLPT are more advantageous compared with the ACBT in the treatment of children with bronchial asthma, and Buteyko breathing is potentially more valuable.
  3,715 486 2
Preoperative respiratory physical therapy program as a prehabilitation to improve inspiratory muscle function and quality of life in patients undergoing upper abdominal surgeries: a prospective randomized controlled trial
Heba M Mohamady, Intsar S Waked, Asmaa F Attalla
January-June 2016, 21(1):17-22
DOI:10.4103/1110-6611.188030  
Background Respiratory complications are the most common complications after surgery. Objective The aim of this study was to evaluate the efficacy of preoperative respiratory physical therapy program in improving inspiratory muscle function and quality of life (QoL) in patients undergoing upper abdominal surgeries. Patients and methods Forty patients undergoing upper abdominal surgeries were selected from Kasr El-Aini Hospital; their ages ranged from 25 to 45 years. Patients were randomly assigned to the control or the physical therapy group. Only the physical therapy group received the preoperative chest physical therapy program. All treatment interventions were applied at a frequency of 6 days/week for 2 weeks. Outcome measures included maximum inspiratory pressure as a primary outcome measure and QoL scores as a secondary outcome measure. All outcome measures were measured for all patients 2 weeks before surgery, 24h before surgery, and 24h after surgery. Results Level of maximum inspiratory pressure and QoL scores were higher in the physical therapy group compared with the control group (P<0.05). Conclusion It was concluded that preoperative respiratory physical therapy improves inspiratory muscle strength and QoL scores in patients undergoing upper abdominal surgeries.
  2,666 378 -
Effect of sex and neck positions on hand grip strength in healthy normal adults: a cross-sectional, observational study
Doaa I Amin, Moath Z Hawari, Hamada E.S Hassan, Haytham M Elhafez
January-June 2016, 21(1):42-47
DOI:10.4103/1110-6611.188028  
Purpose The purpose of this study was to assess the effect of sex and neck positions on hand grip strength in healthy normal adults. Materials and methods One hundred healthy adults of both sexes participated in this study. They were recruited from the students of the faculty of physical Therapy. Their ages ranged between 17 and 25 years. They were assigned to two equal groups according to their sex. Hand grip strength was measured in several neck positions. Grip strength was measured by using the Jamar handheld dynamometer, and the neck range of motion was measured by using the cervical range of motion. Results Among females, there was a significant difference between the hand grip strength in neutral position and in other neck positions (P=0.036). Among males, there was a significant difference between the hand grip strength in the neutral position and in other neck positions. Within neck positions, there was a significant difference (P<0.001). In addition, there was a significant difference in the hand grip strength in various neck positions between the female and male groups (P<0.001). Conclusion Hand grip strength was affected by changing the neck positions in both sexes and the maximum grip strength measurement was in the neutral position of the neck.
  2,722 290 -
Assessment and documentation among physical therapists in Egypt
Aliaa Rehan Youssef, Mohammed Gumaa Bakry
January-June 2016, 21(1):32-41
DOI:10.4103/1110-6611.188024  
Background Standardized assessment is a legal and ethical professional requirement in clinical decision-making. Clinical guidelines emphasize the importance of clinical assessment and documentation to foster the implementation of evidence-based management and reduce unnecessary therapeutic costs. In developing countries like Egypt, healthcare may be suboptimal and is challenged by low budget and malpractices. Therefore, the purpose of this study was to investigate the association between assessment and documentation of physical therapy and Egyptian physical therapists’ demographics. In addition, therapists’ attitude toward the use of electronic medical record was also evaluated. Materials and methods An online and a paper-based survey was developed and tested for linguistic clarity before it was administrated to physical therapists. Results A total of 389 questionnaires were used for statistical analyses. The majority of the respondents (84.1%) always or often assessed their patients; however, almost half of them (44.7%) rarely or never used the assessment tools. Seventy-eight percent of the respondents always or often documented their examination findings. Electronic medical records were rarely or never used by 42.7% of the respondents, although almost all of them expressed their willingness to use them if they were available for free. More experienced male therapists with higher academic degrees were significantly but weakly associated with more frequent patient assessment (P < 0.05). Furthermore, male junior therapists used assessment tools more frequently (P < 0.05). None of the demographic variables was associated with documentation (P > 0.05). For practice type, respondents worked at various clinical settings. No association between the type of practice and assessment or documentation was found (P > 0.05). Conclusion The majority of Egyptian physical therapists assess patients informally without the use of standard tools. Although patients’ findings are documented, the use of electronic meical records is rare.
  2,199 224 -
Comparison between the effects of aerobic and resistive training on immunoglobulins in obese women
Gihan S Mohamed, Mona M Taha
January-June 2016, 21(1):11-16
DOI:10.4103/1110-6611.188023  
Background and purpose Obesity has adverse consequences on the immune system, causing immunosuppression, and thus increasing the incidence of infections and certain types of cancer in obese individuals. The aim of this study was to compare changes in selected immune system responses after moderate aerobic and resistive training in obese women. Methods In total, 40 obese women (age: 35–45 years) were selected and divided into two equal groups: the aerobic training group (A), in which women received moderate-intensity aerobic training; and the resistive training group (B), in which women received moderate-intensity resistive training. Blood sampling was carried out for immunoglobulin (Ig) M and IgG in the pretest and after the 12th week of training. Results There was a significant increase in IgM and IgG in response to aerobic training, whereas no significant changes occurred in the resistive training group. There were significant differences in IgM and IgG between the two groups after training in favor of the aerobic training group (A). Conclusion Regular moderate aerobic training seems to improve immunity compared with resisted training in obese women.
  1,605 194 -
Effect of whole-body vibration on motor neuron excitability in healthy young men
Salah Eldin B Elsayed, Neveen A Abdel Raoof, Omnia M Elsayed
January-June 2016, 21(1):48-55
DOI:10.4103/1110-6611.188027  
Background Whole-body vibration (WBV) has been increasingly used for performance enhancement as well as for treatment of some conditions. There is much focus on the study of muscular performance accompanied by WBVs; however, little is known about its effect on motor units – whether it has excitatory or inhibitory effects. The purpose of this study was to investigate the effect of a single bout of WBV on motor neuron excitability in healthy individuals immediately and 30 min after application. Participants and methods Sixty healthy men participated in this study; their ages ranged between 18 and 25 years. They were randomly divided into two equal groups – the study group and the control group – each containing 30 men who were selected by drawing ballots from sealed envelopes. The experimental group received WBV with a frequency of 50–60 Hz and amplitude of 0–10 mm for 1 min, with a 1 min rest period between each vibration set, which was repeated five times. The control group stood on the WBV device for the same duration while it was off. Hoffman reflex amplitude and H/M ratio were measured from the soleus muscle (posterior tibial nerve) before and 0 and 30 min after application in both groups using surface electromyography. Results There was significant decrease in Hoffman reflex amplitude at 0 and 30 min in the study group compared with the control group (P = 0.002 and 0.01, respectively). Moreover, there was significant decrease in H/M ratio at 0 and 30 min in the study group compared with the control group (P = 0.0001 and 0.03, respectively). Conclusion WBV decreases motor neuron excitability and thus may have therapeutic implications for people with central nervous system disorders, in whom spasticity is a major manifestation.
  1,606 169 -
Sex differences of knee joint repositioning accuracy in healthy adolescents
Rania N Karkousha
January-June 2016, 21(1):56-60
DOI:10.4103/1110-6611.188029  
Introduction Sex differences in the knee joint have long been known and impaired proprioceptive accuracy is an important risk factor that could be associated with knee joint injury. This study was conducted to compare the accuracy of knee repositioning between healthy male and female adolescents. Participants and methods A total of 64 healthy adolescents (32 males, 32 females) aging from 15 to 18 years participated in this study. Active angle repositioning test was used to assess the proprioceptive accuracy of the right knee joint at 45° knee flexion by using a Biodex system 3 pro-isokinetic dynamometer. Results The statistical analysis revealed that the repositioning accuracy of the knee joint was significantly lower in female participants than in males, as the mean values of repositioning errors were 3.54 ± 1.20 for males and 4.76 ± 1.29 for females (P < 0.05). Conclusion Sex-based difference in the accuracy of knee joint proprioception may imply that knee proprioceptive sensitivity might potentially contribute to the high incidence of knee injury in females compared with males, particularly during adolescence.
  1,553 181 2