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040			_aEG-GiCUC _beng _cEG-GiCUC
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049			_aDeposit
082	0	4	_a615.8329
092			_a615.8329 _221
097			_aPh.D
099			_aCai01.21.04.Ph.D.2022.Ma.E
100	0		_aMarwa Mohamed Ahmed Mahran _epreparation.
245	1	0	_aEffect Of Cold Therapy And Ultrasonic On Postural Kyphosis In Pre Versus Post Menopausal Women / _cMarwa Mohamed Ahmed Mahran ; Supervised Prof.Dr. Soheir Mahmoud Elkosery , Prof.Dr.Amel Mohamed Yousef , Prof.Dr.Mohamed Hassan Mustafa
246	1	5	_aتأثير العلاج بالتبريد والعلاج بالموجات فوق الصوتية على تحدب الظهر لدى السيدات فترة قبل مقابل بعد إنقطاع الطمث
264		0	_c2022
300			_a141 P . : _bcharts,facsmilies ; _c25cm _eCD
336			_atext _2rda content
337			_aUnmediated _2rdamedia
338			_avolume _2rdacarrier
502			_aThesis (Ph.D.) - Cairo University - Faculty of Medicine - Department of P.T for Gynecology and Obstetrics
504			_aBibliography: p. 130-114.
520			_aBackground: Thoracic kyphosis is one of the manifestations of post{u2011}menopausal spinal osteoporosis so it is preferable to prevent incidence of kyphosis related to estrogen deficiency especially for premenopausal whose kyphosis start to develop. Purpose: The aim of this study was to detect the effect of cold therapy and ultrasonic on postural kyphosis in pre versus post{u2011}menopausal women. Materials and Methods: Sixty non{u2011}osteoporotic pre and post{u2011}menopausal women diagnosed as postural kyphosis with thoracic back pain, between the ages of 40 and 60 years, assigned randomly into 3 groups equal in numbers; each group consisted of 10 pre and 10 post{u2011}menopausal women; Group (A) received physiotherapy program followed by cold therapy, Group (B) received ultrasonic therapy followed by physiotherapy program, and Group (C) received ultrasonic then the physiotherapy program followed by cold therapy. The three groups followed the same physiotherapy sessions 3 times per week for 3 months. Evaluation was performed for the thoracic back pain by visual analogue scale (VAS); for kyphosis by Formetric, Spinal Mouse and Flexicurve ruler and for activities by Instrumental activities of daily living scale (IADL). Results: Statistical analysis revealed that within the three groups (A, B & C) there were highly significant decrease (P < 0.0001) post treatment in both pre- and post-menopausal conditions except the premenopausal participants treated by cold (A), measured by Formetric and (pre and post-menopausal )treated by cold (A), measured by spinal mouse ,they showed a non-significant decreasing p > 0.05 post-treatment while pre-menopause showed clinical improvement and non-significant difference(P > 0.05) when compared to post-menopause conditions in the pre- and post-treatment. The clinical improvement in the VAS in group (A),(B)&(C)at pre as well as post-menopausal conditions equal [({u2193}32%& {u2193}35%), ({u2193}40%& {u2193}30%)& ({u2193}37.55%& {u2193}31.57%)] respectively, kyphosis assessed by Formeric were [({u2193}3.15% &10.11%), ({u2193}19.16% & {u2193}13.84%)& ({u2193}19.23% & {u2193}16.44%)] respectively , kyphosis assessed by spinal mouse were [({u2193}3.15%&{u2193}8.3%), ({u2193}36.43%& {u2193}17.31%)& ({u2193}27.19%& {u2193}22.07%)] respectively, kyphosis assessed by flexicurve ruler were [({u2193}8.44%& {u2193}7.1), ({u2193}7.7& {u2193}8.12)& ({u2193}9.68 & {u2193}11.08)] respectively, IADL were [({u2191}51.98%&{u2191}60.74%),({u2191}52.38%&{u2191}61.26%)& ({u2191}36.64%&{u2191}41.52)] respectively. Conclusion: Addition of Ultrasonic to exercise provides an improvement in thoracic kyphosis in menopausal women
530			_aIssued also as CD
546			_aText in English and abstract in Arabic & English.
650		0	_aKyphosis
653			_aCold _aFormetric _aUltrasonic
700	0		_aAmel Mohamed Yousef _ethesis advisor.
700	0		_aMohamed Hassan Mustafa _ethesis advisor.
700	0		_aSoheir Mahmoud Elkosery _ethesis advisor.
900			_b01-01-2022 _cSoheir Mahmoud Elkosery _cAmel Mohamed Yousef _cMohamed Hassan Mustafa _UCairo University _FFaculty of Medicine _DDepartment of P.T for Gynecology and Obstetrics
905			_aShimaa
942			_2ddc _cTH
999			_c84671