Ibrahim Moustafa Moustafa

Ibrahim Moustafa Moustafa
University of Sharjah | US · Department of Physiotherapy

Pt,PhD

About

50
Publications
29,439
Reads
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787
Citations
Citations since 2016
41 Research Items
740 Citations
2016201720182019202020212022050100150
2016201720182019202020212022050100150
2016201720182019202020212022050100150
2016201720182019202020212022050100150
Additional affiliations
March 2014 - September 2015
Cairo University
Position
  • Professor (Assistant)
March 2014 - September 2015
Cairo University
Position
  • Professor (Assistant)
January 2000 - present
Cairo University
Position
  • Ass prof

Publications

Publications (50)
Article
Full-text available
Purpose of Review Forward head posture (FHP) is the most common cervical postural fault in the sagittal plane that is found with different severity levels in almost all populations. Despite claims that FHP may be related to neck pain, this relation seems to be controversial. Thus, our purpose is to determine whether FHP differs between asymptomatic...
Chapter
Full-text available
Low back and neck pain disorders are among the leading causes for work loss, suffering, and health care expenditures throughout the industrialized world. It has been extensively demonstrated that sagittal plane alignment of the cervical and lumbar spines impacts human health and well-being. Today there are reliable and predictable means through the...
Article
Background: There is a growing interest concerning the understanding of the sagittal configuration of the cervical spine as a clinical outcome. However, evaluating sensorimotor control and autonomic nervous system for participants with forward head posture (FHP) compared to strictly matched control participants with normal head alignment has not b...
Article
Full-text available
Background: There is a growing interest concerning the understanding of and rehabilitation of the sagittal configuration of the cervical spine as a clinical outcome. However, the literature on the topic specific to conservative treatment outcomes of patients with chronic myofascial cervical pain syndrome (CMCPS) has not adequately addressed the re...
Article
Full-text available
Abstract Objective To investigate the immediate and 1-year effects of a multimodal program, with cervical lordosis and anterior head translation (AHT) rehabilitation, on the severity of pain, disability, peripheral and central nervous system function in patients with discogenic cervical radiculopathy (DCR). Design A randomized controlled study wit...
Article
Full-text available
Abstract: The aim of this study was to investigate the feasibility and effect of a multimodal pro-gram for the management of chronic nonspecific neck pain CNSNP with the addition of a 3D adjustable posture corrective orthotic (PCO), with a focus on patient recruitment and retention. This report describes a prospective, randomized controlled pilot s...
Article
Full-text available
Sagittal cervical alignment is a clinically related feature in patients suffering from chronic cervical spondylotic radiculopathy (CSR). We designed this randomized trial to explore the effects of cervical lordosis (CL) correction in thirty chronic lower CSR patients with CL < 20°. Patients were assigned randomly into two equal groups, study (SG) a...
Article
Full-text available
Purpose The current investigation aimed to compare the sensorimotor integration, sensorimotor control, and cost of cognitive-motor dual task during walking, in persons with chronic WAD as compared to matched chronic idiopathic neck pain and normal healthy controls. Methods A cross-sectional, case control design comparing 30 participants in each of...
Article
Full-text available
This study investigates thoracic hyper kyphosis (THK) rehabilitation using the Denneroll™ thoracic traction orthosis (DTTO). Eighty participants, with chronic non-specific neck pain (CNSNP) and THK were randomly assigned to the control or intervention group (IG). Both groups received the multimodal program; IG received the DTTO. Outcomes included f...
Article
Full-text available
Objective. To compare the effects of applying Extra-Corporal Shockwave treatment (ESWT) and Muscle Energy Technique (MET) to the Quadratus lumborum (QL) with regards to pain and function. Methods. 77 participants were included in this study. Patients were included if they were diagnosed as Myofascial pain syndrome, pain localized on the QL muscle;...
Article
Full-text available
A randomized controlled study with a six-month follow-up was conducted to investigate the effects of sagittal head posture correction on 3D spinal posture parameters, back and leg pain, disability, and S1 nerve root function in patients with chronic discogenic lumbosacral radiculopathy (CDLR). Participants included 80 (35 female) patients between 4...
Article
Objective: To evaluate sensorimotor integration and skill-related physical fitness components for participants with forward head posture (FHP) compared with strictly matched controls with normal head alignment. Material and methods: We measured FHP, sensorimotor processing, and skill-related physical fitness variables in 50 participants with FHP...
Article
Objective The purpose of this study was to examine the effect of 8 weeks of biofeedback on reaction time and central somatosensory conduction time in patients with forward head posture and cervical radiculopathy. Methods We performed a double-blinded randomized controlled trial. Seventy patients with forward head posture and cervical radiculopathy...
Article
Background: Although different types of neural mobilization (NM) exercises induce different amounts of longitudinal nerve excursion and strain, the question whether the increased longitudinal stress and nerve excursion from sliding or tensioning intervention may subtly affect the neural functions has not been answered yet. Objective: To compare...
Presentation
Abstract Text: Purpose: The purpose of this research was to explore the role of Community Based Pelvic Rehabilitation (CBPR) Programs for utilization with women refugees and provide a framework for physical therapists to analyze and develop trauma informed, gender-focused, intersectional CBPR Programs. Description: According to the United Nations...
Article
Full-text available
Background Fatigue is considered one of the most common symptoms of multiple sclerosis (MS) and lacks a current standardized treatment. Therefore, the aim of this study was to examine the feasibility and effectiveness of a cognition-targeted exercise versus symptom-targeted exercise for MS fatigue. Methods In this Pilot, parallel-group, randomized...
Article
Full-text available
Purpose] To systematically review the literature on the use of cervical extension traction methods for increasing cervical lordosis in those with hypolordosis and cervical spine disorders. [Methods] Literature searches for controlled clinical trials were performed in Pubmed, PEDro, Cochrane, and ICL databases. Search terms included iterations relat...
Article
Full-text available
Background Low level lasers have been used as an alternative pain relief therapy for muscle and joint pain, since it induces analgesic, anti-inflammatory, and biomodulation effects of the physiological cell functions. The effectiveness of low-level laser therapy in temporomandibular joint dysfunction (TMD) treatment, however, is not well establishe...
Article
Full-text available
A randomized controlled study was conducted to evaluate the effect of rehabilitation of the cervical sagittal configuration on sensorimotor integration and central conduction time in an asymptomatic population. Eighty (32 female) participants with radiographic cervical hypolordosis and anterior head translation posture were randomly assigned to eit...
Article
Full-text available
Aim: To explore the effect of variable stretching intervals on neural function and ROM. Design: Double blind randomized controlled trial. Setting: University research laboratory. Population: One hundred participants, 60-65 years old, with a diagnosis of tight hamstring muscles, bilaterally, were randomly assigned to either a control group or...
Preprint
Full-text available
Background To investigate the feasibility and effect of a multimodal program for improving chronic cervicogenic headache (CGH) via the addition of sagittal cervical spine alignment correction. Design Pilot, parallel-group, randomized controlled trial. Participants 60 patients with CGH, straightening of the cervical lordosis, and forward head post...
Article
Full-text available
Background: To investigate the feasibility and effect of a multimodal program for improving chronic cervicogenic headache (CGH) via the addition of sagittal cervical spine alignment correction. Design: Pilot, parallel-group, randomized controlled trial. Participants: 60 patients with CGH, straightening of the cervical lordosis, and forward head pos...
Article
Full-text available
Context: Sagittal-plane cervical spine alignment has emerged as one of the most important clinical outcomes in health care. Nevertheless, the quantity and quality of research on the role that cervical sagittal alignment plays in improving sensorimotor and autonomic nervous functions are limited. Objective: To investigate the immediate and long-t...
Article
Background There is a growing interest in the impact of body posture influences on outcome measures of cervicogenic headache (CGH). Objective To evaluate differences in the 3D spinal alignment in cases suffering from chronic CGH compared to a group of strictly matched control participants without CGH. Design A single-blinded, comparative cohort d...
Chapter
Full-text available
Increasingly, there is more attention being directed to the role that full spine sagittal alignment plays in causing or exacerbating a variety of musculoskeletal disorders. Similarly, spinal displacements, termed subluxation, are thought to cause dysfunctions in the entire neuromusculoskeletal system that may lead to altered neurophysiological func...
Article
Full-text available
Objective: To explore the effect of variable durations of stretching on neural function, pain, and algometric pressure in patients with chronic myofascial pain syndrome. Design: Randomized controlled trial. Patients: A total of 100 participants diagnosed with chronic myofascial pain syndrome were randomly assigned to a control group or 1 of 3...
Conference Paper
OBJECTIVE: To investigate effects of cervical lordosis (CL) and anterior head translation (AHT) correction on central conduction time. METHODS: Eighty (32 female) asymptomatic subjects with hypolordosis and AHT were randomized. Experimental group received the cervical denneroll and control group received a placebo (supine on a pillow). Interventio...
Article
Full-text available
[Purpose] To systematically review controlled trial evidence for the use of lumbar extension traction by Chiropractic BioPhysics® methods for the purpose of increasing lumbar lordosis in those with hypolordosis and low back disorders. [Methods] Literature searches were performed in Pubmed, PEDro, CINAHL, Cochrane, and ICL databases. Search terms in...
Conference Paper
Full-text available
Abstract Purpose/Hypothesis: Because of biomechanical, anatomical and nerve relationships between the cervical and thoracic spine, disturbances in the thoracic region could contribute to the maintenance of neck pain. For these reasons, it seems possible that therapeutic interventions directed at the thoracic spine may have therapeutic effects on th...
Preprint
Abstract Text: Purpose/Hypothesis: To Determine the characteristics of subjects with non-specific knee pain who respond to mobilization with movement (MWM) intervention in functional outcomes and pain measurement as an initial formulation of a clinical prediction rule. Number of Subjects: n= 44 Materials and Methods: Prospective, experimental, pre...
Article
Full-text available
Background Nonspecific neck pain (NSNP) is one of the most common musculoskeletal problems treated by orthopaedic physicians and physiotherapists. Posture has emerged as one of the major risk factors associated with NSNP, but most previous studies ignored correct posturing as an effective treatment. Therefore, one of the major challenges faced by...
Article
Full-text available
Background: Nonspecific neck pain is a frequent cause for adults to consult health care providers. Therefore, the physical therapist should always seek the most effective intervention(s) within the wide spectrum of treatments available, so this study was conducted to examine the effect of transcranial laser on somatosensory integration in nonspecif...
Article
Full-text available
Background: Forward head posture (FHP) is a common type of postural distortion seen clinically, whereby an anterior shift of the head position occurs. Ideal posture is considered to be present when the external auditory meatus is aligned with the vertical line. There were different assessment methods of FHP and the measurement of craniovertebral (C...
Article
Full-text available
Background: Cervicogenic dizziness is a disabling condition commonly associated with cervical dysfunction. Although the growing interest with the importance of normal sagittal configuration of cervical spine, the missing component in the management of cervicogenic dizziness might be altered structural alignment of the cervical spinal region itself...
Article
Full-text available
Objective: To test the hypothesis that improvement of cervical lordosis in cervical spondylotic radiculopathy (CSR) will improve cervical spine flexion and extension end range of motion kinematics in a population suffering from CSR. Methods: Thirty chronic lower CSR patients with cervical lordosis < 25? were included. IRB approval and informed c...
Article
Full-text available
Abstract The aim of this study was to investigate the immediate and long-term effects of a one-year multimodal program, with the addition of upper cervical manipulative therapy, on fibromyalgia management outcomes in addition to three-dimensional (3D) postural measures. This randomized clinical trial with one-year follow-up was completed at the res...
Article
Objective: The purpose of this study was to determine the immediate and long-term effects of a multimodal program, with the addition of forward head posture correction, in patients with chronic discogenic lumbosacral radiculopathy. Methods: This randomized clinical study included 154 adult patients (54 females) who experienced chronic discogenic...
Article
Objective The purpose of this study was to investigate the immediate and long-term effects of a 1-year multimodal program with the addition of 2 different traction approaches on the pain, function, disability, and nerve root function in patients with discogenic cervical radiculopathy (CR). This study also attempted to identify the optimal traction...
Article
Change of sagittal configuration is one of the most common causes of chronic low back dysfunction Denneroll is an orthotic device designed to passively stretch lumbar lordosis. This study was conducted to investigate the effect of Denneroll traction on Absolute rotary angle, pain intensity and functional disability in chronic low back pain patients...
Article
Full-text available
There is growing interest in the role of abnormal asymmetrical posture, which is considered one of the most important etiological factors reported to be associated with mechanical low back pain. This study was conducted to investigate the effect of lumbar extension traction on the pain, function and whole spine sagittal balance as represented in lu...
Article
Full-text available
Objective: To investigate the effects of lumbar extension traction in patients with unilateral lumbosacral radiculopathy due to L5-S1 disc herniation. Design: A randomized controlled study with six-month follow-up. Setting: University research laboratory. Subjects: Sixty-four patients with confirmed unilateral lumbosacral radiculopathy due t...
Article
The purpose of this study was to investigate the effects of lumbar extension traction with stretching and infrared radiation compared with stretching and infrared radiation alone on the lumbar curve, pain, and intervertebral movements of patients with chronic mechanical low back pain (CMLBP). This randomized clinical study with 3-month follow-up wa...
Article
Full-text available
To investigate the effect of forward head posture correction on pain and nerve root function in cases of cervical spondylotic radiculopathy. A randomized controlled study with six months follow-up. University research laboratory. Ninety-six patients with unilateral lower cervical spondylotic radiculopathy (C5-C6 and C6-C7) and craniovertebral angle...
Article
Full-text available
Purpose: This study was conducted to test the hypothesis that improvement of cervical lordosis in CSR, using 3-point bending traction, will improve the clinical features in a sample population of patients suffering from Cervical Spondylotic Radiculopathy( CSR )with defined cervical hypo-lordosis. Relevance: This study assists in the understanding o...

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Projects (4)
Project
Recent randomized controlled trials using spine extension traction methods in conjunction with various conventional physiotherapeutic methods have demonstrated that patients with cervical, thoracic, and lumbo-pelvic sagittal plane abnormality-induced symptoms achieve greater long-term health outcomes versus patients who only receive conventional treatments that do not improve spinal alignment. In fact, although all patient groups showed initial symptomatic relief, the groups not receiving spine extension traction methods to improve sagittal plane alignment do not typically show structural improvements in their spine. Furthermore, the conventional treatment (non-spine corrective) only groups had regression of their symptoms back to pre-study values as early as 3 months following the cessation of treatment. In contrast, patient groups receiving the spine extension traction to improve physiologic lordosis, reduce hyper-kyphosis, and reduce anterior head translation posture maintained their structural realignments, maintained symptomatic improvements, and also had a number of positive health measures continue to improve after the cessation of treatments for up to 2 years. Today there are reliable and predictable means through application of structural rehabilitation of the spine and posture as part of comprehensive rehabilitation programs to restore the natural curvatures of the spine. Evidence points to spine corrective methods offering superior long-term outcomes for treating patients with various craniocervical and lumbosacral disorders (not limited to scoliosis). The economic impact, health benefits, and generalized awareness of these newer sagittal spine rehabilitation treatments demands continued attention from clinicians and researchers alike and this is the purpose of this collection of publications.
Project
To investigate the conservative care effects of true spine correction of abnormal Sagittal plane profiles. By comparing standard spine rehabilitation care (SMT, Massage, Functional Based Exercise, etc.) to standard care plus care known to truly correct the structure of the spine (structural rehabilitation care), we can test whether or not interventional care specifically derived from abnormal radiographic findings makes a difference to patient relevant outcomes. We plan to investigate corrective care vs. standard care outcomes for a variety of common patient chronic conditions: back pain, leg pain, neck pain, headaches, arm pain, dizziness, etc...