000			06802namaa22004331i 4500
003			OSt
005			20250505131209.0
008			250504s2024 ua a|||fr|m|| 000 0 eng d
040			_aEG-GICUC _beng _cEG-GICUC _dEG-GICUC _erda
041	0		_aeng _beng _bara
049			_aDeposit
082	0	4	_a615.82
092			_a615.82 _221
097			_aPh.D
099			_aCai01.21.09.Ph.D.2024.Ma.E.
100	0		_aMahmoud Gaber Nagdi Mohamed, _epreparation.
245	1	0	_aEffect of blood flow restriction and proprioception training in recurrent ankle sprain patients / _cBy Mahmoud Gaber Nagdi Mohamed; Under Supervision of Prof. Dr. Wadida H. Elsayed, Ass. Prof. Dr. Rania Refaat Ali Ahmed, Ass. Prof. Dr. Mahmoud Shaaban Abu-Zaid _bRemainder of title /
246	1	5	_aتأثير التمارين مع تقييد تدفق الدم و تمرينات الحس العميق في مرضي التواء الكاحل المتكرر /
264		0	_c2024.
300			_a129 pages : _billustrations ; _c25 cm. + _eCD.
336			_atext _2rda content
337			_aUnmediated _2rdamedia
338			_avolume _2rdacarrier
502			_aThesis (Ph.D)-Cairo University, 2024.
504			_aBibliography: pages 109-122.
520			_aBackground: Ankle sprains are among the most common recurrent injuries of the lower extremity. If untreated, can lead to recurrent ankle sprains, which may contribute to the development of chronic ankle instability. Low load blood flow restriction (LL-BFR) training provides a better outcome than low-load training alone and a more tolerable approach to heavy-load training. Purpose: The present study purpose was to study the combined effect of LL-BFR and proprioception training on muscle strength, proprioceptive accuracy, balance and foot and ankle functional abilities in recurrent ankle sprain patients. Methods: A total of 68 participants with grade I and II recurrent ankle sprain participated in this study. They were randomly assigned to four groups. All groups received physical therapy three times weekly for four consecutive weeks. Group A (control group) received conventional physical therapy only, Experimental Group B received conventional physical therapy with LL-BFR, Experimental Group C received conventional physical therapy with proprioception training and Experimental Group D received conventional physical therapy, LL-BFR and proprioception training. Outcome measures were peak torque of dorsiflexors, planter flexors, invertors and evertors muscles, proprioceptive accuracy of ankle joint in dorsiflexion and planter flexion directions by isokinetic dynamometer, overall stability index (OSI), anteroposterior stability index (APSI), mediolateral stability index (MLSI) and limits of stability (LOS) by BIODEX balance system and foot and ankle functional abilities in Activities of Daily Living (ADLs) by Foot Ankle Ability Measure (FAAM). Results: MANOVA of mixed 4 x 2 design was carried out to test the impact of treatment (between groups) After four weeks of intervention. It was found that Group D had significantly higher Dorsi-flexors, Planter flexors, Evertors and Invertors peak torque at 60° and at 180° compared to other groups. Regarding active proprioceptive accuracy of ankle joint, it was found that Group B performed better than Group A, Group C performed better than Group A, Group D performed better than Group A and Group C. For passive proprioceptive accuracy of ankle joint, Group D performed better than other groups. There was no statistic significant difference in the mean values of OSI, APSI and MLSI pre-study and post study among the four groups. Pairwise multiple comparisons for LOS found that Group III D performed significantly better than other groups. Group B also performed better than Groups A and C. For FAAM score, it was found that there was significant difference between Groups A and B in favor to Group B, between Groups A and D in favor to Group D. Conclusions: Low load blood flow restriction training combined with proprioception training enhanced muscle strength, proprioceptive accuracy of ankle joint in dorsiflexion and planter flexion directions, LOS, also enhanced foot and ankle functional abilities in ADLs with only clinical importance increasement in OSI, APSI, MLSI post study in recurrent ankle sprain patients.
520			_aشارك في هذه الدراسة ما مجموعه 68 مريضًا مصابًا بالتواء الكاحل المتكرر. تم تعيينهم عشوائيًا إلى أربع مجموعات. تلقت جميع المجموعات العلاج التقليدي ثلاث مرات في الأسبوع لمدة أربعة أسابيع متتالية . بالإضافة إلى ذلك، تلقت المجموعة أ (المجموعة الضابطة) العلاج التقليدي فقط، وتلقت المجموعة التجريبية ب تدريب تقييد تدفق الدم عند الأحمال المنخفضة، وتلقت المجموعة التجريبية ج تدريب الإدراك الذاتي، وتلقت المجموعة التجريبية د تدريب تقييد تدفق الدم عند الأحمال المنخفضة بالإضافة إلى تدريب الإدراك الذاتي. تم قياس المتغيرات على النحو التالي: قمة عزم الدوران لعضلات الكاحل باستخدام جهاز الديناموميتر المتساوي السرعة، وحساسية موضع المفصل النشطة والممنوعة باستخدام جهاز الديناموميتر المتساوي السرعة، ومؤشر الاستقرار العام ومؤشر الاستقرار الأمامي - الخلفي ومؤشر الاستقرار الوسطي - الجانبي وحدود الاستقرار باستخدام نظام توازن بيوديكس، وقدرات القدم والكاحل في أنشطة الحياة اليومية باستخدام قياس قدرة القدم والكاحل.
530			_aIssued also as CD
546			_aText in English and abstract in Arabic & English.
650		7	_aPhysical Therapy _2qrmak
653		0	_aRecurrent ankle sprain _aLow load blood flow restriction _aisokinetic, peak torque _aFoot Ankle Ability Measure
700	0		_aWadida H. Elsayed _ethesis advisor.
700	0		_aMahmoud Shaaban Abu-Zaid _ethesis advisor.
700	0		_aRania Refaat Ali Ahmed _ethesis advisor.
900			_b01-01-2024 _cRania Refaat Ali Ahmed _cWadida H. Elsayed _cMahmoud Shaaban Abu-Zaid _UCairo University _FFaculty of Physical Therapy _DDepartment of Basic Science
905			_aNourhan _eEman Ghareb
942			_2ddc _cTH _e21 _n0
999			_c171869