5th World Congress on

Physiotherapy,
Proceedings of
Physical Rehabilitation &
Sports Medicine
May 09-10, 2022 Dubai, UAE

Hosting Organization:
Inovine Meetings LLC
2C Pecan Hill Drive Clinton Mississippi, 39056 USA
Phone: +1-408-648-2233
WhatsApp :+14424441812
E-mail: contact@inovineconferences.com
Hall : Al Reem 1 Day 01 - May 09, 2022

FINAL PROGRAM

08:00-08:30 Registrations
08:30-08:45 Opening Ceremony
Keynote Forum
Title: New and modern therapy methods with the use of robotics in
08:45-9:10 neurorehabilitation

Sabri Maraqa, Neuro Robotik Zentrum Munchen, Germany

Title:Validity of the Five-Die Test for Female Volleyball Players

9:10-9:35
Betsy Myers , University of Tennessee at Chattanooga, USA

Title : The Physical and Physiological Tests Needed for Football

9:35-10:00 Players
Kadhim Alabady , Public Health Protection Department - Dubai
Health Authority (DHA) ,UAE

Workshop Presentation
Title : The laws of leadership that every physical therapist needs to
10:00-10:25 know to become influential leaders in our virtual world
Elham Karkouti, University of Central Florida, Orlando ,USA

Group Photo & Networking & Refreshments 10:25-10:40 @ Gem garden restaurant

Oral Presentation
Physiotherapy World: A Modern Era of Health Care | Sports & Physiotherapy | Experimental
Techniques in Physiotherapies | Advancements in Physiotherapeutic Treatment | Manual & Artifi-
cial Physiotherapy Strategies | Womens Health & Palliative Care

Session Chair: Session Chair:

Sabri Maraqa Betsy Myers
Neuro Robotik Zentrum Munchen, Germany University of Tennessee at Chattanooga, USA

Title: Successful hosting of a mass sporting event during the COVID-19 pandemic
10:40-11:00
Glen Hagemann , Group 42 Healthcare, Abu Dhabi, UAE
Title : Yoga in physical therapy
11:00-11:20
Zeljka Obrenov, Serbia, Peak Fitness Kuwait
 Day 01 - May 09, 2022

FINAL PROGRAM
Title : Cervicogenic Headache and Breathing Pattern Dysfunction in a Female
11:20-11:40 Post-Hysterectomy: A case report
Taha Deeb ,Adam Physio and Sports Clinic ,Canada
Title : Sport Science Lab® Screening Protocol: The Association Between
11:40-12:00 Physical Fitness Parameters And Injury Among Elite Rugby Players
Candice MacMillan, University of the Witwatersrand, Johannesburg, South Africa
Title : About Digitsole : Improve patient outcomes through patented AI
12:00-12:20 motion technology
By Digitsole Pro ® digital health company ,France

Lunch Break 12:20-13:10 @ Gem garden restaurant

Title : Physiotherapy In Treatment Of Frozen Shoulder And Chronic
13:10-13:30 Osteoarthritis Of Bilateral Knee
Julie Mercy Jayapal ,Mercy Physiotherapy Clinic, Chennai, India
Title: Effect of Kinesio Taping with fascial manipulation technique over
13:30-13:50 superficial back fascial lines to increase range of motion
Swapnil Parmeshwar Mate, HPE UK Healthcare and Education LTD – London UK
Title : Effects Of Cupping Therapy
13:50-14:10
Amir Hariti, Sportphysio, France
Title : Challenging the Generalized norms of Intensive Rehabilitation
immediately Post Stroke
14:10-14:30
Vijita Jayan & Syed Abdullah Rahil, Vian Neurorehabilitation & Physiotherapy
Clinic, UP, India
Title : Associations of Physical Activity and Depression in Cardiovascular
14:30-14:50 Patients
Sandra Seimane ,Riga Medical College, University of Latvia, Riga, Latvia
Title : Badminton for Cardiovascular & Neuromuscular function among older
14:50-15:10 adults with and without non-communicable disease
Animesh Hazari, Gulf Medical University, UAE

Networking & Refreshments 15:10-15:25 @ Gem garden restaurant

Title : Chronic Back Pain And The Thoracic Spine

15:25-15:50 Besnik Bislimi , Swedish Medical Center for Physical Therapy and Rehabilitation,
Gjilan , Republic of Kosova
Title : Effect of Ergonomic Education on Lower Back Pain amongst Cleaning
Staff Members at Sefako Makgatho Health Sciences University and Tshwane
15:50-16:10 University of Technology in Ga-rankuwa, 2019
Saima Abdul, Physiotherapist, Weskoppies Psychiatric Hospital, South Africa
Title : Power Walking Based Outpatient Cardiac Rehabilitation In Patients With
16:10-16:30 Post-Coronary Angioplasty: Randomized Control Trial
Gulshan Shahzadi Malik , Thumbay Hospital, Ajman, UAE
 Day 01 - May 09, 2022

FINAL PROGRAM
Title : Aquatic Therapy to Decrease Fall Risk in Older Adults
16:30-16:50 Lina Jamal Saeed Al- Saif , Dubai Physiotherapy and Rehabilitation Center L.L.C,
Al Safa 2, Dubai, UAE
Title : Pioneering the future of neuro telerehab
16:50-17:10
Marisa Mackenzie, MindMaze SA, Switzerland
Title : Low-Costvirtual Reality: The Latest Innovation In Rehabilitation World
17:10-17:30 Anchit Gugnani , Nims College of Physiotherapy and Occupational therapy,
Rajasthan, India

Poster Presentations
Title : Normative data for Functional Throwing Performance Index and Seated
17:30-17:50 Medicine Ball Throw in collegiate overhead athletes
Ashana Abhijeet Patale, Manipal College of Health Professions, Manipal, India

Panel Discussion
Awards, Thanks giving & Closing Ceremony
Zoom Meetings Day 02 - May 10, 2022
(GMT+4)
Time in Dubai - UAE
Title: Conscious Intelligent Informed Touch
08:45-09:00 Steven Goldstein , Fascial Therapy Institute Australia, 27 Sands Boulevard,
Torquay, Vic., Australia
Title : Importance of targeted health-promoting exercise training as fall
09:00-09:15 prophylaxis and well- being factor in the setting of retirement homes
Renate Maria Zettl , University of Applied Science, Vienna, Austria
Title : The effect of interdisciplinary team and multiple use of Erigo Robotic
machine in Cervical Spinal Cord Injury incomplete case
09:15-09:30
Theeb Naif S Alsalem , King Abdulaziz Medical City, National Guard Health Affairs,
Riyadh, Saudi Arabia
Title : Social Innovations in Health and Policy on Inclusive Culture for
Transformative Physical Therapy Practice in the Philippines
09:30-09:45
Mary Judith Campos – Josef PTRP, Founder, Jucone's Contemporary Physical
Therapy Services, Philippines
Title : Association Between Physical Fitness Parameters And In-Season Injury
09:45-10:00 Among Adult Male Rugby Players: A Systematic Review
Candice MacMillan, University of the Witwatersrand, South Africa
Title : Paradigm shift in Science of Disability “Where are Participation and
10:00-10:15 Environment
Elham Karkouti, University of Central Florida, USA
 Day 02 - May 10, 2022

FINAL PROGRAM
Networking & Refreshments 10:15-10:30 @Gem gardenrestaurant

Title : Comparing Cardiac Rehabilitation Guidelines

10:30-10:45
Faisal S Alenzy, Prince Sultan Military Medical City, KSA
Title : Manual Lymphatic Drainage and Exercises in Management of Secondary
10:45-11:00 Lymphedema Following Mastectomy-Systemic Review
Bajran Aldossari, Prince Sultan Military Medical City, KSA
Title : About Digitsole : Improve patient outcomes through patented AI
12:00-12:20 motion technology
By Digitsole Pro ® digital health company ,France
Title : Importance Of Physical Therapy In Treatment Of Patients In Acute State
Of Covid-19 Admitted In Intensive Care Unit
11:15-11:30
Velimir Trichkovski, PHI University clinic for infectious diseases and febrile
conditions, Skopje, N. Macedonia
Title : Chronic Musculoskeletal Pain Management: Biopsychosocial Model
11:30-11:45 Ugur Cavlak, Division of Physiotherapy and Rehabilitation, Biruni University,
Turkey
Title :Pulmonary function of Duchenne muscular dystrophy patients in a
Brazilian sample [thesis in progress]. São Paulo: Faculdade de Medicina,
11:45-12:00 Universidade de São Paulo; 2022.
Ana Cristina De Sousa Murray , University of Sao Paulo , Brazil

Lunch Break 12:00-13:00 @ Gem garden restaurant

Title : POSTUROMETER PRACTICAL WORKSHOP
13:00-13:15
Silverio Di Rocca , M.P.R International School, Switzerland
Title : Physiotherapy interventions in Frailty
13:15-13:30 Dharitri Hombardi , Clinical Physiotherapist , Southend University Hospital NHS
Foundation Trust, UK
Tttile : Lumbar Disc Herniation: A clinical epidemiological and radiological
13:30-13:45 evaluation
Edona Sopaj Azemi , University Hospital Centre ‘Mother Theresa’, Tirana, Albania
Title : The efficacy of manual therapy comparing to combined protocols of
treatment of non-specific neck pain: ( review)
13:45-14:00
Irena KOLA, Physiotherapy Service University Hospital, “Mother Teresa” Tirana,
Albania
Title : Diagnosis and treatment of knee osteoarthritis with Hyaluronic acid and
rehabilitation
14:00-14:15
Sander KOLA, Imaging Department “Mother Teresa” University Hospital, Tirana,
Albania
 Day 02 - May 10, 2022

FINAL PROGRAM
Title : Analysis of Muscle Activity Following the Application of Myofascial
Release Techniques for Low-Back Pain—A Randomized-Controlled Trial
14:15-14:30
Piotr Ozog, Department of Physiotherapy , Nicolaus Copernicus University ,
Bydgoszcz, Poland
Title : A Mindful approach to the management and resolution of
14:30-14:45 unconsummated relationships
Sue Fuller-Good, SASP, SASHA, Comensa, PSASA , Johannesburg , South Africa
Title : Wearing compression stockings for 8-weeks during all training: its effect
14:45-15:00 on running performance and pulse rate
Gali Dar, Department of Physical Therapy, University of Haifa, Israel
Title : K.I.T. – Kinetic Integration Technique – Comprehensive assessment
and treatment protocol for global biomechanical disruption patterns in
15:00-15:15 musculoskeletal diseases and pain syndromes
Bill Collins , Chiropractor and Exercise Physiologist, Virginia, USA
Title : To determine the back pain beliefs, coping strategies and factors
associated with participant activation for self-management of back pain
15:15-15:30 amongst nurses working in peri-urban district healthcare centres
Loveness Anila Nkhata , Department Of Physiotherapy, University Of Zambia,
Zambia
Title : A Review of the ligamentomuscular reflexes and joint pain referral
15:30-15:45 patterns: Implications for Musculoskeletal Rehabilitation
Robert Libbey, New Westminster, BC, , Canada
Title : Students’ Perception of Cognitive Load in an Accelerated DPT Program
15:45-16:00 with a Blended Curriculum
Rossniel Marinas, University of St. Augustine for Health Sciences, , USA
Title : Effect of GoKnee intervention on knee range of motion, pain, and
16:00-16:15 functional mobility post total knee arthroplasty (TKA)
Shehla Rooney , The GoKnee Movement is Medicine , United States
Title : Injury Prevention for Ankle Sprains: Evidence for Intervention for the P.T.
16:15-16:30
Paul K. Canavan , Eastern CT State University (ECSU); USA
Title : Sponsorship influence on injury prevention and rehabilitation of injuries in
16:30-16:45 soccer
Rethabile Nkuna ,Sefako Makgatho health Sciences University in South Africa
Title : A Case Study Of 2 Year Old Child With Autism To Measure Effectiveness
Of Early Intervention On Positive Behaviour Changes Of A Child And Parental
16:45-17:00 Stress
Varsha Jalandhara, Vatsalya Pediatric Rehab and Child Development Centre,
Gujarat, INDIA
Title : Rehabilitation of muscle chains and RMP: a winning integration
17:00-17:15
Giuseppe Felice, Massage Therapist, Postural therapies expert, Italy
 Day 02 - May 10, 2022

FINAL PROGRAM
Title : Can we predict lower limb kinematics while running using a single
sensor?
17:15-17:30
Zaheen A. Iqbal and Daniel H.K. Chow, Department of Health & Physical
Education, The Education University of Hong Kong, Hong Kong, China
Title : Het’s Ring Clock Assessment – A precision based approach for pelvic
17:30-17:45 floor dysfunctions
Dhara Shah , WOW IIPRE, India
Title : Early Physiotherapy Intervention results in significant improvement in
Functional Independence Measure (FIM) in Acute Stroke – Results of a 2 year
17:45-18:00 Audit
Komathi Chandran K , Physical Medicine & Rehabilitation department ,Al Ain
Hospital, Al Ain, UAE
Title : Paradigm shift in Science of Disability “Where are Participation and
17:15-17:30 Environment
Mayuri Sharma, MGM Allied Health Sciences Institute ( MAHSI), Indore ,India
Title : The Omnipotent Breath – Buteyko Breathing Method
17:30-17:45 Ajita Misra, Certified Buteyko Method Instructor (CertBBM), Paramedical
Department, Rabindranath Tagore University, MP, India

Panel Discussion
Awards, Thanks giving & Closing
 5th World Congress on

Physiotherapy,
Physical Rehabilitation &
Sports Medicine
May 09-10, 2022 Dubai, UAE

KEYNOTE PRESENTATION
Day 1
5th World Congress on

Physiotherapy, Physical Rehabilitation &

Sports Medicine

Sabri Maraqa
Neuro Robotik Zentrum Munchen, Germany

New and modern therapy methods with the use of robotics in neurorehabilitation
What is robotics in therapy?
The term robot refers to devices that can independently carry out certain movements and actions. Especially
in the work of physiotherapy, this means that the devices either move certain joints, the arms or legs, or move
the whole body. This happens at a certain selected pace and with a high number of repetitions.
The use of robotics in rehabilitation:
In some neurology rehabilitation clinics, such as robot-assisted devices have long been part of everyday life.
Unfortunately, they are still the exception in outpatient practices. In my opinion, the reason for this is the very
high acquisition costs and maintenance costs, and the fact that the statutory health insurances in particular
unfortunately do not want to take over these high-quality therapies to this day. Here is my appeal to the
politicians that they work out solutions together with the health insurance companies so that the affected
patients have the opportunity to receive this modern therapy.
Possibilities and opportunities:
We want to ensure that the affected patients can return to their everyday lives as quickly as possible and can
be reintegrated into work. The main goal is to regain mobility and restore abilities in the event of paralysis
and functional impairments. In order to achieve this goal, the patient’s motivation and active cooperation
are paramount. To achieve this, we need good therapy concepts and motivated therapists. Robot-supported
systems can support the patient as much as is necessary to complete the movement. Especially in patients
with paraplegia, the devices give those affected the hope of being able to stand and move again which was
unthinkable in the past.
What does a treatment in the neuro­robotics center in Munich look like?
Patients come to us on the basis of recommendations from clinics, doctors, and other affected persons or
through their own internet research. We will first arrange a trial lesson with them, in which the patient will
exactly know what options he/she has in our center. Then a tailor‑made therapy is put together and discussed
with the patient and carried out. In our center there is the possibility of a special gait therapy, either on the
gait robot with weight relief, or with an ecseoskeleton that is individually adapted to the patient and with
which the patient can move independently in the room. If the patient is able to stand, he/she can use dynamic
weight relief to perform balance training and gait training in combination with biofeedback. Of course, we
also have robot-assisted therapies for the arms and hands. Among other things, electrical muscle activity

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May 09-10, 2022 Dubai, UAE
5th World Congress on

Physiotherapy, Physical Rehabilitation &

Sports Medicine
measurement is also used here. This means that the activity of the affected muscle is made visible. In this way,
the patient is challenged more intensively and works with greater motivation. All of our devices and therapies
are associated with playful tasks. Of course, this also increases the patient’s motivation. Our therapists are
all trained accordingly and all have additional training in the field of neurorehabilitation.
Differences between robotics and classical therapy:
First of all, the higher therapy intensity with a significantly higher repetition rate of the movements of the
affected muscles should be mentioned. Also an exact physiological movement. This flood of different stimuli
gives paraplegic patients in particular the hope of being able to stand again. Unfortunately, this is impossible
with classical therapy.
Successes and effectiveness:
I can tell you some very positive experiences when, for example, a paraplegic patient can stand, walk and
even cycle again within a year after a paragliding accident. Without these modern devices it would have been
impossible. Motivation is supported by immediate performance feedback. This gives patients and therapists
precise feedback on gait and arm activity. Not only do patients benefit from this treatment, but also the
therapists are also relieved, especially when it comes to physical work. This therapy method is most effective
within the first 6 months. Nevertheless, patients with a long history of illness can also benefit from it and
achieve success, but more slowly. It is currently the highest quality and most effective therapy in the field of
neurorehabilitation. There are many well­known studies by high-ranking professors to prove it. That is why
I once again call on politicians to work together with the health insurance companies on a solution to give
all patients this opportunity. I hope you enjoyed this little insight into our therapy.
Biography:
Sabri Maraqa has completed his Diploma in Physiotherapy from the University of Leipzig in 1991 at the age of 23 years. He has worked
from 1991 till 1996 at Gesundheitzentrum Glantal in Meisenheim- Germany, which is a hospital that, at that time, was specialized in neu-
rology and neurology rehabilitation. During these years, he has improved his knowledge and expertise in Neuro-rehabilitation. After that,
he worked in the private sector till 2001. In 2001, he has established his first own therapy center “Therapiezentrum Haimhausen” that
was specialized in different areas of physiotherapy (Neurology, Orthopedic, and Surgery), functional therapy and Locopidia. During this
period, he has enhanced his experiences through studying Traditional Chinese Medicine and got a certificate in Manual Therapy, Bopath
Therapy and Manual Lymph Drainage. In 2007, he established the second center “Therapiezentrum Freimann” which was specialized
in the same areas of the first center. He is now the owner and founder of Neuro Robotik Zentrum München; which was established in
2020 and considered to be one of the most modernly equipped physiotherapy centers in the world. The center, having rehabilitation
robots of the latest generation, is one that patients seek from all over the world.

sabrimaraga@hotmail.com

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May 09-10, 2022 Dubai, UAE
5th World Congress on

Physiotherapy, Physical Rehabilitation &

Sports Medicine

Betsy Myers
University of Tennessee at Chattanooga, USA

Validity of the Five-Die Test for Female Volleyball Players

Purpose/Hypothesis: COD and “agility” tests are used to assess performance in a variety of sports. Commonly
performed COD tests include the Illinois agility test, T-test, and 5-0-5 test. While these tests are reliable, their
validity as COD tests for volleyball players is suspect because test results may be influenced by the athlete’s
maximal linear running speed, which is not a part of the sport of volleyball. A typical volleyball rally lasts
6 – 10 seconds in which players may be required to move in all directions and cover no more than half the
court. The purpose of this study was to assess a novel COD test, the Five-Die Test, in collegiate volleyball
players. The research hypothesis was that volleyball players would perform better than runners.
Number of Participants: 40 healthy females (mean age 21.6 years, range 18-25): 14 collegiate club volleyball
players, 5 Division I volleyball players, and 21 recreational runners.
Materials/Methods: The Five-Die test consists of diagonal and planar components performed in 4.5m x
4.5m square. For the diagonal component, participants began in the center 1-foot square, ran diagonally to
touch either foot into a 1-foot square at the front right corner, then returned to center. The pattern continued
in a clockwise direction moving to the back right, back left, and front left, coming back to the center square
each time and finishing the test by returning to the center. The same procedure was followed for the planar
component, where the participant moved in straight planes starting at the center, moving anteriorly, right,
back, and left. Each participant performed 1 practice trial and two recorded trials of each component of the
Five-Die test.
Results: The paired t-test revealed the second trial for each test was significantly better than the first trial.
To account for this learning effect, only the second trial for each test was used for further calculations. The
mean time to complete the diagonal component was 9.26 seconds (SD.83), while the mean time to complete
the planar component was 7.15 seconds (SD .82). Significant differences in Five-Die times were found between
volleyball players and runners for the diagonal component [t(38)=2.76, p = .004] with a large effect size (d
= .87) and the planar component [t(38)=1.98, p = .028, d = .63] with a medium effect size (d = .63). While
there were no significant differences in component times between levels of volleyball, there was a trend for
Division I players (diagonal mean 8.72± 0.18 seconds, planar mean 6.85± 0.69 seconds) to perform better
than club players (diagonal mean 8.98± 0.77 seconds, planar mean 6.90± 0.79 seconds).

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May 09-10, 2022 Dubai, UAE
5th World Congress on

Physiotherapy, Physical Rehabilitation &

Sports Medicine
Conclusions: Volleyball players were significantly faster than runners for both the diagonal and planar
components of the Five-Die test. The medium and large effect sizes indicate that the difference between
volleyball players and runners was practically significant. There was a trend for Division 1 volleyball players
to perform better than club volleyball players, but this was not significant.
Clinical Relevance: The Five-Die test is a change of direction test that simulates the directions of player
movement and the duration of a typical volleyball rally. Given that volleyball players (multidirectional
athletes) performed better than runners (unidirectional athletes), the Five-Die test appears to have both
face and construct validity. Further study is needed to determine the relationship between test results and
volleyball-specific performance measures. Because of the limited number of Division I participants in this
study, further investigation using larger samples may be warranted to determine if the test can distinguish
between various levels of competitive volleyball.
References:
1 Sánchez-Moreno J, Marcelino R, Mesquita I, Ureña A. Analysis of the rally length as a critical incident of
the game in elite male volleyball. In J Perform Anal Sport. 2015/08/01 2015;15(2):620-631. doi:10.1080/247
48668.2015.11868819
2 Stewart P, Turner A, Miller S. Reliability, factorial validity, and interrelationships of five commonly used
change of direction speed tests. Scand J Med Sci Sports. Jun 2014;24(3):500-6. doi:10.1111/sms.12019
3 Paul D, Gabbett T, Nassis G. Agility in team sports: testing, training and factors affecting performance.
Sports Med. Mar 2016;46(3):421-42. doi:10.1007/s40279-015-0428-2
4 Sayers M. Influence of test distance on change of direction speed test results. J Strength Cond Res. Sep
2015;29(9):2412-6. doi:10.1519/jsc.0000000000001045

betsy-myers@utc.edu

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May 09-10, 2022 Dubai, UAE
5th World Congress on

Physiotherapy, Physical Rehabilitation &

Sports Medicine

Kadhim Alabady
Dubai Health Authority (DHA), UAE

The Physical and Physiological Tests Needed for Football Players

Background: Football psychology can help footballers to train with more focus, play with more confidence.
This helps them improving their mind, concentration and leadership skills. Many teams appoint a psychologist
to improve team and individual performance. Football psychologists can support footballers to cope with
the stress and frustration during the games and to prevent injuries and prepare players who are back from
injuries into playing.
Purpose: This study aims to identify:
• Role of psychologist within a football team.
• Does a football team require a psychologist or a psychiatrist?
• What are the most common mental issues among football players?
• To assess the role of psychologist in football teams.
Methodology: Qualitative study approach was applied specifically in-depth interview with Dr Eric Master.
Dr. Matser graduated as a clinical neuro- psychologist and has 25 years of experience in clinical neuro-
psychology. He worked as the first team psychologist of Chelsea FC with Coach Jose Mourinho for four years.
Key findings:
• The role of the psychologist is relevant in football as a player's mental state can decide a game.
• Football psychologists can help in creating a winning team.
• Psychological Skills can help Footballers in Commitment, communication, concentration, control, and
confidence.
• Psychosocial development through targeted intervention can promote youth soccer players behavioural
responses associated with skills and decision-making.
• Mental issues in football has a big role.
• Football psychologists can improve your emotional control and prevent injuries.
• A Psychologist support footballers to be at the top of their game recognise and improve on their weaknesses
and develops their strengths more.

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May 09-10, 2022 Dubai, UAE
5th World Congress on

Physiotherapy, Physical Rehabilitation &

Sports Medicine
Biography:
Fellow of the Faculty of Public Health UK (FFPH) and Fellow of the Royal College of Physicians and Surgeons of Glasgow (FRCP –
Glasgow). Hold a Doctorate degree in Public Health and Epidemiology, Master degree in Clinical Epidemiology (MSc), Master degree in
Public Health (MPH), all from The Netherlands Universities with broad experience driving Research and Development (R&D) strategies
and operations.
Work experience:
-Academic (Erasmus university – Rotterdam / The Netherlands, Queen Marry University – London / UK), University of East Anglia UEA
/ Norwich.
- International (United Nations).
- National Health Authority (Qatar).
- National Health Service (NHS), UK.
- Dubai Health Authority.
- others
Registered as Epidemiologist Grade A with The Netherlands Epidemiological Society.
Has numerous publications in the UK in football, mental illnesses, psychology, cancer, cardiovascular diseases, diabetes, Autism, pop-
ulation health, and others.
alabady@dha.gov.ae

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May 09-10, 2022 Dubai, UAE
 5th World Congress on

Physiotherapy,
Physical Rehabilitation &
Sports Medicine
May 09-10, 2022 Dubai, UAE

WORKSHOP
Day 1
5th World Congress on

Physiotherapy, Physical Rehabilitation &

Sports Medicine

Elham Karkouti
University of Central Florida, Orlando, USA

The laws of leadership that every physical therapist needs to know to be-
come influential leaders in our virtual world

I nteraction between every leader and follower is a relationship. We will review this relationship so that
physical therapists can learn how they can help add value to their followers and help their followers advance.
We will discuss the skills physical therapists need to become effective leaders in person or virtually. Physical
therapists can use these tools to help others achieve their goals, add value to other people, or achieve their
career and personal dreams. This session will review the skills needed to understand people and help improve
the level of effectiveness of physical therapists. We will also discuss how a therapist can increase their level
of influence with others to become great leaders.
Biography:
Elham Karkouti completed her B.Sc. in Physical Therapy in 1995 and her M.Sc. in Physical Therapy in 2011 from the University of Toronto.
After 20 years in private practice, she has returned to school to complete her EMBA. After graduating from the University of Central
Florida, her goal is to use her new leadership skills to help develop future physical therapy leaders. In the meantime, she has the time
to dust of her research skills and gets back to her first love, research to help enhance physical therapy treatment, training, and education.
sdirocca@gmail.com

Physiotherapy Conference 2022 Page 18

May 09-10, 2022 Dubai, UAE
 5th World Congress on

Physiotherapy,
Physical Rehabilitation &
Sports Medicine
May 09-10, 2022 Dubai, UAE

ORAL PRESENTATION
Day 1
 Day 1 May 09, 2022
Sessions:
Physiotherapy World: A Modern Era of Health Care | Sports & Physiotherapy | Experimental Techniques
in Physiotherapies | Advancements in Physiotherapeutic Treatment | Manual & Artificial Physiotherapy
Strategies | Womens Health & Palliative Care

Session Introduction
Title: Successful hosting of a mass sporting event during the COVID-19 pandemic
Glen Hagemann , Group 42 Healthcare, Abu Dhabi, UAE
Title : Yoga in physical therapy
Zeljka Obrenov, Serbia, Peak Fitness Kuwait
Title : Cervicogenic Headache and Breathing Pattern Dysfunction in a Female Post-Hysterectomy: A case report
Taha Deeb ,Adam Physio and Sports Clinic ,Canada
Title : Sport Science Lab® Screening Protocol: The Association Between Physical Fitness Parameters And Injury
Among Elite Rugby Players
Candice MacMillan, University of the Witwatersrand, Johannesburg, South Africa
Title : About Digitsole : Improve patient outcomes through patented AI motion technology
Digitsole group
Title : Effect of Kinesio Taping with fascial manipulation technique over superficial back fascial lines to increase
range of motion
Julie Mercy Jayapal ,Mercy Physiotherapy Clinic, Chennai, India
About Digitsole : Improve patient outcomes through patented AI motion technology
Swapnil Parmeshwar Mate, HPE UK Healthcare and Education LTD – London UK
Title : Effects Of Cupping Therapy
Amir Hariti, Sportphysio, France
Title : Challenging the Generalized norms of Intensive Rehabilitation immediately Post Stroke
Vijita Jayan & Syed Abdullah Rahil ,Vian Neurorehabilitation & Physiotherapy Clinic, UP, India
Title : Associations of Physical Activity and Depression in Cardiovascular Patients
Sandra Seimane ,Riga Medical College, University of Latvia, Riga, Latvia
Title : Badminton for Cardiovascular & Neuromuscular function among older adults with and without non-
communicable disease
Animesh Hazari, Gulf Medical University, UAE
Title : Chronic Back Pain And The Thoracic Spine
Besnik Bislimi , Swedish Medical Center for Physical Therapy and Rehabilitation, Gjilan , Republic of Kosova
Title : Effect of Ergonomic Education on Lower Back Pain amongst Cleaning Staff Members at Sefako Makgatho
Health Sciences University and Tshwane University of Technology in Ga-rankuwa, 2019
Saima Abdul, Physiotherapist, Weskoppies Psychiatric Hospital, South Africa
Title : Power Walking Based Outpatient Cardiac Rehabilitation In Patients With Post-Coronary Angioplasty:
Randomized Control Trial
Gulshan Shahzadi Malik , Thumbay Hospital, Ajman, UAE
Title : Aquatic Therapy to Decrease Fall Risk in Older Adults
Lina Jamal Saeed Al- Saif, Dubai Physiotherapy and Rehabilitation Center L.L.C, Al Safa 2, Dubai, UAE
Title : Pioneering the future of neuro telerehab
Marisa Mackenzie, MindMaze SA, Switzerland
Title : Low-Costvirtual Reality: The Latest Innovation In Rehabilitation World
Anchit Gugnani, Nims College of Physiotherapy and Occupational therapy, Rajasthan, India
5th World Congress on

Physiotherapy, Physical Rehabilitation &

Sports Medicine
Title : Successful hosting of a mass sporting event during the
COVID‑19 pandemic
Glen Hagemann
Group 42 Healthcare, Abu Dhabi, United Arab Emirates

Abstract:

T he Ultimate Fighting Championship (UFC) elected to hold the UFC 251 event on Yas Island, Abu Dhabi
in July 2020 at the height of the Covid‑19 pandemic. 1650 local staff, 532 management personnel and
102 professional fighters from 59 cities around the world were safely hosted in a biological bubble for a period
of a month with 52 fights taking place over 4 events. This presentation outlines the extensive measures taken
by the Abu Dhabi Department of Tourism and Culture and G42 Healthcare to ensure that not a single
participant was infected during the event; this was thus one of the first mass sporting events to be successfully
hosted during the pandemic, followed by a further two equally successful UFC events later that same year.

Biography:
Dr Glen Hagemann is a Projects Director at G42 Healthcare in Abu Dhabi. In addition to an MBChB he has attained masters degrees in
Sport and Exercise Medicine, and eHealth and Telemedicine Management. He is a past president and honorary life member of the South
African Sports Medicine Association.

glenham.hagemann@g42.ai

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Physiotherapy, Physical Rehabilitation &

Sports Medicine
Title: Yoga in physical therapy
Zeljka Obrenov and Serbia
Peak Fitness, Kuwait

Background: As a young girl and as athlete, I’ve experienced few injuries and this is when
I’ve decided to become a coach. In my opinion the physical therapy rehabilitation in sport
must be on a higher level. We have to bring more awareness about how much is important
that our clients receive the proper care, at least corrective exercise and to bring more awareness about our
clients injuries. And bring more health to their fitness routine and more closer cooperation between physio,
coaches and doctors. This is something that in the future we have to work on.
Biography: :
Experience: - Certified Pilates Instructor, Studio Novi Sad, July 2013 – August 2016
General Manager, Studio Novi Sad, Sept 2016 – Sept 2018
PT and Group training, Instructor for mat and reformers, Hype gym Kuwait, Oct 2018 – March 2020
Head Coach, Peak Fitness Kuwait, July 2021 - Present
Education - Fitness Academy Belgrade, Serbia, Certified Pilates Instructor, Pilates Matwork, 2013, PT and Group Fitness programs
Instructor
Yoga Academy Belgrade, Serbia, Certified Yoga Instuctor, Instructor in sport, 2016‑2017, Grade 10
Red Cross of Serbia, First Aid Certificate, 2017
Vojvodina Association for recreation and fitness, Certified coach for proper diet and supplementation, Training in the field of recreation
and fitness,2017‑2018
Yoga Academy Belgrade, Serbia, Certified Yoga Intructor, Yoga for Athletes, 2018‑2019, Grade 10
Body Hach Fitness Education , Certified for Rehab, Injuries and Corrective exercise, 2019
NASM AFAA, Perinatal Fitness, Health and Physical Education/Fitness,March 2020, Pre and postnatal fitness care
HFS, Functional training, Health and Physical Education/Fitness, January 2021, Coach for functional training
Coaches are their own best advertisement for dedication, training and results. Enjoy inspiring and encouraging others to lead healthier
lifestyle. I love to educate myself and I think that we should be learning all our life. I graduated on Fitness Academy Belgrade on July
2013. After that I went on Yoga Academy and I finished it on July 2016. When I finished that, I decided to specialized myself for working
with top athletes. I would like to thank to my kids, because they are my biggest support and they believe in me and my goals even more
than I do.

Mail Id: obrenov.big@gmail.com

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Physiotherapy, Physical Rehabilitation &

Sports Medicine
Title : Cervicogenic Headache and Breathing Pattern Dysfunc-
tion in a Female Post-Hysterectomy: A case report
Taha Deeb
Adam Physio and Sports Clinic, Canada

Background and Purpose: The purpose of this case report is to present a physical therapy
assessment and treatment approach that correlates neck and head pain to breathing pattern dysfunction (BPD).
Case Description: The patient I am reporting presents with chronic abdominal pain secondary to cervical
fibroids. The patient is a 46‑year-old female who demonstrated BPD including apical shallow breathing, as
well as paradoxical abdominal breathing. The referral to physiotherapy was for her neck pain, headache, and
general fatigue. My assessment and treatment addressed BPD in addition to the typical physiotherapy approach
used to manage neck and head pain. Outcome: The patient demonstrated improvement in outcome measures
including visual analogue scale (VAS) pain scores, pain pressure threshold (PPT), dynamometer grip strength,
and range of motion of the cervical spine. The patient reported improving tolerance to supine sleeping and
stairs. Intervention: My intervention included conventional physiotherapy to address the biomechanical
faults of cervical spine and upper quadrants plus breathing retraining to restore diaphragmatic breathing
pattern. Discussion: Cervicogenic headache (CGH) and cervicalgia is associated with abnormal function
of the neck musculoskeletal system. Breathing retraining might play a role in correcting the biomechanical
faults associated with cervical spine and poor posture. Alleviating mechanical stress on compromised tissues
could advance the healing process to allow enhanced tissue tolerance in chronic CGH and neck pain patients
presenting with dysfunctional breathing pattern.
Biography:
Taha graduated from the University of Alberta in 2010 with a Master of Sciences in Physical Therapy. He completed his Acupuncture
Certification through the Acupuncture Foundation of Canada Institute in 2012. He started his manual therapy training through the Or-
thopedic Division of the Canadian Physiotherapy Association and then completed his advanced manual therapy through the Swodeam
Institute of Manipulative Physical Therapy in 2014. Taha started pursuing his special interest journey in 2014. He had the honour to be
trained by Dr. Mariano Rocabado through the University of St. Augustine where he completed his craniofacial certification (CFC) in 2017.
Taha joined the University of St. Augustine from 2013 till 2018 for post-professional education, where he earned his Doctor of Physical
Therapy Craniofacial Track, a specialized physical therapy training in the treatment and management of TMJ and cervical dysfunction.
In 2021, Taha became a Certified Cervical and Temporomandibular Therapist (CCTT) by the Physical Therapy Board of Craniofacial and
Cervical Therapeutics (PTBCCTT).
Taha holds a Master of Science in Medical Genetics and a Master of Science in Biology where was involved in research and published
articles in scientific journals. Taha’s extensive research skills enabled him to develop specialized practice techniques to help his patient
using an evidence-based approach. Taha loves teaching. He holds a teaching diploma and was involved in university teaching during his
graduate studies. Taha strongly believes that through quality education and therapeutic exercises his patients will gain the knowledge
needed to continue their rehabilitation journey independently.
Taha completed his Vestibular Rehabilitation certification in 2018. Taha received extensive training in trigger point dry needling from Acu-
puncture Canada in 2019. Taha became an ImPACT trained physiotherapist in 2020, a multidisciplinary treatment approach to manage
concussion and post-concussion symptoms.
Taha is a member of the Canadian Physiotherapy Association (https://physiotherapy.ca). He is also a member of the Physical Therapy
Board of Craniofacial and Cervical Therapeutics (https://ptbcct.org).Taha is a member of the Physiotherapy Alberta College and Associa-
tion (https://www.physiotherapyalberta.ca), where he is authorized to perform the following restricted activities: use dry needling, perform
spinal manipulation, as well as order diagnostic imaging.
taha.deeb@gmail.com

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Physiotherapy, Physical Rehabilitation &

Sports Medicine
Sport Science Lab® Screening Protocol: The Association
Between Physical Fitness Parameters And Injury Among Elite
Rugby Players

Candice MacMillan
University of the Witwatersrand, Johannesburg, South Africa

Context and Objectives

The Sport Science Lab® (SSL®) screening protocol includes novel methods of assessing flexibility, strength,
plyometric ability and rugby specific fitness. The objective of this study was to investigate the association
between these tests and injury among professional rugby players.
Participants
Thirty‑nine injury‑free, elite, adult (>18 years), male rugby players.
Main Outcome Measures
The test battery consisted of eleven flexibility-, nine strength- and six plyometric tests and a rugby specific
fitness test (RSFT). Injuries were recorded weekly during the 2019 rugby season. Associations between
test results and injuries were analysed utilising suitable tests of association i.e., sensitivity, specificity, false
positive rate, false negative rate, positive predictive value and negative predictive value and odds ratios (OR)
(with confidence intervals (CI)). Bivariate correlations and logistic regression were performed to assess the
relationship of the predictor variables to the outcome.
Results
Players who achieved the set standard for the RSFT (OR=3.17; 95% CI=0.79‑12.75), triple horizontal broad
jump (OR=2.40; 95% CI=0.86‑19.61) and lateral depth jumps (OR=2.40‑3.44; 95% CI=0.53‑18.84) were two
to three times less likely to sustain an injury during the season.
Conclusion
Players with superior rugby specific fitness and cyclic linear- and lateral plyometric ability, may have a
decreased risk of sustaining injuries.
Biography:
Candice obtained her P.hD (Sports Physiotherapy) and award-winning MSc degrees from the University of the Witwatersrand (Wits)
(Johannesburg, South Africa). She is a post-doctoral fellow at Rhodes University and director of translation and data dissemination at
the Wits Cricket Research Hub. Research emanating from her post-graduate studies has been published in peer-reviewed journals and
presented at sports medicine conferences. She has worked at both the USA and South African franchises and is the SSL certification
course developer and senior instructor.

candicephysio@gmail.com

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Physiotherapy, Physical Rehabilitation &

Sports Medicine
Physiotherapy In Treatment Of Frozen Shoulder And Chronic
Osteoarthritis Of Bilateral Knee
Julie Mercy Jayapal
Mercy Physiotherapy Clinic, Chennai, India

Back Ground:
Conservative Management Of Frozen Shoulder
Conservative Management Of Chronic Osteoarthritis Of Bilateral Knee
Near Recovery Without Medicines And Surgical Intervention

Purpose:
Protocols For Better Quality Living
Sustaining The Recovery Phase
Preventing The Sedentary Life
Principles / Methods / Methodological Approaches:
Involving Basic Treatment Procedures
Range Of Motion Improved
Physiotherapists Actively Involved And Treated - Around 40 Patients With Similar Protocols
Regular Follow Up Done With Patients On A 40 Period And Data Managed In Different Phases During The
Treatment
Main Findings / Magnitude Of Findings
Treatment Followup With The Patients Who Were Affected With Frozen Shoulder For The Period Of
6 Weeks - Conservative Management With Regular Wax Therapy For About 4 Weeks For Shoulder Along
With Rotator Cuff Stretches And Shoulder Mobilisation Exercises Which Released All The Shoulder Girdle
Muscles Contributing To Good Range Of Motion In The Shoulder Joint Which Enhanced The Joint Sitffness.
Followed By Active Shoulder Strengthening Exercise Programme For About 4 Weeks
Treatment Follow Up With The Patients Who Were Affected With Chronic Bilateral Osteoarthritis Of
Knee For The Period Of 6 Weeks - Interferential Therapy Unit For Pain Releif And Low Pulsed Ultrasonic
Therapy Administered For About 3 Weeks To Heal The Joint Surfaces Of The Knee Joint Which Enhanced
Knee Mobility
Active Knee Strengthening Exercise Programme For About 4 Weeks Which Gained The Stabilty Of The
Knee Joint
Conclusion / Suggestions:
Shoulder And Knee Can Be Rehabilitated To Near Normalcy Without Medicines And Without Interference
Of Surgery. Sustaining The Recovery Phase Becomes The Key Work For The Physiotherapists Which Can
Be Done With General Follow Up For The Period Of One Month.
Anatomical Range Of Motion To Be Maintained For Shoulder Joint By Recommending To Do Basic Shoulder
Exercises To Maintain The Normal Range Of Motion

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Physiotherapy, Physical Rehabilitation &

Sports Medicine
Qualtiy Brace Recommendation For The Knee Joints Definitely Helped Patients To Prevent Further Damage
Of Knee Joints During Their Day To Day Life Activities
Implications:
Our Techniques And Treatment Protocols Has Definitely Made An Impact On The Profession And Society
As The Rehabilitation Helped Many Patients To Restore The Function Of The Shoulder And Knees.
Biography:
Dr. Julie Mercy Jayapal Has Completed Her Erasmus Mundus Masters Degree In Adapted Physical Activity At The Age Of 32 Years
From Ku Leuven University, Belgium And Did Her Research Thesis At Norwegian School Of Sport Sciences, Norway. She Is Trained At
Beitostolen Health Sport Centre In Norway. She Is The Director Of Mercy Physiotherapy Clinic - A Centre For Rehabilitation, Pain Relief,
Physically Challenged, Fitness & Counselling With The Work Experience Of 24 Years.
mercyphysiotherapyclinic@yahoo.in

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May 09-10, 2022 Dubai, UAE
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Physiotherapy, Physical Rehabilitation &

Sports Medicine
Effect of Kinesio Taping with fascial manipulation technique
over superficial back fascial lines to increase range of motion
Swapnil Parmeshwar Mate (PT)
HPE UK Healthcare and Education LTD – London UK

E ffect of kinesio taping application with the fascia manipulation technique on the
superficial back fascia line over the hamstring fascia to increase the range of motion
Superficial Back Line is one of the first line dissected and research over the fascia as a connective tissue. The
Superficial Back Line (SBL) connects and protects the entire posterior surface of the body like a carapace
from the bottom of the foot to the top of the head in two pieces – toes to knees, and knees to eyebrow. Strain,
tension (good and bad), trauma, and movement tend to be passed through the structure along these fascial
lines of transmission leading to soft tissue mal-alignment of the connective tissue resulting in somatic and
mechanical dysfunction. A forward bend with the knees straight links and challenges all the tracks and
stations of the Superficial Back Line. Kinesio Taping application of fascia manipulation technique helps in
correction and realignment of the collagen fiber found predominantly in the fascia system responsible for
tensile strength and force transmission. Research and collected clinical data pre and post KT application over
the hamstring fascia suggest its effectiveness of kinesio taping application in realigning the fascia system in
the superficial back line to increase range of motion thereby secondarily improving force transmission and
proprioception.
Biography:
Dr. Swapnil Mate is Clinical and Sports Physical therapist In India and Head Instructor of HPE UK Healthcare and Education Ltd, based in
London – UK. Completed his graduation from Topiwala National Medical College in Mumbai and Advance physical therapy rehabilitation
from London, He has been a part of London Olympic 2012 with the Indian Shooting team and has been associated with various sports
teams and association in India. He is currently an EC member of Indian Association of physiotherapy (IAP). He is Certified Kinesio taping
Practitioner (CKTP) from Kinesio University, KTAI‑USA.
swapnil.physio@gmail.com

Physiotherapy Conference 2022 Page 27

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 5th World Congress on

Physiotherapy,
Physical Rehabilitation &
Sports Medicine
May 09-10, 2022 Dubai, UAE

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sales@digitsole.com
5th World Congress on

Physiotherapy, Physical Rehabilitation &

Sports Medicine
Effects Of Cupping Therapy
Amir Hariti
Sportphysio, France

• BRIDGETT (2018) AUSTRALIA: Effects of Cupping Therapy in Amateur and Professional

Athletes: Systematic Review of Randomized Controlled Trials 10.1089/acm.2017.0191
• KIM (2018) KOREA: Is cupping therapy effective in patients with neck pain? A systematic review and
meta-analysis 10.1136/bmjopen-2017‑021070
• MOURA (2018) BRAZIL: Cupping therapy and chronic back pain: systematic review and meta-analysis
10.1590/1518- 8345.2888.3094
• MOHAMMADI (2019) IRAN: The effects of cupping therapy as a new approach in the physiotherapeutic
management of carpal tunnel syndrome 10.1002/pri.1770
Cupping therapy has been used widely as a safe and common method to tackle soft tissue lesions in most
countries and has been used for health promotion, preventive, and therapeutic purposes.
Eber’s papyrus (1550 BC) from Ancient Egypt is one of the oldest medical texts to mention cupping therapy.
It’s performed by applying cups to selected skin points and creating a sub-atmospheric pressure, either by
heat or by suction.
The results showed that incorporation of cupping therapy in a routine physical therapy programme can
reduce the severity of symptoms and can significantly decrease the VAS scores.
There is a promising evidence in favour of the use of wet cupping for musculoskeletal pain, specifically
nonspecific low back pain, neck pain, Carpal tunnel syndrome, and brachialgia.
Biography:
Physiotherapist since 2014, I am used to working with cupping therapy. Besides, I work also as a manual therapist and a sport physio-
therapist with a lot of french athletes.
amir.hariti.kine@gmail.com

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Sports Medicine
Challenging the Generalized norms of Intensive Rehabilitation
immediately Post Stroke
Vijita Jayan & Syed Abdullah Rahil
Vian Neurorehabilitation And Physiotherapy Clinic Uttar Pradesh, India

S troke is the second leading cause of death and disability worldwide. lschemic Stroke is
more frequent than Hemorrhagic Stroke. Though the type of Stroke may be the same,
the response of the brain differs with every individual as every brain is organized differently. As a result
every recovery process from a stroke will be different. Neural Plasticity occurs when brain cells regenerate, re
establish and rearrange neural connections in response to the damage inflicted by a stroke. Neural Plasticity
is experience and learning dependent. This means that whatever you do repeatedly, weather in the correct
way or not, determines how the brain will reshape itself. Although the brain is in a heightened state of
plasticity immediately after Stroke, Intensive rehab should be targeted after initial 2-3 months. Immediately
after Storke, the brain goes into survival mode with the shock of the attack. The brain tries to clean up the
mess and revive itself thereafter.
This study attempts to evaluate the effectiveness of Intensive Rehab post stroke after initial 2-3 months as
opposed to the the current practice of beginning rehabilitation as soon as possible after Stroke.

Biography:
Vijita Jayan has completed her Masters in Physiotherapy in 2009 , from Rajiv Gandhi Univer•sity of Health Sciences, Bangalore, India.
Dr. Rahil is currently pursuing Masters from CCS University, Meerut, India. Both of us have extensively worked on Stroke Rehab for the
past 5 years and created a system of Rehab which challenges the general norm of therapies followed across centers. They have man-
aged to bring change into the lives •of people even_ after 3-4 y-ears of Stroke.
vijitajayan@gmail.com

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Sports Medicine
Associations of Physical Activity and Depression in
Cardiovascular Patients
Sandra Seimane
Riga Medical College, University of Latvia, Riga, Latvia

Introduction: Depression is major public disorder. Patients with cardiovascular diseases

who are also depressed have a worse outcomes than those patients who are not depressed.
Daily physical activities are shown to improve either mental, either cardiovascular status of patients.
Objective: To investigate the association between physical activity level and depression in patients with
coronary heart disease and atrial fibrillation or flutter.
Methods: Cross-sectional study included patients with cardiovascular diseases hospitalized in Riga, Latvia.
Participants completed a baseline questionnaire of general socio-demographic information and measures
of somatic and psychological health. Depressive symptoms were assessed with Patient Health questionnaire
(PHQ‑9). International Physical Activity Questionnaire (IPAQ) was used to evaluate daily physical activities.
Categorical data are expressed as proportions. Continuous data - as median (interquartile range [IQR])
values. Group comparisons were conducted using the chi-squared test. The p<0.05 was considered indicative
of statistical significance. Statistical analysis was performed using R software (version 4.1.2, R Foundation).
Results: Study samples included 865 patients, 504 male. The median age of patients was 66 years [IQR: 59‑73].
Out of 865 patients 133 were assessed with mild, moderate to severe depression (15,38%) by PHQ‑9. Negative
and statistically significant association between PHQ‑9 score for depression and physical activity level was
observed (p=0.006). Patients with depression have less MET minutes per week and shows more sitting time
per day 6.00 [4.00;10.0] versus patients without depression 5.00 [4.00;8:00] (p<0.001).
Conclusions: Cardiovascular patients with the depression should be more attended in order to increase their
physical activity level.
Biography:
Sandra Seimane is Internal medicine doctor and Physical and Rehabilitation medicine doctor, works in Riga Eastern Univeristy Hospital
is a head of study programm Massage and hydrotherapy in Riga Medical College of University of Latvia.
sseimane@inbox.lv

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Sports Medicine
Badminton for Cardiovascular & Neuromuscular function
among older adults with and without non-communicable
disease

Animesh Hazari
Gulf Medical University, UAE

The success to well–being has been attributed to the higher level of Physical activities in our day-to‑day
routine activities. The true meaning of fitness for a humankind has wider spectrum. It can be correlated with
being free from various disorders including cardiovascular, musculoskeletal, neurological, and psychosocial
condition and thus lead an enhanced quality of life which can be significantly achieved by incorporating
adequate physical activities. The World Health Organization has declared physical inactivity as fourth leading
cause of death and major risk factor non-communicable diseases. Studies suggest that the higher prevalence
for non-communicable disease adds to extreme health and financial burden to United Arab Emirates and
promotion of physical activities could help combat this situation (Arena et al. 2015). Thus, the project aims
to reduce the burden of non-communicable diseases through promoting outdoor physical activity while
utilizing the beneficial effects of Badminton sports on cardiovascular and neuromuscular functions.
Research Objectives
1. To analyze the changes in cardiovascular and neuromuscular fitness parameters and their effect on the
disease outcome for older adults with and without non-communicable disease in UAE.
2. To compare the in cardiovascular and neuromuscular fitness between older adults with and without
non-communicable disease while engaging in Physical activity through Badminton Sport
Biography:
Dr. Animesh Hazari is currently working as Assistant Professor, College of Health Sciences in Gulf Medical University. He is actively
involved in supervising and encouraging research activities of students at undergraduate and post graduate level at GMU. He is also
supervising and guiding PhD students at Universities in India. He is a well‑known researcher across the globe for his valuable contri-
bution in areas of Diabetic Foot, Sports Biomechanics, Neuromuscular function with over 45 indexed publication and multiple invited
guest speaker at international conferences. At GMU his research output has been significant in terms of internal and external grants. He
has bagged an internal research grant on Gait Biomechanics among diabetes mellitus population in conjunction with Thumbay Phys-
ical Therapy and Rehabilitation hospital. An external funded research grant by the Badminton World Federation has been secured for
conducting research on effects of Badminton over Neuromuscular and Cardiovascular functions among UAE population. Dr. Hazari has
patents and copyrights under his name for areas of his work excellence. He is also currently involved in an active ongoing research grant
by Department of Science and technology, Govt. of India over Biomechanical analysis in cerebral Palsy children. Adding to his research
in academic excellence he has authored two books published by Springer
animeshh8@gmail.com

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Physiotherapy, Physical Rehabilitation &

Sports Medicine
Chronic Back Pain And The Thoracic Spine
Besnik Bislimi
Swedish Medical Center for Physical Therapy and Rehabilitation, Gjilan , Republic of Kosova

Abstract:

I n recent years interest in pain neuroscience in physical therapy has been increased.
Pain and restriction of range of motion seems to be a normal long‑term development in
back pain patients. Spine-related disorders are among the most frequently encountered problems in clinical
medicine. Back pain alone affects up to 80% of the population at some point in life. Most of us experience it
at some point in our lives, if not daily. In most cases, it is not due to a serious disease or serious back problem,
and the exact cause of the pain is not clear. This is called nonspecific lower back pain.
Back pain has been classified by leading researchers as the number one cause of disability worldwide, and it
is expected to increase as the population ages.
Thoracic spine (TS) has been studied less frequently than the lumbar or cervical spine, possibly because the
thoracic region is believed to be less commonly involved, and generate less severe clinical symptoms. Back
pain can have a significant impact on all aspects of life including daily activities, family life, recreation and
social activities.
Back pain is an important issue in cost to the community and has considerable impact on the economy due
to time taken off work.
Pain relief is the first priority for most people with back pain. But the long‑term strategy that’s right for you
will depend on what triggered the pain in the first place.
Back pain where the pain is felt is NOT often the place to TREAT Back pain.
It is merely a symptom of something deeper in the body not working as it should.
These referred pain (mechanical pain or radical pain) can also become chronic, if the original source of the
problem is not identified and treated.
Back pain can be uniquely complex and difficult to diagnose and treat.
Risk factors, Biological, Psychological, Cultural and Sociological factors can make the pain worse and also
need to be included as part of a Biopsychosocial model or approach (BPS).
In our case a 60‑year-old man presents to our clinic, he has evolved the chronic pain gradually during last
14 years, with unclear diagnosis and unclear complaints.
The patient provides a detailed description of symptoms and medical history and we conduct a thorough
physical exam.
We also used imaging tests to locate and confirm the underlying cause of pain:
X‑ray, CT scan, MRI scan, Blood tests, Bone scan, Electromyography (EMG) and Nerve Conduction Studies,
Diagnostic Ultrasound and histological results for lesion assessment.

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Sports Medicine
Biography:
Besnik Bislimi , Master’s student, earned his Technician of Physiotherapy diploma at Secondary School of Medicine , Gjilan – Kosovo in
2005. Since then he has dedicated himself to continually upgrading his skills, earned several hundred certificates taken from the physical
and virtual classes.
Certified Medical Massage Therapy from Org.Medical Massage Therapy – Sweden.
Spine Physiotherapy Specialist Certificate , a postgraduate and continuing education programme from eccElearning – UK. From
2022 continues with Master in Physical Preparation and Injury Prevention – Spain.
Blerinë Sadiku earned a Bachelor of Science in Physiotherapy from the Medical University of Prishtina in 2020. After graduation she has
participated in different learning activities and continuing education programs.
She is the director of Swedish Medical Center for Physical Therapy and Rehabilitation.
fizioterapeuti@hotmail.com

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Sports Medicine
The Effect of Ergonomic Education on Lower Back Pain
amongst Cleaning Staff Members at Sefako Makgatho Health
Sciences University and Tshwane University of Technology in
Ga-rankuwa, 2016
Presenter:
Ms Abdul S.L., Physiotherapist
Weskoppies Psychiatric Hospital, Pretoria, South Africa

Co-Workers:
Ms Lubisi X.S., Ms Nyatlo P.M., Mr Saiyed M.J.,
Physiotherapist, South Africa

S tatement of the Problem: Low back pain (LBP) is a common health problem worldwide. Hotel room cleaners
especially in Las Vegas are at high risk to experience LBP and a 1 month prevalence of severe bodily pain
was 47% in general, 43% for neck, 59% for upper back, and 63% for low back pain and therefore prevention
of this condition is very important. The purpose of this study was to determine the effects of ergonomic
education on the pain levels and functional activities of cleaning staff members at Sefako Makgatho Health
Sciences University (SMU) and Tshwane University of Technology (TUT) in Ga-Rankuwa suffering from
acute and chronic low back pain during the year 2016. This study implemented an analytical quantitative, one
group pre‑test, post‑test design to compare the effect of an educational intervention on pain and functional
ability. All permanent cleaning staff members at SMU and TUT in Ga-Rankuwa presented with acute and
chronic lower back pain were included. The current total number of permanently employed staff members
that attended at both institutions were N=45. Cleaning staff were screened for low back pain and were selected
for participation based on specific eligibility criteria. Results: In the study the mean score of 32.11 with a
standard deviation of 17.31 was obtained from Oswestry Pre-Intervention in comparison to Oswestry Post-
Intervention mean score of 17.87 with a standard deviation of 12.95 was obtained therefore it shows that the
intervention decreased the Oswestry Post-Intervention by half of the mean. Therefore, results from the study
demonstrated a positive weak association between the pre category and post category at r=0.17 which is not
statistically significant at p=0.26 but there is a statistically significance in Chi‑square test at p=0.038 with
a df =6. Conclusion: Ergonomic intervention had an effect on cleaning staff with LBP at SMU and TUT in
Ga-Rankuwa.
Recent Publications
1. Krause, N., Scherzer, T., and Rugulies, R. (2005). Physical Workload, Work Intensification, and Prevalence
of Pain in Low Wage Workers: Results from a Participatory Research Project with Hotel Room Cleaners
in Las Vegas. American Journal of Industrial Medicine, 00:1–12.
2. Occupational Safety and Health Administration. (2000). Ergonomics: The study of work. New York: U.S.
Department of labour. 01‑11.
3. Punnett, L., Pruss‑Ustun, A., Nelson, D.I., Fingerhut, M.A., Leigh, J., Tak, S. and Phillips, S. (2005).
Estimating the Global Burden of Low Back Pain Attributable to Combined Occupational Exposures.
American Journal of Industrial Medicine, 48:459–469.

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4. Shaw, W.S., Main, C.J. and Johnston, V., (2011). Addressing Occupational Factors in the Management of
Low Back Pain: Implications for Physical Therapist Practice. Journal of the American Physical Therapy
Association, 91(5): 776‑790.
5. Traguer, A. and McAuley, J.H. (2013). Start Back Screening Tool. Journal of Physiotherapy, 59:131‑132.
Biography:
Saima Abdul, a 28 year old Indian female who studied BSc Physiotherapy and obtained her degree in 2016 at Sefako Makgatho Health
Sciences University in Ga-Rankuwa, South Africa. Saima has been working since 2017 at a mental health institution called Weskoppies
Psychiatric Hospital which is based in Pretoria, South Africa. She has done many post-graduate short courses. She has good adminis-
trative and organizational skills and has planned many Physiotherapy related events and one of the biggest event was to promote World
Physiotherapy Day in the area she lives in. She is very passionate about her career and always strives for excellence in service delivery.
saimalutf@yahoo.com

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Power Walking Based Outpatient Cardiac Rehabilitation In
Patients With Post-Coronary Angioplasty: Randomized Control
Trial
Gulshan Shahzadi Malik
Thumbay Hospital, Ajman, UAE

Purpose
The purpose of this trial was to compare the effectiveness of standardized outpatient cardiac rehabilitation
combined with treadmill power walking versus standardized outpatient cardiac rehabilitation alone on
health-related quality of life (HQoL), functional exercise capacity (FEC), left ventricular ejection fraction
(LVEF) and metabolic equivalent of tasks (METs) in patients who went post coronary angioplasty (CA).
Methods
Twenty four patients were randomized into two groups (n = 12) and participated in a standardized outpatient
cardiac rehabilitation program (SOCRP) with treadmill power walking as an intervention group and SOCRP
alone in control group. Scores obtained before and after 4 weeks of intervention, that is, after 12 treatment
sessions were assessed using a HQoL questionnaire and 6‑min walk test (6 MWT). Average number of steps
taken throughout the 4 weeks, METs and LVEF values were obtained by pedometer, exercise stress testing
and echocardiogram respectively.
Results
Significant improvements were found in intergroup and intragroup comparison after 4 weeks of cardiac
rehabilitation (p < 0.05). Scores of 6 MWT and LVEF significantly improved in the intervention group (p <
0.003) compared to the control group (p < 0.032). HQoL components that is, global and physical, MET values
and average number of steps were significantly higher in the intervention group compared to the control
group (p < 0.001). Long‑term follow‑up results will be presented during presentation.
Conclusion
SOCRP with power walking was more effective in improving HQoL, FEC, LVEF, METs and average numbers
of steps than SOCRP alone although both interventions were significant after 4 weeks in patients underwent
CA and completed cardiac rehabilitation program. Positive significant associations were found between the
average number of steps taken with scores of METs and scores of global and physical domains of HQoL.
Biography:
Gulshan Shahzadi is born and bought up in UAE. Has completed her Bachelor of physiotherapy in 2015 and Master of Physical Ther-
apy in 2020 from Gulf Medical University Ajman. She is topper with GPA score 3.98 and has high academic and research enthusiasm.
Her keen interest in Cardiac Rehabilitation made her perform clinical trials on Post coronary angioplasty. She proved in her research
that Power walking along with cardiac rehabilitation helps in improving health-related quality of life (HQoL), functional exercise capacity
(FEC), left ventricular ejection fraction (LVEF) and metabolic equivalent of tasks (METs) in patients who went post coronary angioplasty.
Her research was published in Physiotherapy Research International Journal on 06/07/2021 ( https://doi.org/10.1002/pri.1919 ) with
high clinical impact. She holds clinical experience since 2015 in the field of orthopedic, sports, pediatric, manual therapy, neurological
and cardiac rehabilitation. She has been nominated as Speaker for 3 various conferences earlier. Currently she is working at Thumbay
Hospital Ajman.

gosheenmalik@yahoo.com

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Aquatic Therapy to Decrease Fall Risk in Older Adults
Lina Jamal Saeed Al- Saif
Dubai Physiotherapy and Rehabilitation Center L.L.C, Al Safa 2, Dubai, UAE

F alls are a major problem in older (frail) adults and in those persons with neuromusculoskeletal
problems, leading not only to an increase of incapacity, but also to an increase of
morbidity and mortality. Falls are the second leading cause of accidental or unintentional injury deaths
worldwide. As well as it accounts for 60% of all injury-related hospitalizations in UAE. Complications of falls
include fractures and fear of falling (FOF) with consequent activity reduction and reduced independence
among others. Prevention strategies should emphasize educational training, creating safer environment,
prioritizing fall related research and establishing effective policies to reduce risk. When training balance
on land, an individual’s performance may be diminished by a lack of confidence or a fear of falling. In an
aquatic environment, the inherent viscosity of water serves as a postural support, promoting confidence and
reducing the fear of falls. Aquatic therapy has the capacity to prevent deterioration and increase the quality of
life within the elderly community as well as promoting and maintaining independence. A number of studies
have investigated the efficacy of postural exercise programs in the aquatic environment, suggesting positive
effects with coordination and balance deficits in older adults which lead to reduce fall risk.
Biography:
Lina Jamal Saeed Al- Saif was born in the year of 1993 in Zarqa, Jordan, and raised in Dubai, United Arab Emirates. She completed her
Bachelor of Science in Physiotherapy at the age of 21 from University of Sharjah in the United Arab Emirates. She is a certified Interna-
tional Aquatic Therapist by the IATF Association Valens, Switzerland, In Water Specific Therapy – Halliwick, Bad Ragas Ring Method,
and Clinical Ai Chi. She is currently working as a Physiotherapist in the hydrotherapy department at Dubai Physiotherapy and Rehabili-
tation Center L.L.C. with a total of six years of experience in her field.
Lina.ALSAIF@orpea-me.com

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Pioneering the future of neuro telerehab
Marisa Mackenzie
MindMaze SA, Lausanne, SWITZERLAND

T his session will focus on the increase of digital therapeutics for enhancing
neurorehabilitation in clinical practice. Achieving high dosage of therapy during
and after hospitalization for stroke and other neurological conditions is difficult in part due to limited
access to therapists, difficulty with patient transportation, shortage of regional rehabilitation care, and
poor adherence with assignments; the COVID-19-crisis has worsened this problem. Technology-enhanced
rehabilitation protocols, can increase targeted activity and may reduce morbidity after hospitalization and
increase quality of life. MindMaze is a Swiss-based neuro-technology company that is focused on improving
care for patients with neurological diseases such as Stroke, Alzheimer’s Disease/Dementia, Traumatic Brain
Injury etc. During this time of SARS-CoV-2, we have partnered with leading sites in the US (Johns Hopkins
Medical School, Mount Sinai) and Europe to come up with a hybrid model of neurorehabilitation, composed
of a mix of in-patient & out-patient rehab and home-based telerehab. Our collaborative work in deploying
this hybrid model commercially with partners such as Johns Hopkins Medical School and Mount Sinai is
set to transform how neurorehabilitation will be delivered in the future. The collative work and patient case
studies will be presented to demonstrate the powerful impact of digital therapeutics in neuro rehabilitation.
Clinical literature and value will be expressed through a review of recent scientific studies supporting digital
therapeutics as it relates to neurorehabilitation.
Biography:
Marisa Mackenzie is a specialist Neuro Occupational Therapist with over a decade of experience specializing in stroke rehabilitation.
During the time working in neuro rehabilitation Hospitals, she enthusiastically researched new treatment methods and implemented them
into her therapy. Marisa is passionate about the development of innovative new treatments, which pushed her to pursue a career with
MindMaze where she could impact change and develop new treatment methods to help solve the huge gap in rehabilitation. Currently at
MindMaze, Marisa is leading the Clinical Success Team and works closely with leading rehabiliation sites across the globe using digital
neurotherapeutics.
marisa.mackenzie@mindmaze.ch

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LOW-COSTVIRTUAL REALITY: THE LATEST INNOVATION IN
REHABILITATION WORLD

Anchit Gugnani
Nims College of Physiotherapy and Occupational therapy, Nims University, Rajasthan, India

Abstract:
Virtual reality, the use of the immersive, computer-generated technology in therapeutic Rehabilitation is on
the expedite and used worldwide. VR uses specially programmed computers, sophisticated visual immersion
devices creating artificial environment giving the patient a simulated experience which is useful in patient’s
rehabilitation working on the principles based on Sensory motor practice, Adaptive learning,Modulating
brain reorganization through visual, somatosensory, and auditory feedback. Interaction in 3‑D environment
is realized through a relation between computer simulated environment and a virtual representation of the
subject. The main concern related to virtual reality therapy is its limited access, due to expensive setup,
therefore it motivated us to introduce an alternate giving similar simulation but, in a pocket friendly manner.
Instead of using the sophisticated VR we have now started using simplified VR as a mode of treatment
modality, making it cheap, affordable yet effective to analyse its effectiveness a pilot study was conducted
on stroke patients to see the improvement in upper limb function by implementing low –cost VR system
which comprised of VR headset with headphone and remote control with sensor and a mobile phone which
are usually used for gaming. Being user friendly it was easy to learn, readily accessible and proves to be
recreational incitement for promoting patients’ engagement in cognitive training. The experimental study
proved to be really effective in improving the upper limb function thus prompting us to widen the scope of
low cost VR in the field of Physiotherapy.
Biography:
Prof (Dr) Anchit Gugnani is heading the College of Physiotherapy and Occupational Therapy in Nims University as the Principal, having a
total experience of more than 12 years and expertises in the field of Neuro Physiotherapy. He is a guide to many P.hd scholars, master’s
students and is a keen researcher having more than 10 research papers on his name. He believes in delivering quality education and
encourages evidence based practice.
anchitgugnani19@gmail.com

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May 09-10, 2022 Dubai, UAE

POSTER PRESENTATION
Day 1
5th World Congress on

Physiotherapy, Physical Rehabilitation &

Sports Medicine
Normative Data For Functional Throwing Performance Index
And Seated Medicine Ball Throw In Collegiate Overhead Ath-
letes
Ashana Abhijeet Patale
Manipal College of Health Professions, Manipal, India

T his study aimed to provide age, gender and sport-based normative database for 2 functional tests:
Functional Throwing Performance Index (FTPI) and Seated Medicine Ball Throw (SMBT) in collegiate
overhead athletes. Correlation between tests was evaluated. Overhead athletes (38 male, 15 female) between
18 and 30 years old and from four different sports (basketball, badminton, cricket, shotput) performed all
functional tests. A linear mixed or regression model was applied to determine significant differences in
test scores between gender, age and sports. Pearson correlation coefficients were analysed to determine the
relationship between tests. Normative values were not established due to requirement of a larger sample
size. Results showed significant gender differences for all tests. Height of the participant had a moderate
correlation with functional throwing performance index, seated medicine ball throws and timed push up test.
In conclusion, this study provides preliminary data for normative reference ranges for functional throwing
performance index and seated medicine ball throws in collegiate overhead athletes, which is clinically
relevant for functionally screening overhead athletes and benchmark their performance to others from the
same gender, age and sports.
Biography:
Ashana has completed her Bachelors in Physiotherapy from Manipal College of Health Professions in the year 2022. She is currently
working as a health content provider for Medy, UAE and plans on pursuing her Masters in the field of Physiotherapy.
ashanapatale@gmail.com

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May 09-10, 2022 Dubai, UAE

KEYNOTE PRESENTATION
Day 2
5th World Congress on

Physiotherapy, Physical Rehabilitation &

Sports Medicine

Ana Cristina De Sousa Murray

University of Sao Paulo, Brazil

Pulmonary function of Duchenne muscular dystrophy patients in a Brazilian

sample [thesis in progress]. São Paulo: Faculdade de Medicina, Universi-
dade de São Paulo; 2022.

C ontextualization: Duchenne muscular dystrophy (DMD) is a genetic disease characterized by a mutation in

the Xp21 gene, responsible to produce the protein dystrophin, which produces a generalized loss of muscle
strength. Objective: Characterization of respiratory function to explore values related to respiratory muscle
strength: forced vital capacity and maximal respiratory pressures, in a Brazilian sample of people with DMD.
Method: Retrospective, cross-sectional and observational study. Data from 231 medical records of people with
DMD aged between 9 and 18 years old, diagnosed by DNA testing, followed up at the Physiotherapy Service
of the CEGH-CEL (Center for Human Genome and Stem Cell Studies) of the Biosciences Institute of the
University of São Paulo were searched. The measures of the respiratory assessment collected at the Physical
Therapy Service were collected. For data analysis, descriptive statistics of each variable was performed using
the Shapiro-Wilk test for normality. To compare the means, the Kolmogoraov-Smirnov and Lilifors tests
were used. To correlate the variables, Spearman's test was performed and, finally, to compare the variability
related to age, the sample was divided into 2 groups by age group: 1-9 to 13 years and 2-14 to 18 years. The
T test was used for data that followed the normal distribution and the Mann-Whitney test when the data
presented other distributions. Results: Positive correlations were found between the measures evaluated and
the values found are like those presented in the literature, which show data from population samples from
different continents. Patients aged 14 to 18 years had significantly lower MEP (-23%) when compared to the
group aged 9 to 13 years, as well as in relation to FVC values, patients aged 14 to 18 years had significantly
lower values (-33%) when compared to the 9- to 13-year-old group. It was possible to establish predictive
formulas from each of the studied variables. Conclusion: The behavior of the respiratory function in a sample
of the Brazilian population studied here is like that of other countries and other national samples. Predictive
formulas can help to facilitate the assessment routine.
Recent Publication
1. Henricson EK, Abresch RT, Cnaan A, Hu F, Duong T, Arrieta A, Han J, Escolar DM, Florence JM, Clemens
PR, Hoffman EP, McDonald CM, CINRG Investigators. The cooperative international neuromuscular
research group Duchenne natural history study: glucocorticoid treatment preserves clinically meaningful
functional milestones and reduces rate of disease progression as measured by manual muscle testing and
other commonly used clinical trial outcome measures. Muscle Nerve 2013 Jul; 48 (1): 55-67.

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2. L  oMauro A, D’Angelo MG, Aliverti, A. Assessment and Management of Respiratory Function in Patients
with Duchenne Muscular Dystrophy: current and emerging options. Therapeutics and Clinical Risk
Management 2015:11 1475–1488.
3. Mayer OH, Finkel RS, Rummey C, Benton MJ, Glanzman AM, Flickinger J, Lindstrom BM, Meier T.
Characterization of pulmonary function in Duchenne muscular dystrophy. Pediatric Pulmonology 2015;
50:487-494.
4. Meier T, Rummey C, Leinonen M, Spagnolo P, Mayer OH, Buyse GM e DELOS Study group. Characterization
of pulmonary function in 10-18-year-old patients with Duchenne muscular dystrophy. Neuromuscular
Disorders 2017; 27: 307-314.
5. Zatz M, Pavanello RCM, Lazar M, Yamamoto GL, Lourenço NCV, Cerqueira A. Milder course in Duchenne
patients with nonsense mutations and no muscle dystrophin. Neuromuscul Disord 2014 may: 1-6.
Biography:
Ana Cristina de Sousa Murray PET, PT, MSc, ECHIRO, HCMPT, MCMT & PHD (defending) Master in Rehabilitation for the São Paulo
School of Medicine of the Federal University of Sao Paulo - UNIFESP/EPM. PhD student in Physiotherapy at the University of Sao
Paulo. Specialist in Clinical and Hospital Motor Physiotherapy for the UNIFESP/EPM. Specialist in Chiropractic. Specialist in the Kabat
Method for the Institute of Rehabilitación Marcelo J. Fitte, Buenos Ayres, Argentina. Specialist in Heart diseases in the Physiotherapy
for the Society of Cardiology of the State of São Paulo - SOCESP. Courses of formation in Neural Mobilization, Trigger Points, Dry Nee-
dling, Ayurveda Medicine, Muscle-Articulate Re-education.Graduated in Physiotherapy for the University of ABC, Santo Andre, Brazil.
Graduated in Physical Education for the College of Physical Education of Santo Andre, Brazil. With 30 years of formation, 26 years of
experience as a University Teacher, it gives specializes courses in Physical Education and Physiotherapy since 1998.
anamurraymspt@gmail.com

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Paul K. Canavan
Eastern CT State University, USA

Injury Prevention for Ankle Sprains: Evidence for Intervention for the P.T.
Background: There are many published studies related to ankle injury prevention, however, there is a dearth
of literature that looks into the efficacy or effectiveness. Bracing and neuromuscular/balance training has
been linked to a reduction in ankle sprain risk.
Objective: To present the various intrinsic and extrinsic factors and quick and efficient screening tests that
could be related to ankle sprain and recurrent ankle sprain risk. To provide the physiotherapist with information
to provide an evidence-based approach for the application of therapeutic and prophylactic exercises.
Methods: Literature was searched from 1998-Present from Pedro, Medline, Sports Discus using key words;
proprioceptive, ankle sprain, injury prevention, balance, ankle instability. Meta-analysis articles and quality
journals were searched.
Results: The literature search determined that developing an ankle injury p.
Conclusion: The physiotherapist can provide efficient screening tests involving balance, flexibility, and
functional movements for assessment and interventions including dynamic proprioception exercise programs
can reduce injury risk. However, the physiotherapist should also be aware of the other various factors related
to injury prevention.

Biography:
Paul Canavan is an Assistant Professor in the Department of Health Sciences at Eastern Connecticut State University (ECSU). He is an
accomplished scholar and expert on the lower extremity. Dr. Canavan also taught at Northeastern University in Boston, MA. Dr. Cana-
van was part of interdisciplinary teams, to successfully develop and create effective individual interventions for at injury risk athletes, by
creating and analyzing off and pre-season screening for several teams at Pennsylvania State University, Northeastern University and
at ECSU. He has presented internationally and nationally including in Shanghai, China, Istanbul, Turkey and Vancouver, B.C., Canada.
canavanp@easternct.edu;

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May 09-10, 2022 Dubai, UAE

ORAL PRESENTATION
Day 2
 Day 1 May 10, 2022
Sessions:
Physiotherapy World: A Modern Era of Health Care | Sports & Physiotherapy | Experimental Techniques
in Physiotherapies | Advancements in Physiotherapeutic Treatment | Manual & Artificial Physiotherapy
Strategies | Womens Health & Palliative Care

Session Introduction
Title: Conscious Intelligent Informed Touch
Steven Goldstein , Fascial Therapy Institute Australia, 27 Sands Boulevard, Torquay, Vic., Australia
Title : Importance of targeted health-promoting exercise training as fall prophylaxis and well- being factor in the
setting of retirement homes
Renate Maria Zettl , University of Applied Science, Vienna, Austria
Title : The effect of interdisciplinary team and multiple use of Erigo Robotic machine in Cervical Spinal Cord
Injury incomplete case
Theeb Naif S Alsalem , King Abdulaziz Medical City, National Guard Health Affairs, Riyadh, Saudi Arabia
Title : Social Innovations in Health and Policy on Inclusive Culture for Transformative Physical Therapy Practice
in the Philippines
Mary Judith Campos – Josef PTRP, Founder, Jucone's Contemporary Physical Therapy Services, Philippines
Title : Association Between Physical Fitness Parameters And In-Season Injury Among Adult Male Rugby Players:
A Systematic Review
Candice MacMillan, University of the Witwatersrand, South Africa
Title : Paradigm shift in Science of Disability “Where are Participation and Environment
Elham Karkouti, University of Central Florida, USA
Title : Comparing Cardiac Rehabilitation Guidelines
Faisal S Alenzy, Prince Sultan Military Medical City, KSA
Title : Manual Lymphatic Drainage and Exercises in Management of Secondary Lymphedema Following
Mastectomy-Systemic Review
Bajran Aldossari, Prince Sultan Military Medical City, KSA
Title : About Digitsole : Improve patient outcomes through patented AI motion technology
By Digitsole® digital health company
Title : Importance Of Physical Therapy In Treatment Of Patients In Acute State Of Covid-19 Admitted In Intensive
Care Unit
Velimir Trichkovski, PHI University clinic for infectious diseases and febrile conditions, Skopje, N. Macedonia
Title : Chronic Musculoskeletal Pain Management: Biopsychosocial Model
Ugur Cavlak, Division of Physiotherapy and Rehabilitation, Biruni University, Turkey
Title :Pulmonary function of Duchenne muscular dystrophy patients in a Brazilian sample [thesis in progress].
São Paulo: Faculdade de Medicina, Universidade de São Paulo; 2022.
Ana Cristina De Sousa Murray , University of Sao Paulo , Brazil
Title : POSTUROMETER PRACTICAL WORKSHOP
Silverio Di Rocca , M.P.R International School, Switzerland
Title : Physiotherapy interventions in Frailty
Dharitri Hombardi , Clinical Physiotherapist , Southend University Hospital NHS Foundation Trust, UK
Tttile : Lumbar Disc Herniation: A clinical epidemiological and radiological evaluation
Edona Sopaj Azemi , University Hospital Centre ‘Mother Theresa’, Tirana, Albania
Title : The efficacy of manual therapy comparing to combined protocols of treatment of non-specific neck pain:
( review)
Irena KOLA, Physiotherapy Service University Hospital, “Mother Teresa” Tirana, Albania
Session Introduction
Title : Diagnosis and treatment of knee osteoarthritis with Hyaluronic acid and rehabilitation
Sander KOLA, Imaging Department “Mother Teresa” University Hospital, Tirana, Albania
Title : Analysis of Muscle Activity Following the Application of Myofascial Release Techniques for Low-Back
Pain—A Randomized-Controlled Trial
Piotr Ozog, Department of Physiotherapy , Nicolaus Copernicus University , Bydgoszcz, Poland
Title : A Mindful approach to the management and resolution of unconsummated relationships
Sue Fuller-Good, SASP, SASHA, Comensa, PSASA , Johannesburg , South Africa
Title : Wearing compression stockings for 8-weeks during all training: its effect on running performance and pulse rate
Gali Dar, Department of Physical Therapy, University of Haifa, Israel
Title : K.I.T. – Kinetic Integration Technique – Comprehensive assessment and treatment protocol for global
biomechanical disruption patterns in musculoskeletal diseases and pain syndromes
Bill Collins , Chiropractor and Exercise Physiologist, Virginia, USA
Title : To determine the back pain beliefs, coping strategies and factors associated with participant activation for
self-management of back pain amongst nurses working in peri-urban district healthcare centres
Loveness Anila Nkhata , Department Of Physiotherapy, University Of Zambia, Zambia
Title : A Review of the ligamentomuscular reflexes and joint pain referral patterns: Implications for Musculoskeletal
Rehabilitation
Robert Libbey, New Westminster, BC, , Canada
Title : Students’ Perception of Cognitive Load in an Accelerated DPT Program with a Blended Curriculum
Rossniel Marinas, University of St. Augustine for Health Sciences, , USA
Title : Effect of GoKnee intervention on knee range of motion, pain, and functional mobility post total knee
arthroplasty (TKA)
Shehla Rooney , The GoKnee Movement is Medicine , United States
Title : Injury Prevention for Ankle Sprains: Evidence for Intervention for the P.T.
Paul K. Canavan , Eastern CT State University (ECSU); USA
Title : Sponsorship influence on injury prevention and rehabilitation of injuries in soccer
Rethabile Nkuna ,Sefako Makgatho health Sciences University in South Africa
Title : A Case Study Of 2 Year Old Child With Autism To Measure Effectiveness Of Early Intervention On Positive
Behaviour Changes Of A Child And Parental Stress
Varsha Jalandhara, Vatsalya Pediatric Rehab and Child Development Centre, Gujarat, INDIA
Title : Rehabilitation of muscle chains and RMP: a winning integration
Giuseppe Felice, Massage Therapist, Postural therapies expert, Italy
Title : Can we predict lower limb kinematics while running using a single sensor?
Zaheen A. Iqbal and Daniel H.K. Chow, Department of Health & Physical Education, The Education University of
Hong Kong, Hong Kong, China
Title : A Case Study Of 2 Year Old Child With Autism To Measure Effectiveness Of Early Intervention On Positive
Behaviour Changes Of A Child And Parental Stress
Dhara Shah , WOW IIPRE, India
Title : Early Physiotherapy Intervention results in significant improvement in Functional Independence Measure
(FIM) in Acute Stroke – Results of a 2 year Audit
Komathi Chandran K , Physical Medicine & Rehabilitation department ,Al Ain Hospital, Al Ain, UAE
Title : Paradigm shift in Science of Disability “Where are Participation and Environment
Mayuri Sharma, MGM Allied Health Sciences Institute ( MAHSI), Indore ,India
Title :The laws of leadership that every physical therapist needs to know to become influential leaders in our
virtual world
Ajita Misra, Paramedical Department, Rabindranath Tagore University, MP, India
5th World Congress on

Physiotherapy, Physical Rehabilitation &

Sports Medicine
Conscious Intelligent Informed Touch
Steven Goldstein
Fascial Therapy Institute, Australia

T he power of touch is often understated, and rarely realized, when most manual
physiotherapists are taught to be quite technique driven. Techniques are the end-product
of touch application. Touch is both technique and communication (Nathan 1999) Conscious intelligent touch
implies with clear intent, you are communicating with the whole body to achieve a desired clinical outcome.
Understanding this is crucial in a practitioner success clinically.
When a therapist perceives time constraints, and hurries or rushes to apply a technique, they actually create
tension and the ANS will respond accordingly through an increase in sympathetic tone. “All soft-tissue release
is predicated on autonomic nervous system discharge” (Shea 1995) Palpatory literacy with perceptual acuity,
allows one to ‘read’ the tissue engagement, and adjust the necessary applied touch ‘variables’, to achieve a
desired clinical outcome. The old adage, ‘less is more’ is apt and appropriate in this instance.
Join me in this short time frame, to explore how a physiotherapist might improve their touch application
and achieve a level of outcomes they thought not possible.
Biography:
Steven Goldstein, B.A in Education 1984, and B.H. Science Musculoskeletal Therapy 2007 has been a clinician in massage and myo-
therapy since 1986. His career as a manual therapy educator began in 1992 in Seattle, Washington, and from 1992-2017 taught in
various tertiary and higher education institutions in Australia. Active with Australian Massage Therapy Association 2005-2012, he has
presented his unique blend of somatic informed myofascial releasing methods since 1995. Conference and workshop presentations in
Australia, Canada, South Africa, United States, Poland, United Kingdom, Dubai and India have been delivered for manual therapists,
massage, physiotherapists, osteopaths, chiropractors, movement therapists and other practitioners.
He is scheduled to present in Saudi Arabia, Palestine and South Africa in August-September 2022.
fascialtherapy.net@gmail.com, info@fascialrelease.com

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The Omnipotent Breath – Buteyko Breathing Method
Ajita Misra
Certified Buteyko Method Instructor (CertBBM), Paramedical Department, Rabindranath Tagore University, MP, India

Background: More than 20% of the general population suffers from Hyperventilation
Syndrome, unfortunately most of these cases either go unnoticed or undiagnosed. Usually,
the patients suffering from symptoms of hyperventilation syndrome either approaches a medical doctor or
visits a psychologist and in almost all the cases these patients fail to get satisfactory relief. The fact is that
some simple breathing re-education exercises can cure the symptoms hyperventilation.
Objective: To simplify the science of breathing, correctly assess dysfunctional breathing and to establish
correct breathing patterns
Methods: Buteyko Method first originated in Russia in the early 1990s. In its early phase the method was
popular among adults and children suffering from asthma. But over the past years it has proved to be effectual
in improving a number of problems related to breathing and specially hyperventilation. This includes: asthma,
rhinitis, anxiety and panic disorder, sleep apnea, insomnia, snoring, childhood development - dental health,
craniofacial development and ADHD. It can also help children and youngsters in increasing their concentration
and focus and perform better during physical activities. Buteyko Method is a breathing technique designed
to improve the Functional Breathing pattern (the in and out movement of air when you breathe), stop over-
breathing (hyperventilation), prevent hypocapnia and increase body’s tolerance to carbon dioxide.
Our respiration is a single string that binds almost every system of our body. The most amazing aspect of
breathing is that, if an underlying physiological disturbance changes a person’s breathing pattern, THEN
in most of the cases a voluntary change in our breathing can correct or settle the physiological disturbance.
BRAIN (MIND) CONTROLS RESPIRATION & BREATHING CONTROLS MIND (BRAIN).
Biography:
My name is Ajita Misra, I am a cardiopulmonary physiotherapist, with an academic experience of 12 years and a clinical experience of
15 years. I am a Certified Buteyko Breathing Method practitioner and trainer; I have been working as a Breath worker for past 10 years.
I have always aimed at spreading awareness about correct breathing patterns, mindful breathing and breathing less. Presently I am
working as an Assistant Professor in Physiotherapy at Rabindranath Tagore University, Bhopal, Madhya Pradesh.
drajitamisra1907@gmail.com

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Physiotherapy, Physical Rehabilitation &

Sports Medicine
K.I.T. – Kinetic Integration Technique – Comprehensive
assessment and treatment protocol for global biomechanical
disruption patterns in musculoskeletal diseases and pain
syndromes
Bill Collins
Chiropractor and Exercise Physiologist, Virginia, USA

K.I.T. – Kinetic Integration Technique – A systematic and comprehensive assessment and treatment protocol
for global biomechanical disruption patterns in musculoskeletal diseases and pain syndromes. Design to
improve and facilitate rapid accurate diagnostic interpretations of patient symptom presentations, as well
as subclinical asymptomatic indicators as to the underlying cause of neuro-musculoskeletal complaints.
Applying the functional anatomy and physiology principles of the underlying tissues involved in the complex
musculoskeletal pain syndromes to the clinical setting in a structured, methodical rapid assessment of a patient.
According to the International Association for the Study of Pain: 85‑95% of people presenting to primary
care providers do not have a specific identifiable pathoanatomical origin for their pain.
According to the World Health Organization: WHO estimates 1.71 billion people have musculoskeletal
conditions worldwide, with low back pain being the single leading cause of disability in 160 countries.
More than 50% of people do not receive the rehabilitation services they require.
We need to do better. We can do better.
K.I.T. overview to include:
Ask: Importance of focused, accurate history taking
Listen: Careful attention for key words that help rule in or out certain diagnoses
Observation: Gait and Postural Assessment for global patterns, as well as primary dysfunction
Assessment: Functional evaluation of fascia, muscle, and joints
Diagnosis Paradigm Shift: Away from current medical “symptom” diagnosis to Causation Diagnosis
Causation Diagnosis: Primary, Secondary, and Tertiary contributing factors
Treatment: Guided by Causation Diagnosis and primary tissue involvement
Therapeutic Exercises: What if we are giving the wrong advice or the wrong exercises?
Biography:
Author and International Speaker on Health and Fitness
Chiropractor and Exercise Physiologist.
Member of the International Chiropractic Honor Society
Member of the International Association for Speakers Authors and Coaches
Dr. Bill has been featured on national television and delivered presentations to medical professionals, patient education and business
groups as large as 3,000.
He is a consultant and mentor to other healthcare clinics and practitioners. He has worked with Primary Care Physicians, Orthopedic and
Neurosurgeons to provide excellence of care in a multi-disciplinary approach.
Graduating Magna Cum Laude as a Doctor of Chiropractic from Life University and a Bachelor of Science degree (Cum Laude) in Exer-
cise Physiology from Temple University specializing in cardiac rehabilitation.
drbillwellness@gmail.com

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Physiotherapy interventions in Frailty
Dharitri Hombardi
Clinical Physiotherapist , Southend University Hospital NHS Foundation Trust, United Kingdom

T he prevalence and clinical importance of Frailty is increasing with age. Frailty is a

consequence of a decline in several physiological systems which collectively results in
vulnerability to certain health state changes triggered by relatively minor stressor events. The
British Geriatrics Society (BGS) describes the phenotype model which consists of the signs and symptoms of
Frailty. The three priorities of Frailty in the National Health Service (NHS) are changes in approach to health
and social care for older people, preventing poor outcomes through active aging, and quality of improvement
in acute and community services. The significant involvement of various multi disciplinary teams impacts
and enhances the performance of patients in acute hospital stay, for safe and effective discharges. The aim
of my presentation is to create awareness about Frailty with critical thinking and evidence based practice.
This includes the Frailty scale and the different outcome measures used to assess the patient’s mobility and
to monitor the patient’s progress. The presentation highlights the importance of various programmes and
techniques such as Falls prevention programmes and group exercise sessions.
Biography:
I have completed my Bachelor of Physiotherapy degree from SDM college of Physiotherapy (affiliated to Rajiv Gandhi University of
Health Sciences), Bangalore, India. I have worked in different National Health Service (NHS) Trust for 12 years in the UK. I am a mem-
ber of Health Care Professionals Council (HCPC) , Chartered Society of Physiotherapy (CSP) and also a Lifetime Member of Indian
Association of Physiotherapy (IAP). Over the years , I have experience of working in various fields of Physiotherapy (Orthopedics and
Trauma, Medicine and Surgery, Frailty and Stroke). My current role involves treating patients with Frailty and preventing hospitalization.
dhariswamy@yahoo.co.uk, dharitri.hombardi@nhs.net

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Sports Medicine
Lumbar Disc Herniation: A clinical epidemiological and
radiological evaluation
Edona Sopaj Azemi
University Hospital Centre ‘Mother Theresa’, Tirana, Albania

T he study aimed to investigate and observe variation of clinical, epidemiological and

radiological aspects for patients suspected of lumbar herniation based on observed
evaluation of CT and MRI imagery.
Methods: This is a study conducted during the periods Mars 2015 and November 2019. Patients were subjected
to MRI and CT based on the emergency or scheduled of diagnose. All patients had undergone on MRI scans
and on CT scans. The patients were placed in supine position.
Results: In this study were recruited as participant 194 symptomatic patients (118 men and 76 women;
mean age, 44.9 years ±10.4 Std age range, 23–70 years). Patients belongs to the active age (35‑44 years old
and 45‑54 years old) appeared to have the highest percentage of lumbar disk herniation 30.9% and 25.8%
respectively. There were a significant association between such as epidemiological data (such as gender, BMI,
age groups and employment status) and presence of LDH, p value ˂0.05. Acute pain was presented in 69.07%
of patients and according to complaint associated with Low Back Pain (LBP), most of them 47.4% appeared
with Right Sciatica. MRI is the most diagnostic methods used in evaluation of LDH in 52% of patients, and
CT were used in 48%of them.
Conclusion: This study involving patients with lumbar disc herniation and associated low back pain showed
that a combination of clinical features and epidemiological predicted the presence or absence of a significant
association. Further research is required to validate these findings in different types of LDH and LBP for
other findings and conditions. The use of MRI and CT scan in patients with LBP are two best diagnostic
tools that help on the early identification of lumbar disc herniation in clinical practice.

edona_sopaj@hotmail.com

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Sports Medicine
Wearing compression stockings for 8‑weeks during all training:
its effect on running performance and pulse rate
Gali Dar
Department of Physical Therapy, University of Haifa, Israel

Background: Wearing compression stockings during sports activities has become common
in recent years. Yet, most studies have examined the acute effects of wearing compression
stockings i.e., wearing the stockings 1‑2 times in order to test running performance.
Purpose: To assess the effect of wearing compression stockings for eight weeks during all training sessions
on running performance and pulse rate. We hypothesized that if the athlete on a regular basis would train
wearing the stockings, his/her recovery would improve. Moreover, a longer adjustment period of wearing
the compression stockings might be advantageous.
Methods: Twenty‑four (12 males, 12 females, mean age 34.25(±7.4) years) experienced runners were divided
into 2 groups. The research group performed all training sessions wearing the compression stockings; the
controls trained as usual. Subjects were assessed prior to and after the 8‑week training program. Outcome
measurements included: 5 km run test; pulse at rest, running pace and the average and maximal pulse during
running.
Results: A high compliance was demonstrated and the participants reported feeling very comfortable when
wearing the compression stockings. There was no interaction between group and time, implying that the
intervention of compression stockings did not contribute to a change in performance or pulse rate. Males
presented with a better running time performance than females (21.56(±2.93) vs. 24.31(±3.25) min).
Conclusions: Wearing compression stockings while training for eight weeks did not contribute to an
improvement in running performance or heart rate.
Biography:
Dr. Dar is a physical therapist (B.PT) and has completed her M.Sc and PhD from the Department of Anatomy, Tel‑Aviv University, Israel.
She is a full member in the Department of Physical Therapy at Haifa University, Israel being the head of the department since 2019. She
is also working as a physiotherapist in “Wingate Institute” which is the national institute for physical education and sport in Israel. Her
research focuses on the musculoskeletal system in order to better understand function, injuries and treatment.
gdar@univ.haifa.ac.il

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Sports Medicine
The efficacy of manual therapy comparing to combined
protocols of treatment of non-specific neck pain: ( review)
Irena KOLA
Physiotherapy Service University Hospital, “Mother Teresa” Tirana, Albania

Background: Neck pain is a common problem affecting individuals worldwide. Prevalence

data suggests that neck pain can span the ages, affecting children and the elderly alike,
without gender discrimination. Manual therapy has been considered the most common treatment approach
for this disabling musculoskeletal condition.
Objective : To review and update the evidence of manual therapy (MT) treatment as also to assess whether
or not combined treatment consisting of MT is more effective than either therapy alone in relieving pain and
improving function patients with different stages of non-specific neck pain (NP).
Methods: A qualitative systematic review was conducted on PED‑ro until April 2019 according to an
updated-guideline. The specific inclusion criteria consist of using only RCT‑s of the last 10 years. Quality of
the included trials was assessed with the PED‑ro scale with already at least a score of 4.
Results: Initially 12 studies were identified for potential inclusion. Based on qualitative and quantitative
evaluation criteria, 5 RCT‑s with a total number of subjects (n=359) were identified for review. Only very
small and non-significant between group differences was found on pain intensity from 7 to 4(VAS scale) as
well as a reduction of mechanic hyperalgesia of the cervical zone, CROM (with an increase of right rotation
motion of the neck with a p<0.001) and neck disability from 42 to 30 at immediate post-treatment, 6 weeks,
and 6 months follow‑up.
Conclusions: This systematic review updates the evidence for MT combined or not with other treatment
protocols and/or usual medical care for different stages of NP and provide recommendations for future
studies. Furthermore the significance that MT is greeted and well-tolerated as treatment for chronic non-
specific neck pain, as it is indicated from the drop in the parameters of VAS scale as well as the betterment
in the disability Index.
Key words: manual therapy, neck pain, rehabilitation, physiotherapy

irena.kola@hotmail.com

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Sports Medicine
To determine the back pain beliefs, coping strategies and fac-
tors associated with participant activation for self-manage-
ment of back pain amongst nurses working in peri‑urban dis-
trict healthcare centres.
Loveness Anila Nkhata
Department Of Physiotherapy, University Of Zambia, Zambia

Design: A descriptive cross-sectional study design.

Methods: Data were collected between February and March 2020 using a self-administered questionnaire.
Descriptive data analysis was done in Stata version 20.0. Back pain beliefs, participant activation and coping
strategies were presented using relative frequencies and percentages. Odds ratios at 5% significance level were
used to test association of factors for participant activation for self-management of back pain.
Results: Majority of the participants had experienced back pain which lasted 3 days for half of the participants.
Further, pain medication was commonly used to cope with back pain. In addition, age, gender and work-
setting were significantly associated with participant activation for self-management of back pain.
Conclusion: Participants’ coping strategies for back pain were linked to the conveyed back pain beliefs which
demonstrate that participants believed in rest and lengthy periods of time off work for back pain. However,
participants acknowledged that taking an active role in determining one’s health and function is vital. This
highlights the importance of self-management support for health behaviour change amongst nurses.
Impact: The study addressed back pain beliefs, coping strategies and participant activation for self-management
of back pain amongst nurses in peri‑urban healthcare centres. Majority of the participants experienced back
pain which lasted 3 days. Pain medication was commonly used to cope with back pain. Age, gender and
work-setting were significantly associated with participant activation for self-management of back pain.
Although this study was conducted in Zambia, outcomes from this study may be of benefit to nurses in
similar settings. Further, the research provides insight to the international body of knowledge on the process
and appropriateness of international research in resource-constrained settings.
KEYWORDS back pain, beliefs, coping strategies, nurses, participant activation, self-management
Biography:
Dr. Loveness Anila Nkhata is a a trained Clinical Epidemiologist, Public Health Specialist and Physiotherapist. She is an academic and
researcher at the University of Zambia with vast experience in innovative rehabilitation and tertiary health care. Her primary research
interests and skills include systematic reviews, quasi-experimental and innovative research in women’s health, work-related musculoskeletal
disorders, occupational health and safety, epidemiology and public health. She is a seasoned editor and reviewer for peer review journals.
Her current research is on the effectiveness of culturally contextualized campaign for back pain among the nursing populations in low income
settings. The goal is to provide information and education aimed at changing unhelpful perceptions of back pain, promoting health, increasing
knowledge on back pain and enhancing self-management of back pain disabilities. In her research work she aims to generate evidence that
will contribute to the body of knowledge, guide policy formulation and inform clinical practice decisions in health and rehabilitation. Research
Interests: Innovative rehabilitation research in Back pain, work-related musculoskeletal disorders, women’s health, occupational health &
safety epidemiology and public health.
loveness.nkhata@unza.zm

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Sports Medicine
Social Innovations in Health and Policy on Inclusive Culture for
Transformative Physical Therapy Practice in the Philippines
Mary Judith Campos – Josef PTRP
Founder, Jucone’s Contemporary Physical Therapy Services, Philippines

S ocial Innovations and Policy on Inclusive Culture for Transformative Physical Therapy
Practice : Fostering an Indigenous Community Culture and Geographically Isolated
and Disadvantage Areas in the Philippines that is accessible to Physical Therapy and Rehabilitation Services.
The scope of this profession is multifaceted, direct or indirect patient or client care, public health strategies,
professional and disability advocacy, collaboration and partnership, and participate in economic development.
Role of Physical Therapist includes assist in formulation of Physical Therapy, Disability and System based
Management in Community Based Rehabilitation local, and national policies. This Transformative Physical
Therapy Practice is an advance PT practice translated into national policy. Philippine Physical Therapy House
Bill 5132 utilizes three pillars of Personal health anywhere care, care networking and care customization.
KAKAREFIN is a Ga’dang word which means hand and hand. Kakarefin Paracelis CBR is culturally appropiate
and reflects the ecological health perspective; intrapersonal, interpersonal and population based health
promotion. This program is rooted from Kakarefin in the Community that promotes partnerships for the
goals (UNSD 17) with accessibility of health and rehabilititaion and physical therapy services. KAKAREFIN
PARACELIS CBR is a social innovation towards a responsive health delivery service among IP People
understanding the needs of the community especially the disability sectors, to care from institution to mobile,
home based, community-based. Presently, this transformative service and transformative collaboration is
being replicated, scaled‑up by other Physical Therapist and supported by their municipalites and cities in
the Philippines.
Biography:
Mary Judith Campos‑Josef a, Twin Physical Therapist, has earned units in MA in Gerontology from Miriam College QC, and Health Profession
Education units from University of the Philippines Manila, UP NTTC. She is the founder of, Jucone’s Contemporary Physical Therapy Services,
a contemporary services in various setting especially CBR and Home‑Health. She is the Physical Therapy Proponent of Philippine Physical
Therapy Bill 5132 with approved Substituted Bill 9216.
juconespt@yahoo.com

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Sports Medicine
Paradigm shift in Science of Disability “Where are Participation and
Environment.

Mayuri Sharma
MGM Allied Health Sciences Institute ( MAHSI) ,Indore ,India

T he National Institute on Disability and Rehabilitation Research has provided leadership

in research leading to a new conceptual foundation for organizing and interpreting the phenomenon of
disability--a «New Paradigm›› of disability. The “old’’ paradigm has presented disability as the result of a deficit
in an individual that prevented the individual from performing certain functions or activities. The majority
of Federal definitions of disability derive from the old paradigm. These definitions all focuses on limitations
in daily activities or social roles to characteristics of the individual, that is, “conditions’’ or “impairments.’’
This need for a change in definitions must be addressed by activities such as the attempt to revise the
International Classification of Impairments, Disabilities, and Handicaps (ICIDH) (1980), to better define
and measure the factors external to the individual that contribute to disability. New paradigm shifted to ICF
which focuses more on participation and environment. The ICF is a framework to approach patient care
that shifts the conceptual emphasis away from negative connotations such as disability and places focus on
function and the positive abilities of the individual at the patient level rather than the systems level.
Biography:
I have completed my MPT( Paediatric) at the age of 24 years from SVNIRTAR, Orissa (India). Presently I am working in MGM Allied
Health Sciences Institute ( MAHSI) ,Indore. I have published 5 papers in reputed journals.
mayuri_489@rediffmail.com

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Sports Medicine
Analysis of Muscle Activity Following the Application of
Myofascial Release Techniques for Low‑Back Pain—A
Randomized-Controlled Trial

Piotr Ozog,
Department of Physiotherapy , Nicolaus Copernicus University , Bydgoszcz, Poland

Introduction. Low‑back pain (LBP) is one of the most common musculoskeletal problems being faced by
society around the world. So far, a contributory role of thoracolumbar fascia (TLF) dysfunction in some cases
of LBP has been suggested. Research confirms that muscle resting activity level in the TLF area is increased
in people with LBP. Myofascial release (MFR) is a therapeutic option offered to patients with chronic LBP
(CLBP). The therapy aims to improve flexibility and sliding between layers of soft tissue, and thus decrease
muscle activity, reduce pain intensity, and improve functional performance.
Objective. This study aims to assess changes in resting activity of selected muscles within the TLF in a group
of patients with CLBP immediately after a single MFR treatment and after one month.
Methods. A total of 113 patients with CLBP completed the study. The experimental group (n = 59) underwent
a single session of MFR. No therapeutic intervention was applied to the control group (n = 54). Surface
electromyography was used to evaluate treatment effects in patients immediately after MFR (experimental
group) and after one month (both groups).
Results. A statistically reliable decrease in the activity of erector spinae (ES) and multifidus muscles (MF)
was observed after a single MFR session. Effects of the treatment were present immediately after MFR and
after one month.
Conclusions. A single MFR treatment in CLBP patients immediately reduces the resting activity levels of
ES and MF. Results of measurements carried out after one month confirm that the effects were maintained.
Biography:
Dr Piotr Ożóg - Master of Physiotherapy and specializing in the diagnosis and therapy of chronic pain and orthopedic rehabilitation. Academic
teacher - assistant at the Department of Physiotherapy at Collegium Medicum UMK in Bydgoszcz. In 2020, the obtained doctoral degree in
medical sciences and health sciences in the discipline of health sciences after defending the doctoral dissertation entitled “Analysis of posture
stability and muscle activity after the use of myofascial relaxation techniques in pain syndromes of the lumbosacral spine” - at the Faculty of
Health Sciences, Collegium Medicum Nicolaus Copernicus University in Bydgoszcz.
piotr.ozog@cm.umk.pl

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Importance of targeted health-promoting exercise training
as fall prophylaxis and well- being factor in the setting of
retirement homes
Renate Maria Zettl
University of Applied Science, Vienna, Austria

Introduction: The life expectancy of people is getting higher and higher. Many elderly people notice changes
in their exercise behavior and fall, become dependent, basic motor skills reduce. The WHO physical activity
recommendations for the elderly are at least 150 minutes of moderate- intensity exercise or 75 minutes of
higher-intensity exercise per week.
Method: The Otago program consists of movement exercises to improve strength, to improve balance, and
training to increase walking distance.
The 52 elderly and very old people participated in the Otago exercise program with these three times per
week their movement exercises. In addition, they performed walking training twice a week for up to thirty
minutes each time.
Result: The regular training of the 52 study participants showed a significant improvement in walking time,
as well as strength, balance and endurance compared to baseline values. With this program, the exercise
recommendations of the WHO for older people can be implemented well. The implementation of this study
has shown how important it is to work on health promotion for these people, even in the aged and very old.
As a result, many of the participants have regained motivation to cope with everyday life and increased
well‑being. Increased strength, better balance and equilibrium also contribute to a more active daily life.
Reductions in fear of falling and fewer falls were evident after the exercise training and also by increasing
walking time twice a week. The fear of falling and the number of falls were reduced.
Biography:
Renate Maria Zettl has completed her PhD at the University of Health and Social Work st. Elizabeth in Bratislava; Institute of Health Disciplines
(2020). Since 1984 she is working at a hospital for trauma surgery and since 2008 at the University for Applied Science, Department of
Physiotherapy as a teaching staff member.
renate.zettl@fh-campuswien.ac.at

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Sports Medicine
Sponsorship influence on injury prevention and rehabilitation
of injuries in soccer

Rethabile Nkuna
Sefako Makgatho Health Sciences University, South Africa

Introduction: Sponsorship has an influence on the Success of Teams, the league and
players. Sponsorship may also positively influence injury prevention and rehabilitation of player post injury.
Methods: This study is a mixed method research that utilised a sequential explanatory design. The first
phase was qualitative and the second phase was quantitative. The study population included LeFA footballers,
coaches, medical support, and LeFA executives regarding injury prevention and rehabilitation. The study
used the focus group discussion, interviews and a reliable and validated questionnaire. The questionnaire was
developed based on the responses from the focus group and interview guides. The questionnaire explored
sponsorship and professional competencies, team sponsorship, types of income the player gets, team category
and number of year playing for national team.
Results: The qualitative findings: one overarching theme and two themes were developed. The overarching
theme the role of Sponsorship for LeFA in prevention and rehabilitation of soccer injuries produced two
themes, being sponsorship and marketing. The participants mentioned that sponsorship is a challenge for
the LeFA due to mismanagement of funds, corruption and maladministration from the Association. On the
quantitative results, 72% of the players mentioned that soccer was their source of income, where 20% were
getting income from the government. Only 92% of players had a team sponsor. Approximately 40% of players
had played for the national team once.
Conclusion: Sponsorship can enhance performance in sports, as players will be paid well and teams empowered
to improve their performance. Players could be able to prevent and rehabilitate their injuries through good
financial support. The sponsor provides funds, resources, or services to sponsor, which will grant some rights
to enterprise as a commercial feedback. This improves the quality of the soccer league and performance for
teams, players and administrators.
Keywords: soccer players, injury prevention, injury rehabilitation, sponsorship
Biography:
Mrs R Nkuna is a lecturer at Sefako Makgatho health Sciences University in South Africa. She has been a lecturer since 2011, she obtained
her Masters of Science in Sports and rehabilitation at the University of Limpopo. She lectures mostly on Sports Physiotherapy, Gender Based
Health and Cardiopulmonary.
Rethabile.nkuna@smu.ac.za

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A Review of the ligamentomuscular reflexes and joint
pain referral patterns: Implications for Musculoskeletal
Rehabilitation

Robert Libbey
New Westminster, BC, Canada

Ligamentous articular tissues continue to be an under recognized source of pain, discomfort, and dysfunction.
Trauma and pathologies interrupt afferent impulses from capsuloligamentous structures, modify proprioception
and neuromuscular functions, cause pain and or discomfort and result in altered somatosensory perceptions
and changes to normal patterns of muscle activity. Knowledge of documented ligamentomuscular reflex’s and
joint pain referral patterns are relatively unknown to Medical Physicians and rehab specialists (Physiotherapists,
Massage Therapists, Kinesiologists, Chiropractors) This knowledge may have significant implications in the
design and modification of rehabilitative strategies for post- surgical and post injury patients. The author
presents a review of the research documenting ligamentomuscular reflexes, neuroanatomical basis for pain
mechanisms, the neurophysiological model for referred pain and joint pain referral patterns.
Biography:
Robert has been an RMT (Registered Massage Therapist, Canada) for over 27yrs completing his education at the Canadian College
Massage and Hydrotherapy. He instructed at the West Coast College Massage Therapy in the Orthopedic and Neurological Departments.
He instructs Ligamentous Articular Strain Techniques internationally. He is the author of “Ligament Pain Referral Patterns” documenting
current knowledge and understanding of pain, the neurophysiological model of referred pain, neurological innervations and pain referral
patterns for nearly all axial and peripheral joint capsules/ligaments. He is a regular author for many international association publications.

kerobert@gmail.com

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Students’ Perception of Cognitive Load in an Accelerated DPT
Program with a Blended Curriculum

Rossniel Marinas
University of St. Augustine for Health Sciences, USA

Administrators and educators in higher education are interested in how academic tutoring
services and gender impact perceptions of cognitive load and, therefore, students’ academic success. However,
a lack of evidence existed in the literature regarding physical therapy students’ perception of cognitive load in
an accelerated Doctor of Physical Therapy program with blended learning. Participants in this quantitative,
non-experimental study completed the adapted Cognitive Load Scale to indicate their perception of cognitive
load, participation in academic tutoring services, gender, and age. The DPT students perceived high cognitive
overload, but a t value of
0.37 and a p value of 0.71 indicated that their perception was not significantly related to gender. Further,
a t value of -3.09 and a p value of 0.005 indicated that academic tutoring services played a vital role in
minimizing the perception of cognitive overload. However, the p value of 0.11 of the parametric multiple
linear regression analysis and the p value of 0.59 of the interaction term indicated no moderating relationship
between academic tutoring services and gender. This evidence may assist physical therapy administrators
and educators of DPT students in re- structuring blended learning programs and accelerated curricula to
reduce student perceptions of cognitive overload.
Biography:
Dr. Marinas has had clinical and teaching experiences since 2004. Dr. Marinas earned master’s and doctorate
degrees in physical therapy from Nova Southeastern University in 2004 and 2007, respectively. In 2013, Dr.
Marinas was trained as a Neurodevelopmental clinician for children with neuromuscular disorders. In 2019, he
became an APTA Board Certified Clinical Specialist in Pediatric Physical Therapy. Dr. Marinas earned a Doctor of
Education degree from USAHS in Fall of 2021. He teaches Pathophysiology, Pharmacology, Movement Science I
and Pediatrics, and focuses his continuing education in those content areas. Dr. Marinas has been with USAHS
since 2016 and is passionate about higher education and student academic success.

rmarinas@usa.edu

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Sports Medicine
Diagnosis and treatment of knee osteoarthritis with Hyaluronic
acid and rehabilitatio

Sander KOLA
Imaging Department “Mother Teresa” University Hospital, Tirana, Albania

Introduction: Osteoarthritis of the genu joint is a degenerative disease of the genu joint,
which due to functional limitations leads to deterioration of the quality of life of these patients. In many cases
surgical therapy prosthesis of articular surfaces, represents the gold standard of treatment of these patients.
In this study it is proposed to evaluate the effectiveness of hyaluronic acid injected under the direction of
Echo (ultrasound) in the genu articulation accompanied by rehabilitation program.
Materials and methods. Fifteen patients with knee osteoarthritis were studied.
According to the Kellgren-Lawrence radiological classification, grade II - III arthrosis does not qualify for
surgical treatment.
Patients underwent intra-articular injection with hyaluronic acid under ultrasound guidance and after 6 days
continued with rehabilitative treatment aimed at combating the patient’s analgesic posture, recovery of muscle
traction participating in genu joint movement, decompression maneuvers and decoupation in monopodal
load. Patients were evaluated at the beginning and after 3-6‑9 months of therapy, through: ËOMAC test,
VAS degree of pain.
Results: In the evaluation of patients at the beginning, after 3, 6, 9‑months, a reduction in> 60% of VAS pain
was found and the ËOMAC test in 40% of patients after the first intra-articular injection. No significant side
effects were observed during infiltrative procedures.
Conclusions: This study confirms the effectiveness of the combined treatment of the rehabilitation program
and intra-articular therapy under the guidance of Echos, in patients suffering from knee osteoarthritis,
significantly reducing pain and recovery of functional capacity.

Key words: osteoarthritis, radiography, Hyaluronic acid, rehabilitation

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Effect of GoKnee intervention on knee range of motion, pain,
and functional mobility post total knee arthroplasty (TKA)
Shehla Rooney, CEO & Owner at GoKnee LLC ,USA

Purpose/hypothesis: Total knee arthroplasties (TKA) are projected to increase to

3.48 million performed per year by 20301. There is currently no standardized treatment
approach post-surgery, nor is there one treatment which research has shown to be significantly better than
others. The GoKnee device was created by physical therapists with the intentions of providing an affordable
treatment option post‑TKA that helps patients achieve a faster recovery of function. The purpose of this study
is to investigate whether the GoKnee device significantly improves objective and functional measurements
following a TKA.
Subjects: Data was collected on twenty‑nine patients, who had recently undergone a TKA.
Materials/Methods: All data was collected by licensed physical therapists in the skilled nursing facility
and home‑health settings. The patients followed the GoKnee protocol which addresses knee flexion range
of motion, knee extension range of motion and quadriceps strengthening while using the device. Using a
repeated measures design, outcome measures such as pain, knee flexion, knee extension, Timed Up and Go
score (TUG), gait velocity and 30 Second Sit to Stand scores were recorded at various times throughout the
patients’ treatment sessions.
Results: A significant difference (P<0.001) was found for all variables from post‑op days 2‑6 to 7‑11. Significant
improvement was shown for pain (P = 0.008) and flexion (P = 0.001) from post‑op days 7- 11 to 12‑16. No
other significant differences were found.
Conclusions: Results suggest that statistically significant improvements were made within individuals in
functional and objective outcome measures after using the GoKnee device following a TKA. However,
because there was no control group to compare these values to, caution should be used when implementing
the GoKnee with the intention that it will enhance objective and functional outcomes as compared to using
only traditional TKA interventions until further research is conducted.

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Title of presentation: Translation, Cross-cultural Adaptation,
and Study of the Validity and Reliability of the Persian Version
of Sport Concussion Assessment Tool 5 (SCAT5)

Soheil Mansour Sohani, Assistant professor of physical therapy

Affiliation, Country: Physiotherapy Dept., School of rehabilitation sciences, Iran University of Medical Sciences, Tehran, Iran

Background and Objectives: This study was done to translate and evaluate the validity and reliability of
the Persian version of the Sport Concussion Assessment Tool 5 (SCAT5) among Iranian martial arts athletes.
Methods: Translation and adaptation were performed in several stages with the instructions provided by
Beaton et al. A total of 86 Persian-speaking martial arts athletes (42 males and 44 females) participated in
this study. Descriptive statistics were reported for all items of SCAT5. For determining construct validity,
the correlations between items of the Persian version of the SCAT5and the Beck Depression Inventory (BDI)
were all reviewed. The reliability of the questionnaire was determined from two different aspects of test‑retest
reliability and internal consistency.
Results: The processes of translation and cultural adaptation were done by maintaining cultural adaptation
through replacing appropriate words and terms, and finding semantic and perceptual equivalents. There
was a significant difference between the results of male and female participants. For components of the
SCAT5 in comparison with BDI, Spearman rank‑order correlation coefficient (rho) was moderate with
the Persian version of BDI 0.57 (P<0.001) in terms of the number of symptoms and severity of symptoms
0.50 (P<0.001). Regarding the test‑retest reliability, the Persian version of the SCAT5 questionnaire showed
excellent reliability for all items (ICC>0.75) and moderate reliability for the number of symptoms (ICC=0.48)
and severity of symptoms (ICC=0.49). The coefficient of Cronbach’s alpha was more than 0.70 for all items
of the Persian version of the SCAT5.
Conclusion: The Persian version of the SCAT5 is a valid and moderate reliable instrument for medical
professionals and health care providers in concussion assessment. The ceiling effect was observed in three
components, including orientation and two parts of concentration (Backward recalling of digits recalling of
months in reverse order).
• Keywords: Cross-cultural Adaptation, Translation, Validity, Reliability, Concussion, Martial Arts
Biography:
Soheil Mansour Sohani completed his BSc. In physiotherapy from TUMS, MSc. and Ph.D. from IUMS in Tehran, Iran.Dr. Mansour Sohani
has received many scholarships from IASP to poster presentation in international congresses (Vienna, Austria, 1999; San Diego, USA,
2002; Sydney, Australia, 2005; Glascow, Scotland, 2008; Montreal, Canada, 2010; Milan, Italy, 2012; Buenos Aires, Argentina, 2014).
He is an assistant professor and lecturer at Physiotherapy Dept., School of Rehabilitation Sciences, Iran University of Medical Sciences,
Tehran, Iran. He has had many workshops (during past six years) around his country and several webinars (during 1.5 years ago) to
transfer his information and experience to his colleagues. He had online presentation in past Online Conferences, October 28‑29 2020,
titled:” Shockwave Therapy: Radial vs. Focused” and April 12‑13 2021, titled:” Radiofrequency in musculoskeletal pain” and October
15‑16 2021, titled: ”Mulligan concept of manual therapy”.
mansorsohani.s@iums.ac.ir, sohani.soheil@gmail.com

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Manual Lymphatic Drainage and Exercises in Management
of Secondary Lymphedema Following Mastectomy-Systemic
Review

Bajran Aldossari
Prince Sultan Military Medical City, KSA

L ymphedema is a chronic and progressive disorder resulting from impaired lymphatic system function. In
developed countries, upper extremity lymphedema is mainly the consequence of breast cancer surgery
in which axillary lymph node dissection and radiation alter upper extremity lymphatic flow. Diagnosis of
lymphedema is made clinically. Nevertheless, there are numerous diagnostic tools available for disease staging.
Recently, a new technology namely magnetic resonance lymphangiography has emerged in the medical field to
assist in both diagnosis and management. Controversy exists regarding the role of exercise in cancer patients
with or at risk for lymphedema, particularly breast. Searching was done using Google Scholar, PubMed,
ProQuest, EBSCO, Cinahl Plus, BMJ, Clinical Skills, Clinical Keys, DynaMed Plus, Medline, Nano-Springer,
Nature, SpringerLink, Springer, and Wiley Online Library. The aim of the study to compare the efficacy of
manual lymphatic drainage and exercise in management of secondary lymphedema following mastectomy.
Biography:
Bajran Aldossari holds MSc in physical therapy from King Saud University, Saudi Arabia. Presently Mr.Aldossari working as Senior Phys-
ical therapist with Prince Sultan Military Medical City, Riyadh KSA.
bajran111@hotmail.com

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A Mindful approach to the management and resolution of
unconsummated relationships

Sue Fuller‑Good
SASP, SASHA, Comensa, PSASA, Johannesburg , South Africa

Introduction & rationale: Unconsummated relationships are surprisingly prevalent

(reported prevalence ranging from 7% in developed countries to 63% in less developed countries. The
outcome of an inability to consummate is often devastation. It ranges from annulment of the marriage, to
ongoing relationship challenges and divorce, to a lowered self‑esteem, depression, anxiety and poor affect.
The dysfunction underlying non-consummation is mostly treatable. A multifactorial biopsychosocial protocol
has not been well researched. The causes of non-consummation are varied. Sexual dysfunction is the major
cause. Simple treatment of the sexual dysfunction may not be enough to solve this layered problem and its
associated challenges.
Population and methodology: A case series of eight case studies has been used to assess the outcome of
a multilayered approach including mindfulness training, active relaxation, communication coaching and
physiotherapy for vaginismus. The couples ranged in age from 28‑45 and their relationship duration ranged
from 1 year to 15 years. All were married, heterosexual and monogamous.
Outcome: 7 of the couples consummated within 3 months of the treatment commencing.
1 couple stopped the treatment and chose to continue without consummation.
All 7 reported having satisfying sex lives on 6 months follow up.
Discussion & recommendations: Resolving a couple’s inability to consummate may not be enough to
guarantee a satisfactory sexual relationship, if the other contributory factors have not been addressed. These
include: performance anxiety, self-consciousness, an inability to relax, problems with intimacy, inability to
trust, difficulty with vulnerability, sexual shame, heightened disgust, avoidance and poor communication
among other factors. Mindfulness has been found to be effective in managing most of these associated and
contributory factors. Mindfulness is an inexpensive and easy modality to teach to both members of a couple
It has been found to be an effective method of increasing sexual satisfaction.
KEYWORDS
Non-consummated marriage
Sexless relationships
Mindfulness

Biography: :
Sue Fuller‑Good BSc Hons (Physio) UCT MSc (Physio) WITS
Physiotherapist with Special Interests in Pain, Women’s Health & Manual Therapy; Mindfulness Coach; Speaker & Author
Member of HPCSA, SASP, PSASA & SASHA
sue@bodybrilliance.co.za

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The effect of interdisciplinary team and multiple use of Erigo
Robotic machine in Cervical Spinal Cord Injury incomplete
case.

Theeb Naif S Alsalem

King Abdulaziz Medical City, National Guard Health Affairs, Riyadh, Saudi Arabia

ABSTRACT
Background & Purpose: Rehabilitative care programs for patients with SCI expect multi-specialtices
coordination to direct the common presence of multiple overlapping conditions.This case declare describes
interdisciplinary care for a patient with an incomplete cervical SCI resulting in injury to the spinal cord,
otherwise consistent with the diagnosis of Posterior Cord Syndrome, by a team of providers serving at a
rehabilitation hospital. Specialties represented in the interdisciplinary team caring for this patient included
primary care (internist and nurse practitioner), physical therapy, occupational therapy, physiatry, therapeutic
recreation, assistive technology, registered dietician, nursing, and psychiatry.
Case Description: A 26‑year-old male medically free was admitted to local hospital in Riyadh, Saudi Arabia
approximately 4 months following a motor vehicle accident, which resulted in in broken cervical spine fractures
and incomplete SCI. Injuries included Left C6‑C7 facet joints fracture dislocation. Acute C6‑C7 central and
left paracentral disk herniation associated with spinal canal stenosis and Left C7 neural foraminal narrowing.
Spinal cord injury level C6‑C7.Initial hospitalization lasted approximately 16 weeks at which time the patient
was transferred to an acute rehabilitation facility for nearly 12 weeks.
Outcomes: After approximately 4 months or 16 weeks as acute and subacute of rehabilitative care included
intensive ex’s with gradual resistance using weight dumbbells 1‑3Kg(kilogram) , Erigo machine was daily
from 5th week and keep it until 12th week before discharge and static titling table from 1st to 4th week
patient reach ambulation using one elbow crutche placed on right elbow only that was the main goal by the
16th week. Also, he was able to perform complete transfer by himself bed to wheelchair and stair climbing
as well. Patient had was 3/4 on Modified Ashworth rating scale making passive movement difficult in the
right foot, gastrocnemius/soleus, and thigh adductors [19] due to that 5 mg of Baclofen was prescribed to
lessen the abnormal muscle tone and relieve stiffness. Baclofen was prescribed over botulinum toxin as a
less invasive intervention, due to patient desire, and because some increased lower extremity muscle tone
is providing stability that needed during gait. Botulinum toxin could have negative impact in mobility by
reducing muscle tone to flaccid type. Four weeks following Baclofen administration, lower extremity muscle
tone was reduced to a rating of 1/4 on the Modified Ashworth scale (measurement tool for Spasticity). Physical
and occupational therapies modified their rehabilitation focus toward achieving functional independence.
Pain post SCI was controlled by Pregabalin 75‑15.
Discussion: This case demonstrates rehabilitation as performed within an interdisciplinary team and my job
as Physiotherapist where Erigo machine was main interventions and most effective tools due to the multiple
times patient used it also its been used to the patient while monitored achieving goals that set by the team. To
address this and other challenges, management planning occurred via routine discussions of patient status,

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identifying specialty specific goals, setting rehabilitation benchmarks, which were documented in formal plans
in advanced electronic system. In this case, coordination happened formally, during weekly interdisciplinary
team meetings, and informally, during the normal daily interactions of the various providers.Coordination
among interdisciplinary management emphasizing and supporting the care of other providers within a
team is constructed and built to augment the advantages for the patient and his family members by avoiding
redundant and unnecessary care and generating a synergistically positive therapeutic effect.Little research
has been conducted to elucidate the specific benefits of Erigo machine for persons suffering from SCI. In this
case, care was provided to reach maximal functional abilities and daily activities.A well-functioning Erigo
machine is present a potential effects on the goals and strategies of the patient,
Conclusion: This case describes the rehabilitation management of a patient suffering from incomplete SCI
C8 by an interdisciplinary team. Rehabilitation team members from multiple specialties can fulfill synergistic
roles when working collaboratively within the context of a regularly updated comprehensive management
plan and achieved such great result following 4 months show how Erigo play main role from physiotherapist
point of view in such case but I still insist to keep digging for more examination as possible systemic errors
could not be avoided during new technology device like Erigo machine.
Biography:
Mr. Theeb Alsalem holds Bsc in physical therapy from Semmelweis University, Hungary Budapest. Presently working as Physical thera-
pist with King Abdulaziz Medical City. National Guard Health Affairs, Riyadh KSA. Studying master of health administration at Saudi Elec-
tronic University, Riyadh, Saudi Arabia. Interested in physical therapy treatment and assessment more specialised in neurological cases.
Start to study health administration for more education about management and administration in health care field.
theeb.10@hotmail.com

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Chronic Musculoskeletal Pain Management: Biopsychosocial
Model
Ugur Cavlak
Division of Physiotherapy and Rehabilitation, Biruni University, Turkey

T he most widely accepted and current definition of pain, established by the IASP, is that an
unpleasant sensory and emotional experience associated with actual or potential tissue
damage, or described in terms of tissue damage, or both. Chronic pain (CP) leads to biological functioning.
CP also affects both psychological process and social participation. The biopsychosocial approach, which
is a holistic pain management model, describes pain as a multidimensional, dynamic integration among
physiological, psychological, and social factors that reciprocally influence one another. The speaker will
present the view of physiotherapist about chronic pain management explaining biological, psychological, and
social dynamics and highlight the need to consider their roles in the management of chronic musculoskeletal
pain conditions.
Biography:
Prof. Ugur Cavlak has completed his PhD in Physical Therapy and Rehabilitation from Hacettepe University in Ankara in 1996, Turkey.
He is working for Biruni University, Istanbul. His interests as follows; neuro rehabilitation, chronic pain management, preventive rehabil-
itation, and disability.
ucavlak@biruni.edu.tr or ucavlak@yahoo.com

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A Case Study Of 2 Year Old Child With Autism To Measure
Effectiveness Of Early Intervention On Positive Behaviour
Changes Of A Child And Parental Stress

Varsha Jalandhara
Vatsalya Pediatric Rehab and Child Development Centre, Gujarat, INDIA

A SD is a Neurodevelopmental disability that can cause significant social, communication and behavioural
challenges for the patient. Autism is a spectrum disorder because each person with autism has a distinct
set of strengths and challenges. ASD can usually be reliably diagnosed by the age of 2. It is important for those
with concerns to seek out assessment as soon as possible so that a diagnosis can be made, and treatment can
begin. This case Study is conducted at Pediatric rehabilitation Centre , using M chart and Autism stress Index
for objective measures. With the detail Explanation of the early intervention treatment plan and duration of
the treatment in this Study the main goal is to put emphasis on Early intervention will be effective on positive
behavioral changes in child and improve Stress index in parents with raising the awareness and education
of parents.
Biography:
Dr. Varsha Jalandhara is a Pediatric physiotherapist holds a degree of Doctorate of Physical Therapist from New York, USA. Currently
managing her private multidisciplinary Pediatric practice Vatsalya Pediatric Rehab & child development centre in India. She holds Active
PT licenses of the states of New York, North Carolina and Virginia and have worked in the United States as a Pediatric PT during the
years from 2011 to 2019. Additionally she holds a membership of health Volunteer overseas - HVO(Washington DC) and taken Teaching
Assignments to serve in country like Bhutan.
varsha.jalandhara13@gmail.com

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Importance of physiotherapy working with life threatening
acute Covid‑19 condition in Intensive Care Unit in
Covid‑19 specialized hospital
Velimir Trichkovski
PHI University clinic for infectious diseases and febrile conditions, Skopje, N. Macedonia

In the last 2 years of the pandemic more and more patients, general public, medical workers have discovered the
importance of physiotherapists that are working in Intensive Care Units. Starting from day 1 of hospitalization
to the last day in hospital care and after that continuing with post Covid‑19 rehabilitation the physiotherapist is
one of the few figures that patients are seeing every day. In the eyes of the patients physiotherapist means hope
for life and survival. Physiotherapist become patients family, best friend and the person that can count on it.
In this oral session will discuss with typical examples with few patients that fully recover severe Covid‑19 condition
hospitalized for more than 60 days and disscusing the benefits of physiotherapist work in different stages and
also disscuss mistakes that can unintentionally occur.
Biography:
Velimir Trichkovski completet medical school for physiotherapist in 2002, completed B.Sc in Sport and Health education in 2011. Profes-
sionally work with high level athletes for more than 15 years ann from 2018 working in Intensive Care Unit in university clinic for infectious
diseases and febrile conditions. Specialised for work with Covid‑19 accute ill patients and post Covid‑19 rehabilitation. With several
written publications and TV appearances is nationaly providing physiotherapy benefits for the society in the country.
vtrickovski@gmail.com

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Can we predict lower limb kinematics while running using a
single sensor?

Zaheen A. Iqbal* and Daniel H.K. Chow

Department of Health & Physical Education, The Education University of Hong Kong, Hong Kong, China

M agneto-inertial measurement units (MIMU) are available for gait analysis however
subjects are required to carry several MIMUs that may cause some restrictions in analysis and affect
their performance. In order to minimize such restrictions, this study investigated if we can predict lower‑limb
kinematics using just one single wearable sensor. In the first phase it was investigated if the kinematics of the
right limb could be predicted by a single MIMU attached to the right tibia, whether the data from treadmill
running can predict the lower limb kinematics while running on the level ground using machine learning
model and accuracy of inter- and intra-participant prediction. In second phase we investigated if one limb
kinematics can be predicted by MIMU attached to the other (cross‑leg prediction) and its accuracy. Running
kinematics was captured by seven MIMUs that were attached to 10 healthy recreational runners. In addition,
one MIMU was fixed on the anteromedial side of the right tibia. They were asked to run at four different
speeds on a treadmill and at their preferred speed over level ground. Lower‑limb kinematics was predicted by
a convolutional neural network model using the MIMU attached to the tibia. The coefficient of determination
(R2) was used to evaluate accuracies of prediction for inter- and intra-participant scenarios. Results show
that one single MIMU attached to the right tibia is feasible to predict right hip and knee kinematics, which
was better for knee. It is feasible to use data from treadmill running to predict lower limb kinematics while
level‑ground running and reasonably accurate for cross‑leg prediction. This study points towards cost and
hassle reduction by decreasing the number of sensors used in kinematics analysis.
Biography:
Zaheen is a PhD Scholar at Department of Health & Physical Education, The Education University of Hong Kong. He obtained his Mas-
ters in Orthopedic Physiotherapy from Hamdard University, New Delhi. His research interests include Biomechanics, Ergonomics, and
Work-related Disorders. Professor Daniel Chow obtained his PhD from the Bioengineering Unit, University of Strathclyde, UK, in 1993.
Currently, he is the Chair Professor of Health & Sports Science and the Associate Dean (Research & Postgraduate Studies) of the Fac-
ulty of Liberal Arts and Social Sciences of The Education University of Hong Kong. His research interests are Movement Analysis, Sports
Biomechanics, Rehabilitation Technology, and Ergonomics.
s1136208@s.eduhk.hk

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The Association Between Physical Fitness Parameters
And In‑Season Injury Among Adult Male Rugby Players: A
Systematic Review
Candice MacMillan
University of the Witwatersrand, Johannesburg, South Africa

Background: The high prevalence of injury among rugby players emphasizes the need for research related
to injury risk factors. Physical fitness-related risk factors are likely culprits contributing to both contact and
non-contact injuries. Establishing associations between pre- season measured physical fitness aspects and
injury risk, not only provide players’ baseline fitness parameters but could also identify injury prone players,
thereby contributing to injury prevention strategies.

Objective: To assess and summarize scientific literature related to the association between pre- season
measured physical fitness tests and in‑season injury among male rugby players.

Method: A systematic review was performed in compliance with the PRISMA 2020 guidelines. This review
considered observational, prospective cohort study designs. Studies that included male rugby (rugby union,
rugby league, Australian football rules and rugby sevens) players aged 18 years or above from all levels of
participation, evaluating the association between physical fitness test outcome and injury were considered
for inclusion. The three‑step search strategy aimed at finding both published and unpublished studies in any
language. Searched databases included MEDLINE via PubMed, Cumulative Index to Nursing and Allied
Health Literature (CINAHL), Physiotherapy Evidence Database (PEDro), the Cochrane Controlled Trials
Register in the Cochrane Library, ProQuest 5000 International, ProQuest Health and Medical Complete,
EBSCO MegaFile Premier, SPORTDiscus with Full Text, SCOPUS and Science Direct. Keywords used were
“rugby”, “injury”, “physical fitness”, and “risk factors”. Papers that met the inclusion criteria were assessed by
two independent reviewers for methodological validity prior to inclusion in the review using standardized
critical appraisal tool for cohort studies from the Joanna Briggs Institute (JBI SUMARI).

Results: A total of 16 studies were eligible for inclusion in this review. The mean critical appraisal score was
82.63% (SD=17.86). Forty‑meter sprint speed was associated with injury in all three (100%) studies that included
the test. Inconsistencies in the statistical analysis however makes comparison difficult. None of the studies
that investigated upper (n=1) and/or lower body power (n=3) identified power as a risk factor. Conflicting
results were found for the association between strength, flexibility, cardio-respiratory fitness, and injury.

Conclusion: Identifying factors associated with injury risk is an important step in the injury prevention
paradigm. Once identified, players can be screened for risk factors prior to participation in sport. Interventions,
based on screening results, which not only improve performance but also decrease players’ risk of sustaining
injuries (i.e., physical fitness related risk factors), provide additional incentive for compliance. Overall, this
review highlights the inconsistency in testing methods used to gauge specific physical fitness constructs
among rugby players, limiting the extent to which comparison of results and pooling of data is possible.

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Biography:
Candice obtained her P.hD (Sports Physiotherapy) and award-winning MSc degrees from the University of the Witwatersrand (Wits)
(Johannesburg, South Africa). She is a post-doctoral fellow at Rhodes University and director of translation and data dissemination at
the Wits Cricket Research Hub. Research emanating from her post-graduate studies has been published in peer- reviewed journals and
presented at sports medicine conferences. She has worked at both the USA and South African franchises and is the SSL certification
course developer and senior instructor.
candicephysio@gmail.com

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Het’s Ring Clock Assessment – A precision based approach for
pelvic floor dysfunctions
Dhara Shah
WOW, International Institute of Pelvic Floor Research, Rehab and Education (IIPRE) Gujarat, India

P elvic Floor Dysfunction is a common dysfunction is women. The pelvic floor muscles
have should serve functions of stability, support, sphincteric, sexual and lymphatic.
The pelvic floor muscles can go into weakness leading to conditions like urinary incontinence, pelvic organ
prolapse, fecal incontinence, female sexual dysfunctions etc. There are some conditions like Vaginismus,
dyspareunia, chronic pelvic pain, pelvic floor dyssynergia, constipation etc, which results from tightness,
spasm or pain in the pelvic floor muscles or surrounding organs. If the pelvic floor muscles are weak or loose
they are results into Hypotonic pelvic floor dysfunctions. If the pelvic floor muscles become tight or goes
in spasm or pain they results into Hypertonic pelvic floor dysfunctions. Accurate and specific assessment
of pelvic floor dysfunction is a necessity to make a customized plan of care. Het’s Ring clock Assessment
enables the rehab professionals to accurately identify the areas of weakness or tightness in the pelvic floor
muscles. The Het’s Ring Clock Assessment is done on 2 rings of pelvic floor muscles, First being the superficial
ring made at the vaginal or rectal orifice and another the deep ring formed by the deep layer of pelvic floor
muscles (levator ani). Study done on 87 women, 20 having hypertonus dyfunction and 67 having hypotonus
dysfunction showed the presence of varied difference between the Het’s Ring Clock Assessment, even while
having the similar symptoms and presentation. Het’s Ring Clock Assessment is an accurate, efficient and
specific method to assess, plan and re-evaluate the pelvic floor dysfunctions.
Biography:
I am Dhara Shah (Directly Trained by & Direct Point of contact - Het Desai Sir). I am Chief Clinical Instructor at WOW IIPRE, International
Institute of Pelvic Floor Research, Rehab and Education. I have completed my MPT in Cardio-Pulmonary from Gujarat University and I
am currently pursuing my PhD in Pelvic Floor – Women’s Health. I am a life member of IAP.

Co-Author paper International Continence Society Congress 2021, Australia

Studies on pelvic floor muscle exerciser, vaginal laxity - approved by ctri.
Multiple research studies, trials, statistical analysis in the area of "Women's Health", "Pelvic Floor Rehab" - WOW IIPRE.
cci.wowiipre@gmail.com

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How to use shockwave to treat the most common sports injuries
Elham Karkouti
University of Central Florida, Orlando, Florida

S hockwave is a relatively new treatment technique that physical therapists can use to
help their patients achieve their goals following sports and musculoskeletal injuries.
This session will review the different shockwave units, the indications for the use of
shockwave, the contraindications of shockwave, the treatment protocols, and answer any questions they
may have regarding shockwave. After attending this hands-on session, therapists will feel comfortable using
shockwaves and will be able to treat various sports injuries using this modality.
Biography:
Elham Karkouti completed her B.Sc. in Physical Therapy in 1995 and her M.Sc. in Physical Therapy in 2011 from the University of Toron-
to. After 20 years in private practice, she has returned to school to complete her EMBA. After graduating from the University of Central
Florida, her goal is to use her new leadership skills to help develop future physical therapy leaders. In the meantime, she has the time to
dust of her research skills and gets back to her first love, research to help enhance physical therapy treatment, training, and education.

elliekarkouti2880@gmail.com

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Posturometer Practical Workshop
Silverio Di Rocca
M.P.R International School, Switzerland

C linical diagnosis is very important: it allows us to obtain an in depth understanding

of our patients, through direct observation, palpation and visualisation. With these
strategies we are able to identify the pathology and plan our treatments accordingly. In
the realm of posture, what constitutes good posture is hard to demonstrate, it is usually more of an opinion,
and this can be true or false. Posturometry allows us to scientifically measure the body’s loads distribution
and oscillations. The moment we can measure posture with an objective instrument, postural diagnosis is no
longer an opinion, it becomes science. Within the Myofunctional Postural Rehabilitation (M.P.R.) method
we carry out a series of clinical, instrumental and complementary analysis diagnosis, with which we can
identify the pathology, and plan the most appropriate treatment. The POSTUROMETER is a totally objective
postural measuring instrument, based on the KAPANDJI concepts of weight distribution on each foot. This
unique posture-measuring tool uses 3 highly-sensitive pressure sensors in the Kapandji load areas: First
Metatarsal, Fifth Metatarsal and Heel. Its simple-to-use software allows us, to graphically and numerically
visualise patients’ postural well being, as well as diagnose, plan and follow our treatments. The following
presentations will provide you with basic notions of clinical Posturometry. During the presentation you will
be able to take a look the Posturometer and its Software, and during the Workshop we will put all of these
notions into practice with case studies and patient diagnosis.
Biography:
Silverio Di Rocca has completed his Graduation in Dentistry, Post-graduate degree in Functional Orthopaedics both from the University
of Buenos Aires, Argentina. He has also done a degree in Dentistry and Prosthetic at the University of Turin, Italy and a Doctorate in
Dentistry and Prosthetic at University of Turin, Italy. He is the Director of the M P R International School, Vice President International
representative and Founder of API Swiss (International Association of Posturology Switzerland). He is also a Professor in Amocoac
Diplomate in Mexico and COMEI, College of Dentistry in Mexico, Associate Professor in I.C.O.M (International College of Osteopathic
Medicine) Milan, Italy and an International Honorary member of AMOCOAC.
sdirocca@gmail.com

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Rehabilitation of muscle chains and RMP: A winning integration
Giuseppe Felice
Massage Therapist, Postural therapies expert , Italy

N el corso degli anni molti autori hanno proposto metodiche riabilitative posturali differenti: Mezieres,Denys-
Struyff,Myers.Ognuno degli autori ha suddiviso le catene muscolari su basi teoriche e modelli funzionali.
Le sedute terapeutiche risultano lunghe e dispendiose per il terapista e per il paziente con trattamenti che
richiedono molte sedute e continui richiami per manterere dei benefici.Applicando il protocollo di trattamento
della RMP e deprogrammando i recettori del sistema tonico-posturale,le catene muscolari reagiscono in
tempi piu’ rapidi e con risultati duraturi nel tempo.
Le catene muscolari rappresentano circuiti in continuità di direzione e di piano attraverso i quali si propagano
le forze organizzatrici del corpo. Esse hanno il compito di coordinare l’equilibrio nella postura eretta in
economia e con assenza di dolore. Questa coordinazione passa attraverso la“Fascia”.È l’involucro del corpo,
ne fa parte ogni struttura connettiva di origine mesodermica (guaine, periostio, tendini, legamenti, …);
questa penetra a fondo nella struttura del tessuto fino al rivestimento cellulare. Ogni forma di allungamento
è subordinata all’intervento della tela fasciale; perciò è fondamentale che la somma delle tensioni applicate
rimanga nella costante fisiologica, altrimenti il soggetto rischierebbe di provocare delle tensioni muscolari
riflesse che lo porterebbero a dei compensi.
Le funzioni della fascia sono:
Proteggere i muscoli e i visceri che avvolge
È coinvolta nell’equilibrio dei fluidi sia sanguigni che linfatici
Influenza le funzioni nervose, sia perché i nervi la attraversano sia perché forma intorno ad essi degli involucri
di protezione; tant’è che adiacente ai nervi troviamo gli OTG, Fusi Neuromuscolari, Corpuscoli di Ruffini
e Pacini.
Oltre all’importante connessione meccanica,queste catene sono messe in collegamento anche da uno schema
nervoso centrale che ne mantiene un tono muscolare di base.
Metodo Mezieres e catene muscolari

Godelieve Denys-Struyf Metodo GDS

Physiotherapy Conference 2022 Page 82

May 09-10, 2022 Dubai, UAE
5th World Congress on

Physiotherapy, Physical Rehabilitation &

Sports Medicine

ANATOMY TRAINS (Myers)

Possiamo quindi definire la catene muscolari come una sequenza definita di muscoli,la cui continuità è data
dal sistema connettivale fasciale,al cui interno è mantenuto,grazie all’attività del sistema nervoso centrale,un
tono preferenziale. Proprio questo tono è condizionato dallo stato di salute dei principali recettori del Sistema
Tonico Posturale (occhio e piede) che spesso si trovano in disfunzione a causa di elementi perturbatori (in
particolare il sistema masticatorio,cicatrici chirurgiche,ipersensibilità alimentari).Con il metodo RMP Di
Rocca,è possibile deprogrammare tali recettori disfunzionali e con relativa semplicità deprogrammare e
riprogrammare le catene muscolari iperattive del paziente. In 10 anni di attività professionale i miei pazienti
hanno ottenuto grandi benefici da questi trattamenti,poiché solo trattando il corpo nella sua globalità possiamo
trovare la giusta strada per la salute continua nel tempo.

Physiotherapy Conference 2022 Page 83

May 09-10, 2022 Dubai, UAE
5th World Congress on

Physiotherapy, Physical Rehabilitation &

Sports Medicine
Early Physiotherapy Intervention results in significant
improvement in Functional Independence Measure (FIM) in
Acute Stroke – Results of a 2 year Audit
Komathi Chandran K
Physical Medicine & Rehabilitation department ,Al Ain Hospital, Al Ain, UAE

Stroke is a leading cause of long-term disability in the world. The purpose of stroke rehabilitation is to
maximize function. FIM (Functional Independence Measure) is a validated functional outcome measure
used in inpatient rehabilitation of Stroke patients. The aim of the study was to assess the FIM gain seen in
Stroke survivors at discharge from the Stroke unit.
Methods:Retrospective audit was done on all charts of patients admitted to Stroke Unit with a diagnosis
of Acute Stroke in Al Ain Hospital during the period 01-01-2017 to 30-12-2018Age, Gender, Type of Stroke,
FIM-mobility at admission, FIM-mobility at discharge were analyzed. FIM has 18 items composed of 13 motor
tasks and 5 cognitive tasks. We have taken 5 mobility items for the study which are included in table .Tasks
are rated on a 7-point scale ranging from complete dependence to complete independence. Scores range from
5 (lowest) to 35 (highest) indicating level of function. FIM-mobility gain (difference between FIM-mobility
scores at admission and discharge) was recorded. A gain of at least 2 points was considered significant.
Results:Total number of Stroke patients were 150 107 were male and43 were female.
Age range was from 22 to 90 years.
70% had ischemic stroke and 30% had hemorrhagic stroke. The average FIM-mobility score at admission
was 20.
The average FIM-mobility score at discharge was 30.
Significant FIM-mobility gain was seen in 56% of Stroke survivors of which 50% showed more than 2 point
difference.
Conclusion: We conclude that early physiotherapy intervention in acute stroke results in significant
improvement in FIM-mobility gain in acute stroke. We further look to calculate the FIM-mobility efficiency
taking into account the average length of stay in these patients.

komuchand@gmail.com

Physiotherapy Conference 2022 Page 84

May 09-10, 2022 Dubai, UAE
5th World Congress on

Physiotherapy, Physical Rehabilitation &

Sports Medicine
Comparing Cardiac Rehabilitation Guidelines
Faisal S Alenzy
Prince Sultan Military Medical City, KSA

C omparing Cardiac Rehabilitation Guidelines. Method: guidelines were searched alone

and with combination with different nations in English language. To review information
about the exercises modes, exercise intensity, testing, and monitoring of patients. Results:
the United States, Canadian, United Kingdome, and European guidelines all have common components and
have differences in the exercises modes and intensity. The United States, Canada, and European guideline
suggest aerobic training should progressing from moderate to vigorous intensity through the program, these
guidelines also suggest resistance training combined with the aerobic training to improve quality of life.
The United Kingdome recommends lower intensity program and less ECG monitoring. Although the other
guidelines recommend ECG exercises stress test for functional capacity assessment. Conclusion: guideline for
the Mediterranean region should be assembled and after reviewing these guidelines, it is recommended to use
ECG monitoring for functional assessment. Managing the risk factors is recommended in all the guidelines.
Aerobic endurance training is recommended to advance from moderate to high intensity exercises combined
with resistance training. These characteristics are safe for the patients and also showed improvements in
patient’s health and quality of life.
Biography:
Faisal Alenzy holds Bsc in physical therapy from Semmelweis University, Hungary Budapest. Presently finishing his Masters Degree
from Majmah University, Saudi Arabia. Mr. Alenzy presently working as Physical therapist with Prince Sultan Military Medical City, Riyadh
KSA.
faisal.alenzy@yahoo.com

Physiotherapy Conference 2022 Page 85

May 09-10, 2022 Dubai, UAE
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