Shreen Ahmed Elsayed Ahmed Lashien, <br/><br/>
Effect of functional strength training of hip abductors on medial tibial  stress syndrome / 
 تاثير العلاج الموجات التصادمية الخارجية مقابل العلاج بالضغط الهوائي المتقطع علي سريان الدم في مرض نقص ترويه الشرايين الطرفيه / 
By Nour Mohamed Nabil Gawish ; Prof. Heba Ali Abd El–Ghafar Ali, Dr. Hossam Abdelazem, Dr. Saif Eldeen Ahmed Ragab. 
 - 125 pages :  illustrations ;   25 cm. +   CD. 
<br/><br/>Thesis (M.Sc)-Cairo University, 2024. 
<br/><br/>Bibliography: pages 101-112. 
<br/><br/> Background: shockwave and intermittent pneumatic compression has been shown a therapeutic effect on Peripheral artery disease, Peripheral arterial disease (PAD) is primarily caused by atherosclerosis and involves the narrowing or blockage of arteries supplying blood to the lower limbs. It has a global prevalence of nearly 10%, increasing to 20% in individuals over 70 years old. Many patients remain asymptomatic, leading to under–recognition of the disease until advanced stages, which often results in severe complications such as intermittent claudication and critical limb ischemia.<br/>Objective: The objective of this study was to examine the Effect of Extracorporeal Shockwave Therapy versus intermittent pneumatic Compression on Blood Flow in Peripheral Artery Disease<br/>Patients and Methods: This research included a cohort of 60 men patients who had peripheral artery disease aged 55–65; they were recruited from the medical center of ministry of military production hospital The patients were divided equally into groups A(intermittent pneumatic compression) and B (shockwave) ; The study group (A) patients were taught about how intermittent pneumatic compression device work and application and the other study group (B) patients were taught about how extracorporeal shockwave device application and benefits. Both treatments were performed Intermittent Pneumatic Compression Therapy performed bilaterally 9 minutes in cases of bilateral claudication 3 times weekly for 4 weeks of in addition to conventional treatment and via Extracorporeal Shockwave Therapy done 30–minute SWs sessions, 2 times weekly for 6 weeks plus conventional electrotherapy program. They were evaluated using the 8–MHz transducer Doppler Ultrasound, continuous wave and spectral analysis, International normalized ratio (INR) for blood flow, Graded treadmill exercise testing, Health Questionnaire (EQ–5D–5L) and The Walking Impairment Questionnaire<br/>Results: The previous and post–study comparison revealed a statistically significant difference between pre and post treatment values in all measured variables within pneumatic compression device work and extracorporeal shockwave device application but the Intermittent Pneumatic Compression device application is more valuable for blood flow velocity, functional capacity and Quality of life. At the end of the study, the results revealed, there was a significant increase in WIQ distance score of post treatment compared with pretreatment group A (Pneumatic compression) (51.93%), group B(Shockwave) (27.40%), There was a significant increase in WIQ speed score of post treatment compared with pretreatment group A (Pneumatic compression) (41.12%), group B(Shockwave) (33.42%), There was a significant increase in WIQ stair climbing score of post treatment compared with pretreatment group A (Pneumatic compression) (80.79%), group B (Shockwave) (53.03%), There was a significant increase in EQ–5D–5L of post treatment compared with pretreatment group A (Pneumatic compression) (26.03%), group B (Shockwave) (18.31%),There was no significant change in PSV of anterior tibial artery of group A (Pneumatic compression) (1.55%), group B (Shockwave) (1.49%) ,There was no significant change in PSV of posterior tibial artery of group A (Pneumatic compression) (2.42%), group B (Shockwave) (2.33%),There was no significant change in INR of group A (Pneumatic compression) (2.52%), group B (Shockwave) (3.42%).<br/>Conclusion: effect of treatment via Intermittent Pneumatic Compression Therapy performed and Extracorporeal Shockwave Therapy have caused a significant increase in INR of and the Intermittent Pneumatic Compression Therapy has better effect than the Extracorporeal Shockwave Therapy.  الغرض من هذه الدراسة: هو تقييم تأثير العلاج بالموجات التصادمية الخارجية مقابل العلاج بالضغط الهوائي المتقطع علي سريان الدم في مرض نقص ترويه الشرايين الطرفيه <br/>المرضي وطرق البحث: شمل هذا البحث ستون مريضا يعانون من مرض نقص ترويه الشرايين الطرفيه تراوحت اعمارهم ما بين خمس وخمسون وخمس وستون عاما تم اختيارهم من مستشفي 6 اكتوبر تم تقسيمهم الي مجموعتين مجموعة) أ (تضمنت المرضي الذين تم علاجهم بالموجات التصادمية الخارجية والمجموعة (ب) والتي تضمت المرضي الذين تم علاجهم بالضغط الهوائي المتقطع كلا المجموعتين تلقوا العلاج بشكل كامل وقد تم تقييم المرضي عن طريق اجراء موجات صوتية علي شرايين الساق واجراء تحليل (INR) واختبار تمرين المشي التدريجي واستبيان (EQ–5D–5L) واسبيان مشاكل المشي.<br/>النتائج: بمقارنة النتائج قبل وبعد العلاج وجد تحسن في نتائج كلا من العلاج بالموجات التصادمية الخارجية والعلاج بالضغط الهوائي المتقطع واثبتت النتائج ان العلاج بالموجات التصادمية اثبت فاعلية اكثر في نتائج المرضي.<br/>الخلاصة: العلاج بالموجات التصادمية اثبت فاعلية في تحسين سرعة سريان الدم في شرايين الساقين لمرضي نقص تروية الشرايين الطرفيه مما يؤدي الي تحسن الكفاءة الوظيفية مما ينعكس علي جودة الحياة للإنسان. 
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<br/><br/><br/>Text in English and abstract in Arabic & English. 
<br/><br/><label>Subjects--Topical Terms: </label><br/>Physical Therapy 
<br/><br/><label>Subjects--Index Terms: </label>Intermittent Pneumatic Compression  Extracorporeal Shockwave Therapy  INR  Quality of life 
<br/><br/><label>Dewey Class. No.: </label>615.82