Basic Informations

C.V

I am Moustafa Ali Elwan, and I have obtained
A Bachelor's degree in Physical Therapy from the Faculty of Physical Therapy at Cairo University
A Master's degree in Physical Therapy from the Faculty of Physical Therapy at Cairo University
A diploma in Therapeutic Nutrition and Sports Nutrition

Master Title

Correlation Between Flexible Flat Foot and Lumbar Lordotic Curvature

Master Abstract

Background: Flat foot may cause malalignment of the lower extremity. frequently leading to structural and functional deficits both in standing and walking. previous studies were conducted to investigate the effect of changes on medial longitudinal arch on lumbar lordotic curve . Objective: To investigate the effect of flexible flatfoot on lumbar lordotic curve. Material and Methods: Correlation study was conducted at the Faculty of Physical Therapy, Modern University for technology and information, Cairo, Egypt, subjects: 40 participants (26 male, 14 female) with mean age, weight, height, and BMI values were 19.6±1.08 years, 72.35±13.28 kg, 1.72±0.087 m, and 24.35± 3.56 kg/m2 respectively. for each subject was assessed by lateral weight- bearing radiography (x-ray) for foot and lumbar. Assessments were performed to measure lateral talocalcaneal angle, talar first metatarsal angle (Meary's angle), Calcaneal inclination (Calcaneal pitch) angle, Calcaneal first metatarsal, Lumbar lordotic angle “LLA” and Lumbosacral angle (Fergusons angle). Measurement of these angles was accomplished by using Surgimap Spine software. Results: There was a positive weak significant correlation between lumbar lordotic angle and lateral talocalcaneal angle (p= 0.007) and between lumbar lordotic angle and talar first metatarsal angle (Meary's angle) (p= 0.007), while, there were no significant correlation between lumbar lordotic angle and calcaneal-first metatarsal angle (p= 0.098) lumbar lordotic angle and calcaneal inclination angle (p= 0.548). Also, there were no significant correlation between Fergusons angle and lateral talocalcaneal, talo first metatarsal "Meary’s angle" and calcaneal-first metatarsal angle and calcaneal inclination angle (p= 0.313) (p= 0.968). (p= 0.612). ( p= 0.846) respectively. Female subjects showed significant correlation between lateral talocalcaneal, talo first metatarsal " Meary’s" angle", and calcaneal inclination angles and lumber lordotic angle and Ferguson angle. while, Male subjects showed significant correlation between Lumbar lordotic angle and lateral talocalcaneal, calcaneal-first metatarsal, talo first metatarsal “Meary’s angle", and no significant between Lumbar lordotic angle and calcaneal inclination angles . and significant correlation between Ferguson and calcaneal-first metatarsal angle, while no significant correlation between Ferguson angle and lateral talocalcaneal, talo first metatarsal " Meary’s" angle", and calcaneal inclination angles. Conclusion: Subjects with flexible flatfoot demonstrated increased lumbar lordotic curveature, what means changes in foot medial longitudinal arch may affect the proximal segments (spinal curvature) which may predispose to postural faults.

PHD Title

Effect of Acetic Acid Shockwave Phonophoresis on Calcaneal Spur Patients: A Randomized Controlled Trial

PHD Abstract

Background: Plantar heel pain (talalgia) is one of the most common musculoskeletal conditions affecting the foot in adults, with the highest incidence occurring between the ages of 40 and 60 years. The epidemiology of calcaneal spurs indicates a prevalence of 15–20% in the community. Both plantar and posterior calcaneal spur incidence increases with age. Purpose: The aim of this study was to investigate the effect of acetic acid shockwave phonophoresis on calcaneal spur width, Length, Pain intensity level, Foot function, and pressure pain threshold in patients with calcaneal spurs. Methods: A randomized clinical trial was performed. One hundred forty-seven patients with calcaneal spurs, aged 30-65 years, were recruited and randomly assigned into three equal groups: acetic acid phonophoresis shockwave plus exercise, shockwave plus exercise, and ultrasound therapy plus myofascial release and exercise. The program was carried out for 3 weeks. X-ray machines and image analysis software were used to measure calcaneal spur length and width, the Visual Analogue Scale (VAS) was used for pain intensity level, the foot and ankle ability measure activities of daily living subscale (FAAM-ADL) was used for foot function, and a digital algometer was used for pressure pain threshold. Participants were assessed at baseline, after 3 weeks of treatment, and at a one-month follow-up. Results: There were statistically significant differences between the shockwave groups and the control group in calcaneal spur length and width, with the acetic acid phonophoresis shockwave plus exercise group showing more favorable results. There were statistically significant differences between the three groups in pain intensity level, foot function, and pressure pain threshold, favoring the acetic acid phonophoresis shockwave plus exercise group (P < 0.05). There were also statistically significant differences within the three groups for the previously mentioned variables (P = 0.05). Conclusion: Using acetic acid gel as a medium to transfer the shock to exercises was superior to either shockwave alone or ultrasound and myofascial release in improving calcaneal spur length and width, pain intensity level, foot function, and pressure pain threshold in patients with calcaneal spurs. Keywords: calcaneal spur, shockwave, acetic acid, shockwave phonophoresis, heel pain