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I, S. E. D., A. E. A. A. H, M. W, M. K, E. B. D, and H. W, "The conformal 3D radiation therapy plan is not far beyond the intensity modulated radiation therapy concerning cochlear sparing in the treatment of posterior fossa boost in children with high risk medulloblastoma", ESTRO Conference , Vienna,Austria , April, 2014. Abstractwedads_estro_poster.ppt

IMRT technique was clearly able to improve conformity index and homogeneity index. Also, it was able to significantly decrease the dose to most of the risk structures. Yet the cochlear doses did not differ significantly, and it was within the organ's tolerance in all plans.

I, C., C. K, N. C, A. L, B. F, P. M, T. S, and T. J, "Sleep evoked delta frequency responses show a linear decline in amplitude across the adult lifespan", Neurogiology of Aging, vol. 31, issue 5, pp. 874-883, 2010.
I, R., M. H, Nabil N, A. S, H. A, E. adawy A, Ahmed M, and Mukhtar A, "Evaluation of Perfusion Index as a Predictor of Vasopressor Requirement in Patients with Severe Sepsis", Shock, vol. 44, issue 6, pp. 554-559, 2015.
I, A. M., F. H, F. R, and S. M, "Genetic Virulence Profile of Helicobacter pylori from a Pediatric Egyptian Population.", The 104th General Meeting of The American Society For Microbiology, Ernest N. Morial Convention Center, New Orleans, LA – USA, 24 May, 2004.
I, A., H. M. Elagrab, M. M. Hamoud, A. M. Gamal, M. R. Mousa, S. A. E. Nasr, M. A. H. El Shater, S. E. Laban, O. K. Zahran, and M. M. Ali, Effect of acidified drinking water by organic acids on broiler performance and gut health, , vol. 8, issue 12, pp. 1301 - 1309, 2020. Abstract
I, A., I. Fakhr, A. Mostafa, and M. Sherbeny, "P009 Neobladder long term follow up", European Urology Supplements, vol. 12, no. 6: Elsevier, pp. 134, 2013. Abstract

Purpose: This study was conducted to test the hypothesis that improvement of cervical lordosis in CSR, using 3-point bending traction, will improve the clinical features in a sample population of patients suffering from Cervical Spondylotic Radiculopathy( CSR )with defined cervical hypo-lordosis.
Relevance: This study assists in the understanding of the association between sagittal curve alignment and lasting improved function providing physiotherapists with a guidelines for proper rehabilitation of CSR.
Participants: Thirty patients with lower CSR and with a cervical hypo-lordosis were included in the study. The patients were assigned randomly into two groups of equal number, study and control groups.
Methods: Both groups received stretching exercises and infrared radiation; additionally the study group received 3 point bending cervical traction. Treatments were applied 3 x per week for 10 weeks after which a 12 week follow up was performed. The peak to peak amplitude of dermatomal somatosensory evoked potentials (DSSEPS), absolute rotation angle (ARA C2-C7), cervical flexion-extension kinematics analysis, and visual analogue scale (VAS) were measured for all patients at three intervals (initial, after 10 weeks of treatment, and at follow up of 3 months).
Analysis: The outcome measure of ARA, pain, peak to peak DSSEPS, and kinematics analysis of cervical spine were measured using repeated measures one-way ANOVA to compare measurements made at three intervals.
Results: In the study group, an increase in cervical lordosis (ARA C2-C7) was found (p< 0.0001, F=49.81) and maintained at follow up. No statistically significant improvement in lordosis was found for the control group. A Significant reduction in VAS for study group after 10 weeks of treatment and at 12 weeks follow up was found. In contrast, there was a less significant decrease in post treatment VAS and the follow up measures revealed a significant increase in the VAS score towards initial baseline values. An inverse linear correlation between increased lordosis and VAS was found (r=-.49; p=0.0059) for both groups initially and maintained in the study group post treatment (r=-.6; p=0.0138). At 10-week follow up, we found statistically significant improvements in DSSEPS for both groups (one way ANNOV, p< 0.0001). However, at 12 week post treatment follow up, only the study group showed statistically significant improvement compared to initial (p < 0.006) whereas the control group values returned to baseline measurement (p<0.153). We identified a linear correlation between initial DSSEPs and ARA for both groups (r=.65; p<0.0001), where as this relationship was only maintained in the study group at final follow-up (r=.55; p=0.033).
Conclusions: Improved lordosis in the study group was associated with significant improvements in nerve root function, VAS rating, and translational and rotational motions of the lower cervical spine. Only in the study group were the results maintained at long-term follow up.
Implications: Appropriate physical rehabilitation for CSR should include cervical sagittal curve correction, as it is may to lead greater and longer lasting improved function.
Key-words: 1. cervical sagittal curve 2. 3-point beding traction 3. DSSEPS
Funding acknowledgements: This study was unfunded.
Ethics approval: institutional review board approval was obtained before the study was initiated from Cairo University´s ethics committee.
Session name:

Programme track/theme:
Professional Practice - MUSCULOSKELETAL: Spine

I, A., K. Y. El-Nagmy, and M. O. Abd-Elsamee, "The effect of dietary protein and yeast culture levels on performance of growing Japanese quails.", Egypt. Poult. Sci., vol. 20, pp. 777-787, 2000. Abstract
I, I., G. R, E. H. S, E. S. A, S. I, E. G. N, A. - Y. H, A. A, and W. RP, "Serum bilirubin and bilirubin/albumin ratio as predictors of bilirubin encephalopathy.", Pediatrics, vol. 10, issue 1542, pp. 1330-1339, 2014.
I, A., Khali, and H. M. Bayoumy, "Psychological Motives and Vulnerability for Pulmonary Dysfunction among Tobacco Smokers", Journal of American Science, vol. 7, issue 8, 2012. cu_pdf.pdf
I, W., S. G, Qaqish R, E. G, Yosry, A, H. M, S. R, Mohey M, Allam N, Z. N, et al., "Ombitasvir, paritaprevir, and ritonavir plus ribavirin for chronic hepatitis C virus genotype 4 infection in Egyptian patients with or without compensated cirrhosis (AGATE-II): a multicentre, phase 3, partly randomised open-label trial.", The Lancet Gastroenterology & Hepatology , vol. 2016 Sept.;1, issue (1), pp. 36–44., 2016.
I, D., Nesseem, and M. Shoukry, "Evaluation of two in situ gelling systems for ocular delivery of Moxifloxacin:In vitro and in vivo studies", Chem. Pharm. Res., , vol. 3, issue 2, pp. 66-79 , 2011.
I, Y., M. S, F. R, and S. H, "Novel marker for the detection of sickle cell nephropathy: soluble FMS-like tyrosine kinase-1 (sFLT-1).", Pediatric Nephrology, vol. 30, issue 12, pp. 2163-2168, 2015. s-flt_1_in_scn.pdf
I, E., M. B, I. DK, and A. E. F. DG, "Multidrug-resistant hospital-associated-infections in pediatric intensive care units", International aJournal of advances in health Sciences , vol. 3, pp. 88-99, 2016. ijhs_32201604_bassant.pdf
I, G., M. M, and E. S. G, "Neopterin versus oxidative stress indicators among Egyptian workers in marble industry. ", Egyptian Journal of Occupational Medicine. , vol. 39, issue 1, pp. 67- 84, 2015.
I A Abd El Gawad, M. S., "Enzymatic activities in colostrum and normal goat’s milk.", Bull. Fac. of Agric., Univ. of Cairo Egypt, vol. 35, issue 2, pp. 1031, 1984. Abstract
I A Abd El Gawad, M M Metwally, S. E. - N. A. K. E., "Spray drying of lactic acid cultures. II. The effect of culture conditions and storage on microorganisms survival.", Egyptian J. Dairy Sci.,, vol. 17, pp. 273, 1989. Abstract
I A Abd El Gawad, R S Farag, M. E. A., "Effect of milk kind and processing on fatty acid composition of milk fat", Annals of Agric. Sci., Moshtohor (Egypt), vol. 28, issue 1, pp. 449, 1990. Abstract
I A Abd El Gawad, A A Ali, R. M. F. A. A. M., "Effect cold-storage on some physico-chemical and microbiological properties of cow’s and buffaloe’s milk .", Bulletin of Faculty of Agriculture, University of Cairo, vol. 35, issue 1, pp. 347, 1984. Abstract