Browsing by Person "Alkitani, Abdulhameed"

Now showing 1 - 2 of 2

Antecedent anterior cruciate ligament reconstruction surgery and optimal duration of supervised physiotherapy
(IOS Press, 2015-12) Darain, Haider; Alkitani, Abdulhameed; Yates, Christopher; Bailey, Andrea; Roberts, Simon; Coutts, Fiona; Gleeson, Nigel
A 22-year-old patient undergoing unilateral surgical reconstruction of the anterior cruciate ligament (ACL) of the right knee volunteered for the research project and followed an established contemporary hospital-based rehabilitation programme. The patient was supervised post-surgically by an experienced and clinically specialized physiotherapist. The clinical outcomes of rehabilitation were assessed by selected validated patient-reported and objectively-measured outcomes of functional performance capability on four different occasions (pre-surgery, 6th, 12th and 24th week post-surgery). The patient scored 30, 56, 60 and 85 on IKDC (maximum score, 100); 46, 53, 90 and 91 on Lysholm (maximum score, 100); 141, 73, 128 and 175 on K-SES (maximum score, 220); 17, 12, 6 and 6 on the symptom subsection of KOOS (maximum score, 28); 7, 7, 5 and 5 on the pain subsection (maximum score, 36); 1, 0, 3 and 1 on the daily function subsection (maximum score, 68); 0, 0, 5 and 5 on the sport and recreation function subsection (maximum score, 20); 13, 11, 15 and 13 on the quality of life subsection (maximum score, 16) of KOOS at pre-surgery and at the 6th, 12th and 24th week following ACL reconstruction, respectively. Moreover, the patient scored 1.96 m, 1.92 m and 1.99 m on single-leg hop (injured leg) when assessed at pre-surgery and at the 12th and 24th week post-surgery, respectively, following ACL reconstruction. The total time spent in supervised rehabilitation by the patient (675 minutes) was computed as the aggregate patient-reported time spent in exercise during each hospital-based rehabilitation session (verified by physiotherapist evaluation) across the total number of sessions. The patient managed to return to the sport in which he had participated prior to the injury, immediately after the completion of the contemporary rehabilitation programme, at 24 weeks post-surgery. A total of fifteen physiotherapy sessions supervised by the physiotherapist, were attended by the patient during the 24 week rehabilitation period. The latter number of physiotherapy sessions was substantially less than the average supervised physiotherapy sessions reported in the literature. 2015 - IOS Press and the authors. All rights reserved.
Interrelationships and Effects of Accelerated Rehabilitation Conditioning and Gene Polymorphism on Functional and Physical Responsiveness of People Recovering from Anterior Cruciate Ligament Reconstruction Surgery
(Queen Margaret University, Edinburgh, 2014) Alkitani, Abdulhameed
Chapter one of this thesis offered a general insight on the anterior cruciate ligament (ACL) injury and the outcome measures of ACL rehabilitation while chapter two was a systematic review on the effects of “accelerated rehabilitation” after ACL reconstruction surgery. The review concluded that 5 out of 10 randomised control trial studies had demonstrated moderate relative effect sizes in terms of improved knee laxity, neuromuscular performance, range of motion and some patient-reported outcome measures following accelerated rehabilitation for patients with ACL reconstruction. Chapter three was a systematic review in which the genetic influence on responsiveness to strength conditioning and the outcomes of knee after ACL reconstruction were investigated. The findings revealed that intra-genotypic responses to strength conditioning were heterogeneous and that duration, intensity and frequency of strength conditioning were factors that contributed to the differential responses of genotypes in regulating gains in strength.