Hail

Researchers are comparing two rehabilitation methods for people who have had surgery to repair flexor tendons in the hand. The study focuses on patients aged 25 to 50 who have recently undergone surgery for flexor tendon rupture in a single finger. This trial aims to determine which approach is more effective, as previous research has not clearly shown the better method. The study is randomized and controlled to provide reliable comparisons between the two treatments. Participants are assigned to one of two treatment groups: early passive mobilization (EPM) using a modified Kleinert protocol or controlled active motion (CAM) using a modified Duran technique. Each approach is designed to help patients recover movement and strength in their repaired tendons. The treatments involve specific rehabilitation exercises and protocols that are commonly used after flexor tendon repair surgery. During the study, patients are evaluated at the start, and then at 6 and 12 weeks after beginning their assigned therapy. Researchers measure the total active motion of finger joints using a device called a goniometer and assess hand grip strength with a dynamometer. They also use the Disabilities of the Arm, Shoulder, and Hand (DASH) questionnaire to understand how the injury and recovery affect daily activities. These assessments help track progress and compare the effectiveness of the two rehabilitation approaches.

Primigravida women, or first-time pregnant mothers, are the focus of this study, which aims to explore how a breastfeeding health educational program affects their breastfeeding practices and confidence in feeding their infants. Breastfeeding is described as a natural and invaluable way for mothers to nurture their babies, and this research evaluates how education can support new mothers in this important role. The study involves implementing a breastfeeding health educational program designed to improve knowledge, attitudes, and correct breastfeeding techniques among primigravida mothers. This program is behavioral in nature and seeks to empower mothers throughout the last three months of pregnancy and the first month after delivery. Participants will be assessed using structured questionnaires and the Self-Efficacy Scale - Short-Form (BSES-SF) at three months to measure changes in breastfeeding self-confidence and practices. The study takes place in maternity hospitals in Hail and Bisha City, with ongoing monitoring to ensure participants have healthy pregnancies and babies, and are not contraindicated to breastfeeding.

Researchers are evaluating the effectiveness of an obesity pathway intervention for overweight and obese adults at primary health care clinics in Hail, Saudi Arabia. The study aims to determine how well dietary advice and physical activity coaching provided by expert dieticians and health coaches help lower body weight and encourage a healthy lifestyle. This trial focuses on adults aged 18 to 60 and compares the impact of this intervention against routine care in achieving weight reduction and lifestyle improvements. The intervention involves expert health counseling that includes dietary education and a personalized physical exercise schedule. Participants receive guidance from trained nurses who provide individualized counseling on diet and physical activity. The study is designed as a six-month clustered randomized trial, with participants attending selected primary health care centers. Both the intervention group receiving counseling and the control group receiving routine care will be monitored throughout the study. Participants will have their body mass index (BMI) measured at the start, then again at three and six months to assess weight changes. Researchers will also collect information on lifestyle changes, including dietary habits and physical activity levels. The main outcomes measured are the percentage of participants who lose at least 5% of their weight and those who achieve over 70% adherence to the program. This comprehensive monitoring aims to evaluate the effectiveness of the intervention in promoting weight loss and healthy behaviors.

Researchers are evaluating the addition of a specific manual therapy technique called two-leg rotation, part of the Mulligan mobilization approach, for patients with lumbar disc-related sciatica. Sciatica results from nerve pressure caused by disc problems, leading to pain, sensory issues, and difficulty moving. This study aims to assess whether adding two-leg rotation to standard physical therapy can improve pain, flexibility, function, and sciatica symptoms, addressing a gap in current evidence supporting this technique's clinical effects. Participants will receive standard physical therapy including conventional TENS, ultrasound over nerve roots, and pelvic rocking exercises. The two-leg rotation technique involves lying with hips flexed and knees bent while a therapist gently rotates the pelvis and trunk to reduce nerve compression. This technique will be applied alongside standard therapy, with adjustments made to avoid pain. The intervention period lasts 4 weeks. Throughout the study, participants' pain levels, flexibility using the straight leg raise test, functional ability via the Oswestry disability index, and sciatica bother and frequency will be measured before and after the 4-week intervention. These assessments will help determine the impact of adding two-leg rotation to physical therapy for sciatica due to lumbar disc problems.