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[Purpose] To compare the effect of an aquatic-based versus a land-based exercise regimen on the physical performance of severely burned patients. [Subjects and Methods] Forty patients suffering from severe burn (total body surface area more than 30%) were recruited from several outpatient clinics in Greater Cairo. Their ages ranged between 20 to 40 years and were randomly assigned into two equal groups: group (A), which received an aquatic based exercise program, and group (B), which received a land-based exercise program. The exercise program, which took place in 12 consecutive weeks, consisted of flexibility, endurance, and lower and upper body training. Physical performance was assessed using 30 seconds chair stand test, stair climb test, 30 meter fast paced walk test, time up and go test, 6-minute walk test and a VO2max evaluation. [Results] Significantly increase in the 30 second chair stand, 6-minute walk, 30 meter fast paced walk, stair climb, and VO2 max tests and significantly decrease in the time up and go test in group A (aquatic based exercise) compared with group B (a land-based exercise) at the post treatment. [Conclusion] Twelve-week program of an aquatic program yields improvement in both physical performance and VO2 max in patients with severe burns.

Aim: In this study, we aimed to explore the effect of a suggested physical therapy protocol on the anthropometric parameters and hormonal profile of obese adolescent girls with polycystic ovarian syndrome (PCOS). Material and Method: Twenty obese adolescent girls with PCOS participated in this study. Their ages ranged from 14 to 18 years and their body mass index (BMI) ranged from 30 to 35 kg/m2. They received a specific diet therapy connected with a program of aerobic exercise for 6 months. Anthropometric parameters and serum luteinizing hormone (LH) and follicle-stimulating hormone (FSH) levels were measured before starting the study, after 3 months and after 6 months of the suggested physical therapy protocol. Results: There was a statistically highly significant reduction in the anthropometric parameters and LH/FSH ratio in the post 6 months of treatment compared with the pre-treatment and post 3 months of treatment (p<0.01). Also, there was a statistically highly significant reduction in the anthropometric parameters (p<0.01), while there was a statistically significant reduction in the LH/FSH ratio in the post 3 months of treatment compared with the pre-treatment (p<0.05). Discussion: The suggested physical therapy protocol for obese adolescent girls with PCOS is optimal for improving their anthropometric parameters and hormonal profile.

BackgroundCellulite is a widespread problem involving women's buttocks and thighs (85% of postadolescent women). It is characterized by an irregular, dimpled skin surface with thinning of the epidermis/dermis and presence of nodular clusters of fat cells. Caffeine has anticellulite effect owing to its lipolytic activity in fatty cells. Moreover, shock wave therapy treats cellulite through improvement of cell permeability. Objective To compare between the effects of caffeine phonophoresis and shock wave therapy in the treatment of women with cellulite. Participants and methods A total of 41 women with bilateral cellulite grade 2 and 3 at their thighs (ages 30-45 years) were randomly assigned into two groups. The caffeine phonophoresis group received caffeine 5% gel phonophoresis with an intensity of 0.2 W/cm 2 at a rate of 1 min/cm 2 , three times/week. The shock wave group received shock wave therapy for two times/week. The treatments were conducted to a randomly selected side (the contralateral side serving as an untreated control). The cellulite grade and skin fold thickness were measured before and after 4 weeks of intervention. ResultsThere was a significant decrease in the cellulite grade and skin fold thickness of the treated side of both groups (P=0.001). There was no significant difference between the pretreatment values of both groups (P=0.724 and 0.341, respectively), and no significant difference between the posttreatment values of cellulite grade and skin fold thickness of both groups (P=0.149 and 0.268, respectively). ConclusionCaffeine phonophoresis and shock wave therapy were equally effective in improving the cellulite grade and skin fold thickness in adult women with cellulite.

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