Saudi Universities Theses & Dissertations
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Item Restricted Cross-cultural Adaptation and Validation of the Arabic Version of Upper Limb Functional Index(Imam Abdulrahman Bin Faisal University, 2022) Albahrani, Yousef Abdulkarim A.; الشامي، علي متعب يحي6 0Item Restricted Response of trunk and shoulder muscle activity to various arm loads in mechanical low back pain patients and healthy control(Imam Abdulrahman Bin Faisal University, 2021) Alhumaidan, Rasha Yaseen; السيد، ولاء حمدي احمد0 0Item Restricted The Effects of Scapulothoracic Mobilization on Pain and Range of Motion in Patients with Neck Pain and Scapular Dyskinesis(Imam Abdulrahman Bin Faisal University, 2018) Alsadiq, Abrar Ibrahim; الشامي، على بن متعبBackground: Dyskinesis has been referred to as a major manifestation of affected muscle performance and neuromuscular control of the scapular stabilizers. Alterations around the scapula with muscular imbalances could facilitate or emphasize dysfunction in its surrounding structures through compressive and shear stresses created by abnormal pull through their shared attachments. No studies have investigated the effect of scapular mobilization with movement on neck mobility and pain in patients with neck pain and scapular dyskinesis. Design: a single-blind case-control study. Methods: Forty participants with chronic non-specific neck pain and scapular dyskinesis were alternatively allocated to one of two groups: experimental group (scapulothoracic MWM+ corrective exercises+ tape) or the control group(corrective exercises and tape). Pain intensity on visual analog scale (VAS), Pressure Pain Threshold (PPT), cervical and scapular range of motion (ROM) and Neck Disability Index (NDI) were measured at baseline, after the 3rd session and after the 6th session. Results: Pain decreased significantly (p£ 0.04) and clinically (³ 1.37 cm) in both groups after session 6. Although ROM of neck extension, right rotation, right lateral flexion and left lateral flexion improved significantly (p£ 0.031), this increase in neck ROM did not reach the minimal detectable change (MDC) of these movements. Scapular upward rotation improved significantly (p£ 0.017) and clinically (5.4 °³) after 6th session in the control but not in the experimental group. Function as expressed by decreased NDI improved significantly (p£0.02) and clinically (MDC >10)in both groups after session 6. There were no significant differences between the two groups in any outcome measure at any stage (p³0.230). PPT did not change in either group at any stage (p³0.06). Conclusion: Both interventions resulted in equal positive short-term impacts on measured variables of pain and disability with a variety of trends in regards of cervical and scapular dyskinesis ROMs. Thus, both approaches are recommended in the treatment regime of those with neck pain and dyskinetic manifestations. Adding scapular MWM was not efficient on improving pain, ROM and function more than exercises and tape in patients with neck pain associated by scapular dyskinesis.1 0Item Restricted The Immediate Effect of Kinesio Tape on Hamstring Muscle Length in Female Students of Imam Abdulrahman Bin Faisal University(Imam Abdulrahman Bin Faisal University, 2018) Al-Beshri, Zainab Saeed; يوسف، ايناس فوزيBackground: The hamstring muscle is an important muscle that affects the performance of almost all activities of daily living. Since this muscle is a large one that crosses two major joints (the hip and knee joint), it is more susceptible to losing its extensibility. Individuals who spend a long time in a sitting position, such as students or desk office workers, are predisposed to develop tightness in the hamstring muscle. There is no agreement on a standard protocol for the treatment of hamstring tightness. Kinesio taping is one of the options for treatment of the hamstring muscle and is considered a safe, passive, and non-painful intervention. If proven to be effective, it may help individuals with hamstring tightness, especially those with poor compliance and poor tolerance of painful stretching exercises. The purpose of the study: The objectives of the present study are to investigate the immediate effects of Kinesio taping on hamstring muscle extensibility and quadriceps and hamstring muscle strength. Procedure and methodology: Ninety-six students with hamstring tightness were recruited from Imam Abdulrahman Bin Faisal University to participate in this prospective experimental study. All participants were assigned randomly to either a Kinesio tape group, sham tape group, or control group. The hamstring muscle length measurement was done by using the active knee extension test, and the strength measurement for the hamstring and quadriceps muscles was done using a handheld dynamometer. The outcome measurements were taken at baseline and 15 minutes after the intervention. Result: A significant effect of Kinesio tape on hamstring muscle extensibility in Kinesio tape group (p= 0.001) and the sham tape group (p=0.004). A significant difference in hamstring extensibility was found in the Kinesio tape group compared with the sham tape group and control group in favor of Kinesio tape. No significant effect on hamstring or quadriceps muscle strength in all groups. Conclusion: There is an immediate significant improvement in hamstring muscle extensibility after Kinesio tape application, which is considered of clinical importance in the treatment of hamstring muscle tightness.1 0Item Restricted Effect of Neural Mobilization Techniques on Pain, and Hip and Knee Range of Motion on Lumbosacral Radiculopathy Patients with Peripheral Sensitization(Saudi Digital Library) Alghamdi, Mohammed AbdullahBackground: Lumbosacral radiculopathy is common with low back pain (LBP) patients. Lumbosacral radiculopathy can be classified into several subgroups which include, but not limited to, peripheral sensitization. Neural mobilization techniques, such as slider and tensioner techniques, were suggested in the treatment of patients with radicular LBP. Studies that have examined the effects of these techniques in patients with radicular LBP with predominant peripheral sensitization are lacking. Objective: The primary purpose of this study was to investigate the effects of slider and tensioner techniques on pain, hip and knee ROM in lumbosacral radiculopathy patients with peripheral sensitization. A secondary purpose was to evaluate the correlation between these outcomes measurements. Study design: Double-blind case-control trial. Methods: Fifty-one male lumbosacral radiculopathy patients with peripheral sensitization, were divided into one of the three groups: slider, tensioner, and control. The primary outcome measurements were visual analog scale (VAS) for pain, hip range of motion (ROM) during SLR test, and knee flexion ROM during slump test. The measurements were taken at baseline, after 1st, 3rd, and 6th session. Statistical Analysis: A two-way mixed design analysis of variance (MANOVA) with post-hoc (Bonferonni Correction) was used to calculate the differences with Time (baseline, 1st,3rd,6th sessions) as a within-group factor and Group (control, slider, and tensioner) as a between-group factor. The effect size was calculated with Cohen’s d. Pearson's correlation was used for correlation analysis. Results: There were no significant differences between the groups in all the demographic variables at baseline. Pain decreased significantly at all session in the tensioner group (high effect size) and at sessions 3 and 6 in the slider group (moderate to high effect size), but only at session 6 in the control group (moderate effect size). In addition, there were significant differences between the control group and both the slider and tensioner groups at session 6 in favor of the later groups, without any significant differences between the slider group and the tensioner group at any stage. Hip flexion ROM during SLR test increased significantly at all sessions in both the slider (moderate to high effect size) and tensioner groups (high effect size), and in the control group at session 1 and 3 (moderate effect size). There were no significant differences between all the groups at any stage. Knee flexion ROM during slump test decreased significantly (high effect size) at all sessions in both slider and tensioner groups, but not in the control group. This decreased in knee flexion ROM indicate improvement in the knee extension ROM associated with the slump test. There were no significant differences between the slider and tensioner group at any stage. There was moderate to high negative correlation hip flexion ROM during SLR test and knee flexion ROM during slump test at all stages in all groups. Conclusion: The results showed a great impact of both the slider and tensioner techniques in reducing pain and improving mobility in lumbosacral radiculopathy patients with peripheral sensitization. The tensioner technique demonstrated a trend of superiority over the slider technique.23 0Item Restricted Effect of the Hands-on McKenzie Program on Derangement Syndrome in Subacute and Chronic Low Back Pain(Saudi Digital Library) AL-Banawi, Lina Abdullah AliObjectives: 1) Determine the effects of the hands-on McKenzie program on pain, disability, and lumbar mobility in subacute and chronic derangement LBP. 2) Recognize the impact of the McKenzie program on the centralization (CEN) of symptoms and the influence of the McKenzie program on posture changes through photogrammetry. Results: Pain intensity and the ODI showed significant improvement after intervention in both groups2 0