Intsar Waked - Academia.edu (original) (raw)

Papers by Intsar Waked

Research paper thumbnail of Effect of Kinesio Taping on Myofascial Pain Syndrome Post Neck Dissection Surgery

International journal of membrane science and technology, Oct 1, 2023

Significant as well as noticeable neck morbidity, such as pain, loss of sensation, and limited ra... more Significant as well as noticeable neck morbidity, such as pain, loss of sensation, and limited range of motion, was observed after cancer treatment. Two forms of neck pain, neuropathic as well as myofascial have been identified in a study of 25 patients with chronic neck pain after neck dissection. In addition, among 220 patients who had neck dissection, 33% experienced neck pain and 46% experienced myofascial pain. Objective: The study was conducted to examine the impact of Kinesio taping on myofascial pain syndrome after neck dissection surgery. Methods: Sixty male and female patients who had cervical myofascial pain syndrome (MFPS) after a neck dissection surgery participated in this study. They were between the ages of 30 and 45. Participants were recruited from Cairo University's National Cancer Institute and divided evenly between two groups. Thirty people were assigned to Group A (the Kinesiotaping group), where they were given conventional program as well as Kinesiotaping three times a week for a period of one month. Thirty patients were assigned to Group B (the control group), where they were given the conventional program of treatment (ROM exercises, stretching exercises, as well as Deep friction message) three times weekly for a month. A visual analogue scale (VAS) as well as pressure algometry were used to measure the level of pain. To measure the side bending as well as neck rotation neck on either side, a goniometer was utilized. All measurements were taken before and after the treatment was given. Results: Kinesio taping group showed greater significant enhancement in all outcome measures after treatment than the control group (p>0.001). The findings of the study revealed that PPT, VAS and in bending toward and away, rotation toward and away the side of the operation, values were significantly improved in the KT (98.8%, 45.94, 27.97, 26.12, 21.89 and 22.74% respectively) Conclusion: We found that the Kinesio taping group had better outcomes with no adverse effects after neck dissection, confirming the effectiveness of Kinesio taping for managing cervical myofascial pain.

Research paper thumbnail of Efficacy of Muscle Energy Technique on Shoulder Adhesive Capsulitis Post Mastectomy

Background: Shoulder pain, disability and impaired movements are frequently reported complication... more Background: Shoulder pain, disability and impaired movements are frequently reported complication in postmastectomy patients. Most individuals who have had a mastectomy suffer from adhesive capsulitis, which causes shoulder pain and impairment. Aim: The current study was conducted to investigate the effectiveness of Muscle energy technique (MET) on shoulder adhesive capsulitis post mastectomy. Patients and methods: The present work was carried-out on sixty patients with adhesive capsulitis after mastectomy who participated in this study, they were aged from 40 to 60 years. The individuals were recruited from National Cancer Institute, Cairo University. They were randomized into 2 groups; every group included 30 patients. Group (A) (study group): were givenMET5 days per week for eight weeks as well as their traditional physiotherapy program (Mobilization exercises, stretching of the Posterior capsule, as well as Range of motion (ROM) exercises). Group (B) (control group):received only the conventional physical therapy program, 5 days per week for eight weeks. Visual analogue scale (VAS) was utilized to measure the shoulder pain. Goniometer was utilized to evaluate shoulder ROM. Shoulder pain and disability index (SPADI) was utilized to evaluate shoulder function. All assessments were conducted pretreatment as well as post treatment. Results: In both Groups A and B, post-treatment VAS as well as SPADI scores were significantly lower than pretreatment scores (p < 0.001). the percentage of change of VAS as well as SPADI in Group A was 68.28% and 71.88% respectively, while it was, 45.76% and 54.4% in group B respectively. In both groups, post-treatment shoulder flexion, abduction, as well as lateral rotation were all significantly higher than pre-treatment values. Shoulder flexion, abduction, as well as external rotation all increased by 128.25, 75.76, and 99.95% in group A, whereas they increased by 97.58, 59.9, and 89.38% in group B, respectively. Pretreatment comparisons showed no statistically significant differences among the groups. Post-treatment comparisons between the two groups showed that VAS and SPADI scores were significantly lower in Group A compared to Group B (p < 0.001). Shoulder flexion, abduction, as well as external rotation were significantly improved in group A than in group B after treatment (p < 0.001). Conclusion: adding MET in rehabilitation program can improve the shoulder pain, ROM as well as function in adhesive capsulitis management Postmastectomy.

Research paper thumbnail of Topical Versus Continuous Betamethasone Diprobionate Phonophoresis in the Treatment of Atopic Dermatitic Patients

International journal of current research and review, 2014

Research paper thumbnail of Triamcinolone Acetonide Phonophoresis versus Transcutanous Electrical Nerve Stimulation in the Treatment of Post-burn Pruritus - A Randomised Controlled Study

Indian Journal of Physiotherapy and Occupational Therapy—An International Journal, 2013

Objective: The purpose of this study was to evaluate the effectiveness triamcinolone acetonide ph... more Objective: The purpose of this study was to evaluate the effectiveness triamcinolone acetonide phonophoresis versus transcutanous electrical nerve stimulation in the treatment of post-burn pruritus. Methodology: Forty patients with post burn pruritus participated and completed the study. The patients were randomized into two groups of equal number. TAP group: received Triamcinolone Acetonide Phonophoresis, and TENS group received Transcutaneous Electrical Nerve Stimulation. Results: Revealed a highly significant differences pre and post treatment in TAP and TENS group as regard to degree of pruritus ( p values 0.05 ). Conclusion: We concluded that triamcinolone acetonide phonophoresis as well as transcutanous electrical nerve stimulation may prove to be a useful modality for the treatment of post burn pruritus with no significant differences between them.

Research paper thumbnail of Efficacy of Narrow Band Versus Broad Band in Treatment of Pityriasis Rosea

International journal of current research and review, Feb 10, 2015

Research paper thumbnail of Negative pressure wound therapy versus microcurrent electrical stimulation in wound healing in burns

Journal of Wound Care, Apr 2, 2019

Objective: To compare the efficacy of negative pressure wound therapy (NPWT) with that of microcu... more Objective: To compare the efficacy of negative pressure wound therapy (NPWT) with that of microcurrent electrical stimulation (MES) on wound surface area, length of stay (LoS) and colony count of wounds in patients with burns. Method: Patients with thermal dermal burn injuries covering 25–40% of total body surface area were enrolled in this clinical trial. Participants were randomly allocated into three, equal-sized groups: patients receiving NPWT, patients receiving MES and a control group which received standard wound care. All groups received the same traditional physical therapy programme in addition to the same nursing and medical care. In all groups, wound surface area, colony count and LoS were measured 72 hours after thermal burn injury (pre), after 10 days and again at 21 days from the beginning of the study. Results: A total of 45 patients took part in the study. There were statistically significant decreases in wound surface area observed in all groups (p&lt;0.05) while MES showed the highest mean percentage of reduction in wound surface. MES and NPWT both showed the lowest values for bacterial growth but NPWT was superior in colony count reduction. For LoS, both MES and NPWT showed the lowest mean value. Conclusion: From the findings of this study, MES was more effective in decreasing wound surface area in burn wounds while NPWT was more effective in reducing bacterial growth.

Research paper thumbnail of Helium Neon Laser Versus Gallium Arsenide Laser in Healing of Venous Ulcers

Venous leg ulceration is a chronic condition characterized by cycles of healing and recurrence wi... more Venous leg ulceration is a chronic condition characterized by cycles of healing and recurrence with healing times ranging from weeks to years Purpose: to evaluate the effect of Helium Neon and Gallium Arsenide in healing of venous ulcer using wound surface area and colony count. Methods: sixty (53 males and 7 females) patients with leg venous ulcers were randomly divided into three group. Group (A) received Helium Neon laser in addition to standard ulcer care. Group (B) received Gallium Arsenide laser in addition to standard ulcer care. Group(C) (Control group) received only the standard ulcer care. Results: The result showed that there was a significant decrease in ulcer surface area and number of bacteria using Low Level Laser Therapy (Helium Neon and Gallium Arsenide) better than conservative ulcer care in addition to there were no significant differences between He-Ne 632 and Ga-As 808-904 in decreasing ulcer surface area and colony count in the healing of the venous ulcers. Con...

Research paper thumbnail of Effect of Two Noninvasive Brain Stimulation Techniques on Post Stroke Upper Limb Motor Functions

Background and Purpose: Recovery of upper limb motor function in patients after stroke is essenti... more Background and Purpose: Recovery of upper limb motor function in patients after stroke is essential for independent activities of daily living, The upper limbs contribute to most ctivities of daily living We designed this randomized double-blind, sham-controlled trial to examine the effect of two noninvasive brain stimulation techniques on recovery of functions in the upper limbs after stroke. Methods: Fortytwo chronic hemiplegic stroke patients were randomly allocated across 3 groups to undergo 24 sessions, 3d/wk of intervention combined with standard physiotherapy for motor functions of upper limb, Group (A) comprised 18 subjects who received 1-Hz rTMS, Group B comprised 13 subjects who received tDCS. Group C comprised 11 subjects who received Sham1-Hz rTMS.. Outcome measures were assessed by the Fugl-Meyer assessment (FMA)., grip strength, and stroke-specific quality-of life scale. at the baseline and after intervention. Results: Significant improvement from baseline was noted fo...

Research paper thumbnail of Beneficial effects of Incentive Spirometry on Pulmonary Problems in Patients with sickle cell Anemia

International Journal of Multidisciplinary Research and Development, 2015

Objective: To detect the effects of incentive spirometry on pulmonary problems in patients with s... more Objective: To detect the effects of incentive spirometry on pulmonary problems in patients with sickle cell anemia. Subjects: Forty patients with homozygous sickle cell anemia assigned randomly into 2 groups; IS group that received incentive spirometry as well as medical treatment and Control group received medical treatment only. Pulmonary functions were measured before and after 8 weeks. Results: the results of study showed that there were significant differences after intervention between both groups as p value <0.05. Conclusion: The study concluded that incentive spirometry increased pulmonary functions and decreased the pulmonary problems in patients with sickle cell anemia.

Research paper thumbnail of Impact of Kinesiology Taping on Handgrip Strength following Dorsal Hand Burn

International Journal of Therapies and Rehabilitation Research, 2017

Research paper thumbnail of Efficacy of Narrow Band Versus Broad Band in Treatment of Pityriasis Rosea

International Journal of Current Research and Review, 2015

Research paper thumbnail of Interferential Current Therapy versus Narrow Band Ultraviolet B Radiation in the Treatment of Post Herpetic Neuralgia

Indian Journal of Physiotherapy and Occupational Therapy an International Journal, 2013

Research paper thumbnail of Topical Versus Continuous Betamethasone Diprobionate Phonophoresis in the Treatment of Atopic Dermatitic Patients

ABSTRACT Purpose: The purpose of this study was to compare Topical versus Continuous Betamethason... more ABSTRACT Purpose: The purpose of this study was to compare Topical versus Continuous Betamethasone Diprobionate Phonophoresis in the Treatment of Atopic Dermatitic Patients Methods: Forty six patients atopic dermatitis were participated in this study and were randomly assigned to one of two groups. Phonophoresis group received continuous 0.05% betamethasone dipropionate phonophoresis, three sessions per week for 4 weeks, and control group received topical betamethasone dipropionate cream daily. Measurements were carried out by ultrasonography and SCORAD score. Results: results revealed that there was a significant difference between both groups as regard to primary outcomes ( SCORAD score) as well as secondary outcomes ( skin thickness measurements). Conclusion: it was concluded that continuous betamethasone diprobionate phonophoresis is a safe and effective modality more than topical cream for the treatment of atopic dermatitis.

Research paper thumbnail of Triamcinolone Acetonide Phonophoresis versus Transcutanous Electrical Nerve Stimulation in the Treatment of Post-burn Pruritus - A Randomised Controlled Study

Indian Journal of Physiotherapy and Occupational Therapy - An International Journal, 2013

Objective: The purpose of this study was to evaluate the effectiveness triamcinolone acetonide ph... more Objective: The purpose of this study was to evaluate the effectiveness triamcinolone acetonide phonophoresis versus transcutanous electrical nerve stimulation in the treatment of post-burn pruritus. Methodology: Forty patients with post burn pruritus participated and completed the study. The patients were randomized into two groups of equal number. TAP group: received Triamcinolone Acetonide Phonophoresis, and TENS group received Transcutaneous Electrical Nerve Stimulation. Results: Revealed a highly significant differences pre and post treatment in TAP and TENS group as regard to degree of pruritus ( p values 0.05 ). Conclusion: We concluded that triamcinolone acetonide phonophoresis as well as transcutanous electrical nerve stimulation may prove to be a useful modality for the treatment of post burn pruritus with no significant differences between them.

Research paper thumbnail of Beneficial Effects of Paraffin Bath Therapy as Additional Treatment of Chronic Hand Eczema: A Randomized, Single-Blind, Active-Controlled, Parallel-Group Study

The Journal of Alternative and Complementary Medicine

Objective: Chronic hand eczema (CHE) is a common inflammatory skin disease with a major psycholog... more Objective: Chronic hand eczema (CHE) is a common inflammatory skin disease with a major psychological and socioeconomic impacts on patients' quality of life (QoL) and work ability. To the best of knowledge, this study is the first randomized-controlled trial conducted to evaluate the effect of paraffin bath therapy in management of hand eczema and its related symptoms. Design: This study was a parallel-group, active-control, randomized clinical trial with measures at pretreatment, 6th week, and 12th week of treatment. Settings: The study took place at the Outpatient Clinic of Faculty of Physical Therapy, Cairo University, and some licensed rehabilitation centers in Cairo for a 1-year period. Subjects: Sixty patients with moderate to severe CHE were randomly assigned into two groups of equal number; the paraffin bath therapy group and the control group. Interventions: The paraffin group received paraffin bath therapy for 5 days a week for 12 weeks, in addition to the routine skin care program, while the control group only received the routine skin care program. Outcome measures: SCORing Atopic Dermatitis (SCORAD) was used to assess the severity of atopic dermatitis and dermatology life quality index (DLQI) to assess the effect of CHE on quality of patients' life. All measurements were obtained before, at the 6th week, and at the 12th week of treatment. Results: Marked improvement in the severity of the disease symptoms was observed, reflected by a highly decrease in objective SCORAD score in the paraffin group over time more than the control group. The percentage of reduction was 28.6% in paraffin group versus 0.41% in control group. Subjective item score (itching and sleepiness) was reduced in the paraffin group more than the control group with a percentage of improvement (47% and 5.5%), respectively. Regarding QoL measure, there were highly positive changes in DLQI in paraffin group more than the control group. The percentage of improvement was 60% in paraffin group and 3.8% in control group. Conclusions: Paraffin bath therapy applied for a 12-week duration seems to be effective, both in reducing severity of eczema symptoms and improving QoL in patients with CHE.

Research paper thumbnail of Validity And Reliability of a Smartphone Application in Measuring Surface Area of Lower Limb Chronic Wounds

The Egyptian Journal of Hospital Medicine

Background: As the population ages, chronic wounds also raised, creating a load on the health sys... more Background: As the population ages, chronic wounds also raised, creating a load on the health system. Accurate documentation and continuous measurement of wounds have become critical. Aim of the study: It was to determine the validity and reliability (VAR) of a smartphone application in measuring the surface area of lower limb chronic wounds. Patients and Methods: A study of 61 patients (46 males and 15 females) with lower limb chronic wounds, aged from 40 to 70 years were selected from Cairo University Hospitals from March 2022 to August 2022. Patients were assessed by the manual planimetry method and a smartphone application (Imito AG, Switzerland). Wound evaluation using the Imitomeasure application was performed twice by the principal investigator and by a co-investigator to test Inter-rater reliability (Inter-RR), intra-rater reliability (Intra-RR), and validity. Concurrent validity was investigated by determining the correlation between a smartphone application and the metric graph sheet by Pearson Product Moment Correlation Coefficient. Intra-RR and inter-RR were expressed in Intra-class Correlation Coefficients (ICCs). Results: The validity, intra-RR, and inter-RR of the Imito-measure application were excellent with a strong positive significant correlation (r = 0.998, p = 0.001), ICC was 0.999, with 95% CI 0.998-0.999 and standard of measurement (SEM) of 1.83; ICC for measurement wound surface area was 0.999, with 95% CI 0.998-0.999 and SEM of 1.85, respectively. Conclusion: The Imito-measure application showed excellent VAR for wound measurement, and it could be a selection to be used as an assessment tool in clinical practice.

Research paper thumbnail of Effect of resistive training on gastrointestinal cancer cachexia

International journal of health sciences

Purpose: The current study was conducted to evaluate the therapeutic effect of resistive training... more Purpose: The current study was conducted to evaluate the therapeutic effect of resistive training in reducing the effect of cancer cachexia. Subjects and Methods: Thirty patients with gastrointestinal cancer cachexia participated in this study. Their ages ranged from 50-70 years. They were recruited from Al Kasr El-Ani hospital outpatient clinic to be treated in the outpatient clinic, Faculty of Physical Therapy, Cairo University and were divided randomly into two equal groups.Group (A) composed of 15 patients who received their ordinary medical treatment in addition to resistive training program 2 times per week for 8 weeks. Group (B) composed of 15 patients who received their ordinary medical treatment. Methods of assesment was measurements of Handgrip strength assessed by handgrip dynamometry, Lower body strength assessed using a 30-second sit to stand test, Lean body mass assessed by bioelectrical impedance analysis. Results: There was a significant increase in both muscle st...

Research paper thumbnail of Virtual reality balance training versus core stability exercises on balance in patients with unilateral lymphedema

International journal of health sciences

Purpose: The purpose of this study is to compare the effects between Wii fit balance board and co... more Purpose: The purpose of this study is to compare the effects between Wii fit balance board and core stability exercises on balance dysfunction in patients with unilateral lymphedema. Method: Sixty patients (women) aged 40-60 years with grade 1 or 2 lymphedema were randomly assigned into the following two groups. Group A received the Wii fit balanced exercises for three times per week for four weeks as total treatment duration in form of (Ski Slalom, Advanced Skiing, Ski Jumping followed by Header and Jump Rope).; Group B received core stability exercises for 4 weeks (3times/week) in form of {1- Abdominal bracing (10 repetitions x10 second holds), 2- Curl up (3 sets x 10 repetitions), 3- Supine bridge (3 sets x 10 repetitions), 4- Supine unilateral bridge (3 sets x 10 repetitions for each leg), 5- Plank (3 sets x 10 repetitions) and 6- Bird dog (3 sets x 10 repetitions for each limb)}. Balance was determined using time up and go (TUG) and Wii fit results by using the Wii fit balance ...

Research paper thumbnail of Impact of hand lymphedema on pain and grip strength of the hand in women with breast cancer

International journal of health sciences

Background: It is not clear to what extent signs and symptoms other than arm swelling, including ... more Background: It is not clear to what extent signs and symptoms other than arm swelling, including pain, grip strength differ between women with hand lymphedema and without hand lymphedema in breast cancer–related lymphedema (BCRL)Aim of Study: To estimate the extent to which the impairments associated with hand lymphedema on pain and grip strength in women with breast cancer related lymphedema (BCRL) and to see the association between severity of hand edema and each of independent variables ( pain and hand grip strength )Methods: sixty women experiencing lymphedema after breast surgery participated in this study. They were recruited from Kasr Al-ainy , between 40: 60 years old were assigned into two equal groups, group (A) women with hand edema (HE+, n = 30) and without hand edema (HE−, n = 30) after breast cancer treatment .Pain and grip strength were evaluated Results: inter group difference showed that there is a there was significant difference in pain difference between the gr...

Research paper thumbnail of Efficacy of Weight Bearing Exercises for Systemic Lupus Erythematosus Patients Suffered from Osteoporosis

International Journal of Physiotherapy and Research, 2017

Objective: the aim of this study was to evaluate the efficacy of weight bearing exercises for sys... more Objective: the aim of this study was to evaluate the efficacy of weight bearing exercises for systemic lupus erythematosus patients suffered from osteoporosis Methods: Forty patients were randomly divided into two groups of equal number. Exercise group (E) received weight-bearing exercises and the control group (C) didn't receive any type of exercise. Bone mineral density was measured by Dual X-ray absorptiometry at the beginning of the study and after 2 months for all patients. Results: The results showed that there were significant positive changes in bone mineral density in exercise group while there was a decrease in Bone mineral density in control group. Conclusion: It could be concluded that weight bearing exercises program have a significant improvement effect in bone mineral density in systemic lupus erythematosus patients suffered from osteoporosis.

Research paper thumbnail of Effect of Kinesio Taping on Myofascial Pain Syndrome Post Neck Dissection Surgery

International journal of membrane science and technology, Oct 1, 2023

Significant as well as noticeable neck morbidity, such as pain, loss of sensation, and limited ra... more Significant as well as noticeable neck morbidity, such as pain, loss of sensation, and limited range of motion, was observed after cancer treatment. Two forms of neck pain, neuropathic as well as myofascial have been identified in a study of 25 patients with chronic neck pain after neck dissection. In addition, among 220 patients who had neck dissection, 33% experienced neck pain and 46% experienced myofascial pain. Objective: The study was conducted to examine the impact of Kinesio taping on myofascial pain syndrome after neck dissection surgery. Methods: Sixty male and female patients who had cervical myofascial pain syndrome (MFPS) after a neck dissection surgery participated in this study. They were between the ages of 30 and 45. Participants were recruited from Cairo University's National Cancer Institute and divided evenly between two groups. Thirty people were assigned to Group A (the Kinesiotaping group), where they were given conventional program as well as Kinesiotaping three times a week for a period of one month. Thirty patients were assigned to Group B (the control group), where they were given the conventional program of treatment (ROM exercises, stretching exercises, as well as Deep friction message) three times weekly for a month. A visual analogue scale (VAS) as well as pressure algometry were used to measure the level of pain. To measure the side bending as well as neck rotation neck on either side, a goniometer was utilized. All measurements were taken before and after the treatment was given. Results: Kinesio taping group showed greater significant enhancement in all outcome measures after treatment than the control group (p>0.001). The findings of the study revealed that PPT, VAS and in bending toward and away, rotation toward and away the side of the operation, values were significantly improved in the KT (98.8%, 45.94, 27.97, 26.12, 21.89 and 22.74% respectively) Conclusion: We found that the Kinesio taping group had better outcomes with no adverse effects after neck dissection, confirming the effectiveness of Kinesio taping for managing cervical myofascial pain.

Research paper thumbnail of Efficacy of Muscle Energy Technique on Shoulder Adhesive Capsulitis Post Mastectomy

Background: Shoulder pain, disability and impaired movements are frequently reported complication... more Background: Shoulder pain, disability and impaired movements are frequently reported complication in postmastectomy patients. Most individuals who have had a mastectomy suffer from adhesive capsulitis, which causes shoulder pain and impairment. Aim: The current study was conducted to investigate the effectiveness of Muscle energy technique (MET) on shoulder adhesive capsulitis post mastectomy. Patients and methods: The present work was carried-out on sixty patients with adhesive capsulitis after mastectomy who participated in this study, they were aged from 40 to 60 years. The individuals were recruited from National Cancer Institute, Cairo University. They were randomized into 2 groups; every group included 30 patients. Group (A) (study group): were givenMET5 days per week for eight weeks as well as their traditional physiotherapy program (Mobilization exercises, stretching of the Posterior capsule, as well as Range of motion (ROM) exercises). Group (B) (control group):received only the conventional physical therapy program, 5 days per week for eight weeks. Visual analogue scale (VAS) was utilized to measure the shoulder pain. Goniometer was utilized to evaluate shoulder ROM. Shoulder pain and disability index (SPADI) was utilized to evaluate shoulder function. All assessments were conducted pretreatment as well as post treatment. Results: In both Groups A and B, post-treatment VAS as well as SPADI scores were significantly lower than pretreatment scores (p < 0.001). the percentage of change of VAS as well as SPADI in Group A was 68.28% and 71.88% respectively, while it was, 45.76% and 54.4% in group B respectively. In both groups, post-treatment shoulder flexion, abduction, as well as lateral rotation were all significantly higher than pre-treatment values. Shoulder flexion, abduction, as well as external rotation all increased by 128.25, 75.76, and 99.95% in group A, whereas they increased by 97.58, 59.9, and 89.38% in group B, respectively. Pretreatment comparisons showed no statistically significant differences among the groups. Post-treatment comparisons between the two groups showed that VAS and SPADI scores were significantly lower in Group A compared to Group B (p < 0.001). Shoulder flexion, abduction, as well as external rotation were significantly improved in group A than in group B after treatment (p < 0.001). Conclusion: adding MET in rehabilitation program can improve the shoulder pain, ROM as well as function in adhesive capsulitis management Postmastectomy.

Research paper thumbnail of Topical Versus Continuous Betamethasone Diprobionate Phonophoresis in the Treatment of Atopic Dermatitic Patients

International journal of current research and review, 2014

Research paper thumbnail of Triamcinolone Acetonide Phonophoresis versus Transcutanous Electrical Nerve Stimulation in the Treatment of Post-burn Pruritus - A Randomised Controlled Study

Indian Journal of Physiotherapy and Occupational Therapy—An International Journal, 2013

Objective: The purpose of this study was to evaluate the effectiveness triamcinolone acetonide ph... more Objective: The purpose of this study was to evaluate the effectiveness triamcinolone acetonide phonophoresis versus transcutanous electrical nerve stimulation in the treatment of post-burn pruritus. Methodology: Forty patients with post burn pruritus participated and completed the study. The patients were randomized into two groups of equal number. TAP group: received Triamcinolone Acetonide Phonophoresis, and TENS group received Transcutaneous Electrical Nerve Stimulation. Results: Revealed a highly significant differences pre and post treatment in TAP and TENS group as regard to degree of pruritus ( p values 0.05 ). Conclusion: We concluded that triamcinolone acetonide phonophoresis as well as transcutanous electrical nerve stimulation may prove to be a useful modality for the treatment of post burn pruritus with no significant differences between them.

Research paper thumbnail of Efficacy of Narrow Band Versus Broad Band in Treatment of Pityriasis Rosea

International journal of current research and review, Feb 10, 2015

Research paper thumbnail of Negative pressure wound therapy versus microcurrent electrical stimulation in wound healing in burns

Journal of Wound Care, Apr 2, 2019

Objective: To compare the efficacy of negative pressure wound therapy (NPWT) with that of microcu... more Objective: To compare the efficacy of negative pressure wound therapy (NPWT) with that of microcurrent electrical stimulation (MES) on wound surface area, length of stay (LoS) and colony count of wounds in patients with burns. Method: Patients with thermal dermal burn injuries covering 25–40% of total body surface area were enrolled in this clinical trial. Participants were randomly allocated into three, equal-sized groups: patients receiving NPWT, patients receiving MES and a control group which received standard wound care. All groups received the same traditional physical therapy programme in addition to the same nursing and medical care. In all groups, wound surface area, colony count and LoS were measured 72 hours after thermal burn injury (pre), after 10 days and again at 21 days from the beginning of the study. Results: A total of 45 patients took part in the study. There were statistically significant decreases in wound surface area observed in all groups (p&lt;0.05) while MES showed the highest mean percentage of reduction in wound surface. MES and NPWT both showed the lowest values for bacterial growth but NPWT was superior in colony count reduction. For LoS, both MES and NPWT showed the lowest mean value. Conclusion: From the findings of this study, MES was more effective in decreasing wound surface area in burn wounds while NPWT was more effective in reducing bacterial growth.

Research paper thumbnail of Helium Neon Laser Versus Gallium Arsenide Laser in Healing of Venous Ulcers

Venous leg ulceration is a chronic condition characterized by cycles of healing and recurrence wi... more Venous leg ulceration is a chronic condition characterized by cycles of healing and recurrence with healing times ranging from weeks to years Purpose: to evaluate the effect of Helium Neon and Gallium Arsenide in healing of venous ulcer using wound surface area and colony count. Methods: sixty (53 males and 7 females) patients with leg venous ulcers were randomly divided into three group. Group (A) received Helium Neon laser in addition to standard ulcer care. Group (B) received Gallium Arsenide laser in addition to standard ulcer care. Group(C) (Control group) received only the standard ulcer care. Results: The result showed that there was a significant decrease in ulcer surface area and number of bacteria using Low Level Laser Therapy (Helium Neon and Gallium Arsenide) better than conservative ulcer care in addition to there were no significant differences between He-Ne 632 and Ga-As 808-904 in decreasing ulcer surface area and colony count in the healing of the venous ulcers. Con...

Research paper thumbnail of Effect of Two Noninvasive Brain Stimulation Techniques on Post Stroke Upper Limb Motor Functions

Background and Purpose: Recovery of upper limb motor function in patients after stroke is essenti... more Background and Purpose: Recovery of upper limb motor function in patients after stroke is essential for independent activities of daily living, The upper limbs contribute to most ctivities of daily living We designed this randomized double-blind, sham-controlled trial to examine the effect of two noninvasive brain stimulation techniques on recovery of functions in the upper limbs after stroke. Methods: Fortytwo chronic hemiplegic stroke patients were randomly allocated across 3 groups to undergo 24 sessions, 3d/wk of intervention combined with standard physiotherapy for motor functions of upper limb, Group (A) comprised 18 subjects who received 1-Hz rTMS, Group B comprised 13 subjects who received tDCS. Group C comprised 11 subjects who received Sham1-Hz rTMS.. Outcome measures were assessed by the Fugl-Meyer assessment (FMA)., grip strength, and stroke-specific quality-of life scale. at the baseline and after intervention. Results: Significant improvement from baseline was noted fo...

Research paper thumbnail of Beneficial effects of Incentive Spirometry on Pulmonary Problems in Patients with sickle cell Anemia

International Journal of Multidisciplinary Research and Development, 2015

Objective: To detect the effects of incentive spirometry on pulmonary problems in patients with s... more Objective: To detect the effects of incentive spirometry on pulmonary problems in patients with sickle cell anemia. Subjects: Forty patients with homozygous sickle cell anemia assigned randomly into 2 groups; IS group that received incentive spirometry as well as medical treatment and Control group received medical treatment only. Pulmonary functions were measured before and after 8 weeks. Results: the results of study showed that there were significant differences after intervention between both groups as p value <0.05. Conclusion: The study concluded that incentive spirometry increased pulmonary functions and decreased the pulmonary problems in patients with sickle cell anemia.

Research paper thumbnail of Impact of Kinesiology Taping on Handgrip Strength following Dorsal Hand Burn

International Journal of Therapies and Rehabilitation Research, 2017

Research paper thumbnail of Efficacy of Narrow Band Versus Broad Band in Treatment of Pityriasis Rosea

International Journal of Current Research and Review, 2015

Research paper thumbnail of Interferential Current Therapy versus Narrow Band Ultraviolet B Radiation in the Treatment of Post Herpetic Neuralgia

Indian Journal of Physiotherapy and Occupational Therapy an International Journal, 2013

Research paper thumbnail of Topical Versus Continuous Betamethasone Diprobionate Phonophoresis in the Treatment of Atopic Dermatitic Patients

ABSTRACT Purpose: The purpose of this study was to compare Topical versus Continuous Betamethason... more ABSTRACT Purpose: The purpose of this study was to compare Topical versus Continuous Betamethasone Diprobionate Phonophoresis in the Treatment of Atopic Dermatitic Patients Methods: Forty six patients atopic dermatitis were participated in this study and were randomly assigned to one of two groups. Phonophoresis group received continuous 0.05% betamethasone dipropionate phonophoresis, three sessions per week for 4 weeks, and control group received topical betamethasone dipropionate cream daily. Measurements were carried out by ultrasonography and SCORAD score. Results: results revealed that there was a significant difference between both groups as regard to primary outcomes ( SCORAD score) as well as secondary outcomes ( skin thickness measurements). Conclusion: it was concluded that continuous betamethasone diprobionate phonophoresis is a safe and effective modality more than topical cream for the treatment of atopic dermatitis.

Research paper thumbnail of Triamcinolone Acetonide Phonophoresis versus Transcutanous Electrical Nerve Stimulation in the Treatment of Post-burn Pruritus - A Randomised Controlled Study

Indian Journal of Physiotherapy and Occupational Therapy - An International Journal, 2013

Objective: The purpose of this study was to evaluate the effectiveness triamcinolone acetonide ph... more Objective: The purpose of this study was to evaluate the effectiveness triamcinolone acetonide phonophoresis versus transcutanous electrical nerve stimulation in the treatment of post-burn pruritus. Methodology: Forty patients with post burn pruritus participated and completed the study. The patients were randomized into two groups of equal number. TAP group: received Triamcinolone Acetonide Phonophoresis, and TENS group received Transcutaneous Electrical Nerve Stimulation. Results: Revealed a highly significant differences pre and post treatment in TAP and TENS group as regard to degree of pruritus ( p values 0.05 ). Conclusion: We concluded that triamcinolone acetonide phonophoresis as well as transcutanous electrical nerve stimulation may prove to be a useful modality for the treatment of post burn pruritus with no significant differences between them.

Research paper thumbnail of Beneficial Effects of Paraffin Bath Therapy as Additional Treatment of Chronic Hand Eczema: A Randomized, Single-Blind, Active-Controlled, Parallel-Group Study

The Journal of Alternative and Complementary Medicine

Objective: Chronic hand eczema (CHE) is a common inflammatory skin disease with a major psycholog... more Objective: Chronic hand eczema (CHE) is a common inflammatory skin disease with a major psychological and socioeconomic impacts on patients' quality of life (QoL) and work ability. To the best of knowledge, this study is the first randomized-controlled trial conducted to evaluate the effect of paraffin bath therapy in management of hand eczema and its related symptoms. Design: This study was a parallel-group, active-control, randomized clinical trial with measures at pretreatment, 6th week, and 12th week of treatment. Settings: The study took place at the Outpatient Clinic of Faculty of Physical Therapy, Cairo University, and some licensed rehabilitation centers in Cairo for a 1-year period. Subjects: Sixty patients with moderate to severe CHE were randomly assigned into two groups of equal number; the paraffin bath therapy group and the control group. Interventions: The paraffin group received paraffin bath therapy for 5 days a week for 12 weeks, in addition to the routine skin care program, while the control group only received the routine skin care program. Outcome measures: SCORing Atopic Dermatitis (SCORAD) was used to assess the severity of atopic dermatitis and dermatology life quality index (DLQI) to assess the effect of CHE on quality of patients' life. All measurements were obtained before, at the 6th week, and at the 12th week of treatment. Results: Marked improvement in the severity of the disease symptoms was observed, reflected by a highly decrease in objective SCORAD score in the paraffin group over time more than the control group. The percentage of reduction was 28.6% in paraffin group versus 0.41% in control group. Subjective item score (itching and sleepiness) was reduced in the paraffin group more than the control group with a percentage of improvement (47% and 5.5%), respectively. Regarding QoL measure, there were highly positive changes in DLQI in paraffin group more than the control group. The percentage of improvement was 60% in paraffin group and 3.8% in control group. Conclusions: Paraffin bath therapy applied for a 12-week duration seems to be effective, both in reducing severity of eczema symptoms and improving QoL in patients with CHE.

Research paper thumbnail of Validity And Reliability of a Smartphone Application in Measuring Surface Area of Lower Limb Chronic Wounds

The Egyptian Journal of Hospital Medicine

Background: As the population ages, chronic wounds also raised, creating a load on the health sys... more Background: As the population ages, chronic wounds also raised, creating a load on the health system. Accurate documentation and continuous measurement of wounds have become critical. Aim of the study: It was to determine the validity and reliability (VAR) of a smartphone application in measuring the surface area of lower limb chronic wounds. Patients and Methods: A study of 61 patients (46 males and 15 females) with lower limb chronic wounds, aged from 40 to 70 years were selected from Cairo University Hospitals from March 2022 to August 2022. Patients were assessed by the manual planimetry method and a smartphone application (Imito AG, Switzerland). Wound evaluation using the Imitomeasure application was performed twice by the principal investigator and by a co-investigator to test Inter-rater reliability (Inter-RR), intra-rater reliability (Intra-RR), and validity. Concurrent validity was investigated by determining the correlation between a smartphone application and the metric graph sheet by Pearson Product Moment Correlation Coefficient. Intra-RR and inter-RR were expressed in Intra-class Correlation Coefficients (ICCs). Results: The validity, intra-RR, and inter-RR of the Imito-measure application were excellent with a strong positive significant correlation (r = 0.998, p = 0.001), ICC was 0.999, with 95% CI 0.998-0.999 and standard of measurement (SEM) of 1.83; ICC for measurement wound surface area was 0.999, with 95% CI 0.998-0.999 and SEM of 1.85, respectively. Conclusion: The Imito-measure application showed excellent VAR for wound measurement, and it could be a selection to be used as an assessment tool in clinical practice.

Research paper thumbnail of Effect of resistive training on gastrointestinal cancer cachexia

International journal of health sciences

Purpose: The current study was conducted to evaluate the therapeutic effect of resistive training... more Purpose: The current study was conducted to evaluate the therapeutic effect of resistive training in reducing the effect of cancer cachexia. Subjects and Methods: Thirty patients with gastrointestinal cancer cachexia participated in this study. Their ages ranged from 50-70 years. They were recruited from Al Kasr El-Ani hospital outpatient clinic to be treated in the outpatient clinic, Faculty of Physical Therapy, Cairo University and were divided randomly into two equal groups.Group (A) composed of 15 patients who received their ordinary medical treatment in addition to resistive training program 2 times per week for 8 weeks. Group (B) composed of 15 patients who received their ordinary medical treatment. Methods of assesment was measurements of Handgrip strength assessed by handgrip dynamometry, Lower body strength assessed using a 30-second sit to stand test, Lean body mass assessed by bioelectrical impedance analysis. Results: There was a significant increase in both muscle st...

Research paper thumbnail of Virtual reality balance training versus core stability exercises on balance in patients with unilateral lymphedema

International journal of health sciences

Purpose: The purpose of this study is to compare the effects between Wii fit balance board and co... more Purpose: The purpose of this study is to compare the effects between Wii fit balance board and core stability exercises on balance dysfunction in patients with unilateral lymphedema. Method: Sixty patients (women) aged 40-60 years with grade 1 or 2 lymphedema were randomly assigned into the following two groups. Group A received the Wii fit balanced exercises for three times per week for four weeks as total treatment duration in form of (Ski Slalom, Advanced Skiing, Ski Jumping followed by Header and Jump Rope).; Group B received core stability exercises for 4 weeks (3times/week) in form of {1- Abdominal bracing (10 repetitions x10 second holds), 2- Curl up (3 sets x 10 repetitions), 3- Supine bridge (3 sets x 10 repetitions), 4- Supine unilateral bridge (3 sets x 10 repetitions for each leg), 5- Plank (3 sets x 10 repetitions) and 6- Bird dog (3 sets x 10 repetitions for each limb)}. Balance was determined using time up and go (TUG) and Wii fit results by using the Wii fit balance ...

Research paper thumbnail of Impact of hand lymphedema on pain and grip strength of the hand in women with breast cancer

International journal of health sciences

Background: It is not clear to what extent signs and symptoms other than arm swelling, including ... more Background: It is not clear to what extent signs and symptoms other than arm swelling, including pain, grip strength differ between women with hand lymphedema and without hand lymphedema in breast cancer–related lymphedema (BCRL)Aim of Study: To estimate the extent to which the impairments associated with hand lymphedema on pain and grip strength in women with breast cancer related lymphedema (BCRL) and to see the association between severity of hand edema and each of independent variables ( pain and hand grip strength )Methods: sixty women experiencing lymphedema after breast surgery participated in this study. They were recruited from Kasr Al-ainy , between 40: 60 years old were assigned into two equal groups, group (A) women with hand edema (HE+, n = 30) and without hand edema (HE−, n = 30) after breast cancer treatment .Pain and grip strength were evaluated Results: inter group difference showed that there is a there was significant difference in pain difference between the gr...

Research paper thumbnail of Efficacy of Weight Bearing Exercises for Systemic Lupus Erythematosus Patients Suffered from Osteoporosis

International Journal of Physiotherapy and Research, 2017

Objective: the aim of this study was to evaluate the efficacy of weight bearing exercises for sys... more Objective: the aim of this study was to evaluate the efficacy of weight bearing exercises for systemic lupus erythematosus patients suffered from osteoporosis Methods: Forty patients were randomly divided into two groups of equal number. Exercise group (E) received weight-bearing exercises and the control group (C) didn't receive any type of exercise. Bone mineral density was measured by Dual X-ray absorptiometry at the beginning of the study and after 2 months for all patients. Results: The results showed that there were significant positive changes in bone mineral density in exercise group while there was a decrease in Bone mineral density in control group. Conclusion: It could be concluded that weight bearing exercises program have a significant improvement effect in bone mineral density in systemic lupus erythematosus patients suffered from osteoporosis.