Papers by Dr. YOUSEF ALSHEHRE
BMC Women's Health
Background The prevalence of falls among mothers (18–49 years old) in Saudi Arabia has been overl... more Background The prevalence of falls among mothers (18–49 years old) in Saudi Arabia has been overlooked and understudied. Therefore, the study aimed to identify the 1-year prevalence, rate of falls, and consequent injuries among mothers in Saudi Arabia. Methods In this cross-sectional study, a self-administered online questionnaire, including sociodemographic data and questions related to the history of falls and consequent injuries during the past 12 months, was disseminated through social media in Saudi Arabia. Results A convenience sample of 986 mothers were voluntarily recruited for this study with a median age of 33 years and an interquartile range of 10 years. The 1-year prevalence of falls among mothers was 14.1 % (n = 139), and 52.5 % (n = 73/139) of the fallers experienced more than one fall. Among mothers who had experienced a fall, 25.4 % (n = 33/139) experienced a fall incident during pregnancy. The reported consequences of falls were pain in 37.4 % (n = 52/139), muscle a...
Medicine and Science in Sports and Exercise, Jun 1, 2019
The Journal of Pain, Apr 1, 2019
The Journal of Pain, Apr 1, 2019
International Journal of Genetics, Feb 18, 2015
Bioactive vitamin D or calcitriol is a steroid hormone that has long been known for its important... more Bioactive vitamin D or calcitriol is a steroid hormone that has long been known for its important role in regulating body levels of calcium and phosphorus, and in mineralization of bone. More recently, it has become clear that receptors for vitamin D are present in a wide variety of cells, and that this hormone has biologic effects which extend far beyond control of mineral metabolism. Detailed mechanistic insights have unveiled new maps of linear and integrated signal transduction cascades, but the multifaceted nature of the pathways remains unclear. The genomic action of calcitriol (1,25-dihydroxy-vitamin D3) is mediated through the interaction of the calcitriol receptor (VDR) with vitamin D response elements (VDREs), a phosphoprotein which binds the hormone with high affinity and regulates the expression of genes via zinc finger- mediated DNA binding and protein- protein interactions. Regulation of microRNA (miRNA) by the VDR appears to be important to mediate its actions, for example, to control cell growth. More than 111 miRNAs significantly modulate by 1α,25(OH) 2 D 3 treatment.
The International journal of sports physical therapy, Jun 1, 2021
Background Low back pain (LBP) is one of the most common complaints in individuals who seek medic... more Background Low back pain (LBP) is one of the most common complaints in individuals who seek medical care and is a leading cause of movement impairments. The Functional Movement Screen (FMS™) was developed to evaluate neuromuscular impairments during movement. However, the reliability and validity of the FMS™ have not yet been established for the LBP population because of a limitation of its original scoring system. Purpose The purposes of this study were to determine the reliability and validity of the FMS™ with a modified scoring system in young adults with and without LBP. The FMS™ scores were modified by assigning a zero score only when there was an increase in LBP during the FMS™, not simply for the presence of pain, as in the original FMS™ scoring system. Study Design Reliability and validity study. Methods Twenty-two participants with LBP (8 males and 14 females, 26.7 ± 4.68 years old) and 22 age-and gender-matched participants without LBP (26.64 ± 4.20 years old) completed the study. Each participant performed the FMS™ once while being scored simultaneously and independently by two investigators. In addition, each participant's FMS™ performance was video-recorded and then was scored by another two investigators separately. The video-recorded performance also was scored twice six weeks apart by the same investigator to determine intra-rater reliability. Results The results showed excellent inter-rater and intra-rater reliability of the FMS™ composite score with intraclass correlation coefficients ranging from 0.93 to 0.99 for both groups. In addition, the LBP group scored significantly lower than the group without LBP (p = 0.008). Conclusions The results indicate that the FMS™ is able to distinguish between individuals with and without LBP, and that it could be a useful test for clinicians to quantify movement quality and to assess movement restrictions in individuals with LBP.
Journal of the Pakistan Medical Association
Objectives: To investigate the prevalence of musculoskeletal disorders, and to explore the associ... more Objectives: To investigate the prevalence of musculoskeletal disorders, and to explore the association between maternal positioning and musculoskeletal pain among lactating women. Methods: The cross-sectional survey-based study was conducted from January to May 2022 at buraidah, Saudi Arabia, and comprised Arabic-speaking women aged 18-49 years who were breastfeeding. Sociodemographic and clinical data related to musculoskeletal disorders was collected using a redesigned questionnaire through Twitter and WhatsApp platforms. Data was analysed using SPSS 28. Results: Of the 474 women who responded, 192(40.7%) were excluded because they did not meet the eligibility criteria. The sample comprised 281(59.3%) women. The median age was 33 years with an interquartile range of 10 years 71(25.3%). Overall, 163(58%) subjects reported musculoskeletal pain caused by breastfeeding, 78(27.8%) experienced musculoskeletal pain with breastfeeding, 43(15.3%) considered discontinuing breastfeeding, an...
Healthcare
Neck pain is a widespread medical condition among office workers worldwide. This study aimed to c... more Neck pain is a widespread medical condition among office workers worldwide. This study aimed to compare physical exercises, including basic body awareness, neck-specific training exercises and ergonomic modifications, and ergonomic modifications alone in the management of chronic non-specific neck pain (NSNP) among office workers. Sixty participants were randomly allocated to an experimental group (physical exercises and ergonomic modifications) or a control group (ergonomic modifications) and received the intervention two times a week for eight weeks. The Numerical Pain Rating Scale, Neck Disability Index, Health and Safety Stress Tool, and Short Form Health Survey-36 were used to measure pain, disability, job stress, and quality of life at baseline, and at weeks 4 and 8 of the study period. A repeated measure ANOVA was used to determine the within-group significant differences and an independent t-test was utilized to compare group differences. The baseline data of the experimenta...
The International journal of sports physical therapy, Jun 1, 2021
Background Individuals with chronic low back pain (CLBP) may demonstrate reduced ability to perfo... more Background Individuals with chronic low back pain (CLBP) may demonstrate reduced ability to perform dynamic tasks due to fear of additional pain and injury in response to the movement. The Y-balance test (YBT) is a functional and inexpensive test used with various populations. However, the reliability and validity of the YBT used for assessing dynamic balance in young adults with CLBP have not yet been examined. Purpose To determine the inter-rater reliability of the YBT and to compare dynamic balance between young adults with CLBP and an asymptomatic group. Study Design Reliability and validity study. Methods Fifteen individuals with CLBP (≥ 12 weeks) and 15 age-and gender-matched asymptomatic adults completed the study. Each group consisted of 6 males and 9 females who were 21-38 years of age (27.47 ± 5.0 years). The YBT was used to measure participant's dynamic balance in the anterior (ANT), posteromedial (PM) and posterolateral (PL) reach directions. The scores for each participant were independently determined and recorded to the nearest centimeter by two raters. Both the YBT reach distances and composite scores were collected from the dominant leg of asymptomatic individuals and the involved side of participants with CLBP and were used for statistical analysis. Results The YBT demonstrated excellent inter-rater reliability, with intraclass correlation coefficients ranging from 0.99 to 1.0 for the YBT scores of both asymptomatic and CLBP groups. The CLBP group had lower scores than those of the asymptomatic group in the reach distances of the ANT (p = 0.023), PM (p < 0.001), and PL (p = 0.001) directions, and the composite scores (p < 0.001). Conclusions The results demonstrated excellent inter-rater reliability and validity of the YBT for assessing dynamic balance in the CLBP population. The YBT may be a useful tool for
International Journal of Environmental Research and Public Health, Apr 21, 2023
This article is an open access article distributed under the terms and conditions of the Creative... more This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY
Archives of Physical Medicine and Rehabilitation
The Journal of Pain, 2019
The Journal of Pain, 2019
International Journal of Sports Physical Therapy
Introduction Low back pain (LBP) is a musculoskeletal disorder that affects more than 80% of peop... more Introduction Low back pain (LBP) is a musculoskeletal disorder that affects more than 80% of people in the United States at least once in their lifetime. LBP is one of the most common complaints prompting individuals to seek medical care. The purpose of this study was to determine the effects of spinal stabilization exercises (SSEs) on movement performance, pain intensity, and disability level in adults with chronic low back pain (CLBP). Methods Forty participants, 20 in each group, with CLBP were recruited and randomly allocated into one of two interventions: SSEs and general exercises (GEs). All participants received their assigned intervention under supervision one to two times per week for the first four weeks and then were asked to continue their program at home for another four weeks. Outcome measures were collected at baseline, two weeks, four weeks, and eight weeks, including the Functional Movement ScreenTM (FMSTM), Numeric Pain Rating Scale (NPRS), and Modified Oswestry Lo...
The Oslo Sports Trauma Research Center (OSTRC) back injury prevention program (IPP) is an evidenc... more The Oslo Sports Trauma Research Center (OSTRC) back injury prevention program (IPP) is an evidence-based injury prevention exercise designed to prevent back pain and other related injuries. The aim of this study was to assess the implementation of the OSTRC Back IPP among professional basketball, handball, soccer, and volleyball players in the Gulf Cooperation Council (GCC) countries. The survey was developed by the study authors and it consisted of two sections: the socio-demographic and questionnaire assess the implementation of OSTRC Back IPP. A total of 360 athletes responded to the survey (response rate was 93.75%). The mean (±SD) of the total implementation score was 6.6 (±1.8) out of 13. Jumping lunges exercise was the highest implemented exercise, making up 56.1% of the participated players, followed by the side plank and jump turns 53.3% and 53.1%, respectively. In contrast, the lowest implemented exercise was the rotational strength exercise which accounts for 46.4%. There...
International Journal of Sports Physical Therapy, 2021
Background: Individuals with chronic low back pain (CLBP) may demonstrate reduced ability to perf... more Background: Individuals with chronic low back pain (CLBP) may demonstrate reduced ability to perform dynamic tasks due to fear of additional pain and injury in response to the movement. The Y-balance test (YBT) is a functional and inexpensive test used with
various populations. However, the reliability and validity of the YBT used for assessing
dynamic balance in young adults with CLBP have not yet been examined.
Purpose: To determine the inter-rater reliability of the YBT and to compare dynamic balance between young adults with CLBP and an asymptomatic group. Study Design:
Reliability and validity study. Methods: Fifteen individuals with CLBP (≥ 12 weeks) and 15 age- and gender-matched asymptomatic adults completed the study. Each group consisted of 6 males and 9 females who were 21-38 years of age (27.47 ± 5.0 years). The YBT was used to measure participant’s dynamic balance in the anterior (ANT), posteromedial (PM) and posterolateral (PL) reach directions. The scores for each participant were independently determined and recorded to the nearest centimeter by two raters. Both the YBT reach distances and composite scores were collected from the dominant leg of asymptomatic individuals and the involved side of participants with CLBP and were used for statistical analysis. Results: The YBT demonstrated excellent inter-rater reliability, with intraclass correlation coefficients ranging from 0.99 to 1.0 for the YBT scores of both asymptomatic and CLBP groups. The CLBP group had lower scores than those of the asymptomatic group in the reach distances of the ANT (p = 0.023), PM (p < 0.001), and PL (p = 0.001) directions, and the composite scores (p < 0.001). Conclusions: The results demonstrated excellent inter-rater reliability and validity of the YBT for assessing dynamic balance in the CLBP population. The YBT may be a useful tool for clinicians to assess dynamic balance deficits in patients with CLBP.
International Journal of Sports Physical Therapy, 2021
Background
Low back pain (LBP) is one of the most common complaints in individuals who seek
m... more Background
Low back pain (LBP) is one of the most common complaints in individuals who seek
medical care and is a leading cause of movement impairments. The Functional Movement Screen (FMS™) was developed to evaluate neuromuscular impairments during movement. However, the reliability and validity of the FMS™ have not yet been established for the LBP population because of a limitation of its original scoring system.
Purpose
The purposes of this study were to determine the reliability and validity of the FMS™
with a modified scoring system in young adults with and without LBP. The FMS™ scores were modified by assigning a zero score only when there was an increase in LBP during the FMS™, not simply for the presence of pain, as in the original FMS™ scoring system.
Study Design: Reliability and validity study.
Methods
Twenty-two participants with LBP (8 males and 14 females, 26.7 ± 4.68 years old) and 22 age- and gender-matched participants without LBP (26.64 ± 4.20 years old) completed the study. Each participant performed the FMS™ once while being scored simultaneously and independently by two investigators. In addition, each participant’s FMS™ performance was video-recorded and then was scored by another two investigators separately. The video-recorded performance also was scored twice six weeks apart by the same investigator to determine intra-rater reliability.
Results
The results showed excellent inter-rater and intra-rater reliability of the FMS™
composite score with intraclass correlation coefficients ranging from 0.93 to 0.99 for both groups. In addition, the LBP group scored significantly lower than the group without LBP (p = 0.008).
Conclusions
The results indicate that the FMS™ is able to distinguish between individuals with and
without LBP, and that it could be a useful test for clinicians to quantify movement quality and to assess movement restrictions in individuals with LBP.
Levels of Evidence: 2b.
International Journal of Genetics Cancer, Feb 18, 2015
Medicine & Science in Sports & Exercise
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Papers by Dr. YOUSEF ALSHEHRE
various populations. However, the reliability and validity of the YBT used for assessing
dynamic balance in young adults with CLBP have not yet been examined.
Purpose: To determine the inter-rater reliability of the YBT and to compare dynamic balance between young adults with CLBP and an asymptomatic group. Study Design:
Reliability and validity study. Methods: Fifteen individuals with CLBP (≥ 12 weeks) and 15 age- and gender-matched asymptomatic adults completed the study. Each group consisted of 6 males and 9 females who were 21-38 years of age (27.47 ± 5.0 years). The YBT was used to measure participant’s dynamic balance in the anterior (ANT), posteromedial (PM) and posterolateral (PL) reach directions. The scores for each participant were independently determined and recorded to the nearest centimeter by two raters. Both the YBT reach distances and composite scores were collected from the dominant leg of asymptomatic individuals and the involved side of participants with CLBP and were used for statistical analysis. Results: The YBT demonstrated excellent inter-rater reliability, with intraclass correlation coefficients ranging from 0.99 to 1.0 for the YBT scores of both asymptomatic and CLBP groups. The CLBP group had lower scores than those of the asymptomatic group in the reach distances of the ANT (p = 0.023), PM (p < 0.001), and PL (p = 0.001) directions, and the composite scores (p < 0.001). Conclusions: The results demonstrated excellent inter-rater reliability and validity of the YBT for assessing dynamic balance in the CLBP population. The YBT may be a useful tool for clinicians to assess dynamic balance deficits in patients with CLBP.
Low back pain (LBP) is one of the most common complaints in individuals who seek
medical care and is a leading cause of movement impairments. The Functional Movement Screen (FMS™) was developed to evaluate neuromuscular impairments during movement. However, the reliability and validity of the FMS™ have not yet been established for the LBP population because of a limitation of its original scoring system.
Purpose
The purposes of this study were to determine the reliability and validity of the FMS™
with a modified scoring system in young adults with and without LBP. The FMS™ scores were modified by assigning a zero score only when there was an increase in LBP during the FMS™, not simply for the presence of pain, as in the original FMS™ scoring system.
Study Design: Reliability and validity study.
Methods
Twenty-two participants with LBP (8 males and 14 females, 26.7 ± 4.68 years old) and 22 age- and gender-matched participants without LBP (26.64 ± 4.20 years old) completed the study. Each participant performed the FMS™ once while being scored simultaneously and independently by two investigators. In addition, each participant’s FMS™ performance was video-recorded and then was scored by another two investigators separately. The video-recorded performance also was scored twice six weeks apart by the same investigator to determine intra-rater reliability.
Results
The results showed excellent inter-rater and intra-rater reliability of the FMS™
composite score with intraclass correlation coefficients ranging from 0.93 to 0.99 for both groups. In addition, the LBP group scored significantly lower than the group without LBP (p = 0.008).
Conclusions
The results indicate that the FMS™ is able to distinguish between individuals with and
without LBP, and that it could be a useful test for clinicians to quantify movement quality and to assess movement restrictions in individuals with LBP.
Levels of Evidence: 2b.
various populations. However, the reliability and validity of the YBT used for assessing
dynamic balance in young adults with CLBP have not yet been examined.
Purpose: To determine the inter-rater reliability of the YBT and to compare dynamic balance between young adults with CLBP and an asymptomatic group. Study Design:
Reliability and validity study. Methods: Fifteen individuals with CLBP (≥ 12 weeks) and 15 age- and gender-matched asymptomatic adults completed the study. Each group consisted of 6 males and 9 females who were 21-38 years of age (27.47 ± 5.0 years). The YBT was used to measure participant’s dynamic balance in the anterior (ANT), posteromedial (PM) and posterolateral (PL) reach directions. The scores for each participant were independently determined and recorded to the nearest centimeter by two raters. Both the YBT reach distances and composite scores were collected from the dominant leg of asymptomatic individuals and the involved side of participants with CLBP and were used for statistical analysis. Results: The YBT demonstrated excellent inter-rater reliability, with intraclass correlation coefficients ranging from 0.99 to 1.0 for the YBT scores of both asymptomatic and CLBP groups. The CLBP group had lower scores than those of the asymptomatic group in the reach distances of the ANT (p = 0.023), PM (p < 0.001), and PL (p = 0.001) directions, and the composite scores (p < 0.001). Conclusions: The results demonstrated excellent inter-rater reliability and validity of the YBT for assessing dynamic balance in the CLBP population. The YBT may be a useful tool for clinicians to assess dynamic balance deficits in patients with CLBP.
Low back pain (LBP) is one of the most common complaints in individuals who seek
medical care and is a leading cause of movement impairments. The Functional Movement Screen (FMS™) was developed to evaluate neuromuscular impairments during movement. However, the reliability and validity of the FMS™ have not yet been established for the LBP population because of a limitation of its original scoring system.
Purpose
The purposes of this study were to determine the reliability and validity of the FMS™
with a modified scoring system in young adults with and without LBP. The FMS™ scores were modified by assigning a zero score only when there was an increase in LBP during the FMS™, not simply for the presence of pain, as in the original FMS™ scoring system.
Study Design: Reliability and validity study.
Methods
Twenty-two participants with LBP (8 males and 14 females, 26.7 ± 4.68 years old) and 22 age- and gender-matched participants without LBP (26.64 ± 4.20 years old) completed the study. Each participant performed the FMS™ once while being scored simultaneously and independently by two investigators. In addition, each participant’s FMS™ performance was video-recorded and then was scored by another two investigators separately. The video-recorded performance also was scored twice six weeks apart by the same investigator to determine intra-rater reliability.
Results
The results showed excellent inter-rater and intra-rater reliability of the FMS™
composite score with intraclass correlation coefficients ranging from 0.93 to 0.99 for both groups. In addition, the LBP group scored significantly lower than the group without LBP (p = 0.008).
Conclusions
The results indicate that the FMS™ is able to distinguish between individuals with and
without LBP, and that it could be a useful test for clinicians to quantify movement quality and to assess movement restrictions in individuals with LBP.
Levels of Evidence: 2b.