No abstract

IntroductionMineral bone disease is a crucial factor that contributes to mortality and morbidity in haemodialysis patients. Intradialytic resistance exercise training can be valuable in stimulating bone formation. The aim of this study was to evaluate the metabolic bone changes after intradialytic resistive exercise training in regular haemodialysis patients.MethodsThe study involved 60 patients on regular haemodialysis, aged 20–60 years. The patients were divided into 2 groups: a high parathyroid hormone group (parathyroid hormone over 800 pg/ml) and a low parathyroid hormone group (parathyroid hormone below 200 pg/ml), both groups randomly assigned into study and control groups. They received intradialytic resistive exercise 3 times per week for 3 months. Calcium, phosphorus, and parathyroid hormone were evaluated before and after the exercise period.ResultsThe training protocol proved to be effective in improving bone metabolism parameters, as there were statistically significant differences in the high parathyroid hormone exercise group. Parathyroid hormone and phosphorus decreased and calcium increased (<i>p</i> = 0.001, <i>p</i> = 0.012, and <i>p</i> = 0.025, respectively). In the low parathyroid hormone exercise group, phosphorus decreased significantly (<i>p</i> = 0.030) and calcium increased, although not significantly (<i>p</i> = 0.111), while parathyroid hormone non-significantly increased in the exercise group (<i>p</i> = 0.770), with a significant increase in the control group (<i>p</i> = 0.007). These results supported the positive effects of intradialytic resistive exercise in improving bone metabolism.ConclusionsIntradialytic resistive exercise training improves bone metabolism in haemodialysis patients.

Background:Coronaviruses are viruses that cause reductions in pulmonary and swallowing functions. The need for this study has been developed to apply a comparison between expiratory muscle strength training and functional electrical stimulation for the abdomenandneck in acute COVID-19 patients with dysphagia, aiming to determine the most effective technique to improve cough peak flow, peak expiratory flow, swallowing, and arterial blood gases. Objective:To determine the impact of electrical stimulation and expiratory muscle strength training on the pulmonary and swallowing functions in individuals with COVID-19. Methods:This clinical trial study included sixty patients with COVID-19, of both sexes, aged from 20 to 45 years,from El-Menshawy General Hospital, Tanta, Gharbia Governorate, Egypt, who were randomly chosen and divided into two equal groups equal. Expiratory muscle strength training was given to group A as one session per day, 30 minutes for each session, five times a week for four weeks.Group B received neck and abdominal functional electrical stimulation. Traditional dysphagia therapies, as well as chest physiotherapy, are administered to both groups. Results: After treatment, there was a significant difference between the two groups in terms of pH and PCO2 (p< 0.001). Additionally, there was a significantly higher SaO2, PEF, and GUSS in group B following therapy compared to group A (p< 0.001). Conclusion:Functional electrical stimulation had a greater impact on pulmonary and swallowing functions in COVID-19 patients than expiratory muscle strength training.

This prospective study's objective was to determine the impact of lung Boost exerciser on pulmonary functions in iron deficiency anaemia. Forty patients (18 males and 22 females) with iron deficiency anaemia were recruited from haematology department in AL-Kasr Al Ainy hospital where the study was conducted. Participants were aged between 20 to 35 years old. They were assigned randomly into two groups; study group(A) which were twenty patients received lung boost exerciser program for thirty minutes, three times/week in addition to medical treatment and twenty patients in control group(B) received medical treatment only. The exercise lasted from 5­20 minutes including 15 deep breaths, and 15-second rest in between. The total treatment period for both groups was twelve weeks. Pulmonary Functions which included Peak Expiratory Flow (PEF), Forced Vital Capacity (FVC), Forced Expiratory Volume in the First Second (FEV1), and the ratio of FEV1 to FVC (FEV1/FVC) were evaluated for all patients in both groups at the beginning of the study and after 12 weeks by using spirometer.

Patients and methodsSixty obese women with PCOS, their age ranging from 30 to 40 years, participated in this study. All study participants were recruited from the Gynecology Outpatient Clinic of Kasr Al Aini Hospital. They were assigned into two equal groups: Group A (study group) included 30 obese diabetic women. Group B (control group) included 30 nondiabetic obese women.All patients received a controlled diet program and an aerobic exercise program (each exercise training session included continuous aerobic exercises on a treadmill for 30 min performed three times per week for 24 weeks under the supervision of physicians of the Faculty of Physical Therapy) and were on metformin drug (850 mg every 12 h).Fasting blood glucose, insulin resistance, and waist circumference were measured at the beginning of the study and after the study for both groups. ResultsStatistical analysis revealed a significant improvement in insulin resistance and waist circumference in both groups after the aerobic exercise training program. ConclusionRegular aerobic exercises improve insulin resistance, abdominal fat distribution, and body weight in obese diabetic and nondiabetic women with polycystic ovary, and they are advised to perform regular aerobic exercises.