الفهرس 
iwan traditional therapy versus Therapeutic exercise on pulmonary function of patients with rheumatoid arthritis
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Abstract
Background: Rheumatoid arthritis (RA) is a chronic, progressive, inflammatory
autoimmune disease associated with articular, extra-articular, and systemic effects.
Patients suffer from decreased physical fitness, lung function, muscle strength, and
range of motion. So physical therapy remains an important part of treatment. Egypt
and Africa as a whole is rich of several ways of traditional therapy, traditional African
therapy is a holistic way of therapy that involves mind, body and soul, one of these
traditional therapies is sand therapy. Sand therapy is a well-known method of
treatment for lots of diseases especially autoimmune diseases, however there is not
enough researches conducted to know in a scientific way the actual effect of that
method of treatment. Purpose: The purpose of this study was to compare between the
effects of Siwan traditional therapy and therapeutic exercise program in pulmonary
function of rheumatoid arthritis. Materials and Methods: forty five patients recruited
for the current study 15 of them had been dropped thirty patients with rheumatoid
arthritis (25 to 59 years old) according to the American Rheumatism Association
criteria (2010) participated in the study. The patients were assigned into 2 equal
groups. group (A) received Siwan traditional physical therapy in form of sand bathing
for 30 minutes, followed by massage with olive oil only in last session for 5 days and
group (B) received physiotherapy for 8 weeks 2 session per week in form of heat
application, electrical stimulation (TENS), aerobic and strengthening exercises.
Pulmonary function by pulmonary function test, Pain severity measured by visual
analogue scale, and functional disability measured by health assessment questionnaire
(HAQ). Results: there were no significant difference in FVC, FEV1 and FVC/FEV1
level between both groups but The percentages of change for lung function were
greater in RA patients receiving Siwan therapy than those receiving physiotherapy.
There were significant differences (P < 0.05) in pain level and HAQ between both
groups with a significant reduction in favor to the group (A) Conclusion: The Siwan
therapy program was more effective than therapeutic exercise program in the
treatment of rheumatoid arthritis patients