Journal of Medical Rehabilitation Science

Accessibility of Shopping Malls for Mobility Impaired People in Jeddah

Amna Shoman — Mon, 17 Mar 2025 00:00:00 +0000

Accessibility of mobility impaired people is an occupational therapy role in improving quality of life. Shopping malls are an essential part of entertainment venues that have to be accessible for a variety of individuals in the community. The objective of this study was to investigate the level of accessibility of shopping malls in Jeddah city, Saudi Arabia, aiming to improve the quality of life of people with physical disabilities. A total of 24 shopping malls as listed in Jeddah Municipality were included in this study. Senior occupational therapy students assessed accessibility of parking, routes, entrances, elevators, ramps, and restrooms for existing facilities using the Americans with Disabilities Act Checklist for Readily Achievable Barrier Removal. Statistical Package for the Social Sciences program was used to analyse data, and describe statistics into frequency and percentage. The findings showed 75% of Jeddah shopping malls were compliant. 90% was the highest score of two malls among twenty-four malls, while the lowest score was 55%. In particular, 79% of route statues were convenient to guidelines, and entrances fit 71%. Ramps indicated 63% compliance, whereas elevators showed 38% corresponding to parking, which had 33%. Restrooms were the minimum proper area with 14% score. Shopping malls in Jeddah need enforcement policies to improve accessibility and quality of life for individuals with mobility impaired.

Balance deficit among diabetic polyneuropathy Saudi patients

Shehab Mahmoud Abd El-Kader — Mon, 17 Mar 2025 00:00:00 +0000

Background: Currently, the risk of fall is high among diabetic patients in Saudi Arabia. Nowadays, the interest is direct towards prevention of fall through the prospective research studies trying to reduce the fall risk. Objective: The present study was intended to detect the fall incidence among diabetic Saudi patients with polyneuropathy. Material and Methods: Two hundred Saudi patients with type 2 diabetes mellitus, their age ranged 35-55 years, were divided into 2 groups: subjects with diabetes and with established peripheral neuropathy (diabetic peripheral neuropathy [DPN] group) to whom diabetes was diagnosed by clinical guidelines and balance performance was assessed using the Functional Reach Test (FRT), the Timed Up and Go Test (TUG) and Berg Balance Scale (BBS). Results: There were significant differences between groups have been detected for BBS and FRT which was significantly lower for diabetic patients with peripheral neuropathy compared with diabetic patients. While, significant higher values for diabetic patients with peripheral neuropathy were also detected for TUG compared with diabetic patients. Conclusion: We provide evidence that diabetic patients with peripheral neuropathy have greater balance deficit than diabetic patients without peripheral neuropathy.

Key Words: Balance; Type 2 Diabetes Mellitus; Diabetic Peripheral Neuropathy.

Bone turnover markers response to aerobic versus resistance exercise among postmenopausal Saudi women

Shehab Mahmoud Abd El-Kader — Mon, 17 Mar 2025 00:00:00 +0000

Background: Menopause is characterized with low bone turnover biomarkers (BTMs) with faster reduction of bone mass and high fracture risk. Osteoporosis is considered as a major health related problem among Asian postmenopausal women. Physical exercise is an accepted modality in both primary and secondary prevention fracture related to osteoporosis. However, our understanding regarding the best exercise training program to prevent osteoporosis among postmenopausal women is incomplete. Objective: The present study was designed to examine aerobic versus resisted exercise training effects upon postmenopausal Saudi women markers of bone turnover. Material and Methods: One hundred Saudi postmenopausal women, their age ranged from 50-58 years. Participants enrolled in two groups: Group (A) received treadmill aerobic exercises where, group (B) received resistance exercise training for 6 months. Results: There were significant improvement in six-minute walking test and hand grip strength and significant reduction in serum osteoprotegerin (OPG), receptor activator of nuclear factor kappa B ligand (RANKL) and OPG/receptor activator of nuclear factor kappa B ligand (OPG/ RANKL) ratio after training in the both groups with significant differences between the two groups. Conclusion: Six months of resisted exercise is superior to aerobic exercise in modifying bone turnover markers and functional ability among postmenopausal women.

Effects of an 8-Week Structured Physiotherapy Program on Health-Related Quality of Life and Walking Speed in a Child Following Rotationplasty: A Case Study

Mohammad Tamboosi, Faris Altafir, Asma Alshehri , Hashim Alharthi — Mon, 17 Mar 2025 00:00:00 +0000

Rotationplasty is a limb-saving surgery for children with osteosarcoma, but it can have complications. This study aimed to investigate the impact of early physiotherapy on functional recovery in a child who underwent rotationplasty for femoral osteosarcoma. A 12-year-old boy received rotationplasty for the treatment of left distal femoral osteosarcoma. A comprehensive physiotherapy program was implemented, commencing immediately post-operatively and progressing through a series of stages tailored to the patient’s evolving functional capacity. Patient health status and functional mobility, specifically QE-5D-5L and 10-meter walk test performance, were assessed at multiple time points. Significant improvements were observed in both health status and walking speed. These findings suggest that early initiation of physiotherapy, incorporating strengthening exercises, gait training, and balance activities, are crucial for optimizing functional outcomes in pediatric patients following rotationplasty.

Coagulation, fibrinolytic parameters and cytokines response to weight reduction in obese Saudi women

Shehab Mahmoud Abd El-Kader, Neveen Refaey — Mon, 17 Mar 2025 00:00:00 +0000

Background: Obesity is a relevant risk factor for major cardiovascular events due to the atherosclerotic involvement of coronary, cerebral and lower limb arterial vessels. A major role in the increased cardiovascular risk is played by platelets, which show an increased activation and a reduced sensitivity to the physiological and pharmacological anti-aggregating agents. However, no studies have been conducted to compare the effects of simple calorie restriction and those of calorie restriction combined with aerobic exercise on fibrinolytic, coagulative factors and cytokines. Objective: The aim of this study was to investigate the effect of weight reduction on the fibrinolytic, coagulative factors and cytokines in obese Saudi women. Material and Methods: One hundred obese Saudi women participated in this study, and were included into two equal groups. The first group (A) received physical training combined with dietary measures, three sessions per week for three months. The second group (B) received no treatment intervention. Measurements of body mass index (BMI), Fibrinogen, von Willbrand factor (vWF-Ag) antigen, plasminogen activator inhibitor-1 activity (PAI-1:Ac) and antigen (PAI-1:Ag) & prothrombin time (PT), partial thromboplastin time (PTT), tissue plasminogen activator activity (tPA:Ac) , antigen (tPA:Ag) , tumor necrotic factor - alpha (TNF-α), interleukin–6 (IL-6) and leptin were done before the study and after three weeks at the end of the study. Results: The results of this study indicated a great significant decrease in BMI, Fibrinogen, vWF-Ag, PAI-1:Ac and PAI-1:Ag & PT, PTT, tPA:Ac, tPA:Ag ,TNF-α, IL-6 and leptin in group (A), while these changes were not significant in group (B). Conclusion: Weight reduction modulates Coagulation, fibrinolytic parameters and cytokines in obese Saudi women.