Abstract: In this paper, an approach for the liver tumor detection
in computed tomography (CT) images is represented. The detection
process is based on classifying the features of target liver cell to
either tumor or non-tumor. Fractional differential (FD) is applied for
enhancement of Liver CT images, with the aim of enhancing texture
and edge features. Later on, a fusion method is applied to merge
between the various enhanced images and produce a variety of
feature improvement, which will increase the accuracy of
classification. Each image is divided into NxN non-overlapping
blocks, to extract the desired features. Support vector machines
(SVM) classifier is trained later on a supplied dataset different from
the tested one. Finally, the block cells are identified whether they are
classified as tumor or not. Our approach is validated on a group of
patients’ CT liver tumor datasets. The experiment results
demonstrated the efficiency of detection in the proposed technique.
Abstract: Cochlear Implantation (CI) which became a routine
procedure for the last decades is an electronic device that provides a
sense of sound for patients who are severely and profoundly deaf.
The optimal success of this implantation depends on the electrode
technology and deep insertion techniques. However, this manual
insertion procedure may cause mechanical trauma which can lead to
severe destruction of the delicate intracochlear structure.
Accordingly, future improvement of the cochlear electrode implant
insertion needs reduction of the excessive force application during
the cochlear implantation which causes tissue damage and trauma.
This study is examined tool-tissue interaction of large prototype scale
digit embedded with distributive tactile sensor based upon cochlear
electrode and large prototype scale cochlea phantom for simulating
the human cochlear which could lead to small scale digit
requirements. The digit, distributive tactile sensors embedded with
silicon-substrate was inserted into the cochlea phantom to measure
any digit/phantom interaction and position of the digit in order to
minimize tissue and trauma damage during the electrode cochlear
insertion. The digit have provided tactile information from the digitphantom
insertion interaction such as contact status, tip penetration,
obstacles, relative shape and location, contact orientation and
multiple contacts. The tests demonstrated that even devices of such a
relative simple design with low cost have potential to improve
cochlear implant surgery and other lumen mapping applications by
providing tactile sensory feedback information and thus controlling
the insertion through sensing and control of the tip of the implant
during the insertion. In that approach, the surgeon could minimize the
tissue damage and potential damage to the delicate structures within
the cochlear caused by current manual electrode insertion of the
cochlear implantation. This approach also can be applied to other
minimally invasive surgery applications as well as diagnosis and path
navigation procedures.
Abstract: This research work presents the surface
thermodynamics approach to M-TB/HIV-Human sputum
interactions. This involved the use of the Hamaker coefficient
concept as a surface energetics tool in determining the interaction
processes, with the surface interfacial energies explained using van
der Waals concept of particle interactions. The Lifshitz derivation for
van der Waals forces was applied as an alternative to the contact
angle approach which has been widely used in other biological
systems. The methodology involved taking sputum samples from
twenty infected persons and from twenty uninfected persons for
absorbance measurement using a digital Ultraviolet visible
Spectrophotometer. The variables required for the computations with
the Lifshitz formula were derived from the absorbance data. The
Matlab software tools were used in the mathematical analysis of the
data produced from the experiments (absorbance values). The
Hamaker constants and the combined Hamaker coefficients were
obtained using the values of the dielectric constant together with the
Lifshitz Equation. The absolute combined Hamaker coefficients
A132abs and A131abs on both infected and uninfected sputum samples
gave the values of A132abs = 0.21631x10-21Joule for M-TB infected
sputum and Ã132abs = 0.18825x10-21Joule for M-TB/HIV infected
sputum. The significance of this result is the positive value of the
absolute combined Hamaker coefficient which suggests the existence
of net positive van der waals forces demonstrating an attraction
between the bacteria and the macrophage. This however, implies that
infection can occur. It was also shown that in the presence of HIV,
the interaction energy is reduced by 13% conforming adverse effects
observed in HIV patients suffering from tuberculosis.
Abstract: Gastric Cancer (GC) has high morbidity and fatality
rate in various countries. It is still one of the most frequent and
deadly diseases. Gastrokine1 (GKN1) and gastrokine2 (GKN2) genes
are highly expressed in the normal stomach epithelium and play
important roles in maintaining the integrity and homeostasis of
stomach mucosal epithelial cells. In this study, 47 paired samples that
were grouped according to the types of gastric cancer and the clinical
characteristics of the patients, including gender and average of age.
They were investigated with gene expression analysis and mutation
screening by monitoring RT-PCR, SSCP and nucleotide sequencing
techniques. Both GKN1 and GKN2 genes were observed significantly
reduced found by (Wilcoxon signed rank test; p
Abstract: Noninvasive diagnostics of diseases via breath
analysis has attracted considerable scientific and clinical interest for
many years and become more and more promising with the rapid
advancements in nanotechnology and biotechnology. The volatile
organic compounds (VOCs) in exhaled breath, which are mainly
blood borne, particularly provide highly valuable information about
individuals’ physiological and pathophysiological conditions.
Additionally, breath analysis is noninvasive, real-time, painless, and
agreeable to patients. We have developed a wireless sensor array
based on single-stranded DNA (ssDNA)-functionalized single-walled
carbon nanotubes (SWNT) for the detection of a number of
physiological indicators in breath. Seven DNA sequences were used
to functionalize SWNT sensors to detect trace amount of methanol,
benzene, dimethyl sulfide, hydrogen sulfide, acetone, and ethanol,
which are indicators of heavy smoking, excessive drinking, and
diseases such as lung cancer, breast cancer, and diabetes. Our test
results indicated that DNA functionalized SWNT sensors exhibit
great selectivity, sensitivity, and repeatability; and different
molecules can be distinguished through pattern recognition enabled
by this sensor array. Furthermore, the experimental sensing results
are consistent with the Molecular Dynamics simulated ssDNAmolecular
target interaction rankings. Thus, the DNA-SWNT sensor
array has great potential to be applied in chemical or biomolecular
detection for the noninvasive diagnostics of diseases and personal
health monitoring.
Abstract: Introduction: Whole-Body Vibration (WBV) uses
high frequency mechanical stimuli generated by a vibration plate and
transmitted through bone, muscle and connective tissues to the whole
body. Research has shown that long-term vibration-plate training
improves neuromuscular facilitation, especially in afferent neural
pathways, responsible for the conduction of vibration and
proprioceptive stimuli, muscle function, balance and proprioception.
Some researchers suggest that the vibration stimulus briefly inhibits
the conduction of afferent signals from proprioceptors and can
interfere with the maintenance of body balance. The aim of this study
was to evaluate the influence of a single set of exercises associated
with whole-body vibration on the joint position sense and body
balance. Material and methods: The study enrolled 55 people aged
19-24 years. These individuals were randomly divided into a test
group (30 persons) and a control group (25 persons). Both groups
performed the same set of exercises on a vibration plate. The
following vibration parameters: frequency of 20Hz and amplitude of
3mm, were used in the test group. The control group performed
exercises on the vibration plate while it was off. All participants were
instructed to perform six dynamic exercises lasting 30 seconds each
with a 60-second period of rest between them. The exercises involved
large muscle groups of the trunk, pelvis and lower limbs.
Measurements were carried out before and immediately after
exercise. Joint position sense (JPS) was measured in the knee joint
for the starting position at 45° in an open kinematic chain. JPS error
was measured using a digital inclinometer. Balance was assessed in a
standing position with both feet on the ground with the eyes open and
closed (each test lasting 30 sec). Balance was assessed using Matscan
with FootMat 7.0 SAM software. The surface of the ellipse of
confidence and front-back as well as right-left swing were measured
to assess balance. Statistical analysis was performed using Statistica
10.0 PL software. Results: There were no significant differences
between the groups, both before and after the exercise (p> 0.05). JPS
did not change in both the test (10.7° vs. 8.4°) and control groups
(9.0° vs. 8.4°). No significant differences were shown in any of the
test parameters during balance tests with the eyes open or closed in
both the test and control groups (p> 0.05). Conclusions: 1.
Deterioration in proprioception or balance was not observed
immediately after the vibration stimulus. This suggests that vibrationinduced
blockage of proprioceptive stimuli conduction can have only
a short-lasting effect that occurs only as long as a vibration stimulus
is present. 2. Short-term use of vibration in treatment does not impair
proprioception and seems to be safe for patients with proprioceptive
impairment. 3. These results need to be supplemented with an
assessment of proprioception during the application of vibration
stimuli. Additionally, the impact of vibration parameters used in the
exercises should be evaluated.
Abstract: Background: To compare the thinning patterns of the
ganglion cell-inner plexiform layer (GCIPL) and peripapillary retinal
nerve fiber layer (pRNFL) as measured using Cirrus high-definition
optical coherence tomography (HD-OCT) in patients with visual field
(VF) defects that respect the vertical meridian. Methods: Twenty eyes of eleven patients with VF defects that
respect the vertical meridian were enrolled retrospectively. The
thicknesses of the macular GCIPL and pRNFL were measured using
Cirrus HD-OCT. The 5% and 1% thinning area index (TAI) was
calculated as the proportion of abnormally thin sectors at the 5% and
1% probability level within the area corresponding to the affected VF.
The 5% and 1% TAI were compared between the GCIPL and pRNFL
measurements. Results: The color-coded GCIPL deviation map showed a
characteristic vertical thinning pattern of the GCIPL, which is also
seen in the VF of patients with brain lesions. The 5% and 1% TAI
were significantly higher in the GCIPL measurements than in the
pRNFL measurements (all P < 0.01). Conclusions: Macular GCIPL analysis clearly visualized a
characteristic topographic pattern of retinal ganglion cell (RGC) loss
in patients with VF defects that respect the vertical meridian, unlike
pRNFL measurements. Macular GCIPL measurements provide more
valuable information than pRNFL measurements for detecting the
loss of RGCs in patients with retrograde degeneration of the optic
nerve fibers.
Abstract: In this paper, we present an application of Riemannian
geometry for processing non-Euclidean image data. We consider the
image as residing in a Riemannian manifold, for developing a new
method to brain edge detection and brain extraction. Automating this
process is a challenge due to the high diversity in appearance brain
tissue, among different patients and sequences. The main contribution, in this paper, is the use of an edge-based
anisotropic diffusion tensor for the segmentation task by integrating
both image edge geometry and Riemannian manifold (geodesic,
metric tensor) to regularize the convergence contour and extract
complex anatomical structures. We check the accuracy of the
segmentation results on simulated brain MRI scans of single
T1-weighted, T2-weighted and Proton Density sequences. We
validate our approach using two different databases: BrainWeb
database, and MRI Multiple sclerosis Database (MRI MS DB). We
have compared, qualitatively and quantitatively, our approach with
the well-known brain extraction algorithms. We show that using
a Riemannian manifolds to medical image analysis improves the
efficient results to brain extraction, in real time, outperforming the
results of the standard techniques.
Abstract: Myocardial infarction is one of the leading causes of
death in the world. Some of these deaths occur even before the
patient reaches the hospital. Myocardial infarction occurs as a result
of impaired blood supply. Because the most of these deaths are due to
coronary artery disease, hence the awareness of the warning signs of
a heart attack is essential. Some heart attacks are sudden and intense,
but most of them start slowly, with mild pain or discomfort, then
early detection and successful treatment of these symptoms is vital to
save them. Therefore, importance and usefulness of a system
designing to assist physicians in early diagnosis of the acute heart
attacks is obvious. The main purpose of this study would be to enable patients to
become better informed about their condition and to encourage them
to seek professional care at an earlier stage in the appropriate
situations. For this purpose, the data were collected on 711 heart
patients in Iran hospitals. 28 attributes of clinical factors can be
reported by patients; were studied. Three logistic regression models
were made on the basis of the 28 features to predict the risk of heart
attacks. The best logistic regression model in terms of performance
had a C-index of 0.955 and with an accuracy of 94.9%. The variables,
severe chest pain, back pain, cold sweats, shortness of breath, nausea
and vomiting, were selected as the main features.
Abstract: The present explanatory study concerns with the
relation between Diabetes Mellitus and Food Balance in the Kingdom
of Saudi Arabia during 2005-2010, using published data. Results illustrated that Saudi citizen daily protein consumption
(DPC) during 2005-2007 (g/capita/day) is higher than the average
global consumption level of protein with 15.27%, daily fat
consumption (DFC) with 24.56% and daily energy consumption
(DEC) with 16.93% and increases than recommended level by
International Nutrition Organizations (INO) with 56% for protein,
60.49% for fat and 27.37% for energy. On the other hand, DPC per
capita in Saudi Arabia decreased during the period 2008-2010 from
88.3 to 82.36 gram/ day. Moreover, DFC per capita in Saudi Arabia
decreased during the period 2008-2010 from 3247.90 to 3176.43
Cal/capita/ day, and daily energy consumption (DEC) of Saudi
citizen increases than world consumption with 16.93%, whereas
increases with 27.37% than INO. Despite this, DPC, DFC and DEC
per capita in Saudi Arabia still higher than world mean. On the other
side, results illustrated that the number of diabetic patients in Saudi
Arabia during the same period (2005-2010). The curve of diabetic
patient’s number in Saudi Arabia during 2005-2010 is regular
ascending with increasing level ranged between 7.10% in 2005 and
12.44% in 2010. It is essential to devise Saudi National programs to educate the
public about the relation of food balances and diabetes so it could be
avoided, and provide citizens with healthy dietary balances tables.
Abstract: Current study established for EEG signal analysis in
patients with language disorder. Language disorder can be defined as
meaningful delay in the use or understanding of spoken or written
language. The disorder can include the content or meaning of
language, its form, or its use. Here we applied Z-score, power
spectrum, and coherence methods to discriminate the language
disorder data from healthy ones. Power spectrum of each channel in
alpha, beta, gamma, delta, and theta frequency bands was measured.
In addition, intra hemispheric Z-score obtained by scoring algorithm.
Obtained results showed high Z-score and power spectrum in
posterior regions. Therefore, we can conclude that peoples with
language disorder have high brain activity in frontal region of brain
in comparison with healthy peoples. Results showed that high coherence correlates with irregularities
in the ERP and is often found during complex task, whereas low
coherence is often found in pathological conditions. The results of the
Z-score analysis of the brain dynamics showed higher Z-score peak
frequency in delta, theta and beta sub bands of Language Disorder
patients. In this analysis there were activity signs in both hemispheres
and the left-dominant hemisphere was more active than the right.
Abstract: Urinary Tract Infections are considered as one of the
most common bacterial infections with an estimated annual global
incidence of 150 million. Antimicrobial drug resistance is one of the
major threats due to wide spread usage of uncontrolled antibiotics. In
this study, a total number of 9149 urine samples were collected from
R.H Patiala and processed in the Department of Microbiology G. M.
C Patiala (January 2013 to December 2013). Urine samples were
inoculated on MacConkey’s and blood agar plates and incubated at
370C for 24 hrs. The organisms were identified by colony characters,
Gram’s staining, and biochemical reactions. Antimicrobial
susceptibility of the isolates was determined against various
antimicrobial agents (Hi – Media Mumbai India) by Kirby Bauer
DISK diffusion method on Muller Hinton agar plates. Maximum patients were in the age group of 21-30 yrs followed by
31-40 yrs. Males (34%) are less prone to urinary tract infections than
females (66%). Culture was positive in 25% of the samples.
Escherichia coli was the most common isolate 60.3% followed by
Klebsiella pneumoniae 13.5%, Proteus spp. 9% and Staphylococcus
aureus 7.6%. Most of the urinary isolates were sensitive to,
carbepenems, Aztreonam, Amikacin, and Piperacillin + Tazobactum.
All the isolates showed a good sensitivity towards Nitrofurantoin
(82%). ESBL production was found to be 70.6% in Escherichia coli
and 29.4% in Klebsiella pneumonia. Susceptibility of ESBL
producers to Imipenem, Nitrofurantoin and Amikacin were found to
be 100%, 76%, and 75% respectively. Uropathogens are increasingly
showing resistance to many antibiotics making empiric management
of outpatient UTIs challenging. Ampicillin, Cotrimoxazole and
Ciprofloxacin should not be used in empiric treatment. Nitrofurantoin
could be used in lower urinary tract infection. Knowledge of
uropathogens and their antimicrobial susceptibility pattern in a
geographical region will help in appropriate and judicious antibiotic
usage in a health care setup.
Abstract: The latest years the number of immigrants at Greece
has increased dramatically. Their impact on the National Health
System (NHS) has not been yet thoroughly investigated. This paper
analyses the cost of immigrants to the NHS hospitals of the region of
Eastern Macedonia and Thrace. The data are collected from 2005 to
2011 from five different hospitals and are analysed using linear
mixed effects models in order to investigate the effects of nationality
and year on the cost of hospitalization and treatment. The results
show that generally the Greek nationality patients have a higher mean
cost of hospitalization compared to the immigrants and that there is
an increasing trend for the cost except for the year 2010.
Abstract: One of the most important challenging factors in
medical images is nominated as noise. Image denoising refers to the
improvement of a digital medical image that has been infected by
Additive White Gaussian Noise (AWGN). The digital medical image
or video can be affected by different types of noises. They are
impulse noise, Poisson noise and AWGN. Computed tomography
(CT) images are subjects to low quality due to the noise. Quality of
CT images is dependent on absorbed dose to patients directly in such
a way that increase in absorbed radiation, consequently absorbed
dose to patients (ADP), enhances the CT images quality. In this
manner, noise reduction techniques on purpose of images quality
enhancement exposing no excess radiation to patients is one the
challenging problems for CT images processing. In this work, noise
reduction in CT images was performed using two different
directional 2 dimensional (2D) transformations; i.e., Curvelet and
Contourlet and Discrete Wavelet Transform (DWT) thresholding
methods of BayesShrink and AdaptShrink, compared to each other
and we proposed a new threshold in wavelet domain for not only
noise reduction but also edge retaining, consequently the proposed
method retains the modified coefficients significantly that result good
visual quality. Data evaluations were accomplished by using two
criterions; namely, peak signal to noise ratio (PSNR) and Structure
similarity (Ssim).
Abstract: Objective: Sharing devastating news with patients is
often considered the most difficult task of doctors. This study aimed
to explore patients’ perceptions of receiving bad news including
which features improve the experience and which areas need refining. Methods: A questionnaire was written based on the steps of the
SPIKES model for breaking bad new. 20 patients receiving treatment
for a hematological malignancy completed the questionnaire. Results: Overall, the results are promising as most patients praised
their consultation. ‘Poor’ was more commonly rated by women and
participants aged 45-64. The main differences between the ‘excellent’
and ‘poor’ consultations include the doctor’s sensitivity and checking
the patients’ understanding. Only 35% of patients were asked their
existing knowledge and 85% of consultations failed to discuss the
impact of the diagnosis on daily life. Conclusion: This study agreed with the consensus of existing
literature. The commended aspects include consultation set-up and
information given. Areas patients felt needed improvement include
doctors determining the patient’s existing knowledge and checking
new information has been understood. Doctors should also explore
how the diagnosis will affect the patient’s life. With a poorer
prognosis, doctors should work on conveying appropriate hope. The
study was limited by a small sample size and potential recall bias.
Abstract: Numerous investigations suggest that Mesenchymal
Stem Cells (MSCs) in general represent a valuable tool for therapy of
symptoms related to chronic inflammatory diseases. Blue Horizon
Stem Cell Therapy Program is a leading provider of adult and
children’s stem cell therapies. Uniquely we have safely and
efficiently treated more than 600 patients with documenting each
procedure. The purpose of our study is primarily to monitor the
immune response in order to validate the safety of intravenous
infusion of human umbilical cord blood derived MSCs (UC-MSCs),
and secondly, to evaluate effects on biomarkers associated with
chronic inflammation. Nine patients were treated for conditions
associated with chronic inflammation and for the purpose of antiaging.
They have been given one intravenous infusion of UCMSCs.
Our study of blood test markers of 9 patients with chronic
inflammation before and within three months after MSCs treatment
demonstrates that there is no significant changes and MSCs treatment
was safe for the patients. Analysis of different indicators of chronic
inflammation and aging included in initial, 24-hours, two weeks and
three months protocols showed that stem cell treatment was safe for
the patients; there were no adverse reactions. Moreover data from
follow up protocols demonstrates significant improvement in energy
level, hair, nails growth and skin conditions. Intravenously
administered UC-MSCs were safe and effective in the improvement
of symptoms related to chronic inflammation. Further close
monitoring and inclusion of more patients are necessary to fully
characterize the advantages of UC-MSCs application in treatment of
symptoms related to chronic inflammation.
Abstract: Background: Diabetic sensorimotor polyneuropathy
(DSP) is one of the most common microvascular complications of
type 2 diabetes. Loss of sensation is thought to contribute to a lack of
static and dynamic stability and increased risk of falling. Purpose:
The purpose of this study was to compare the effects of low-level
laser (LLL) and monochromatic near-infrared photo energy (MIRE)
on pain, cutaneous sensation, static stability, and index of lower limb
blood flow in diabetic patients with peripheral neuropathy. Methods:
Forty diabetic patients with peripheral neuropathy were recruited for
participation in this study. They were divided into two groups: The
MIRE group, which contained 20 patients, and the LLL group, which
contained 20 patients. All patients who participated in the study had
been subjected to various physical assessment procedures, including
pain, cutaneous sensation, Doppler flow meter, and static stability
assessments. The baseline measurements were followed by treatment
sessions that were conducted twice a week for six successive weeks.
Results: The statistical analysis of the data revealed significant
improvement of pain in both groups, with significant improvement in
cutaneous sensation and static balance in the MIRE group compared
to the LLL group; on the other hand, the results showed no
significant differences in lower limb blood flow between the groups.
Conclusion: LLL and MIRE can improve painful symptoms in
patients with diabetic neuropathy. On the other hand, MIRE is also
useful in improving cutaneous sensation and static stability in
patients with diabetic neuropathy.
Abstract: Adequate analgesia following caesarean section
decreases morbidity, hastens ambulation, improves patient outcome
and facilitates care of the newborn. Intrathecal magnesium, an
NMDA antagonist, has been shown to prolong analgesia without
significant side effects in healthy parturients. The aim of this study
was to evaluate the onset and duration of sensory and motor block,
hemodynamic effect, postoperative analgesia, and adverse effects of
magnesium or fentanyl given intrathecally with hyperbaric 0.5%
bupivacaine in patients with mild preeclampsia undergoing caesarean
section. Sixty women with mild preeclampsia undergoing elective
caesarean section were included in a prospective, double blind,
controlled trial. Patients were randomly assigned to receive spinal
anesthesia with 2 mL 0.5% hyperbaric bupivacaine with 12.5 μg
fentanyl (group F) or 0.1 ml of 50% magnesium sulphate (50 mg)
(group M) with 0.15ml preservative free distilled water. Onset,
duration and recovery of sensory and motor block, time to maximum
sensory block, duration of spinal anaesthesia and postoperative
analgesic requirements were studied. Statistical comparison was
carried out using the Chi-square or Fisher’s exact tests and
Independent Student’s t-test where appropriate. The onset of both
sensory and motor block was slower in the magnesium group. The
duration of spinal anaesthesia (246 vs. 284) and motor block (186.3
vs. 210) were significantly longer in the magnesium group. Total
analgesic top up requirement was less in group M. Hemodynamic
parameters were similar in both the groups. Intrathecal magnesium
caused minimal side effects. Since Fentanyl and other opioid
congeners are not available throughout the country easily,
magnesium with its easy availability and less side effect profile can
be a cost effective alternative to fentanyl in managing pregnancy
induced hypertension (PIH) patients given along with Bupivacaine
intrathecally in caesarean section.
Abstract: The purpose of this study is the discrimination of 28
postmenopausal with osteoporotic femoral fractures from an agematched
control group of 28 women using texture analysis based on
fractals. Two pre-processing approaches are applied on radiographic
images; these techniques are compared to highlight the choice of the
pre-processing method. Furthermore, the values of the fractal
dimension are compared to those of the fractal signature in terms of
the classification of the two populations. In a second analysis, the
BMD measure at proximal femur was compared to the fractal
analysis, the latter, which is a non-invasive technique, allowed a
better discrimination; the results confirm that the fractal analysis of
texture on calcaneus radiographs is able to discriminate osteoporotic
patients with femoral fracture from controls. This discrimination was
efficient compared to that obtained by BMD alone. It was also
present in comparing subgroups with overlapping values of BMD.
Abstract: Background: Muscle Energy Techniques (MET) have
been widely used by manual therapists over the past years, but still
limited research validated its use and there was limited evidence to
substantiate the theories used to explain its effects. Objective: To
investigate the effect of Muscle Energy Technique (MET) on anterior
pelvic tilt in patients with lumbar spondylosis. Design: Randomized
controlled trial. Subjects: Thirty patients with anterior pelvic tilt from
both sexes were involved, aged between 35 to 50 years old and they
were divided into MET and control groups with 15 patients in each.
Methods: All patients received 3sessions/week for 4 weeks where the
study group received MET, Ultrasound and Infrared, and the control
group received U.S and I.R only. Pelvic angle was measured by
palpation meter, pain severity by the visual analogue scale and
functional disabilities by the Oswestry disability index. Results: Both
groups showed significant improvement in all measured variables.
The MET group was significantly better than the control group in
pelvic angle, pain severity, and functional disability as p-value were
(0.001, 0.0001, 0.0001) respectively. Conclusion and implication: the
study group fulfilled greater improvement in all measured variables
than the control group which implies that application of MET in
combination with U.S and I.R were more effective in improving
pelvic tilting angle, pain severity and functional disabilities than
using electrotherapy only.