Effect Of Texting And Handwriting On Hand-Grip And Key-Pinch Strength Among Female-Collegiate Students: Randomized Controlled Trial.

OBJECTIVE: To evaluate immediate and long-term effect of texting or handwriting on hand-grip and key-pinch strength among healthy female students. Methods: The single-blind, randomised controlled trial was conducted between February and April 2021 after approval from the ethics review committee of the College of Medical Rehabilitation Sciences, Taibah University, Saudi Arabia, and comprised female Physio Therapy students aged 19-23 years who were right-hand dominant and had normal body mass index. The subjects used smartphones and electronic gadgets for >2hrs daily, writing more than 10min/day. They were randomised using sealed envelopes into five groups. Group A practised 10min texting, group B 15min texting, group C 10min writing, group D 15min writing, and group E used the phones only for talking or watching, with no texting or writing, and was taken as the control group. Hand-grip strength and key- pinch strength were assessed one minute before starting, and within one minute after having finished the assigned hand activity. All measurements were recorded in the sitting position using a single hand-grip dynamometer. Data was analysed using SPSS 23. RESULTS: Of the 65 individuals assessed, 60(92.3%) were initially enrolled, but the study was finished by 50(83.3%) subjects with a mean age of 20.88±0.98 years and mean body mass index 20.8±2.30kg/m2. There were 12(24%) subjects in group A, 7(14%) in group B, 12(24%) in group C, 10(20%) in group D and 9(18%) in group E. The association of the time-based groups with hand-grip and key-pinch strength was not significant (p>0.05). CONCLUSIONS: Texting and handwriting did not have any significant immediate effect on hand- grip or key-pinch strength. Clinical Trial Number: (NCT04810416).

Timed Up and Go and Five Times Sit to Stand Test among community ambulant, overweight, obese Saudi elderly population.

OBJECTIVE: To investigate the effect of Timed Up and Go category on the Five Times Sit to Stand Test, and to determine the role of recreational status on Timed Up and Go rating. METHODS: The descriptive, cross-sectional study was conducted between October 2018 and April 2019 at the College of Medical Rehabilitation Sciences, Taibah University, Madina, Saudi Arabia, and comprised community-ambulant retired overweight or obese subjects of either gender aged 60-69 years. Timed Up and Go, Five Times Sit to Stand Test and Single-Leg Stance Test were used to measure basic mobility, transitional skills and static balance respectively. Data was analysed using SPSS 23. RESULTS: Of the 150 subjects, 108(72%) were males and 42(28%) were females. The overall mean age was 63.1}2.5 years and the mean body mass index was 29.6}3.8 kg/m2. There were 46(31.5%) subjects who were freely mobile, 60(41.1%) who were mostly independent and 40(27.4%) who had variable mobility. Also, 36(24%) subjects were recreationally active, while 114(76%) were recreationally inactive. The freely mobile subjects managed to finish the Five Times Sit to Stand Test in less time than the other groups (p<0.05). The recreationally active subjects took significantly less time to finish the Timed Up and Go test compared to the inactive. Besides, the males had longer Single-Leg Stance Test timing than females (p<0.05). CONCLUSIONS: The elderly belonging to different Timed Up and Go mobility categories demonstrated variable Five Times Sit to Stand abilities, with the recreational mobility status significantly affecting the category.

Exploring physical performance using basic fitness test among collegiate students.

OBJECTIVE: To determine the effect of recreational status, body weight and risk factors on physical fitness of general students and on agility of physical therapy students. METHODS: The cross-sectional study was conducted at Taibah University, Medina, Kingdom of Saudi Arabia, from November 2018 to April 2019, and comprised general and physical therapy students from the College of Medical Rehabilitation Sciences. Data was obtained related to risk factors, like overweight, smoking and recreational status. Upper body strength, agility and endurance were measured using flexed-arm hang, 11x10 shuttle sprint test, and 1000-meter run test respectively. Data was analysed using SPSS 23. RESULTS: Of the 50 subjects, 30(60%) were physical therapy students and 20(40%) were general students. Overall mean age of the sample was 21.54±1.83 years (range: 18-26), and mean body mass index was 23.34±3.37kg/m2 (range: 16.8-29.4kg/m2). The mean values for overweight status and number of risk factors were significantly different for the shuttle-sprint test (p<0.05), but were non-significant for the recreational status (p>0.05). All the assessed variables had non-significant association (p>0.05) in terms of flexed-arm hang test. Overall, 29(58%) subjects could not complete the 1000-meter run test, and 44(88%) found it a strong exertion. Conclusions: Unhealthy lifestyle significantly impaired physical fitness. gain by the diabetics.

Trunk extensors endurance with arms parallel to the trunk is superior to other arms positions: Randomized controlled trial.

Objectives: To compare the effect of arms positions on the static endurance ability of trunk extensors, and to investigate the effect of home endurance training of trunk extensors on isokinetic outputs. METHODS: The prospective, randomised, assessor-blinded, controlled- intervention study was conducted from December 2017 to October 2019 at the College of Medical Rehabilitation Sciences, Taibah University, Madinah, Saudi Arabia, and comprised males aged 20-24 years who were randomly assigned to one of the four groups. Group A had their hands above the head, group B had their hands behind the head, group C had their hands parallel to their trunk, and group D had their hands on the chest. Data was collected at baseline, and after 6 and 8 weeks of static trunk extensors endurance training. Isokinetic outputs of peak torque and average power were also measured. Data was analysed using SPSS 23. RESULTS: Of the 60 participants, 15(25%) were in each of the four groups. The overall mean age was 22.02±1.2 years. At baseline, there was no significant difference among the groups (p>0.05). There was significant intra-group improvement for all outcome variables after 6 and 8 weeks of training (p<0.05). CONCLUSIONS: Static endurance of the trunk extensors with having arms parallel to the trunk was superior to other arm positions, especially after six and eight weeks of training but didn't affect the isokinetic outputs. Clinical Trial Number: NCT03107676.

Peak torque substantially varies between patients with non-specific low back pain; belong to directional preference classification, and healthy individuals-clinical biokinesiologic perspectives.

[Purpose] To compare flexion and extension peak torque of patients with nonspecific-chronic low back pain who were classified as directional preference subgroups, and their matched healthy controls. [Participants and Methods] Fifty male volunteers (25 with non-specific chronic low back pain and 25 healthy-matched controls) consented to participate. The investigator collected all demographic data, hips, knees and spinal mobility in addition to the peak torque using the Biodex isokinetic dynamometer. The measurement protocol consisted of 2 sets of 10 consecutive flexion-extension efforts performed at 120°/sec and 60°/sec angular velocity. A two minutes rest period was given between sets. The preset 50° range of motion included 20°(+20°) of trunk extension and 30°(-30°) of trunk flexion. [Results] A 2 × 2 mixed-design ANOVA showed a significant group X isokinetic velocity interaction. The main effect of isokinetic velocity was also significant. In reference to the peak torque of the flexors of the trunk, the main effect of group was significant. [Conclusion] The extension peak torque significantly depends on the velocity of the isokinetic dynamometer; however the flexion peak torque significantly depends on the participants' group attribution.

Risk factors and types of recurrent stroke: a Saudi hospital based study.

[Purpose] To identify the risk factors and the stroke types in recurrent stroke patients of Madinah Al-Munawarah city. [Participants and Methods] A prospective research hospital based study was conducted through the year of 2014. The patients were entered in the study when they had recurrent cerebrovascular accident led to hospital admission. All details of patients were obtained include history, demographic data, risk factors and stroke types. [Results] Ninety-four (83.9%) ischaemic strokes, 12 (10.7%) intercerebral hemorrhage strokes and 6 (5.4%) undefined out of 112 patients had recurrent stroke found in this study. Hypertension was the most prevalent risk factors (90.2%) followed by diabetes mellitus (62.5%) and ischaemic heart disease (51.8%). [Conclusion] Hypertension, diabetes, and ischaemic heart disease in particular were exhibited to be crucial risk factors for stroke recurrence in this study. Future studies are needed for secondary prevention planning.

Clinical measurements of spinal mobility, static balance, and functional performance in healthy participants: a simple biokinesiological analysis of performance.

[Purpose] To explore the relationship between functional outcome measurements of spinal mobility, static balance and functional performance. [Participants and Methods] Fifty two healthy participants aged between 18-36 years participated. Spinal mobility included forward bending and side bending. Balance was tested via maintaining single-leg stance position with eyes open and with eyes closed. Functional testing included five times squat to stand, walking on heels and walking on tiptoes. [Results] Two-way mixed intraclass correlation coefficients (ICCs) consistency model average measure (ICC3,K) for single-leg standing with the eyes are open and closed was excellent (0.85) and very good (0.79) respectively. Mean forward spinal mobility score of the recreationally active group (M= 3.3 ± 5.7) was significantly lower (M= 9.5 ± 10.5) than inactive group. Regarding five times squat to stand, the mean score of the recreationally active group (10.4 ± 4.3) was not significantly different from the mean of the recreationally inactive group (9.5 ± 2.6). [Conclusion] Walking on heels significantly took more time and perceived with more exertion than tiptoes walking. Also, standing on one leg was harder when eyes are closed. Recreationally active had shown significant forward mobility but no difference between sidebending mobility. The relationships between different outcome measures need to be furtherly explored.

Total assessment-reassessment & evaluation using bioKinesiologic (TAREK) approach: case presentation for theoretical formulation.

[Purpose] To introduce a new systematic physical therapy evaluation aiming to facilitate the process of examining complicated musculoskeletal cases. [Subject and Methods] The patient was a 20 years old male college student who had major motor vehicle accident one year ago. The patient was poorly responding to physical therapy and he felt that his case was worsening. The complexity of the case dictated a new evaluation with a different approach to resolve the barriers hindering the patient from showing functional improvements. [Results] The new evaluation approach explained many undetermined and stubborn symptoms experienced by the patient. The expert confirmed that the traditional evaluations methods utilized were insufficient to address patient's complaints. [Conclusion] Total Assessment-Reassessment & Evaluation using bioKinesiologic (TAREK) approach is comprehensive evaluation strategy using systematic pathway that guides clinicians to pinpoint the contribution of pathoanatomical structures in producing pathomechanical mobility and poor functional outcomes.

Effect of proprioception cross training on repositioning accuracy and balance among healthy individuals.

[Purpose] To investigate possible cross effects of proprioception training on proprioception repositioning accuracy of the knee joint and on balance in healthy subjects. [Subjects and Methods] Sixty healthy college students and faculty members from faculty of physical therapy, Cairo University were recruited to participate. Participants were randomly assigned to training group (n=30) and control group (n=30). The training group received proprioceptive training program only for the dominant leg while the control group did not receive any kind of training. Outcome measures were twofold: (1) proprioception repositioning accuracy quantified through the active repositioning test for the non-dominant knee; and (2) balance stability indices determined through using Biodex balance system. Measurements were recorded before and after 8 weeks of proprioception training. [Results] There were significant decrease in the error of repositioning accuracy and the stability indices including anterposterior stability index, mediolateral stability index, and overall stability index of training group, measured post training, compared with control group. [Conclusion] Proprioception training has significant cross training effects on proprioception repositioning accuracy of the knee joint and on balance among healthy subjects.