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Papers by abeer abdelrahman yamany

Research paper thumbnail of The Effect of Instrument Assisted Soft Tissue Mobilization on Muscle Fibrosis Following Exercise-Induced Muscle Damage

Korean Journal of Sports Science

Research paper thumbnail of Assessment of Fatigue and Its Correlation with Quality of Life and Function Disability in Osteoarthritic Patients

Background: Osteoarthritis (OA) is a chronic, degenerative, inflammatory musculoskeletal dysfunct... more Background: Osteoarthritis (OA) is a chronic, degenerative, inflammatory musculoskeletal dysfunction. It is associated with pain, reduced functional capacity and deficient quality of life. Fatigue is a frequent complaint in patients with arthritis, which correlate to tiredness. Purpose of the study: This study aimed to assess fatigue in knee osteoarthritic patients and to correlate it to quality-of-life indexes and functional disability. Subjects and Methods: This cross-sectional study was performed on 200patients of both sex with ages ranged from 50 to 65 years old and medical diagnoses of knee osteoarthritis either grade II or grade III. The participants were selected according to the demographic survey including information on their age, gender, educational level, height, weight, BMI, disease duration. Fatigue was measured by Arabic version of fatigue severity scale; quality of life was measured by Arabic version of SF36 questionnaire and function disability was measured by Arabi...

Research paper thumbnail of Visual Cues Training on Parkinsonian Gait: A Randomized Controlled Study

Background: Parkinsonian patients exhibited marked deficits in maintaining equilibrium during tra... more Background: Parkinsonian patients exhibited marked deficits in maintaining equilibrium during transitions between static and dynamic equilibrium. Walking can be initiated from many positions including the seated position and the sittowalk is a functional task of daily living activities. Objective: to evaluate the effect of visual cues on parkinsonian gait, and compare it with un-cued gait training. Methods: Twenty eight male Parkinson's patients with level ΙΙ and ΙΙΙ according to modified Hoehn and Yahr classification of disabilities were randomly participated, with duration of illness ranged from 2 to 5 years, and age ranged from 60 to 66 years old. Patients were randomly divided into two equal groups of 14; group I as study group received visual cues gait training and group II as control group received un-cued gait training. Both groups, received designed program of physical therapy for Parkinsonism, 3 times per week for successive 6 weeks. Spatiotemporal gait parameters and l...

Research paper thumbnail of Effect of different time intervals of light emitting diode therapy application on muscle fatigue

SPORT TK-Revista EuroAmericana de Ciencias del Deporte, 2021

Este estudio tuvo como objetivo identificar el momento idóneo de aplicación del diodo emisor de l... more Este estudio tuvo como objetivo identificar el momento idóneo de aplicación del diodo emisor de luz (LED) del infrarrojo cercano (NIR) en la potencia máxima isocinética de los flexores del codo. Este fue un estudio cruzado prospectivo, aleatorizado, simple-ciego, con pre–test y post-test, y controlado con placebo. Se asignaron al azar cuarenta y cinco no deportistas sanos a 3 grupos por igual: grupos de 5 minutos, 1 hora y 5 horas. Cada grupo (n = 15) tuvo en la primera sesión NIR-LED de 890 nm de longitud de onda, en condiciones activas o placebo, antes del ejercicio que provoca fatiga (5 minutos, 1 hora o 5 horas). Después de un intervalo de 7 días, se aplicó la segunda condición NIR-LED en la segunda sesión. La evaluación de la potencia máxima isocinética se realizó antes y después del ejercicio en cada sesión utilizando un dinamómetro isocinético. No hubo diferencias significativas entre los grupos y entre las condiciones en la potencia máxima isocinética (p > 0.05). La poten...

Research paper thumbnail of Effect of Pre-Exercise Sweep Frequency Interferential Current Therapy on the Biceps Brachia Muscle Fatigue in Normal Healthy Male Subjects. A Randomized Placebo Control Trial

Background: Skeletal muscle fatigue is one of the most common problems encountered in general pra... more Background: Skeletal muscle fatigue is one of the most common problems encountered in general practice clinic population and sport activities. Interferential currents therapy is widely used by physiotherapists throughout the world to manage a range of musculoskeletal condition. Objective: To find out the effect of pre-exercise sweep frequency interferential currents therapy on the induced fatigue of Biceps brachia muscle in normal healthy untrained male subjects. Subjects and Methods: Twenty healthy male subjects were participated and randomly allocated to receive two treatment sessions of interferential currents therapy before inducing biceps brachia muscle fatigue with 7 days apart. Active interferential currents session with trapezoid sweep frequency thatset between a low beat frequency of 5Hz and a high beat frequency of 1 10Hz for thirty minutes and placebo interferential currents session. After the treatment session each subject was asked to perform voluntary elbow flexion rep...

Research paper thumbnail of Comparison between Effect of McConnell Tape, Kinesiology Tape and Open Knee Brace in Treatment of Patellofemoral Pain

The Medical Journal of Cairo University, 2021

Background: Patellofemoral Pain Syndrome (PFPS) is the most prevalent orthopedic condition among ... more Background: Patellofemoral Pain Syndrome (PFPS) is the most prevalent orthopedic condition among physically active adolescents and young adults. PFPS is reported to be between 15% and 25% in young adults. Women are affected about more than twice as often as men. Aim of Study: Investigate the effect of Kinesiology taping, McConnell taping and Open knee brace beside the routine physical therapy in treatment of Patellofemoral pain syndrome (PFPS). Material and Methods: Forty-eight patients (19 males, 29 Females) with unilateral PFPS randomly assigned equally into McConnell tape (MT) group, Kinesiology tape (KT) group, and Open knee brace group (KB). All subjects received interferential therapy, patellar mobilization, quadricepsstrengthening exercise and stretching exercise beside MT or KT or KB. The patients were evaluated by electrogoniometer for knee flexion active range of motion (FAROM), Kujula questionnaire for functional activities and Visual Analogue Scale (VAS) for pain assessment. The evaluation was applied before, after 3 weeks and after 6 weeks of intervention. Results: There was no significant difference between the three groups in VAS, Kujula score and FAROM after three weeks of intervention (p>0.05). After six weeks of intervention, there was a statistical significance in VAS and in Kujula score for MT group (p<0.05). However, there was no statistically significant difference in FAROM between three groups. There was a statistically significant improvement in VAS, Kujula score and FAROM after three weeks as well as after six weeks of intervention in all groups (p<0.0001). Conclusion: Adding MT, KT or KB to physical therapy program might be effective in treatment patellofemoral pain, MT was more effective in improving pain and Kujula score, but not for FAROM, than other modalities.

Research paper thumbnail of Effect of sequential pneumatic compression therapy on venous blood velocity, refilling time, pain and quality of life in women with varicose veins: a randomized control study

Journal of Physical Therapy Science, 2016

The aim of this study was to investigate the effects of sequential pneumatic compression therapy ... more The aim of this study was to investigate the effects of sequential pneumatic compression therapy on venous blood flow, refilling time, pain level, and quality of life in women with varicose veins. [Subjects and Methods] Twenty-eight females with varicose veins were selected and randomly allocated to a control group, and experimental group. Maximum and mean venous blood velocities, the refilling time, pain by visual analog scale and quality of life by Aberdeen Varicose Veins Questionnaire were measured in all patients before and after six weeks of treatment. Both groups received lower extremity exercises; in addition, patients in the experimental group received sequential pneumatic compression therapy for 30 minutes daily, five days a week for six weeks. [Results] All measured parameters improved significantly in both groups, comparison of post treatment measurements between groups showed that the maximum and mean blood flow velocity, the pain level, and quality of life were significantly higher in the experimental group compared with the control group. On the other hand there was no significant difference between groups for refilling time. [Conclusion] Sequential pneumatic compression therapy with the applied parameters was an effective modality for increasing venous blood flow, reducing pain, and improving quality of women life with varicose veins.

Research paper thumbnail of Sweep Frequency of Interferential Currents Therapy Attenuate Fatigue of Biceps Brachia Muscle in Normal Male Subjects: A Randomized Placebo Control Trial

International Journal of Physiotherapy and Research, 2017

Research paper thumbnail of Effect of 850 nm He-Ne Laser Therapy on Nerve Conduction and Foot Planter Pressures Distribution of Painful Diabetic Neuropathy: A Randomized Controlled Trial

Journal of Novel Physiotherapies, 2016

The study design and protocol were approved by the Ethics Committee of Faculty of Physical Therap... more The study design and protocol were approved by the Ethics Committee of Faculty of Physical Therapy, Cairo University. The study design was a randomized control trial. It was started in January 2011 and ended in April 2011. Seventy DPN patients were recruited from the diabetic clinic in El Kasr EL Einy Hospital, Faculty of Medicine, Cairo University. Thirty patients were selected (20 women and 10 men) according to specific criteria.

Research paper thumbnail of Effect of low level laser therapy on neurovascular function of diabetic peripheral neuropathy

Journal of Advanced Research, 2012

Research paper thumbnail of The efficacy of low-level laser therapy for the treatment of myogenous temporomandibular joint disorder

Lasers in Medical Science, 2013

Low-level laser therapy (LLLT) has been commonly used for the treatment of painful musculoskeleta... more Low-level laser therapy (LLLT) has been commonly used for the treatment of painful musculoskeletal conditions, but the results of previous studies on this subject are controversial. The aim of this study was to evaluate the efficacy of LLLT in the management of patients with myogenic temporomandibular joint disorders (TMDs). In this randomized, double-blind clinical trial, 20 patients with myogenic TMD were randomly divided into laser and placebo groups. In the laser group, a pulsed 810-nm low-level laser (average power 50 mW, peak power 80 W, 1,500 Hz, 120 s, 6 J, and 3.4 J/cm 2 per point) was used on painful muscles three times a week for 4 weeks. In the placebo group, the treatment was the same as that in the laser group, but without energy output. The patients were evaluated before laser therapy (T1), after six sessions of laser application (T2), at the end of treatment (T3), and 1 month after the last application (T4), and the level of pain and the amount of mouth opening were measured. There was a significant increase in mouth opening and a significant reduction of pain symptoms in the laser group (p<0.05). A similar improvement was not observed in the placebo group (p>0.05). Between-group comparisons revealed no significant difference in pain intensity and mouth opening measurement at any of the evaluation time points (p > 0.05). LLLT can produce a significant improvement in pain level and mouth opening in patients affected with myogenic TMD.

Research paper thumbnail of Validity and Reliability of the Arabic Version of the Headache Impact Test

Egyptian Journal of Physical Therapy

Background: Nearly half of the world's population currently has headaches, which are the most pre... more Background: Nearly half of the world's population currently has headaches, which are the most prevalent neurologic complaint. The prevalence of headaches reduces with age, yet it is nevertheless a typical neurologic condition among elderly populations. Purpose: In this study, an Arabic-language adaptation of the Headache Impact Test questionnaire internal consistency reliability, test-retest reliability, feasibility, face validity, and content validity were examined in patients with headaches. Methods: In this study, 90 patients with headaches, ages 18 to 65, and three expert panels, each with ten specialists, took part. Backward translation, preliminary initial translation, forward translation, creation of the pre final version, and expert testing of the pre final version. Both the clarity and the proportion of relevance were evaluated by separate panels. The previous panel of experts evaluated the pre final version. The final version was then put to the test on actual patients. For statistical analysis, the Clarity Index, Expert Proportion of Relevance, Descriptive Statistics, Missed Item Index, Cronbach's Alpha, and Intra-rater Class Correlation Coefficient were used. Results: According to the study, the Arabic version of the Headache Impact Test has great face validity with a scale index of clarity of 93.33% and outstanding content validity of 98.33%; with a scale feasibility all items were filled out on 100% of the sheets. The Intraclass correlation coefficient between the test and the retest was 0.990, while Cronbach's alpha was 0.865. Conclusion: The Headache Impact Test questionnaire in Arabic has sufficient internal consistency, test-retest reliability, and face and content validity to quantify the severity of headache in Arabic-speaking headache patients.

Research paper thumbnail of Effect of Dynamic Scapular Recognition on Shoulder Range of Motion in Patients With Adhesive Capsulitis

Archives of Physical Medicine and Rehabilitation, 2017

Research Objectives: To investigate the use acetic acid as an option for conservative management ... more Research Objectives: To investigate the use acetic acid as an option for conservative management of heterotrophic ossification (HO) in clients with spinal cord injury. The use of acetic acid has been studied in non-SCI patients to assist in absorption of calcium deposit. There have been very limited studies using acetic acid in SCI patients to treat HO. Loss of range of motion caused by HO can impede function and decrease independence for persons with SCI. Design: HO was confirmed by X-ray on all patients prior to starting treatment. All patients acetic acid via iontophoresis. Prior to and after intervention, ROM measurements were taken by a single physical therapist. Assistance level was monitored for a single patient-selected task for which HO affected performance. Setting: All clients were active patients in the spinal cord injury rehabilitation unit at the rehabilitation hospital. It was a mixture of inpatient and outpatient clients. Participants: Seven subjects identified. Interventions: All patients received 1.5mL of 2% acetic acid to treatment site via iontophoresis 3 times per week for 3 weeks. Iontophoresis unit parameters were set to 80mA/min for a 3 minute active delivery followed by 2 hours of passive absorption. Main Outcome Measure(s): Range of motion and score on the Spinal Cord Injury Independence Measure. Results: Clients demonstrated a 17.69% improvement in range of motion. The minimum noted improvement was 6%, the maximum noted improvement was 31%. Varying functional tasks have improved with this treatment and led to greater independence. Conclusion/Discussion: ROM was improved in the affected joints of all seven patients to varying degrees. Level of assistance with patient selected task was decreased in majority of patients. Additional studies are recommended with more subjects.

Research paper thumbnail of The Effect of Instrument Assisted Soft Tissue Mobilization on Muscle Fibrosis Following Exercise-Induced Muscle Damage

Korean Journal of Sports Science

Research paper thumbnail of Assessment of Fatigue and Its Correlation with Quality of Life and Function Disability in Osteoarthritic Patients

Background: Osteoarthritis (OA) is a chronic, degenerative, inflammatory musculoskeletal dysfunct... more Background: Osteoarthritis (OA) is a chronic, degenerative, inflammatory musculoskeletal dysfunction. It is associated with pain, reduced functional capacity and deficient quality of life. Fatigue is a frequent complaint in patients with arthritis, which correlate to tiredness. Purpose of the study: This study aimed to assess fatigue in knee osteoarthritic patients and to correlate it to quality-of-life indexes and functional disability. Subjects and Methods: This cross-sectional study was performed on 200patients of both sex with ages ranged from 50 to 65 years old and medical diagnoses of knee osteoarthritis either grade II or grade III. The participants were selected according to the demographic survey including information on their age, gender, educational level, height, weight, BMI, disease duration. Fatigue was measured by Arabic version of fatigue severity scale; quality of life was measured by Arabic version of SF36 questionnaire and function disability was measured by Arabi...

Research paper thumbnail of Visual Cues Training on Parkinsonian Gait: A Randomized Controlled Study

Background: Parkinsonian patients exhibited marked deficits in maintaining equilibrium during tra... more Background: Parkinsonian patients exhibited marked deficits in maintaining equilibrium during transitions between static and dynamic equilibrium. Walking can be initiated from many positions including the seated position and the sittowalk is a functional task of daily living activities. Objective: to evaluate the effect of visual cues on parkinsonian gait, and compare it with un-cued gait training. Methods: Twenty eight male Parkinson's patients with level ΙΙ and ΙΙΙ according to modified Hoehn and Yahr classification of disabilities were randomly participated, with duration of illness ranged from 2 to 5 years, and age ranged from 60 to 66 years old. Patients were randomly divided into two equal groups of 14; group I as study group received visual cues gait training and group II as control group received un-cued gait training. Both groups, received designed program of physical therapy for Parkinsonism, 3 times per week for successive 6 weeks. Spatiotemporal gait parameters and l...

Research paper thumbnail of Effect of different time intervals of light emitting diode therapy application on muscle fatigue

SPORT TK-Revista EuroAmericana de Ciencias del Deporte, 2021

Este estudio tuvo como objetivo identificar el momento idóneo de aplicación del diodo emisor de l... more Este estudio tuvo como objetivo identificar el momento idóneo de aplicación del diodo emisor de luz (LED) del infrarrojo cercano (NIR) en la potencia máxima isocinética de los flexores del codo. Este fue un estudio cruzado prospectivo, aleatorizado, simple-ciego, con pre–test y post-test, y controlado con placebo. Se asignaron al azar cuarenta y cinco no deportistas sanos a 3 grupos por igual: grupos de 5 minutos, 1 hora y 5 horas. Cada grupo (n = 15) tuvo en la primera sesión NIR-LED de 890 nm de longitud de onda, en condiciones activas o placebo, antes del ejercicio que provoca fatiga (5 minutos, 1 hora o 5 horas). Después de un intervalo de 7 días, se aplicó la segunda condición NIR-LED en la segunda sesión. La evaluación de la potencia máxima isocinética se realizó antes y después del ejercicio en cada sesión utilizando un dinamómetro isocinético. No hubo diferencias significativas entre los grupos y entre las condiciones en la potencia máxima isocinética (p > 0.05). La poten...

Research paper thumbnail of Effect of Pre-Exercise Sweep Frequency Interferential Current Therapy on the Biceps Brachia Muscle Fatigue in Normal Healthy Male Subjects. A Randomized Placebo Control Trial

Background: Skeletal muscle fatigue is one of the most common problems encountered in general pra... more Background: Skeletal muscle fatigue is one of the most common problems encountered in general practice clinic population and sport activities. Interferential currents therapy is widely used by physiotherapists throughout the world to manage a range of musculoskeletal condition. Objective: To find out the effect of pre-exercise sweep frequency interferential currents therapy on the induced fatigue of Biceps brachia muscle in normal healthy untrained male subjects. Subjects and Methods: Twenty healthy male subjects were participated and randomly allocated to receive two treatment sessions of interferential currents therapy before inducing biceps brachia muscle fatigue with 7 days apart. Active interferential currents session with trapezoid sweep frequency thatset between a low beat frequency of 5Hz and a high beat frequency of 1 10Hz for thirty minutes and placebo interferential currents session. After the treatment session each subject was asked to perform voluntary elbow flexion rep...

Research paper thumbnail of Comparison between Effect of McConnell Tape, Kinesiology Tape and Open Knee Brace in Treatment of Patellofemoral Pain

The Medical Journal of Cairo University, 2021

Background: Patellofemoral Pain Syndrome (PFPS) is the most prevalent orthopedic condition among ... more Background: Patellofemoral Pain Syndrome (PFPS) is the most prevalent orthopedic condition among physically active adolescents and young adults. PFPS is reported to be between 15% and 25% in young adults. Women are affected about more than twice as often as men. Aim of Study: Investigate the effect of Kinesiology taping, McConnell taping and Open knee brace beside the routine physical therapy in treatment of Patellofemoral pain syndrome (PFPS). Material and Methods: Forty-eight patients (19 males, 29 Females) with unilateral PFPS randomly assigned equally into McConnell tape (MT) group, Kinesiology tape (KT) group, and Open knee brace group (KB). All subjects received interferential therapy, patellar mobilization, quadricepsstrengthening exercise and stretching exercise beside MT or KT or KB. The patients were evaluated by electrogoniometer for knee flexion active range of motion (FAROM), Kujula questionnaire for functional activities and Visual Analogue Scale (VAS) for pain assessment. The evaluation was applied before, after 3 weeks and after 6 weeks of intervention. Results: There was no significant difference between the three groups in VAS, Kujula score and FAROM after three weeks of intervention (p>0.05). After six weeks of intervention, there was a statistical significance in VAS and in Kujula score for MT group (p<0.05). However, there was no statistically significant difference in FAROM between three groups. There was a statistically significant improvement in VAS, Kujula score and FAROM after three weeks as well as after six weeks of intervention in all groups (p<0.0001). Conclusion: Adding MT, KT or KB to physical therapy program might be effective in treatment patellofemoral pain, MT was more effective in improving pain and Kujula score, but not for FAROM, than other modalities.

Research paper thumbnail of Effect of sequential pneumatic compression therapy on venous blood velocity, refilling time, pain and quality of life in women with varicose veins: a randomized control study

Journal of Physical Therapy Science, 2016

The aim of this study was to investigate the effects of sequential pneumatic compression therapy ... more The aim of this study was to investigate the effects of sequential pneumatic compression therapy on venous blood flow, refilling time, pain level, and quality of life in women with varicose veins. [Subjects and Methods] Twenty-eight females with varicose veins were selected and randomly allocated to a control group, and experimental group. Maximum and mean venous blood velocities, the refilling time, pain by visual analog scale and quality of life by Aberdeen Varicose Veins Questionnaire were measured in all patients before and after six weeks of treatment. Both groups received lower extremity exercises; in addition, patients in the experimental group received sequential pneumatic compression therapy for 30 minutes daily, five days a week for six weeks. [Results] All measured parameters improved significantly in both groups, comparison of post treatment measurements between groups showed that the maximum and mean blood flow velocity, the pain level, and quality of life were significantly higher in the experimental group compared with the control group. On the other hand there was no significant difference between groups for refilling time. [Conclusion] Sequential pneumatic compression therapy with the applied parameters was an effective modality for increasing venous blood flow, reducing pain, and improving quality of women life with varicose veins.

Research paper thumbnail of Sweep Frequency of Interferential Currents Therapy Attenuate Fatigue of Biceps Brachia Muscle in Normal Male Subjects: A Randomized Placebo Control Trial

International Journal of Physiotherapy and Research, 2017

Research paper thumbnail of Effect of 850 nm He-Ne Laser Therapy on Nerve Conduction and Foot Planter Pressures Distribution of Painful Diabetic Neuropathy: A Randomized Controlled Trial

Journal of Novel Physiotherapies, 2016

The study design and protocol were approved by the Ethics Committee of Faculty of Physical Therap... more The study design and protocol were approved by the Ethics Committee of Faculty of Physical Therapy, Cairo University. The study design was a randomized control trial. It was started in January 2011 and ended in April 2011. Seventy DPN patients were recruited from the diabetic clinic in El Kasr EL Einy Hospital, Faculty of Medicine, Cairo University. Thirty patients were selected (20 women and 10 men) according to specific criteria.

Research paper thumbnail of Effect of low level laser therapy on neurovascular function of diabetic peripheral neuropathy

Journal of Advanced Research, 2012

Research paper thumbnail of The efficacy of low-level laser therapy for the treatment of myogenous temporomandibular joint disorder

Lasers in Medical Science, 2013

Low-level laser therapy (LLLT) has been commonly used for the treatment of painful musculoskeleta... more Low-level laser therapy (LLLT) has been commonly used for the treatment of painful musculoskeletal conditions, but the results of previous studies on this subject are controversial. The aim of this study was to evaluate the efficacy of LLLT in the management of patients with myogenic temporomandibular joint disorders (TMDs). In this randomized, double-blind clinical trial, 20 patients with myogenic TMD were randomly divided into laser and placebo groups. In the laser group, a pulsed 810-nm low-level laser (average power 50 mW, peak power 80 W, 1,500 Hz, 120 s, 6 J, and 3.4 J/cm 2 per point) was used on painful muscles three times a week for 4 weeks. In the placebo group, the treatment was the same as that in the laser group, but without energy output. The patients were evaluated before laser therapy (T1), after six sessions of laser application (T2), at the end of treatment (T3), and 1 month after the last application (T4), and the level of pain and the amount of mouth opening were measured. There was a significant increase in mouth opening and a significant reduction of pain symptoms in the laser group (p<0.05). A similar improvement was not observed in the placebo group (p>0.05). Between-group comparisons revealed no significant difference in pain intensity and mouth opening measurement at any of the evaluation time points (p > 0.05). LLLT can produce a significant improvement in pain level and mouth opening in patients affected with myogenic TMD.

Research paper thumbnail of Validity and Reliability of the Arabic Version of the Headache Impact Test

Egyptian Journal of Physical Therapy

Background: Nearly half of the world's population currently has headaches, which are the most pre... more Background: Nearly half of the world's population currently has headaches, which are the most prevalent neurologic complaint. The prevalence of headaches reduces with age, yet it is nevertheless a typical neurologic condition among elderly populations. Purpose: In this study, an Arabic-language adaptation of the Headache Impact Test questionnaire internal consistency reliability, test-retest reliability, feasibility, face validity, and content validity were examined in patients with headaches. Methods: In this study, 90 patients with headaches, ages 18 to 65, and three expert panels, each with ten specialists, took part. Backward translation, preliminary initial translation, forward translation, creation of the pre final version, and expert testing of the pre final version. Both the clarity and the proportion of relevance were evaluated by separate panels. The previous panel of experts evaluated the pre final version. The final version was then put to the test on actual patients. For statistical analysis, the Clarity Index, Expert Proportion of Relevance, Descriptive Statistics, Missed Item Index, Cronbach's Alpha, and Intra-rater Class Correlation Coefficient were used. Results: According to the study, the Arabic version of the Headache Impact Test has great face validity with a scale index of clarity of 93.33% and outstanding content validity of 98.33%; with a scale feasibility all items were filled out on 100% of the sheets. The Intraclass correlation coefficient between the test and the retest was 0.990, while Cronbach's alpha was 0.865. Conclusion: The Headache Impact Test questionnaire in Arabic has sufficient internal consistency, test-retest reliability, and face and content validity to quantify the severity of headache in Arabic-speaking headache patients.

Research paper thumbnail of Effect of Dynamic Scapular Recognition on Shoulder Range of Motion in Patients With Adhesive Capsulitis

Archives of Physical Medicine and Rehabilitation, 2017

Research Objectives: To investigate the use acetic acid as an option for conservative management ... more Research Objectives: To investigate the use acetic acid as an option for conservative management of heterotrophic ossification (HO) in clients with spinal cord injury. The use of acetic acid has been studied in non-SCI patients to assist in absorption of calcium deposit. There have been very limited studies using acetic acid in SCI patients to treat HO. Loss of range of motion caused by HO can impede function and decrease independence for persons with SCI. Design: HO was confirmed by X-ray on all patients prior to starting treatment. All patients acetic acid via iontophoresis. Prior to and after intervention, ROM measurements were taken by a single physical therapist. Assistance level was monitored for a single patient-selected task for which HO affected performance. Setting: All clients were active patients in the spinal cord injury rehabilitation unit at the rehabilitation hospital. It was a mixture of inpatient and outpatient clients. Participants: Seven subjects identified. Interventions: All patients received 1.5mL of 2% acetic acid to treatment site via iontophoresis 3 times per week for 3 weeks. Iontophoresis unit parameters were set to 80mA/min for a 3 minute active delivery followed by 2 hours of passive absorption. Main Outcome Measure(s): Range of motion and score on the Spinal Cord Injury Independence Measure. Results: Clients demonstrated a 17.69% improvement in range of motion. The minimum noted improvement was 6%, the maximum noted improvement was 31%. Varying functional tasks have improved with this treatment and led to greater independence. Conclusion/Discussion: ROM was improved in the affected joints of all seven patients to varying degrees. Level of assistance with patient selected task was decreased in majority of patients. Additional studies are recommended with more subjects.