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003			EG-GICUC
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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			_aCai01.21.10.M.Sc.2025.Sa.E
100	0		_aSandy Hany Michel Gad ElRab, _epreparation.
245	1	0	_aEffect of intra-nasal low-level laser on pulmonary functions in patients with chronic rhinosinusitis / _cby Sandy Hany Michel Gad ElRab ; Supervisor Prof. Dr. Nesreen Ghareeb Mohamed El-Nahas, Dr. Hend Abd El-Monaem Abd El-Monaem, Dr. Hazem Othman Ibrahim Attia.
246	1	5	_aتأثير إضافة تمارين الثبات الجذعي الي التمارين المركزة للورك والركبة على متلازمة آلام الرضفة وأسفل عظمة الفخذ
264		0	_c2025.
300			_a88 pages : _billustrations ; _c25 cm. + _eCD.
336			_atext _2rda content
337			_aUnmediated _2rdamedia
338			_avolume _2rdacarrier
502			_aThesis (M.Sc)-Cairo University, 2025.
504			_aBibliography: pages 67-76.
520		3	_aBackground 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.
520		3	_aاشتملت 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.
530			_aIssues also as CD.
546			_aText in English and abstract in Arabic & English.
650		0	_aPhysical Therapy
650		0	_aالعلاج الطبيعى
653		1	_aCore exercise _aPain _aHip-knee focused exercise _aPatellofemoral pain syndrome _aمتلازمة آلام الرضفة وأسفل عظمة الفخذ _aتمارين الثبات الجذعي
700	0		_aNesreen Ghareeb Mohamed El-Nahas _ethesis advisor.
700	0		_aHend Abd El-Monaem Abd El-Monaem _ethesis advisor.
700	0		_aHazem Othman Ibrahim Attia _ethesis advisor.
900			_b01-01-2025 _cNesreen Ghareeb Mohamed El-Nahas _cHend Abd El-Monaem Abd El-Monaem _cHazem Othman Ibrahim Attia _UCairo University _FFaculty of Physical Therapy _DDepartment of Physical Therapy
905			_aShimaa
942			_2ddc _cTH _e21 _n0
999			_c176785