TY  - BOOK
AU  - Sandy Hany Michel Gad ElRab,
AU  - Nesreen Ghareeb Mohamed El-Nahas
AU  - Hend Abd El-Monaem Abd El-Monaem
AU  - Hazem Othman Ibrahim Attia
TI  - Effect of intra-nasal low-level laser on pulmonary functions in patients with  chronic rhinosinusitis
U1  - 615.82 
PY  - 2025///
KW  - Physical Therapy
KW  - العلاج الطبيعى
KW  - Core exercise
KW  - Pain
KW  - Hip-knee focused exercise
KW  - Patellofemoral pain syndrome
KW  - متلازمة آلام الرضفة وأسفل عظمة الفخذ
KW  - تمارين الثبات الجذعي
N1  - Thesis (M.Sc)-Cairo University, 2025; Bibliography: pages 67-76; Issues also as CD
N2  - Background 
Chronic rhinosinusitis (CRS) is a persistent inflammatory condition of the nasal and 
paranasal sinus mucosa, often leading to a significant reduction in quality of life and 
frequently associated with impaired pulmonary function. The interplay between upper and 
lower airway inflammation—the "united airways" concept—suggests that effective 
management of CRS could have beneficial effects on pulmonary health. This study evaluates 
the efficacy of intra-nasal low-level laser therapy (LLLT) combined with Bhramari Pranayama 
breathing exercises on sino-nasal symptoms, pulmonary function, and sleep quality in CRS patients. 
Subjects: Fifty-four patients (both genders, aged 20–40s) diagnosed with moderate to severe 
chronic rhinosinusitis without nasal polyps (CRSsNP), as assessed by the Sino-Nasal Outcome 
Test (SNOT-22) with scores above 20. They were selected from the outpatient clinics of the 
Faculty of Medicine, Cairo University. Duration: From June to September 2024. Methods: 
The patients were randomly allocated into two equal groups (n = 27 each). Group A received intra
nasal LLLT (650 nm, 288J/cm², 3×/week) combined with a daily Bhramari Pranayama breathing 
exercise regimen for four weeks. Group B practiced the daily Bhramari Pranayama breathing exercise 
for the same duration. All patients underwent measurements of pulmonary function tests 
(FEV1/FVC, FEV1, VC, and MVV), the Sino-Nasal Outcome Test (SNOT-22), the 
Questionnaire of Olfactory Disorders-Negative Statements (QOD-NS), and the Pittsburgh 
Sleep Quality Index (PSQI). All parameters were evaluated in both groups at baseline and 
after the completion of the treatment program. Results from both groups demonstrated 
statistically significant improvements in all parameters following treatment. However, group 
A showed a greater and significant improvement in pulmonary function tests, as evidenced by 
increased FEV1/FVC, FEV1, VC, and MVV compared to group B (p < 0.05). Also., The 
results of the SNOT-22 and QOD-NS questionnaires also improved significantly more in 
group A (P> 0.001), while the P= 0.125 for the PSQI questionnaire between groups in favor 
of group A. This demonstrates improvements in sinus symptoms, olfactory function, and 
sleep quality. 
Conclusion 
This suggests that intra-nasal low-level laser therapy (LLLT), as a non-invasive and low
risk intervention, may provide additional therapeutic benefits by enhancing patient-reported 
outcomes in chronic rhinosinusitis. Not only alleviating sino-nasal symptoms but also 
contributing to improved sleep quality and pulmonary functions; اشتملت هذه الدراسة على 44 مشاركا في الدراسة. تم تقسيم المشاركين إلى مجموعتين: 22 تلقوا تمارين الثبات الجذعي وتمارين المركزة للورك والركبة و22 تلقوا تمارين المركزة للورك والركبة فقط. تم اختيارهم من العيادة الخارجية لكلية العلاج الطبيعي بجامعة مصر للعلوم والتكنولوجيا. تم تقييم شدة الألم باستخدام مقياس التناظرية البصرية. تم تقييم القدرة الوظيفية بواسطة استبيان مقياس ألم الركبة الأمامي. وقوة العضلات تم تقييمها باستخدام مقياس الديناموميتر المحمول باليد وتم تقييم الاستقرار الوضعي الديناميكي باستخدام نظام توازن بيدوكس ومن نتائج هذه الدراسة يمكن استخلاص أن اضافة تمارين الثبات الجذعي الي التمارين المركزة للورك والركبة تؤدي الي تحسنًا في تقليل الألم، وقوة الجذع، والقدرة الوظيفية، والتوازن الديناميكي أكثر من تمارين المركزة للورك والركبة فقط على متلازمة آلام الرضفة وأسفل عظمة الفخذ.
ER  -