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Howida Abdel-Aleem Fouda.

/ المقارنة بين تأثير العلاج السيوي التقليدي و تأثير التمرينات العلاجية علي وظائف الرئو لمرضي الروماتويد Howida Abdel-Aleem Fouda; Supervised Azza Abd Elaziz Abd Elhady, Mohamed Mahmoud Elbatanony, Nessren Ghareeb El Nahas - Cairo : Howida Abdel-Aleem Fouda , 2019 - 93p. : charts, facsimiles ; 25cm.

Thesis (Ph.D.) - Cairo University - Faculty of Physical Therapy - Department of Cardiovascular/ Respiratory Disorder and Geriatrics

Rheumatoid arthritis (RA) is a chronic, progressive, inflammatory autoimmune disease associated with articular, extra-articular, and systemic effects. Patients suffer from decreased physical fitness, lung function, muscle strength, and range of motion. So physical therapy remains an important part of treatment. Egypt and Africa as a whole is rich of several ways of traditional therapy, traditional African therapy is a holistic way of therapy that involves mind, body and soul, one of these traditional therapies is sand therapy. Sand therapy is a well-known method of treatment for lots of diseases especially autoimmune diseases, however there is not enough researches conducted to know in a scientific way the actual effect of that method of treatment. Purpose: The purpose of this study was to compare between the effects of Siwan traditional therapy and therapeutic exercise program in pulmonary function of rheumatoid arthritis. Materials and Methods: forty five patients recruited for the current study 15 of them had been dropped thirty patients with rheumatoid arthritis (25 to 59 years old) according to the American Rheumatism Association criteria (2010) participated in the study. The patients were assigned into 2 equal groups. Group (A) received Siwan traditional physical therapy in form of sand bathing for 30 minutes, followed by massage with olive oil only in last session for 5 days and group (B) received physiotherapy for 8 weeks 2 session per week in form of heat application, electrical stimulation (TENS), aerobic and strengthening exercises. Pulmonary function by pulmonary function test, Pain severity measured by visual analogue scale, and functional disability measured by health assessment questionnaire (HAQ). Results: there were no significant difference in FVC, FEV1 and FVC/FEV1 level between both groups but The percentages of change for lung function were greater in RA patients receiving Siwan therapy than those receiving physiotherapy. There were significant differences (P < 0.05) in pain level and HAQ between both groups with a significant reduction in favor to the group (A) Conclusion: The Siwan therapy program was more effective than therapeutic exercise program in the treatment of rheumatoid arthritis patients.




Arthritis

Physical Therapy Rheumatoid arthritis Siwan Therapy