Objective To investigate the effect of aqua therapy resistance exercise on arm volume, pain, and shoulder range of movements in post-mastectomy lymphedema.Methods This was a single-blind randomized controlled trial. Fifty eligible breast cancer survivors (median, 10 years after surgery) with lymphedema (median, 21% inter-limb difference) were assigned randomly to group A (n=25) or control group B (n=25). The study group underwent 60 minutes of aqua therapy exercise comprising of warm-up for 10 minutes, 40 minutes of strengthening exercises, and 10 minutes of cooling down, three times a week for 8 weeks. The control group underwent 60 minutes of land-based exercise three times a week for 8 weeks. Arm volume calculated by measuring the arm circumference, shoulder flexion, and abduction range of motion (ROM), and pain using a visual analog scale (VAS) were assessed at baseline and after 8 weeks of treatment.Results There was a statistically significant difference in limb volume, shoulder flexion and abduction ROM, and VAS scores in favor of the study group (p<0.001) after 8 weeks of intervention. The mean±standard deviation for limb volume, shoulder flexion, abduction, and pain score were 2,108.71±200.97 mL, 169.68°±4.54°, 150.44°±3.92°, and 3.16±1.1 in the study group and 2,256.41±186.94 mL, 147.36°±5.32°, 131.32°±4.38°, and 5.68±0.94 in the control group, respectively.Conclusion Adding aqua therapy resistance exercise to routine physical therapy might be more effective in decreasing the limb volume and pain intensity and improving ROM of the shoulder in postmastectomy lymphedema.

Objective: To determine the efficacy of high-intensity laser therapy (HILT) on arthropathy of the hands in patients with systemic lupus erythematosus. Design: A double-blinded randomized, controlled study. Setting: Outpatient setting Participants: Fifty patients, 30–50-years-old, suffering from arthropathy of the hands were randomly assigned either into the experimental group, received HILT plus the routine physical therapy program or the control group, received sham HILT plus the same routine physical therapy program. Intervention: All treatment interventions were applied at a frequency of three sessions per week for eight weeks. Outcome measures: Handgrip strength, joints swelling counts, joints tenderness counts, visual analog scale (VAS) were measured before and after eight-weeks of interventions. Results: There were statistically significant differences in handgrip strength, joint swelling count, joint tenderness count and VAS in favor of the study group ( P < 0.05). After eight-weeks of intervention, the mean (SD) for handgrip strength, joint swelling counts, joint tenderness count, and pain score was 28.34 ± 8.3 kg, 4.4 ± 2.18, 5 ± 2.1, and 35.6 ± 13.87 mm in the study group, and 22.96 ± 8.76 kg, 7.36 ± 2.14, 9.08 ± 1.63, and 58.8 ± 10.54 mm in the control group, respectively. The MD (95%CI) for handgrip strength, joint swelling counts, joint tenderness count, and pain score was 5.38(0.53,10.23) kg, −2.96(−4.19, −1.73), −4.08(−5.15, −3.01), and −23.2(−30.2, −16.2) mm between groups, respectively. Conclusions: Adding HILT to the routine physical therapy program might be more effective than routine physical therapy program alone in improving handgrip strength, decreasing joint swelling counts, joint tenderness counts, and pain in patients with arthropathy of the hands.

Background: Irritable bowel syndrome (IBS) is a functional gastrointestinal syndrome with an expanding worldwide incidence. Low FODMAP diet is a recently developed dietary strategy consists of limiting foods that are high fermentable, which might induce or aggravate IBS symptoms. Aerobic exercise is beneficial in reducing the risk of all types of gastrointestinal symptoms. Objective: Investigate the effect of low FODMAP diet and aerobic exercise on irritable bowel syndrome post abdominal surgeries. Patients and methods: Forty five female and male patients participated in this study. They were divided into three equal groups, group (A) received low FODMAP diet group (B) received aerobic exercise (walking on treadmill 25-40 minutes 3 times per week) group (C) received both low FODMAP diet and aerobic exercise. Evaluation was done preand post-12 weeks of treatment by IBS Severity Scoring System (IBS-SSS) and IBS Quality of Life (IBS-QOL). Results: There was significant reduction in post-treatment values of IBS-SSS and IBS-QOL in comparison to pretreatment values in the three groups, Post-treatment comparison between three groups showed significant difference in IBS-SSS and IBS-QOL, which revealed a significant reduction in IBS-SSS and IBS-QOL of group C compared to that of group A and group B. Conclusion: combining low FODMAP diet and aerobic exercise had a greater effect on irritable bowel syndrome through reducing IBS symptoms and improving quality of life.

Purpose: to evaluate the effect of Gallium Arsenide laser versus pulsed electromagnetic field on healing of pressure ulcers. Methods of evaluation: - (Measurement of the ulcer surface area (USA), ulcer volume measurement (UVM) and the colony count (CC). Methods: 40 diabetic patients with pressure ulcers grade II, their ages ranged from 40 – 60 years, were divided randomly into two equal groups in number. Group (A) Gallium arsenide (Ga-As) laser group:  This group was consisted of 20 patients who received the Gallium arsenide (Ga-As) laser therapy 3 times per week for 2 months  in addition to the routine conventional treatment (dressing – manage bacterial contamination – relieve pressure, friction, and shear – remove necrotic debris – correct nutritional deficits). Group (B) PEMFT  group:  20 patients who received the Pulsed electromagnetic field therapy (PEMFT) 3 times per week for 2 months  in addition to the routine conventional treatment (dressing – manage bacterial contamination – relieve pressure, friction, and shear – remove necrotic debris – correct nutritional deficits). Results: Results showed that both the Ga-As laser and the PEMFT, were significantly effective in improving healing of pressure ulcers as manifested by the highly decreased USA, UVM and CC in both groups.

Purpose. The aim of this study was to investigate the effectiveness of progressive resistance training on post prostatectomy stress urinary incontinence. Materials and Methods. Sixty male patients who complaint from post prostatectomy stress urinary incontinence were participated in this study, their ages were ranged from 40 to 75 years and they were randomly assigned into two equal groups. Group (A) (Study group): This group included 30 patients who had post prostatectomy stress urinary incontinence and they received progressive resistance training in addition to interferential current stimulation and routine medical treatment three sessions per week for 12 weeks. Group (B) (Control group): This group included 30 patients who had post prostatectomy stress urinary incontinence and they received interferential current stimulation and routine medical treatment three sessions per week for 12 weeks. Pre- and post-treatment assessment using DANTIC UD 5000/5500 Urodynamic investigation system & Severity index scale were done for all patients. Results. The obtained results of the present study indicated significant difference of all measured variables when comparing between pre and post- treatment values of the groups (A and B) and revealed significant difference when comparing between post- treatment values of the groups (A and B) in favor of group (A). Conclusion. Progressive resistance training had an effect on reducing post prostatectomy stress urinary incontinence and there was significant difference when comparing between post-treatment values of the groups (A and B) in favor of group (A).