Whole body vibration versus Kinesio-taping technique in patellofemoral pain syndrome

Background: Patellofemoral Pain Syndrome (PFPS) is a common musculoskeletal problem especially in adolescents and patellar tracking or malposition and lower limb muscle strength have been implicated a contributing factor. Objective: The purpose of this study was to compare between the effect of Whole Body Vibration technique versus Kinesio-Taping technique on pain threshold, pain intensity and functional level "mobility" in patients with Patello-Femoral Pain Syndrome. Methods: Forty five patients of both genders with age ranged from eighteen to forty years old participated in this study. They were assigned randomly into three groups (Group A, Group B and Group C). Group A consisted of 15 patients received Whole Body Vibration technique (3 sessions per week for 4 weeks) in addition to conventional physical therapy exercises, Group B consisted of 15 patients received Kinesio-Taping technique (2 sessions per week for 4 weeks) in addition to conventional physical therapy exercises, Group C consisted of 15 patients received conventional physical therapy exercises only (3 sessions per week for 4 weeks). Pain threshold was measured by pressure algometry, pain intensity was measured by visual analogue scale and functional level was measured by kujala patellofemoral questionnaire.&nbsp

Pulsed magnetic field versus ultrasound in the treatment of postnatal carpal tunnel syndrome: A randomized controlled trial in the women of an Egyptian population

The aim of this study was to compare the effects of pulsed electromagnetic field versus pulsed ultrasound in treating patients with postnatal carpal tunnel syndrome. The study was a randomized, double-blinded trial. Forty postnatal female patients with idiopathic carpal tunnel syndrome were divided randomly into two equal groups. One group received pulsed electromagnetic field, with nerve and tendon gliding exercises for the wrist, three times per week for four weeks. The other group received pulsed ultrasound and the same wrist exercises. Pain level, sensory and motor distal latencies and conduction velocities of the median nerve, functional status scale and hand grip strength were assessed pre- and post-treatment. There was a significant decrease (P  0.05). In conclusion, while the symptoms were alleviated in both groups, pulsed electromagnetic field was more effective than pulsed ultrasound in treating postnatal carpal tunnel syndrome

IMMEDIATE AND LATE EFFECT OF CRYOTHERAPY ON BALANCE IN HEALTHY SUBJECTS

Background: cryotherapy application is commonly used as a physical therapy tools with many advantages, however numerous researchers have stated decrease in subject balance which affects quality of movement following cryotherapy application, thus the purpose of study was to investigate the immediate and late effect of cryotherapy on ankle dominant joint on static balance and test the difference in static balance change between both sexes. Methods: Thirty healthy subjects, Subjects had their static balance tested during two conditions: (1) an experimental condition where the subject received the cryotherapy application by using cooled gel pack to the dominant ankle joint for 15 minutes immediately before static balance testing and (2) a control condition finished at room temperature. Using coin flip for randomization the order of examining condition. Biodex balance system was used to measure static balance. Results: analysis of data using ANOVA and unpaired test, show insignificantly statistically effect in all aspect of static balance within female group and within male group with p-value of overall stability index for female=0.669, for male =0.382, Anterior/posterior stability index for female =0.196, for male=0.552 and medial/lateral stability index for female =0.989, for male=0.46 and insignificant statistically difference between male and female in all aspect of static balance. Conclusion: the result of the study suggest that using cold gel pack for fifteen minutes of cold gel pack on dominant ankle extremity have no effect on static balance on both sexes

EFFECT OF FORWARD HEAD POSTURE ON SENSORIMOTOR INTEGRATION

Background: Forward head posture (FHP) is a common type of postural distortion seen clinically, whereby an anterior shift of the head position occurs. Ideal posture is considered to be present when the external auditory meatus is aligned with the vertical line. There were different assessment methods of FHP and the measurement of craniovertebral (CV) angle considered as the most common assessment methods of FHP, The smaller the angle, the greater the FHP. Muscle strain considered as one of the complications of FHP, repetitive strain of the muscle lead to a change in the way of the brain processes the incoming sensory information and subsequent motor output to muscles, a process known as sensorimotor integration(SMI). This study was conducted to measure the neurophysiological effect of FHP on SMI. Methods: Sixty volunteers participated in the study,30 normal subjects with CV angle≥49 are in group A (Normal), 30 forward head subjects with CV angle ≤49 are in group B (forward head). The amplitude of Cortical Somatosensory evoked potential (SSEPs) of N30-P22, N20-P25 and N24-P22 N30 complex (N30-P22), N20 complex (N20-P25) and N24 complex(N24-P22) of SEPS were recorded for both groups after stimulation of the right median nerve. Results: There was a significant increase in the cortical amplitude of N30-P22, N20-P25 and N24-P22 of SEPS in the group (A) compared with a group (B) as p-value was ≤ 0.05. Conclusion: forward head posture affects SMI through changing the response of CNS to afferent input, as demonstrated by attenuation of cortical STEPS in the group (B) compared with a group (A)