Effect of Wii Fit Rehabilitation on Balance, Functional Ability, and Risk of Falling in Patients With Chronic Ankle Instability: A Randomized Controlled Trial Nabil Mahmoud Abdel-Aal, Maher Ahmed El-kablawy, Mohamed Abdel-Haleem Kadah, Aya Abd El Hady Abbas, Maged A. Basha, et al. American Journal of Physical Medicine and Rehabilitation, 2026 Objective To evaluate the efficacy of incorporating Wii Fit–based rehabilitation (WFR) into a conventional physical therapy (CPT) program on balance, functional ability, and fall risk in individuals with chronic ankle instability (CAI). Design Single-blinded randomized controlled trial. Methods Sixty participants with CAI (aged 18–60 years) were randomly assigned to either an experimental group (WFR plus CPT) or a control group (CPT only). Both groups received supervised therapy three times per week over 8 weeks. Outcome measures included the anteroposterior (APSI), mediolateral (MLSI), and overall stability indices (OSI) assessed via the Biodex Balance System; functional ability via the Foot and Ankle Ability Measure–Activities of Daily Living (FAAM-ADL); and fall risk via the Falls Efficacy Scale–International (FES-I), measured pre- and post-intervention. Results The WFR combined with CPT group demonstrated significantly greater improvements across all outcome measures compared to the CPT-only group (P < 0.001). At 8 weeks, FAAM-ADL and FES-I scores were 94.7 ± 3.22 and 17.77 ± 2.76 in the intervention group versus 83.43 ± 2.45 and 26.3 ± 3.51 in controls, respectively. Conclusions Combined WFR and CPT program significantly enhances postural stability, functional performance, and reduces fall risk in patients with CAI. WFR may serve as a valuable adjunct in rehabilitation protocols targeting balance deficits in this population.
Would Integrating Inspiratory Muscle Training Into Pulmonary Rehabilitation of Adults With Burn Injuries Have Any Advantageous Effects? A Randomized, Double-Blind, Sham-Controlled Study Nabil Mahmoud Abdel-Aal, Maged A. Basha, Saleh M. Aloraini, Alshimaa R. Azab, FatmaAlzahraa H. Kamel Annals of Rehabilitation Medicine, 2025 Objective: To determine the effectiveness of adding inspiratory muscle training (IMT) alongside a pulmonary rehabilitation protocol in terms of inspiratory muscle strength, lung function, and exercise capacity in burned adults.Methods: A randomized, double-blinded, sham-controlled study. Fifty-two adult patients with burn injuries, more than 20 years old and at least 20% total body surface area, were assigned randomly either to the experimental or the conventional group. The participants in the experimental group were given IMT plus a pulmonary rehabilitation program; the conventional group received only a pulmonary rehabilitation program. The interventions were performed for 8 weeks. At the beginning and after 8 weeks of training, the respiratory muscles’ strength, lung function and exercise capacity were all examined.Results: After 2 months of training, the experimental group demonstrated statistically significant improvements than conventional group in maximum inspiratory pressure, maximum expiratory pressure, 6-minute walk test, forced vital capacity, and forced expiratory volume in 1 second (p<0.05).Conclusion: An 8-week IMT program coupled with pulmonary rehabilitation increases respiratory muscle strength, pulmonary functions, and functional capacity in burn patients. IMT is a beneficial and efficient therapy that can be easily implemented for burn patients.
WOULD INTEGRATING MONOCHROMATIC INFRARED ENERGY INTO THE PHYSICAL REHABILITATION OF ADOLESCENTS WITH PATELLOFEMORAL PAIN SYNDROME HAVE ANY ADVANTAGEOUS EFFECTS? A RANDOMIZED CONTROLLED TRIAL Saud M. Alrawaili, Alshimaa R. Azab, Ragab K. Elnaggar, Norah A. Alhwoaimel, Nourah Basalem, et al. Journal of Rehabilitation Medicine, 2025 Objective: This study aimed to assess and compare changes in pain, balance, functional status, and health-related quality of life between adolescents with patellofemoral pain syndrome undergoing 12 weeks of monochromatic infrared energy application as an adjuvant to physical rehabilitation and those receiving physical rehabilitation alone. Design: Randomized controlled trial. Patients: Adolescents aged 15–18. Methods: 46 adolescents were randomly assigned to receive either a standard physical therapy programme or monochromatic infrared energy plus the standard programme. Pain intensity, dynamic postural control, functional status, and health-related quality of life were evaluated pre- and post-intervention. Results: The study group showed a greater reduction in pain intensity (p < 0.001; η2 = 0.36), improvement in dynamic postural control, towards the anterior (p = 0.002; η2 = 0.20), posteromedial (p = 0.009; η2 = 0.14), posterolateral (p = 0.018; η2 = 0.12) directions, and composite postural control (p = 0.001; η2 = 0.24), and enhancement of functional status (p = 0.013; η2 = 0.13) from the pre- to post-treatment occasion than the control group. Moreover, the study group reported better quality of life: physical health (p = 0.035; η2 = 0.10), psychosocial health (p = 0.005; η2 = 0.17), and overall (p = 0.001; η2 = 0.21). Conclusion: Monochromatic infrared energy is likely beneficial in adolescents with patellofemoral pain syndrome.
Respiratory and functional benefits of manual diaphragmatic release for cleaning-laborers exposed to occupational hazards Alshimaa R. Azab, Ragab K. Elnaggar, Dalia G Hamouda, Ghfren S. Aloraini, Alaa S. Alhegaili, et al. Physiotherapy Research International, 2024 Background and Purpose:To examine the respiratory and functional benefits of manual diaphragmatic release for Cleaning‐Laborers Exposed to Occupational Hazards.MethodsA randomized controlled trial of 36 participants aged 35–45 years was randomly allocated into two groups. The experimental group (n = 18); received manual diaphragm release along with respiratory training exercises, and the control group (n = 18); received respiratory training exercises only. Three times/week for 12 consecutive weeks. The serum immunoglobulin E level, pulmonary functions [forced expiratory volume in one second (FEV1), forced vital capacity (FVC), FEV1/FVC, and peak expiratory flow (PEF) rate (PEF)], chest wall mobility, and 6 min walk‐test performance were assessed pre‐ and post‐intervention.ResultsThere was a greater decline in serum immunoglobulin levels (p = 0.003; Partial η2 = 0.23) and enhancement in pulmonary functions [FEV1 (p = 0.025, Partial η2 = 0.14), FVC (p = 0.017, Partial η2 = 0.16), FEV1/FVC (p = 0.028, Partial η2 = 0.13), and PEF (p = 0.012, Partial η2 = 0.17) in the experimental group. Further, there was a greater increase in chest mobility at the xiphoid level (p = 0.002, Partial η2 = 0.25) in the experimental group, but this was not the case at the axillary level (p = 0.29, Partial η2 = 0.03). Still, the 6 min walk‐test performance improved more significantly in the experimental group (p = 0.002, Partial η2 = 0.24).ConclusionThe diaphragmatic release technique may offer a promising approach for mitigating distressing respiratory symptoms, enhancing immune function, and improving 6 min walk‐test performance among cleaning laborers with work‐related respiratory hazards.Trial registrationThe study was retrospectively registered at XXX (ID: NCT05802355).