Mohammed Youssef Elhamrawy
@meu.edu.jo
Faculty of Allied Medical Sciences
Middle East University, Amman, Jordan
RESEARCH, TEACHING, or OTHER INTERESTS
Rehabilitation
Scopus Publications
Scopus Publications
Mohammed Youssef Elhamrawy, Wafik Said Bahnasy, Sabah Mohamed Elkady, and Mohamed Taha Said
Springer Science and Business Media LLC
Abstract Background Disability in the upper limb in post-stroke survivors may have a variety of effects, particularly in the elderly, that require planning therapeutic actions to restore function. Thirty-four patients were randomly assigned to the control group (CON) and the Functional Electrical Stimulation (FES) group. For 12 weeks, the CON group received core stabilization exercises (CSEs). The FES group received (FES) for the interscapular muscles with CSEs for the first six weeks and completed the following six weeks with only CSEs. Patients were assessed at baseline, 6 and 12 weeks post-intervention. The trunk impairment scale (TIS) and the Postural Assessment Scale for Stroke (PASS) were used to assess trunk performance. A palpation meter was used to measure the scapular horizontal position (SP). Balance was assessed by the Berg Balance Scale (BBS), and the Timed Up-and-Go test (TUG). Function was assessed with Barthel Index (BI). Results Both groups improved significantly (P < 0.001 for both groups, d = 1.1–3.7 for control group and d = 1.9–6.1 for FES group) post-treatment (at 6 and 12 weeks) in all outcomes except SP in the control group (P < 0.05 at both times, d = 0.6 at 6 weeks and 0.8 at 12 weeks). Conclusion FES for interscapular muscles may have positive effects on trunk performance, scapular position, balance, and function in stroke patients. Also, additional improvements were observed post-intervention compared to baseline. FES is recommended to be part of the rehabilitation program of elderly post-stroke patients.
Ahmed Maslat, Nadia Al-Atoom, Manal Al-Najdawi, Loay Khaled Hassouneh, Ahmed Mashaal, Yazan Alrashdan, Naser Hamad Al-Rawashdeh, and Mohammed Elhamrawy
ALUNA
Aim: To estimate risks and prevalence of self-medication and potential abuse risk among pharmacy students in Jordanian Universities. Materials and Methods: A cross-sectional study design was conducted with 450 students, selected using multistage sampling methods, from seven different universities. Data was collected by self-administrated questionnaires covering demographic and academic information, health-related information, use of self-medication, and pattern of self-medication among pharmacy students. Results: Out of 394 students who answer the questions, 76.9% reported that they had usually treated themselves in case of simple cases without physician or pharmacist consultation. Most commonly used drugs among the surveyed students were Paracetamol 60%, multivitamins supplement 74.25%, and herbal products 37.2%, combination of NSAIDs and Paracetamol 20.6%, and laxatives 19.4%. Cold and flu 25.5%, headache 22.3%, abdominal pain 7.9%, gastric pain 7.9%, cold and flu, headache, abdominal pain, and gastric pain 14.9% were the main conditions which contribute to self-medication practice. It was also found that Pharmacy students were over-confident with the type of cases they could treat without referral to a specialist physician, despite knowing that some of the symptoms may be due to serious health problems. Misuse of analgesics and laxatives was clear, and there was a weakness in knowledge of the indications for the use of the most common drug. Conclusions: The prevalence of self-medication among pharmacy students in Jordan is high, and medical teaching institutions need to educate students about the proper use of medicines. Strict legislation and more education on self-medication are necessary for effective use of medicines.
Sabah Mohamed Elkady, Reda Kotb Abd Elrazik, Hossam Mohammed Alsaid, Mohammed Youssef Elhamrawy, Ahmed Mashaal, Amany Refaat Mohamed Abdel Wahid, and Doaa Atef
Servicio de Publicaciones de la Universidad de Murcia
Several tools are used by physical therapists to assess the range of motion (ROM) for joints of the upper and lower limbs. However, most of them are costly, time-consuming, and difficult to use. The current study aimed to determine the within-visit test-retest reliability of an android application (App) (Protractor) for elbow, wrist and ankle joints range of motion evaluation in outpatients with post fracture fixation. We evaluated the Android App (Protractor) in twenty-six patients with a mean age of 30 years, who had undergone operative treatment for fractures around the elbow, wrist, and ankle. These patients were recruited from the physiotherapy outpatient clinic at the Faculty of Medicine, Tanta University. Repeated measures were performed within the same session, focusing on motions in the sagittal plane for the elbow, wrist, and ankle joints. All measurements were conducted by the same investigator. Pearson correlation coefficient (r) and intra-class correlation coefficient (ICC) were calculated. Within-visit test retest intra-rater reliability for elbow, ankle, and wrist joints, ROM was excellent (r and ICC≥0.99) except for wrist joint flexion ROM, it was weak and insignificant. The mean group difference of measures obtained in the first and second measurements was close to zero, with the exception of wrist joint flexion, which was -5 degrees, and ankle joint plantar flexion, which was +2 degrees. The Smartphone android App (Protractor) displayed reasonable within-visit reliability.
Sabah Elkady, Reda Kotb Abd Elrazik, Asmaa AbdelMonem, Mohammed Youssef Elhamrawy, Ahmed Mashaal, Doaa Atef, and Sara Mohamed Samir
Termedia Sp. z.o.o.
Introduction: Knee osteoarthritis (OA) is a chronic condition that results in pain, muscular fatigue, functional instability, and disability. Bracing and taping can be a suitable treatment for knee OA, hence the aim of this study was to compare the effects of a soft knee brace and kinesiotaping (KT) on gait and balance parameters in patients with knee OA
Mahmoud Ebrahim Mostafa Elhassanien, Yasser Abo Elfotoh El-Heneedy, Kareem Mohammed Ramadan, Mona Ahmed Kotait, Amr Elkholy, Mohammed Youssef Elhamrawy, and Wafik Said Bahnasy
Springer Science and Business Media LLC
Abstract Background Subcortical vascular cognitive impairment (SVCI) is a subtype of vascular cognitive impairment associated with extensive cerebral small vessel diseases (CSVDs) imaging biomarkers. The objectives of this work were to study the existence and patterns of gait and balance impairments in patients with SVCI due to CSVDs. Methods The study was conducted on 28 newly diagnosed SVCI patients and 22 healthy control subjects (HCS) submitted to the advanced activity of daily living scale (AADLs), Berg balance test (BBT), Montreal Cognitive Assessment Scale (MoCA), computerized dynamic posturography (CDP), vision-based 3-D skeletal data gait analysis, and brain MRI volumetric assessment. Results SVCI patients showed a significant decrease in AADLs as well as total cerebral white matter volume, total cerebral cortical volume, and mean cortical thickness which were proportional to the degree of cognitive impairment as measured by the MoCA score. Regarding CDP analysis, patients with SVCI revealed prolongation of cancelation time and spectral power for mid- and high frequencies in dynamic positions. In respect to gait analysis, there were significant decreases in mean stride length and mean cadence as well as increases in mean step width and left to right step length difference in the SVCI group compared to HCS while doing a single task. These variables get highly significant during the dual-task performance with a p value < 0.001 for each one. Conclusion Patients with SVCI suffer from gait and balance impairments that are proportional to the severity of their cognitive decline and greatly impair their ADLs.
Mohammed Youssef Elhamrawy, Sherin Mohamed, Wafik Bahnasy, Mohamed Yasser Saif, Amr Elkholy, and Mohamed Said
Termedia Sp. z.o.o.
Introduction: Hemineglect is a lack of awareness for the contralesional space. It is a complex neurologic condition to rehabilitate. The study was designed to investigate the effects of vestibular rehabilitation therapy (VRT) on spatio-temporal gait parameters in hemineglect. Material and methods: Thirty-two hemineglect patients were randomly assigned to the experimental and the control group. The experimental group received 60 minutes of training (4 days/week) for the first four weeks (40 minutes traditional physiotherapy and 20 minutes VRT) and then completed the following four weeks with 60 minutes of only traditional physiotherapy. For eight weeks, the control group completed 60 minutes of the traditional program four days a week. The Microsoft Kinect V2 was used to measure spatio-temporal gait parameters. Patients were assessed at baseline, four and eight weeks post-intervention. Results: After four and eight weeks of intervention, the experimental group demonstrated a significant improvement in walking speed (P = 0.0002, d = 12.38 and P = 0.001, d = 13.69, respectively), cadence (P = 0.0003, d = 3.88, and P = 0.0003, d = 5.19, respectively), paretic step length (P = 0.0001, d = 2.53, and P = 0.001, d = 3.84, respectively), and non-paretic step length (P = 0.0119, d = 2.06, and P = 0.0044, d = 2.31, respectively). There were no significant differences in the control group in any of the spatio-temporal gait parameters. Conclusions: VRT improves the spatio-temporal gait parameters in hemineglect, allowing patients to walk more securely and navigate more easily during walking. VRT might improve the patients’ postural control, weight distribution, and orientation during walking. This improvement was maintained following training, and additional improvements in spatio-temporal gait parameters were observed compared to baseline.