Proprioceptive neuromuscular facilitation and virtual reality for improving hand functions post reconstructive surgeries / Bassem Mohamed Ali Fouda ; Supervised Zakaria Mowafy Emam Mowafy , Ahmed Gamil Elsharkawy

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Bassem Mohamed Ali Fouda

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TextLanguage: English Publication details: Cairo : Bassem Mohamed Ali Fouda , 2019Description: 92 P. : charts , facsimiles ; 25cmOther title:

إستثارة المستقبلات الحسية العميقة و محاكاة الواقع الإفتراضى لتحسين وظائف اليد بعد عمليات الترميم [Added title page title]

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Dissertation note: Thesis (Ph.D.) - Cairo University - Faculty of Physical Therapy - Department of Physical Therapy for Surgery Summary: Background. Tendon transfers are reconstructive surgeries that restore motion or balance to the hand that has impaired or absent function of its extrinsic or intrinsic muscle-tendon units at the level of forearm and hand. Purpose. To evaluate the efficacy of using Proprioceptive Neuromuscular Facilitation (PNF) and Virtual Reality (VR) for improving hand functions post reconstructive surgeries. Subjects. Sixty patients from both genders aged 20 to 35 years old, who had post reconstructive surgeries for flexor muscles of the hand. They were selected from the plastic surgeries department of El Kaser El Aini Hospital. Methods. Subjects were randomly assigned in three equal groups each one has 20 patients; Group A (study group) had received PNF facilitative techniques in addition to their physical therapy program and medical treatment. Group B (study group) had received VR-based exercise in addition to their physical therapy program and medical treatment. Group C (control group) had received only their physical therapy program (splinting, stretching ex., strengthening ex. and ROM ex.)and medical treatment. Measurement. All patients were assessed by using hand-held dynamometer assessment scores for the power of hand flexor muscles (per kilogram), upper extremity functional index (UEFI) score and the Biodex Isokinetic testing for wrist flexor muscles total work (per Joule), wrist Flexion-Extension range of motion (per degrees) and average peak velocity for wrist flexor muscles (per degrees/second). Results showed a statistically significant differences between results of the three groups, where the significant increasing of hand-held dynamometer assessment scores for the power of hand flexor muscles (per kilogram), upper extremity functional index (UEFI) score and the Isokinetic testing for wrist flexor muscles total work (per Joule) was shown in GA and GB compared to GC (P<.0.000 and P<.0.007), (P<.0.000 and P<.0.000) and (P<.0.000 and P<.0.000) respectively, where group A showed the highest mean

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Holdings
Item type	Current library	Home library	Call number	Copy number	Status	Date due	Barcode
Thesis	قاعة الرسائل الجامعية - الدور الاول	المكتبة المركزبة الجديدة - جامعة القاهرة	Cai01.21.07.Ph.D.2019.Ba.P (Browse shelf(Opens below))		Not for loan		01010110079726000
CD - Rom	مخـــزن الرســائل الجـــامعية - البدروم	المكتبة المركزبة الجديدة - جامعة القاهرة	Cai01.21.07.Ph.D.2019.Ba.P (Browse shelf(Opens below))	79726.CD	Not for loan		01020110079726000

Thesis (Ph.D.) - Cairo University - Faculty of Physical Therapy - Department of Physical Therapy for Surgery

Background. Tendon transfers are reconstructive surgeries that restore motion or balance to the hand that has impaired or absent function of its extrinsic or intrinsic muscle-tendon units at the level of forearm and hand. Purpose. To evaluate the efficacy of using Proprioceptive Neuromuscular Facilitation (PNF) and Virtual Reality (VR) for improving hand functions post reconstructive surgeries. Subjects. Sixty patients from both genders aged 20 to 35 years old, who had post reconstructive surgeries for flexor muscles of the hand. They were selected from the plastic surgeries department of El Kaser El Aini Hospital. Methods. Subjects were randomly assigned in three equal groups each one has 20 patients; Group A (study group) had received PNF facilitative techniques in addition to their physical therapy program and medical treatment. Group B (study group) had received VR-based exercise in addition to their physical therapy program and medical treatment. Group C (control group) had received only their physical therapy program (splinting, stretching ex., strengthening ex. and ROM ex.)and medical treatment. Measurement. All patients were assessed by using hand-held dynamometer assessment scores for the power of hand flexor muscles (per kilogram), upper extremity functional index (UEFI) score and the Biodex Isokinetic testing for wrist flexor muscles total work (per Joule), wrist Flexion-Extension range of motion (per degrees) and average peak velocity for wrist flexor muscles (per degrees/second). Results showed a statistically significant differences between results of the three groups, where the significant increasing of hand-held dynamometer assessment scores for the power of hand flexor muscles (per kilogram), upper extremity functional index (UEFI) score and the Isokinetic testing for wrist flexor muscles total work (per Joule) was shown in GA and GB compared to GC (P<.0.000 and P<.0.007), (P<.0.000 and P<.0.000) and (P<.0.000 and P<.0.000) respectively, where group A showed the highest mean

Issued also as CD

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