Dr.Mahmoud El-zanaty | Cairo University (original) (raw)
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Papers by Dr.Mahmoud El-zanaty
The Medical Journal of Cairo University, 2021
Background: Stroke is one of the major leading causes of morbidity and mortality worldwide. Hemip... more Background: Stroke is one of the major leading causes of morbidity and mortality worldwide. Hemiparesis is one among the major impairments after stroke. It significantly affects gait performance. Patients use less affected side over the affected side. This differentiated the transverse rotation of trunk and pelvis. Some researchers found that arm sling has positive effects in enhancing gait patterns especially during gait training sessions in hemiparetic patients who have excessive motion of COG. Some studies suggested that powerful swing of upper extremities instead of natural movement is more helpful for improving weight shifting of the trunk, and gait kinematics. However, the upper limb swing function during walking has not yet been clarified, and still subject of debate. Aim of Study: To compare between effect of bilateral reinforced arm swing versus single arm restraining on the affected single limb support time in chronic hemiparetic stroke patients to take it into our consideration during gait rehabilitation after stroke. Patients and Methods: Thirty male patients with chronic stroke with an average age of 54.96 ±4.5 years participated in this study. All patients performed overground 10-MWT without any assistive devices over a 15-m walkway at self-selected speed in 3 different conditions: Normal arm swing, affected arm restraining using arm sling and bilateral reinforced arm swing randomly for 3 trails each to calculate average walking speed. The same speed calculated was set on the treadmill of Biodex Gait Trainer 2TM system in meter per second (m/sec.) subjects performed a 3-minute walk under each of the previous conditions randomly with time interval 20 minutes between tests for recording of average time on affected side during gait cycle. Results: The mean difference in time on the affected side between normal and sling conditions was-0.37%. There was no significant difference in time on the affected side between
The Egyptian Journal of Hospital Medicine, 2021
Background: People with incomplete spinal cord injury disabilities can be able to live a healthy,... more Background: People with incomplete spinal cord injury disabilities can be able to live a healthy, productive, and dignified life by using Assistive devices as their role in improving gait. Facilitate locomotion rehabilitation. And enable people with incomplete SCI to ambulate in an upright position. Objective: This systematic review aimed to examine the effectiveness of the role of using assistive devices in gait rehabilitation in patients with incomplete SCI. Material and Methods: Studies were identified from 2000 to 2020 by electronic search using PubMed, Cochrane Database of Systematic Reviews, Google Scholar, and Physiotherapy Evidence Database (Pedro). They were reviewed if they were randomized control trials focused on the effectiveness of Assistive Devices on Gait in Patients in age more than 18 years with incomplete Spinal Cord Injury being published in English. Eight studies were selected according to inclusive and exclusive criteria and descriptive analysis was conducted due to heterogeneity. Results: Eight trials were identified with good quality methodology. Descriptive analysis was applied for three studies that supported the use of assistive devices for those patients and meta-analysis was applied for five studies. The mean difference across all the five studies is-0.69 (95% CI-0.93,-0.45). According to AACPDM, there is level II evidence that supports the use of the assistive device as a method to be able to live a healthy, productive, and dignified life. Conclusion: The current level of evidence supports the effectiveness of assistive devices in improving gait in patients with incomplete spinal cord injury.
The Medical Journal of Cairo University, 2021
Background: Stroke is one of the major leading causes of morbidity and mortality worldwide. Hemip... more Background: Stroke is one of the major leading causes of morbidity and mortality worldwide. Hemiparesis is one among the major impairments after stroke. It significantly affects gait performance. Patients use less affected side over the affected side. This differentiated the transverse rotation of trunk and pelvis. Some researchers found that arm sling has positive effects in enhancing gait patterns especially during gait training sessions in hemiparetic patients who have excessive motion of COG. Some studies suggested that powerful swing of upper extremities instead of natural movement is more helpful for improving weight shifting of the trunk, and gait kinematics. However, the upper limb swing function during walking has not yet been clarified, and still subject of debate. Aim of Study: To compare between effect of bilateral reinforced arm swing versus single arm restraining on the affected single limb support time in chronic hemiparetic stroke patients to take it into our consideration during gait rehabilitation after stroke. Patients and Methods: Thirty male patients with chronic stroke with an average age of 54.96 ±4.5 years participated in this study. All patients performed overground 10-MWT without any assistive devices over a 15-m walkway at self-selected speed in 3 different conditions: Normal arm swing, affected arm restraining using arm sling and bilateral reinforced arm swing randomly for 3 trails each to calculate average walking speed. The same speed calculated was set on the treadmill of Biodex Gait Trainer 2TM system in meter per second (m/sec.) subjects performed a 3-minute walk under each of the previous conditions randomly with time interval 20 minutes between tests for recording of average time on affected side during gait cycle. Results: The mean difference in time on the affected side between normal and sling conditions was-0.37%. There was no significant difference in time on the affected side between
The Egyptian Journal of Hospital Medicine, 2021
Background: People with incomplete spinal cord injury disabilities can be able to live a healthy,... more Background: People with incomplete spinal cord injury disabilities can be able to live a healthy, productive, and dignified life by using Assistive devices as their role in improving gait. Facilitate locomotion rehabilitation. And enable people with incomplete SCI to ambulate in an upright position. Objective: This systematic review aimed to examine the effectiveness of the role of using assistive devices in gait rehabilitation in patients with incomplete SCI. Material and Methods: Studies were identified from 2000 to 2020 by electronic search using PubMed, Cochrane Database of Systematic Reviews, Google Scholar, and Physiotherapy Evidence Database (Pedro). They were reviewed if they were randomized control trials focused on the effectiveness of Assistive Devices on Gait in Patients in age more than 18 years with incomplete Spinal Cord Injury being published in English. Eight studies were selected according to inclusive and exclusive criteria and descriptive analysis was conducted due to heterogeneity. Results: Eight trials were identified with good quality methodology. Descriptive analysis was applied for three studies that supported the use of assistive devices for those patients and meta-analysis was applied for five studies. The mean difference across all the five studies is-0.69 (95% CI-0.93,-0.45). According to AACPDM, there is level II evidence that supports the use of the assistive device as a method to be able to live a healthy, productive, and dignified life. Conclusion: The current level of evidence supports the effectiveness of assistive devices in improving gait in patients with incomplete spinal cord injury.