Basic Informations

C.V

Reham Ali Mohamed Ali Ahmed

 

Address        :  8 El-Hassany St. - Lebanon square  El Mohandseen, Giza, Egypt.                                                                                                           

                          

Telephone     :  Home: 0233020340 – 0233051861  

                          Mobile: 01285059796

        

 E-mail           :  rihamptagouza2008@gmail.com

 

 

As a senior Neurorehabilitation physical therapy specialist

 

 

Date of birth:    28/03/1988.

Nationality:       Egyptian.

Gender:             Female.                                                                         

Religion:            Muslim.

Marital status:  Single.

- Preparatory education: Orouba international school _ Riyadh _Saudi Arabia.

- Secondary education: IGCSE _ Dar El Tarbiah School class (2004).

                       

-Bachelor degree of physical therapy _Cairo university 2008 (Grade: Very Good).

-Internship year (Faculty of physical therapy , Kasr El Einy Hospital) 2009.

-M.Sc degree (Neuromuscular disorders and its surgeries department – Faculty of physical therapy - Cairo university (2015). Thesis topic “Influence of sensory electrical stimulation on hand function in patients with stroke”.

- PhD candidate.

-Languages:  1^st  language: Arabic  ( Excellent).

                      2^nd language :English ( Excellent). 

                               

-Computing skills: very Good.

- Communicating skills: very Good.

 

-2 month experience in kasr El Einy Outclinic ( orthopedic department) from 1\7\2005 – 1\9\2005.

-2 month experience at  Qowat Al mosalaha rehabilitation center in Agouza

     ( Neuro department) from  1\7\2006  -  1\9\2006.

-1 year experience in pediatrics physical rehabilitation at professor Dr kamal El sayed shoakry pediatrics rehabilitation center ( Previous Dean of faculty of physical therapy ,cairo university professor of physical thrapy pediatric department ,cairo university) From 1/6/2008  - 1\6\2009.

- 1 mounth experience in occupational therapy.

- 1 month experience in sensory reeducation.

 

-3 mounth experience at IPT (International Physical Therapy Center for pain management ).

- 18 mounth  experience at Abu Zahra Physical Therapy Center for Chiropractics and Manual treatment  from  15/ 3/2010 – 30\ 9\2011. 

 

- Working at Al Agouza hospital  from 13/6/2011- 25/7/2016 (Inpatient (ICU) -Outpatient clinic) .

-Working at Wadi Klinik for woman health and beauty (Cosmetogynecology – Dermatology and laser- Ophtalomology – Obesity and body reshaping) from 4/ 2/2014- 25/5/2018.

-Assistant Lecturer of Physical therapy for Neuromuscular disorders and its surgeries Faculty of Physical Therapy – Beni-Suef University  .

- Updates of applying electrotherapy  (Primephysio Association).

- Modern approaches in management of cerebral palsy (Pedia suit- Therapies for kids association).

- First Aid course (ICC medical courses).  

-Diploma in Nutrition Therapy (British phoenix Academy International – Cambridge Global College  “Grade: Excellent”).

-Orthopedic Manual therapy certificate from Orthopedic manual therapy academy an international interest group of IFOMPT.

-Advanced Practical Orthopedic Manual Therapy Training from  Orthopedic manual therapy academy an international interest group of IFOMPT.

-Medical tapping basics from Orthopedic manual therapy academy an international interest group of IFOMPT.

-Workshop under title of “Introduction in Lymphedema management complex decongestion therapy”.

- Workshop under title of ” Train the muscle chains”.

 - Workshop under title of “ Iontophoresis and recent updates”

- Workshop under title of “Approaching movement health of the neck considering the shoulder”

 -Master class Recognising Red Flags: Serious pathology masquerading as musculoskeletal conditions.

-Practical workshop Kinetic control: Movement  assessment, clinical reasoning and movement training- exploring the principles with a focus on the scapula.

-Workshop  under title of “ Spinal cord injury medicine and assessment “

 

-Workshop under title of “ Electrical stimulation applications and practice after SCI”. 

-Course in Clinical rehabilitation of neurological disorders  from Orthopedic manual therapy academy an international interest group of IFOMPT.

 

 

 

-18^Th International scientific conference of faculty of physical therapy- cairo university (2017).

-1^ST  International educational course on movement disorders and Parkinson’s disease in collaboration with the International Parkinson and movement disorder society (2017).

-1^st Scientific Meeting Orthopedic day “Meet the experts” (2019).

-3^RD  MS SUMMIT Egypt (2019).

 

 

An experience in management of:

. Handicapped, mentally retarded, down syndrome, metabolic disorders, psychomotor, and autistic children.

. Motor dysfunctions of adolescents and adults due to neurological or psychiatric diseases with experience in physical rehabilitation after stroke, ataxia, Parkinsonism and spinal cord injuries.

. Orthopedics dysfunctions.

. Inpatient and outpatient cases.

.  Sports injuries.

.  Intensive care patients.

.  Postsurgical spinal, orthopedics and neurological cases.

- Developing strategies for short term and long term goals for the rehabilitation program with a time schedule.

- Achieving these goals within the determined time interval.

  - Dealing with parents or relatives of either handicapped child or adolescents.

- Professionalism in teamwork & individual work.

 

- Capability of providing new ideas with advancing the existing ones.

- Creativity.

- Registered OMTA member.

 

 

 

-Additional information: References available upon request.

 

Master Title

INFLUENCE OF SENSORY ELECRTICAL STIMULATION ON HAND FUNCTION IN PATIENTS WITH STROKE

Master Abstract

Abstract Background: Loss of hand function is a major source of impairment in neuromuscular disorders, frequently preventing effective occupational performance and independent participation in daily life .The severity of these motor impairments and their negative impact on hand function are reasons that encouraged researchers to investigate new methods to improve hand function in post stroke patients. Currently, treatment options targeting improving hand function in stroke patients are often costly and have poor patient compliance. The purpose of the current study was to assess the influence of the sensory electrical nerve stimulation on improving hand function in subacute stroke patients. Patients and methods : Thirty stroke subjects, with age ranged from 40 to 65 years old participated in this study. Spasticity of the muscles of the affected hand (wrist flexors, fingers flexors and fingers adductors ) was grade 1+ or less according to Modified Ashworth Scale. Design of the study : The study was done as a pre and post treatment experimental design and patients were assigned into two groups. Group (A) (Study group ) included 15 patients; they received sensory electrical stimulation simultaneously task specific training program. Group ( B) (Control group ) included 15 patients; they received the same selected task specific training program only. Each patient was tested pre and post treatment by Modified Ashworth scale, Modified Medical Research Council Scale for measuring hand muscles strength (MRC) , Grip dynamometer, Pinch dynamometer, Digital goniometer and Action Research Arm Test Scale (ARAT ). Treatment sessions was given three times a week for 1 month. The results : There was significant decrease of spasticity grades of elbow flexors and shoulder flexors and modified medical council scale post treatment in the study group only. There was significant improvement of hand grip. Pinch grip, wrist flexion and wrist extension range of motion and action research arm scale in both groups post treatment, the improvement was significantly higher in the study group compared to control group. There was a significantly increase of the mean values of modified medical council scale post treatment in both groups, the difference was not statistically significant between study group and control group. Conclusion: Combination of sensory electrical nerve stimulation and task orientated training had positive influence on improving hand function in subacute stroke patients. So, it is recommended to add this protocol to the physical therapy program for subacute stroke patients suffering from hand dysfunction to improve the treatment outcomes. Key words: (stroke, hand function, sensory electrical nerve stimulation, task specific training).

PHD Title

INFLUENCE OF CENTRAL VERSUS PERIPHERAL VESTIBULAR STIMULATION ON RECOVERY OUTCOMES IN PATIENTS WITH PERIPHERAL VESTIBULAR DISORDERS

PHD Abstract

ABSTRACT Background: Peripheral Vestibular disorders are common disorders among adult population with increased prevalence with age advancement. Most of patients with vestibular dysfunction suffer from balance disorders, postural instability and vertigo that have a direct impact on activities of daily living and social participation. Purpose: This study was conducted to compare the effect of repetitive transcranial magnetic stimulation versus transmastoidal galvanic stimulation added to a designed vestibular rehabilitation program on recovery outcomes in patients with unilateral peripheral vestibular disorders. Subjects and Methods: Sixty patients (from both sexes), diagnosed with unilateral peripheral vestibular weakness were enrolled. They were randomly designated into three groups; Group A, B and C. Group A received repetitive transcranial magnetic stimulation in addition to a vestibular rehabilitation program, Group B received transmastoidal galvanic stimulation, in addition to the same vestibular rehabilitation program, whereas Group C recieved vestibular rehabilitation program only. Treatment sessions were conducted three times per week for four successive weeks. Assessment of vestibular canal weakness was done using videonystagmography, dizziness sevirty was measured using dizziness handicapped inventory (DHI), dynamic balance was measured by berg balance scale (BBS), postural stability was measured using computerized dynamic posturography (CDP), while, participation in daily activities was assessed using Vestibular Disorders Activities of Daily Living Scale (VADL). All assessment measures were carried out pre and post treatment. Results: There was significant improvement in canal paresis, BBS score, total equilibrium composite score, scores of somatosensory and preference components of CDP, DHI score and score of VADL scale post treatement in the three groups with more improvement in group A. There was significant improvement in scores of visual and vestibular components of CDP post treatement in groups A and B only, with group A showing more improvement. There was no significant difference between three groups in the scores of somatosensory and preference components of (CDP). There was no significant difference between groups A and B in canal weakness, scores of total equilibrium composite and vestibular component of CDP and no significant difference between group B versus C in scores of visual component of CDP,scores of DHI and VADL scale. Overall improvement percentages of all variables were 60.64, 42.29, and 17.14%, respectively which indicates that the improvement was significantly higher in Group A followed by group B then group C. Conclusion: Adding r TMS stimulation (central stimulation) or transmastoidal galvanic vestibular stimulation (peripheral stimulation) to vestibular rehabilitation exercises has positive effect on recovery outcomes and participation in activities of daily living in patients with unilateral peripheral vestibular disorders, with r TMS shows more beneficial effect . Keywords: Unilateral peripheral vestibular disorders, repetitive transcranial magnetic stimulation, transmastoidal galvanic vestibular stimulation, vestibular rehabilitation, recovery outcomes.