Physiotherapy

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https://hdl.handle.net/20.500.11888/16789

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THE IMPACT OF CHEST PHYSIOTHERAPY ON NEONATAL BABAIES IN NEONATAL INTENSIVE CARE UNIT: A SYSTEMATIC REVIEW
(2021) Reem Nael Mohammed Abatli; Manar Thameen Kamel Ahmad; Ahamd Marwan Fathie Dereyah; Meera Abd al-Qader Abdullah Afaneh; Mohannad Husam Sulaiman Sowwan
BACKGROUND: Respiratory problems occur in 4 to 6% of neonates. And one of the most common problem is respiratory distress syndrome (RDS) that occurs within first 42- 78 hours of life. The role of chest physiotherapy (CPT) in the neonatal intensive care unit (NICU) is mainly associated with taking care of the neonatal lungs. CPT such as percussion, vibrating, postural drainage, and suction are all used in the physiotherapy management of neonatal respiratory disorders. OBJECTIVE: This systematic review aims to investigate the impact of different chest physiotherapy techniques such as percussion, vibration and positioning on respiratory system of neonatal in the NICU. DATA SOURCE: This systematic review includes 10 Randomized Controlled Trials (RCT) for neonatal babies in NICU who suffer from respiratory problems. The articles were retrieved from Google Scholar, PubMed, and ResearchGate. Articles were also accessed from Journals (Clinical Journal of Neonatology). STUDY SELECTION: Data belonged from 2010 to 2021 were included RCTs that focus on physiotherapy intervention with neonatal who has respiratory problems in the NICU and it also focus on the impact of CPT on those neonatal, chest physiotherapy techniques were included in this review. RESULTS: Total 10 studies were included in this review. The analysis of vital sign such as respiratory rate, SatO2, PtcCO2, and PtcO2 that monitored before and after physiotherapy intervention "CPT" show improve in vital signs values after different CPT techniques, also CPT decrease the need of neonates to ventilator or oxygen support. In addition, CPT has good effect on neonates’ lungs like airway clearance, decrease secretion and improve breath and lung function. But some studies didn’t support the routinely performed of CPT techniques on neonate in NICU because there was no significant improvement on neonates that require using extra interventions "CPT techniques" in addition to the usual treatment "medical intervention". CONCLUSION: Evidence supports that the use of chest physiotherapy is safe and effective in treatment neonates with respiratory problem such as bronchiolitis, pneumonia, respiratory distress syndrome and many other respiratory problems. Studies found that the CTP improve oxygenation level, decrease secretion, promoting ease of breathing and reduce the need to ventilators.
Physical Exercise for the Prevention of Dementia (A SYSTEMATIC REVIEW)
(2021) Lojain Abd-Alaal; Reem Kittane; Fatima Jarrar; Walaa Kittany; Sujod Akouba; Majd Abd-Alhalim
Background: Dementia is considered to be one of the most severe neurodegenerative disorders and it can be categorized into several subtypes by different pathogenic causes and cure health problems, and it is a collective term used to describe different symptoms of congestive decline, like forgetfulness. It is caused by a number of degenerative diseases that affect the brain which cause steady and irreversible deterioration on thinking ability and function of the brain. Aim: This review aimed to examine the effectiveness of physical exercise for the prevention of dementia. Sample: adult people≥ 40 Y/O, with no cognitive impairment, population is random, will be included. Methodology: This research is an expletory systematic review of English language peer reviewed studies from 2010 to 2021 were (10) articles reviewed about physical exercise for the Prevention of Dementia, this include the review of the definition of dementia, pathophysiology of dementia, prevalence of dementia, the effect of exercise on dementia, a comparison of the types of exercise and their effect on dementia recommendation for the best exercise for the Prevention of Dementia. The research focused on two databases ‘‘PubMed’’ and ‘‘Google Scholar’’. Result & Conclusion: This review includes 10 article which talk about Physical Exercise for the Prevention of Dementia, and their effect on brain performance, and the summarization of all article centered about the ability of PE to prevent dementia. Depending in our research and systematic review study, we recommend Tia Ngandu et al.,2015 study, as a comprehensive program for preventive dementia disease in healthy elderly adult.
The effectiveness of aerobic and resistance exercises on quality of life, physical fitness and muscle strength among breast cancer survivors (A SYSTEMATIC REVIEW)
(2021) Shahd Adnan; Rama Bader; Yasmine AL-Zraiqi; Ezdehar Thaher; Wissam fatayer
Breast cancer is the most common cancer among women in Palestine according to United Nations Population Fund) UNFPA (it has a highest survival rate comparison with others type of cancers, also it has a double the risk of decrease in physical fitness, muscle strength and quality of life. this research aimed to investigate the effect of aerobic and resistance exercises for survivors’ patients post chemotherapy or radiation therapy intervention for breast cancer and the side effects of this procedure by investigating the quality of life (QOL), physical fitness and muscle strength. we search on the 9 data base. The research is a depth review (collection of RCT’S). Sample size was 100 participants of women who had undergone of chemotherapy or radiation-therapy, -50 in exercise group, 50 in control group. We used 36 - item Short Form Survey questionnaire (SF-36) for QOL. The results showed significantly improved in physical fitness, muscle strength and QOL in exercise group compere with control group and there is a huge lack of knowledge how this type of exercise very important after the end of therapy. In conclusion, our review shows a 16-week aerobic and resistance exercise intervention is an effective and beneficial approach exercises type for breast cancer survivors also demonstrated significant improvements in physical fitness, QOL and muscle strength.
The Effect of exercise training on Alzheimer patient with mild to moderate cognitive impairment (systemic review)
(2021) Dounia Odeh; Sondos Odaily; Raghad Hassoun; Yaqeen Rayan; Amera Arar
Background: Alzheimer’s disease (AD) is one of the most prevalent neurological diseases worldwide in our time, and despite its spread there isn’t treatment yet discovered. Nonpharmacological interventions may have a role in both the prevention and delay the deterioration of cognitive in for AD such as program of exercises and physical activities. It was therefore the aim of this systematic review to investigate the best exercise training that delay the deterioration of AD from mild to moderate stage of cognitive impairment. Methodology: A systematic review was conducted by use RCT articles Publications between 2015 and 2021 were identified by searching the electronic databases PubMed and Google scholar. In addition to the Journal of the American Geriatrics Society about the effect of aerobic and strengthen exercise on Alzheimer disease with mild to moderate cognitive impairment. Result: This systematic review and analysis is made up of 10 RCT (5 articles strengthening exercise, 5 articles aerobic exercise) with mild to moderate cognitive impairment for AD. Aerobic and resistance Exercises generally it had a positive effects on rate of cognitive decline in AD. Conclusion: Older adults with AD (mild to moderate cognitive impairment) are at high risk of further cognitive decline, along with physical frailty and disability. Aerobic and strengthening exercise have clinically relevant benefits for cognitive function, muscle strength, and aerobic capacity , so in a PT intervention we must combine both exercises (strengthening and aerobic exercise) in the session to get the greatest benefit, in addition to delay the deterioration of cognitive for the brain.
Does perturbation-based slip-trip training prevent falls in elderly and chronic stroke patients? (A SYSTEMATIC REVIEW)
(2021) Tabarak Qanadilo; Hams Swafteh; Aseel Essa; Aya Ghanayem; Dania Eid; Raghad swafteh
Introduction:Older adults and persons with neurological problems are at a greater risk for falls. Although strength and balance training help reduce falls, certain types of exercise may be more helpful. Slip and trip-like perturbation training is a novel intervention that involves a repeated of postural perturbations with the goal of improving control of rapid balance reactions. Purpose: To examine whether slip or/and trip perturbation can increase balance and reduce the overground fall among elderly and chronic stroke patients. Design: a systematic review Method: All studies that were published in English and between the years 2016 and 2021 were searched in four databases for relevant published articles that assessed slip or/and trip perturbation interventions. All of the studies that were examined were carefully reviewed and discussed among the researchers in order to resolve any disagreements and create a consensus. Result:13 studies published between 2016 and 2021 met the inclusion criteria. The interventions targeted older adult and chronic stroke patients. The interventions involved the following core outcomes 1) reactive balance improvement 2) a significant reduction in falls. Conclusion: Slip or/and trip perturbation training appears to reduce fall risk among older adults and chronic stroke patients.
Physiotherapy Rehabilitation Protocol Among Post COVID-19 Patients with Persistent Symptoms Worldwide: A Systematic Review Study
(2021) Batool Amleh; Rawan Zedan; Samah Subuh; Sarah Sleleh; Shahd Mseme; TasneemNadi
Introduction: Since 2020 the world witnessed a new epidemic called COVID-19 that completely turned everything upside down and made all people get attracted to this cursed pandemic. So, most scientists and researchers united their effort to find and know anything about this epidemic, so as physical therapist students we decided to look for something related to our specialty and see the role of physiotherapy in the treatment of persistent symptoms post COVID-19 patients since many patients still reporting fatigue, dyspnea, joint, and chest pain. Aim: We aim to find out the physiotherapy rehabilitation protocol post-COVID-19 patients with persistent symptoms worldwide. Methods: A systematic review study design was used to conduct data with 10 studies included and 28 studies excluded, collected from PubMed, Google Scholar, and Oxford Academy after assessing inclusion and exclusion criteria for each article. Result:10 articles were included in this review, evidence from nine observational articles demonstrated that SARS-CoV patient’s persistent symptoms had improved after physical therapy rehabilitation in comparison to control group (healthy or lung condition), after assessing several outcome measures such as 6MWT, FIM scale, Borg scale, and lung function tests (FVC, FEV1, DLCO). Evidence from one randomized controlled trial (RCT) found that a rehabilitation protocol consisting of respiratory muscle training, cough exercises, diagrammatic training, and stretching exercises significantly improved pulmonary function in comparison to a control group. Conclusion: Dyspnea, fatigue, pulmonary dysfunction, and general weakness were the significant remaining impairments post-COVID-19 infection. Researchers and clinicians can use these findings to understand the potential impairments and rehabilitation needs of people recovering from the current COVID-19 persistent symptoms. All the included articles demonstrated that exercise can improve pulmonary rehabilitation and had a positive impact on functional capacity despite the variability in the severity of these post-COVID-19 patients, which can improve respiratory function, strength, decrease dyspnea and fatigue but has little significant improvement on depression in the elderly. Further research is required to determine the effectiveness of exercise in people recovering from similar infections (e.g., COVID-19).
The effect of pelvic floor muscle exercises (kegel exercise) on stress urinary incontinence among postpartum women (A SYSTEMATIC REVIEW)
(2021) Anwaar Khaled masri; Raghad Yousef Labatt; Aseel hilmi lahham; Tasneem alaa Qedan; Rawan Osama Thaher
Urinary incontinence, the loss or leakage of urine as a result of a faulty bladder that is caused by a lack of strength in the pelvic floor muscles and tissues that support the bladder and urethra, when the pelvic tissues and muscles that help the bladder and urethra weaken, the bladder "neck" (where the bladder and urethra intersect) will descend during bursts of physical activity, resulting in SUI, then the urethra may be unable to regulate the flow of urine as a result of this descent, the aim of this study to explain the effectiveness of pelvic floor muscle(kegel ) exercise on urine incontinence among postpartum women,all over the world . We searched and get information from PubMed, google scholar, American journal of obstetrics and gynecology, An International Journal of Obstetrics & Gynaecology, Obstetrics & Gynecology, International Urogynecology Journal, Neurourology and urodynamics, SAGE journals, Cochrane library, urology databases, and the outcome measure is International Consultation on Incontinence Questionnaire Urinary Incontinence Structured (ICIQ-UI SF), Bristol Female Lower Urinary Tract Symptom (BFLUTS) questionnaire, Oxford scale , Bristol Female Lower Urinary Tract Symptoms Module (ICIQ FLUTS). only randomized controlled trials were included, with the same treatment period, 4 of 5 studies suggested the positive effect of the pelvic floor muscle exercises (Kegel) on the management of stress incontinence among postpartum, and the remaining study was on contrast having a no significant effect, overall demonstrating a positive significant effect of these exercises on the treatment of the incontinence.
THE EFFECT OF PHYSICAL THERAPY IN PALLIATIVE CARE (A SYSTEMATIC REVIEW)
(2021) Ahmad Marshoud; Anas Daraghmeh; Fatimah Bado; Marah Abdel-Fattah Ismail; Mohammed Abdullatef; Waseem Khleef
Background: Palliative care (PC) is specialized medical care for people who are suffering with a serious illness, they have focused in prevent a complication and enhance the QOL, it's provided by a specialist medical team, this teams aims to help the patient with serious illness to gain the strength to carry on with daily life. Design: systematic review. Purpose: to find the effect of physical therapy in palliative care and how physical activity could affect on last stage of patient disease Methodology: This study is a systematic review, for articles published between 2010 and 2020, 9 articles about the effect and role of physiotherapy in palliative care sitting were collected. The study review was based on the search sources that are based on the databases of Google Scholar and PubMed. Result: Our results demonstrate that Physiotherapy have a positive effect on the patient with advanced disease, they improve the QOL and facilitate functional activities. Conclusion: This review presented 9 RCT articles between (2010-2020) about the role of physiotherapy in palliative care. The study concluded that physiotherapy is associated with a big effect in palliative care for different conditions.

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