Physiotherapy

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Browsing Physiotherapy by Author "آيات أمين عطا عمرو"

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    The Effect of Kinetic Control Program Versus Rotator Cuff Muscle Imbalance-Based Program in Physiotherapy Management of Rotator Cuff Dysfunction -Experimental Comparative Study
    (Al-Quds University, 2023-12-30) Ayat Ameen Ata Amro; آيات أمين عطا عمرو
    Background: Rotator cuff dysfunction frequently occurs as a result of improper shoulder mechanics, fatigue, overload exercise, and excessive work in daily life, therefore it may limit functional movement of the upper extremities as a result of extreme pain, weakness, and deterioration of the shoulder stability. Objectives. The main objective of this study is to investigate the effect of a muscle imbalance-based exercise program compared to a kinetic control exercise program on pain severity, shoulder mobility, and functional outcomes among patients with shoulder tendinopathy. Methods: Experimental Comparative Study, the study was carried out at the Alia Governmental Hospital the study included 40 patients (males and females) with Rotator cuff Tendinopathy, aged 40 - 60 years. Patients were randomly assigned into two groups (by Excel software coding), all groups received 12 sessions at Hebron Governmental Hospital 3 days/week, the first group received a kinetic exercise control program, while the other group received a muscle imbalance-based exercise program. Patients were evaluated at the baseline and follow-up using the Western Ontario Rotator Cuff Index (WORC), Arabic Quick DASH questionnaire, Range of Motion (ROM), and pain level by a Numeric Rating Scale (NRS), Oxford Scale (MMT). Results: patients in both groups improved significantly in all directions of range of motion, with statically significant improvement of abduction, lateral rotation, and cognitive movement-testing flexion (CMT) in the kinetic control program (p<0.05). this improvement in lateral rotation and MCP flexion was predicted by being in the kinetic group and less BMI, while the abduction was predicted by being in the kinetic control group only. Muscle power improved in abduction, medial and lateral rotation, in the muscle imbalance group more than in the motor control group (p<0.05). No statistically significant difference was found between any of the outcome measures mean improvement between the two groups. Conclusion: Both techniques are effective in the management of rotator dysfunction, with more ROM outcomes associated with the kinetic control program