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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			_aM.Sc
099			_aCai01.21.11.M.Sc.2024.Em.E.
100	0		_aEmad Eldeen Mohamed Hassan Ahmed, _epreparation.
245	1	4	_aThe effect of sleep disorders on postural control in patients with multiple sclerosis / _cBy Emad Eldeen Mohamed Hassan Ahmed; Under Supervision of Prof. Dr. Wael Salah Shendy, Prof. Dr. Amr Hassan Alhusseiny, Dr. Amina Awad _bRemainder of title /
246	1	5	_aتأثير اضطرابات النوم على الاتزان فى مرضى التصلب المتعدد /
264		0	_c2024.
300			_a84 pages : _billustrations ; _c25 cm. + _eCD.
336			_atext _2rda content
337			_aUnmediated _2rdamedia
338			_avolume _2rdacarrier
502			_aThesis (M.Sc.)-Cairo University, 2024.
504			_aBibliography: pages 200-250.
520			_aBackground: Sleeping disorders are more common in people with MS than in healthy people. Sleep deprivation for one-night, chronic low-quality sleep, and sleep disorders were all found to affect normal healthy adults' postural control and balance abilities. There is a knowledge gap in understanding the impact of sleep disorders on physical performance in people with MS and in normal subjects. Aim of the study: To investigate the effect of sleep disorders on postural control in patients with remitting-relapsing multiple sclerosis (RRMS). METHODS: A cross-sectional observational study was conducted on sixty RRMS patients of both sexes, aged 20 to 40 years, with EDSS scores less than four and greater than 24, according to the Mini-Mental State Examination Scale (MMSE). Patients were divided according to the Pittsburgh sleep quality index (PSQI) into two groups; the sleep disorders group (SD group, n=30, PSQI > 5) and the non-sleep disorder group (NSD group, n=30, PSQI ≤ 5). Sleep was assessed using the PSQI and the Epworth sleepiness scale (ESS). In contrast, postural control was evaluated by the Biodex Balance System by the dynamic test measurements of overall stability index (SI), anteroposterior stability index (APSI), mediolateral stability index (MLSI), and Limits of stability (LOS). Fatigue was assessed using the fatigue severity scale. Results: There is no significant difference between the two groups in the Epworth sleepiness scale, overall SI, and the APSI, while there was a substantial difference in the fatigue severity scale, MLSI, and the LOS in favor of the SD group. Conclusion: These results revealed that sleeping disorders in RRMS may negatively affect some aspects of their postural control, mainly mediolateral stability and limits of stability, and negatively affect fatigue.
520			_aأجريت دراسة رصدية مقطعية مستعرضة على ستين مريضا يعانون من التصلب المتعدد الانتكاسي من كلا الجنسين ، تتراوح أعمارهم بين العشرون و الاربعون عاما , مع درجة مقياس حالة الإعاقة الموسع أقل من أربعة . ودرجة أكبر من اربعة وعشرون وفقا لمقياس فحص الحالة العقلية المصغر . تم تقسيم المرضى وفقا لمؤشر جودة النوم في بيتسبرغ إلى مجموعتين. مجموعة اضطرابات النوم (عدد= ثلاثون ، > 5 مؤشر جودة النوم في بيتسبرغ) ، ومجموعة اضطرابات غير النوم (عدد= ثلاثون ، 5 ≤ مؤشر جودة النوم في بيتسبرغ). تم تقييم النوم باستخدام مؤشر جودة النوم في بيتسبرغ ومقياس إيبوورث للنعاس ، بينما تم تقييم التحكم في الوضع من خلال نظام توازن بيودكس من خلال قياسات الاختبار الديناميكي لمؤشر الاستقرار الكلي ومؤشر الاستقرار الأمامي الخلفي ومؤشر الاستقرار المتوسط وحدود الاستقرار. تم تقييم التعب باستخدام مقياس شدة التعب.
530			_aIssued also as CD
546			_aText in English and abstract in Arabic & English.
650		7	_aPhysical Therapy _2qrmak
653		0	_aMultiple sclerosis _asleep disorders _apostural control _abalance
700	0		_aWael Salah Shendy _ethesis advisor.
700	0		_aAmr Hassan Alhusseiny _ethesis advisor.
700	0		_aAmina Awad _ethesis advisor.
900			_b01-01-2024 _cWael Salah Shendy _cAmr Hassan Alhusseiny _cAmina Awad _UCairo University _FFaculty of Physical Therapy _DDepartment of Physical Therapy for Neurology
905			_aNourhan _eEman Ghareb
942			_2ddc _cTH _e21 _n0
999			_c171885