Background: Plantar fasciitis is one of the most common disorders of foot associated with pain and limitations to activities. Aim: To investigate outcomes of patients with plantar fasciitis after 12-week exercises rehabilitation program. Patients and methods: Research design: A randomized controlled trial. Sample and setting: Sixty-four patients with plantar fasciitis attended to orthopedic department and orthopedic outpatients clinic at Assiut University Hospitals. Patients were assigned randomly into 2 equal groups as odd number (intervention group) and double number (control group). This study introduced exercises rehabilitation program to intervention group. Outcomes were measured at the time of assessment in orthopedic department and orthopedic outpatients clinic and then each 4 weeks for 12-week in orthopedic outpatients clinic. Tools: assessment sheet for patient with plantar fasciitis, numeric pain rating scale, foot functional index, American orthopedic foot and ankle society scale and exercises adherence logbook. Results: Statistical significant difference (p.value <0.05) was found between intervention and control groups at the second and third month of follow up as regard numeric pain rating scale (p.value <0.05), foot functional index (p.value <0.001) and American orthopedic foot and ankle society scale (p.value <0.05). Conclusion: The 12-week exercises rehabilitation program; plantar fascia stretching, Achilles tendon stretching and roll plantar fascia with frozen water bottle reducing pain and improving functional recovery and foot function for patients with plantar fasciitis. Recommendations: The 12-week exercises rehabilitation program should be advocated as one of the significant modalities to manage pain and improve functional recovery and foot function for patients with plantar fasciitis.
Since the first transplant in 1957 and hematopoietic stem cell transplantation (HSCT) is the curative modality for numerous hematological disorders. Nevertheless, it is not available for all patients. Besides unavailability of matched donors a lot of factors could hinder HSCT in a resource limited setting, as financial and administrative factors. In our daily practice we noticed other factors that hinder HSCT in our center, the common myths and misconceptions about HSCT and donation. This quasi-experimental study assessed, for the first time, common myths and misconceptions about HSCT among 218 medical and nursing students before and after an interventional educational program. The study tool was an investigators' developed self-administered questionnaire. Participants' male to female ratio was 1:2.5, and FAS was middle in 52.7%. Pretest high myths scores were reported in 53.4% and 90% of medical and nursing students that was reduced to 0% and 4% post-test, respectively. Pretest, 26.3% and 7% of medical and nursing students welling to donate HSC, that increased to 66% and 39% post-test, respectively. Rural residency, low and middle FAS associated with higher myths scores. Myths score is an independent effector of willingness to donate HSC among participants. In conclusion medical/nursing students had significant myths and misconceptions about HSCT that was corrected with the educational program. Thus, wide based educational programs about HSCT are mandatory to correct myths and augment HSC donation.www.clinicaltrrial.gov: clinical trial ID NCT05151406.
Background: Attention and balance impairments are common disorders following craniotomy. Aim: Evaluate the effect of early rehabilitation program on attention and balance for patients following craniotomy. Patients and Methods: A randomized controlled trial design was used for a sample of 62 oriented patients following craniotomy for removal of brain tumor with mild impaired attention and balance. Patients were attended to neurosurgery department at Neurological, Psychiatric and Neurosurgery Assiut University Hospital and outpatients clinic. Patients assigned randomly into rehabilitation group (odd number) and control group (double number). An early rehabilitation program was applied to the rehabilitation group (teaching booklet). Patients were followed up for 3 months in neurosurgery department and outpatients clinic. Tools: Patients assessment sheet following craniotomy, mini-mental state examination, Berg balance scale and survey about patients satisfaction. Results: Statistical significant improvements were found among patients in rehabilitation group regarding their attention and balance mean scores than patients in control group (p. value < 0.01). Moreover, patients in rehabilitation group were satisfied with program outcomes. Conclusion: Implementation of early rehabilitation program showed highly statistical significant improvements in attention and balance mean scores among patients of rehabilitation group than control group. Recommendation: Early rehabilitation program should be implemented for all patients following craniotomy after individualized comprehensive evaluation at different hospitals.
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