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Background Stress urinary incontinence is common in men after prostate cancer surgery. Rehabilitative interventions incorporate pelvic floor muscle training, biofeedback, electrical stimulation, lifestyle changes, or a combination of these strategies. However, little is known about the physiological impact of whole-body vibration for stress urinary incontinence after radical prostatectomy. Objective To investigate the effect of whole-body vibration training on stress urinary incontinence after prostate cancer surgery. Design Randomised controlled trial. Setting Tertiary university hospitals. Participants Sixty-one patients with mild stress urinary incontinence after radical prostatectomy. Intervention Group 1 included 30 patients who performed pelvic floor muscle training and whole-body vibration training with a frequency and amplitude of 20 Hz/2 mm for the first two sessions and 40 Hz/4 mm for the rest of the intervention. Group 2 included 31 patients who performed pelvic floor muscle training alone. The intervention in both groups was conducted three times per week for 4 weeks. Main outcomes Incontinence Visual Analogue Scale (I-VAS) score, International Consultation on Incontinence Questionnaire-Urinary Incontinence-Short Form (ICIQ-UI-SF) score and 24-hour pad test result. Results I-VAS score, ICIQ-UI-SF score and 24-hour pad test result showed significant within-group differences at each assessment with the exception of the baseline and post-intervention I-VAS score in Group 2. For example, Group 1 I-VAS score had a median difference of 3.9 cm [95% confidence interval (CI) −4.0 to −3.8] from baseline to first follow-up, and a median difference of −2.0 cm (95% CI −2.2 to −1.8) at 4-week follow-up. Comparisons between the groups demonstrated significant differences in favour of Group 1 after 4 weeks of intervention and at follow-up for all measured parameters. Conclusion Whole-body vibration training is an effective modality for treating patients with stress urinary incontinence after prostatectomy. Trial registration Clinicaltrial.gov (NCT03325660).

Objective: To investigate the effect of kinesiotaping and a designed exercise program versus sham kinesiotaping and the same exercise program on pain, range of motion, and activities of daily living in obese patients suffering from coccydynia. Design: A double-blinded, randomized, sham-controlled trial. Setting: Outpatient, Cairo University hospitals. Participants: Sixty patients with coccydynia randomized equally into kinesiotape plus exercise and sham kinesiotape plus exercise groups. Intervention: The kinesiotape was worn for three days and replaced for three weeks. Each patient practiced exercises for three weeks. Outcome measures: All patients were examined by visual analogue scale (VAS) for rating pain, Modified Modified Schober Test (MMST), and Oswestry Disability Index (ODI). All outcomes were measured at baseline, three weeks postintervention, and four weeks follow-up. Results: There were no statistically significant differences between groups at baseline ( P Conclusion: Experimental kinesiotape intervention and exercise program provided significant improvements in pain, range of motion, and disability. It is suggested as an adjunctive therapy in treating obese patients with coccydynia.

الملخص: أهداف البحث: يعد استخدام زيت الحبة السوداء، والموجات فوق الصوتية ومرهم ''ميبو'' كعلاج تحفظي للحروق قد انتشر في المجال الطبي نظرا لأهميته في التغلب على الالتهابات، وكذلك في حث التئام الجروح دون وجود آثار جانبية، ولذا فإن هدف هذه الدراسة هو تقييم دور الموجات فوق الصوتية وحدها أو عن طريق الإدخال الصوتي للجزيئات، وزيت الحبة السوداء وكذلك مرهم ميبو في علاج الحروق الكيميائية. طرق البحث: تم اختيار ٣٥ من الأرانب المحلية في الدراسة وتقسيمهم إلى سبع مجموعات متساوية في العدد، مجموعة الموجات فوق الصوتية المتقطعة، ومجموعة الموجات فوق الصوتية المستمرة، ومجموعة التطبيق الظاهري لزيت الحبة السوداء، ومجموعة الإدخال المتقطع للجزيئات، ومجموعة الإدخال المستمر للجزيئات، ومجموعة مرهم ميبو وكذلك المجموعة الضابطة. تم حساب مساحة الحروق عن طريق ورق الرسم البياني وباستخدام التصوير الفوتوغرافي في بداية الدراسة، وبعد سبعة أيام، وبعد أربعة عشرة يوما وبعد واحد وعشرين يوما. النتائج: دلت النتائج على أن هناك فروق ذات دلالة إحصائية بين جميع المجموعات قبل وبعد العلاج ما عدا المجموعة الضابطة، وكانت أقل النتائج لصالح مجموعة الموجات فوق الصوتية المستمرة. الاستنتاجات: إن استخدام الموجات فوق الصوتية، والاستخدام الظاهري لزيت الحبة السوداء، والإدخال الصوتي للجزيئات وكذلك مرهم ميبو له تأثير فعال في حث التئام الحروق الكيميائية ومن الممكن إضافة هذه الوسائل لخطة علاج الجروح. Abstract: Objectives: Nigella sativa oil, ultrasound, and moist-exposed burn ointment (MEBO) have been suggested as noninvasive treatments for a number of inflammatory conditions and to accelerate wound healing. The aim of this study was to evaluate the efficiency of pulsed and continuous modes of ultrasound either alone or through phonophoresis, with N. sativa oil, or MEBO ointment in the treatment of chemical burns. Methods: Thirty-five local rabbits were randomly divided into seven equal groups: pulsed ultrasound, continuous ultrasound, topical N. sativa oil, pulsed phonophoresis, continuous phonophoresis, topical MEBO ointment, and control group. Wound surface area was measured on days 0, 7, 14, and 21 using metric graph paper and photographs. Results: Significant differences were found between pre- and post-treatment wounds in all groups, except for the control group, in favor of the pulsed phonophoresis. In contrast, low results were found in favor of continuous ultrasound. Conclusion: Ultrasound, topical application of N. sativa oil, phonophoresis, and MEBO ointment have the potential to accelerate wound healing induced by chemical burns. Such treatment modalities may be used to treat wounds. الكلمات المفتاحية: الموجات فوق الصوتية المتقطعة, زيت الحبة السوداء, الموجات فوق الصوتية, الحروق, الجروح, Keywords: Burn, Nigella sativa oil, Pulsed phonophoresis, Ultrasound, Wound

Lichen planus (LP) is a moderately prevalent inflammatory disorder that affects the skin and the oral mucosa, leading to a characteristic appearance and causing severe itching.To assess the potency of transcutaneous electrical nerve stimulation (TENS) as an antipruritic line of treatment in patients with LP.We enrolled 30 patients with LP who had a history of recurrent relapses of confined pruritus forcing them to scratch or rub the affected area intensively. Patients were treated with TENS three times per week for 4 weeks. Severity of itching was estimated by visual analogue scale (VAS) and Dermatology Life Quality Index (DLQI).There was a statistically significant decline in mean VAS score at weeks 2 and 4 of treatment compared with baseline (P 0.05, with 74% of participants having an improvement of 50%. Significant improvement in itching intensity also resulted in better quality of life, as there was also a significant reduction in median DLQI at weeks 2 and 4 of therapy compared with baseline (P 0.05), with 65% of patients having an improvement of 50% in median DLQI score.TENS may be an alternative safe treatment for LP-induced itching.

Sayed A Tantawy,1,2 Dalia M Kamel,2,3 Walid Kamal Abdelbasset,4,5 Hany M Elgohary6 1Department of Physiotherapy, Centre of Radiation, Oncology and Nuclear Medicine, Cairo University, Giza, Egypt;2Department of Physiotherapy, College of Medical and Health Sciences, Ahlia University, Manama, Kingdom of Bahrain; 3Department of Physiotherapy of Obstetrics and Gynecology, Faculty of Physical Therapy, Cairo University, Giza, Egypt; 4Department of Physical Therapy and Health Rehabilitation, College of Applied Medical Sciences, Prince Sattam Bin Abdul Aziz University, Alkharj, Saudi Arabia; 5Department of Physical Therapy, Kasr Al-Aini Hospital, Cairo University, Cairo, Egypt; 6Department of Physical Therapy for Surgery, Faculty of Physical Therapy, Cairo University, Giza, Egypt Background: Obesity is very common worldwide and is related to critical morbidity and mortality. It has a large number of impacts on the human body. Constipation has a prevalence from 4% to 29% in various parts of the world and is considered to be a major health problem, with an estimated incidence of 5% in males and 15% in females. There is a strong association between obesity and constipation. This study aimed to investigate the effect of physical activity and a low-calorie diet on constipation in middle-aged obese women. Methods: This study included 125 obese women (age 20–40 years) who had chronic constipation. Participants were randomly assigned to two groups. Group A included 62 women who received a suggested protocol of physical activity, a low-calorie diet, and the routine standard care for constipation, whereas Group B included 63 women who received only the standard medical care for constipation and a low-calorie diet. Both groups followed the program for 12weeks. Changes in the Patient Assessment of Constipation Symptoms (PAC-SYM) and Patient Assessment Quality of Life (PAC-QOL) scores, and in the body mass index (BMI) were recorded in study subjects, both at baseline and at the end of the study program. Results: There were no statistically significant differences in the baseline characteristics of patients in the two groups. After 12 weeks of intervention, both groups showed significant intragroup differences (p < 0.05) in all of the measured variables, except the BMI which showed a nonsignificant difference (p > 0.05) in Group B. Between-groups comparison showed significant differences (p < 0.05) in all of the measured parameters in favor of Group A. Conclusion: Physical activity and weight reduction improve PAC-SYM and PAC-QOL scores in middle-aged, premenopausal women with constipation in the short term (up to 12 weeks). Keywords: constipation, physical activity, obesity, low-calorie diet, patient assessment quality of life

[Purpose] To investigate the effect of pulsed electromagnetic field with or without exercise therapy in the treatment of benign prostatic hyperplasia. [Subjects and Methods] Sixty male patients aged 55-65 years with benign prostatic hyperplasia were invited to participate in this study. Patients were randomly assigned to Group A (n=20; patients who received pulsed electromagnetic field in addition to pelvic floor and aerobic exercises), Group B (n=20; patients who received pulsed electromagnetic field), and Group C (n=20; patients who received placebo electromagnetic field). The assessments included post-void residual urine, urine flow rate, prostate specific antigen, white blood cells count, and International Prostate Symptom Score were weighed, before and after a 4-week intervention. [Results] There were significant differences in Group A and B in all parameters. Group C showed non-significant differences in all measured variables except for International Prostate Symptom Score. Among groups, all parameters showed highly significant differences in favor of Group A. There were non-significant differences between Group A and B and significant difference between Groups A and C and between Groups B and C. [Conclusion] The present study demonstrated that electromagnetic field had a significant impact on the treatment of benign prostatic hyperplasia. Accordingly, electromagnetic field can be utilized alone or in combination with other physiotherapy modalities. Moreover, clinicians should have the capacity to perceive the advantages accomplished using extra treatment alternatives. Electromagnetic field is a safe, noninvasive method and can be used for the treatment of benign prostatic hyperplasia.

Sayed A Tantawy,1,2 Hany MI Elgohary,3 Dalia M Kamel2,4 1Department of Physiotherapy, Centre of Radiation, Oncology and Nuclear Medicine, Cairo University, Giza, Egypt; 2Physiotherapy Department, College of Medical and Health Sciences, Ahlia University, Manama, Kingdom of Bahrain; 3Department of Physiotherapy for Surgery, Faculty of Physical Therapy, Cairo University, Giza, Egypt; 4Department of Physiotherapy for Women’s Health, Faculty of Physical Therapy, Cairo University, Giza, Egypt Background: A significant number of men who are younger than 50 years visit urologists for interminable prostatitis. This study aimed to thoroughly investigate the effect of pumpkin seed oil (PSO) phonophoresis on chronic nonbacterial prostatitis (CNBP). Subjects and methods: Sixty patients with CNBP were randomly assigned to three groups: Group A, wherein patients were treated with PSO using phonophoresis; Group B, where patients underwent trans-perineal continuous low-intensity ultrasound (LIUS); and Group C, wherein patients underwent placebo LIUS. All three groups received their corresponding treatments daily for up to 3 weeks. The NIH-Chronic Prostatitis Symptom Index (NIH-CPSI), residual urine determined by urodynamic measurements, and flow rate were used to analyze study outcomes. The white blood cell (WBC) count in the prostatic secretion was determined. Results: Comparisons of the intragroup mean values of all measurements in Groups A and B before and after the end of the treatment showed a significant improvement in residual urine, flow rate, WBC count, and NIH-CPSI (p < 0.05), whereas no significant change was found in Group C (p > 0.05). Between-group comparisons of all variables showed a significant difference was found after intervention (p < 0.05). Postintervention comparisons between Groups A and B showed a significant difference in all measurements, except for WBC, in favor of Group A. Comparing the changes between Groups A and C, a significant difference was found in all measurements (p < 0.05). Furthermore, all parameters differed significantly when comparing Groups B and C (p < 0.05). Conclusion: The current study showed that PSO phonophoresis can produce a significant effect in the management of CNBP and can, therefore, be considered a safe, noninvasive method for the treatment of CNBP. Keywords: pumpkin seeds oil, phonophoresis, ultrasound, physiotherapy, cucurbita pepo, chronic non-bacterial prostatitis

Objective To compare the effects of low intensity ultrasound (LIUS), traditional exercise therapy (TET), low level laser therapy (LLLT) and TET on temporomandibular joint (TMJ) pain and trismus following recovery from head and neck cancer (HNC). Methods Sixty participants following, who had experienced HNC, were randomly allocated to three groups of 20 people each. Each group received different therapy. Group A received LIUS and TET; group B received LLLT and TET; while group C received TET. All 60 participants were evaluated under the visual analog scale (VAS), the University of Washington Quality of Life questionnaire (UW-QOL) and the Vernier caliper scale (VCS) at the beginning of the therapies and after 4 weeks. Results ANOVA test revealed significant improvements across all three groups with outcomes of p0.05). The VCS results showed more improvement for the individuals in group B as compared to those in group C (p0.05). Conclusion The LIUS and TET are more effective than LLLT and/or TET in reducing TMJ pain and trismus following HNC.