وسام عبد الرحمن الدبس

ASUجامعة العلوم التطبيقية الخاصة - الصفحة الرئيسيةكلية العلوم الطبية المساندةوسام عبد الرحمن الدبسالأبحاث

الأبحاث

Research Title :Multicomponent exercise intervention for preventing falls and improving physical functioning in older adult nursing home residents: study protocol for a randomised controlled trial

Authors : Munseef Sadaqa, Wesam A. Debes, Zsanett Németh, Zsófia Bera-Baka, Marianna Vachtler-Szepesi, Loretta Nácziné Földes, Viktória Prémusz & Márta Hock

Abstract :Background Falls are a global problem for older people, as they are among the main reasons for injury and death in this population. Falls incidence is about three times higher among older adults in long-term care facilities than in the community. Globally in the recent decades we witnessed advances in medicine and public health, and that the older population is leading an active and a healthier lifestyle. Yet, ageing is still associated with diminished functional ability, reduced mobility, limited independency, as well as falls. Among the risk factors of these are loss of muscle mass, function, and strength (sarcopenia and dynapenia), in addition to balance and cognitive impairments. Fortunately, these risk factors are modifiable and preventable through exercises. Thus, we aim to evaluate the effect of a multicomponent exercise programme on the number of falls and physical function in nursing homes residents aged 65 years and over. Additionally, we aim to investigate potential risk factors of falls. Methods A single-blind, parallel randomized controlled trial of 12 weeks will be conducted. Older people aged 65 years and over, will be recruited from nursing homes. Participants will be randomised to either intervention group or control group through stratified randomization, based on age, gender, and baseline values of Short Physical Performance Battery using a random generator, then baseline assessments will be performed to avoid a long interval between participant assessment and the beginning of the interventions. Primary outcome will be number of all falls during the intervention. Secondary outcomes will include Short Physical Performance Battery, Six-minute Walking Test, Timed Up and Go Test, Single Leg Stance Test, and Functional Reach Test. Within groups differences will be analysed using either paired sample t-test, or Wilcoxon test. Poisson Regression to predict number of falls based on baseline data. Discussion This trial will address the inconsistence and inconclusive evidence about the effect of multicomponent exercise programme on falls in long-term care facility older residents and will investigate the gap in evidence of the effects of exercise at moderate intensity on the residents. Trial registration ClinicalTrials.gov Identifier: NCT05835297, registered on 28 April 2023.

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Research Title :Prevalence and Risk Factors of Self-Reported Symptoms Consistent with Carpal Tunnel Syndrome Among Dentists in Jordan

Authors :carpal tunnel syndrome; dentists; occupational health; musculoskeletal disorders; Boston Carpal Tunnel Questionnaire

Abstract :Background: Dentists are at an increased risk of developing musculoskeletal disorders, particularly carpal tunnel syndrome (CTS), due to repetitive hand movements, awkward postures, and sustained grip forces. This study aimed to investigate the prevalence and risk factors of self-reported wrist and hand symptoms and clinically relevant CTS indicators among dentists in Jordan. Methods: A cross-sectional study was conducted among 201 licensed dentists in Jordan. Participants completed demographic questionnaires and the Valid Arabic version Boston Carpal Tunnel Questionnaire (BCTQ) to assess their symptom severity and hand function. Data was analyzed using STATA version 17, applying descriptive statistics, chi-squared tests, t-tests, ANOVA, and multivariable linear regression to evaluate association between sociodemographic factors and BCTQ scores. Results: Of the 201 participants, 64.2% were female and 35.8% were male. Female dentists were significantly younger (median age 31 vs. 39 years, p < 0.001), reported higher symptom severity (median score 18.0 vs. 16.0, p = 0.019), and experienced greater functional limitations (median score 15 vs. 9, p < 0.001) than male dentists. The overall mean symptom severity score was 19.12 (SD = 7.82), and the functional impairment score was 14.20 (SD = 6.37), indicating mild pain and functional limitation. Multivariable regression revealed that male sex was associated with significantly lower symptom scores (β = 0.7, p = 0.001) and better function (β = 0.722, p = 0.002). Geographic location, higher education level (PhD), and full-time employment were associated with higher symptom scores in the study. Conclusions: Wrist and hand symptoms are prevalent among dentists in Jordan, with significant sex differences in symptom severity and functional impairment. Geographic location, academic degree, and working hours were significant predictors of CTS-related symptoms. These findings underscore the need for ergonomic interventions and targeted preventive strategies, especially for high-risk groups, such as female and full-time practitioners.

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Research Title :Sarcopenia risk as a predictor of urinary incontinence in women aged 50 and older: a cross-sectional analysis

Authors : Wesam A. Debes, Munseef Sadaqa, Pongrác Ács, Kálmán Kovács, Viktória Prémusz & Márta Hock

Abstract :Urinary Incontinence (UI) has multiple negative effects on women’s health. Multiple risk factors were investigated previously in different settings and populations. This study aims to determine the association between UI and the risk of sarcopenia and other associated risk factors among women above the age of 50 years in Hungary. This cross-sectional study included 215 women aged ≥ 50 years. Participants were recruited from community-dwelling and nursing homes. The survey included medical and obstetric information, UI was assessed using the International Consultation on Incontinence Questionnaire Lower Urinary Tract Symptoms Modules (ICIQ-FLUTS), and risk of sarcopenia was assessed by SARC-F. This study adhered to the Strengthening the Reporting of Observational Studies in Epidemiology Statement (STROBE) checklist for cross-sectional studies to report the results. The protocol for the study was registered on clinicaltrials.gov under the identifier NCT05313360. Four hundred and thirty-four individuals were invited to participate, and at the final stage, 215 participants were available for the final analysis. In addition to the risk of sarcopenia, age when giving the first delivery and the number of complications during birth were risk factors for UI. Further longitudinal studies are recommended to investigate the association over extended periods.

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Research Title :Extracorporeal shockwave therapy as a treatment option for shoulder impingement syndrome: a systematic review and meta-analysis

Authors : Ahmad Aldardour, Ahmad R. Al-Qudimat, Mohammad Etoom, Shefa’a Alnammaneh, Wesam al Debes, Loiy Khasaweneh, Alaa Abd-Alrazaq, Sunitha Mysore & Muhammed Al-Jarrah

Abstract :Background Shoulder impingement syndrome (SIS) is a common alignment syndrome that causes significant discomfort and functional limitations. In recent years, extracorporeal shock wave therapy (ESWT) has gained attention as a promising non-invasive treatment for SIS. However, its effectiveness remains controversial. This review aimed to elucidate the efficacy of ESWT in SIS by analyzing data from randomized controlled trials (RCTs). Material and methods :A systematic review of randomized controlled trials (RCTs) was conducted. Search sources included 3 databases, the references list of the included studies that cited the included studies. In total, 2 reviewers (S.N. and L.K.) independently conducted the study selection. W.D. and A.A. carried out data extraction, risk of bias assessment, and quality of evidence appraisal. Extracted data were synthesized using a statistical approach (standard meta-analysis methodologies). A random-effects model was employed to account for potential heterogeneity across studies. Effect sizes were reported as standardized mean differences (SMD) with corresponding 95% confidence intervals (CI). Heterogeneity was assessed using Cochran’s Q test, with statistical significance set at p < 0.05, and quantified using I2 statistics. Results: Our meta-analysis revealed that all four included studies (100%) showed a low risk of bias across all five assessed domains, indicating strong methodological quality and reliability of the findings. Furthermore, this meta-analysis revealed that ESWT significantly reduced pain in patients with SIS over 2–3 months. The pooled analysis demonstrated a marked improvement in pain 2.18 (95% CI: 0.45 to 3.90, I2 = 0%). Furthermore, the ESWT group demonstrated a significant difference from the other interventional group in terms of SPADI alleviation in 2–3 months 19.46 (95% CI: 5.12 to 33.79, I2 = 0%).Conclusion:This review and meta-analysis highlighted that shockwave therapy is more efficient than other interventions in reducing pain and enhancing functional activities in adults with SIS in 2–3 months period. This systematic review supports the integration of ESWT protocols into clinical practice based on symptom severity and chronicity of SIS. The findings offer valuable guidance for future research and highlight the need for standardized approaches to optimize treatment outcomes.

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Research Title :Assessing well-being among university students

Authors :Farah Abu Khadra, Wessam A. Debes, Lina Takruri, Zoltán Csapek, Bendegúz Kertai, Sára Jeges, Ákos Levente Tóth,

Abstract :In this paper, we aimed to define well-being challenges and how they relate to life satisfaction. A total of 112 Jordanian and 178 Hungarian students participated in the survey. Parametric, nonparametric statistical tests and confirmatory factor analysis were conducted to determine the optimal living profile. Group differences were analyzed to identify life satisfaction predictors. The findings revealed that Jordanians scored higher across all well-being dimensions, specifically in intellectual (mean 4.05 vs. 3.02) and emotional health (mean 3.95 vs. 3.00), with greater social support and optimism. Emotional and social health strongly predicted life satisfaction by 83.4%. This suggests that cultural background significantly impacts well-being and highlights the importance of university support for all students.

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Research Title :Validation of the Hungarian Version of the International Consultation on Incontinence Modular Questionnaire on Female Lower Urinary Tract Symptoms (ICIQ-FLUTS)

Authors :by Wesam A. Debes ,Munseef Sadaqa,Alexandra Makai ,Olívia Dózsa-Juhász ,Nikolett Tumpek ,Judit Kocsis ,Pongrác Ács,,Réka Laura Szűcs,Zsanett Németh ,Viktória Prémusz, and Marta Hock

Abstract :Objectives: Urinary incontinence (UI) is a prevalent condition that significantly impacts the quality of life. This study aimed to validate the Hungarian version of the International Consultation on Incontinence Questionnaire-Female Lower Urinary Tract Symptoms (ICIQ-FLUTS) and assess its psychometric properties in the context of the Hungarian population. Study design: A cross-sectional study involved 215 Hungarian-speaking women with a mean age of 67.6 ± 11.9 years. Main outcome measure: Participants were administered both the ICIQ-FLUTS and the International Consultation on Incontinence Questionnaire-Short Form (ICIQ-SF). The psychometric analysis included test–retest reliability, convergent validity, and internal consistency. Results: The Hungarian version of ICIQ-FLUTS demonstrated strong psychometric properties. The test–retest reliability analysis showed a high intraclass correlation coefficient (ICC = 0.921), indicating excellent agreement between measurements over a 14-day interval. Convergent validity was supported by a strong positive correlation between the total scores of ICIQ-FLUTS and ICIQ-SF (ρ = 0.686, p < 0.001), emphasizing shared underlying constructs. Furthermore, the ICIQ-FLUTS questionnaire exhibited good internal consistency, with a Cronbach’s α coefficient of 0.862. Conclusions: This study successfully validated the Hungarian version of the ICIQ-FLUTS questionnaire and demonstrated its robust psychometric properties. This tool will enable healthcare practitioners and researchers to effectively assess and address UI’s impact on their quality of life.

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Research Title :Effect of Resistance Exercise on Body Composition and Functional Capacity in Older Women with Sarcopenic Obesity—A Systematic Review with Narrative Synthesis

Authors :Wesam A. Debes ,Munseef Sadaqa, Zsanett Németh ,Ahmad Aldardour, Viktória Prémusz, and Marta Hock

Abstract :Background: Resistance exercise has shown effectiveness in reducing various risk factors related to sarcopenic obesity (SO) compared to other types of exercise, e.g., aerobic exercise. Objective: This systematic review evaluates the effect of resistance exercise on body composition, muscular strength, and functional capacity among older women with sarcopenic obesity aged ≥ 60 years. Methods: This systematic review is registered on PROSPERO (registration No. CRD42023394603) and follows the PRISMA guidelines. The following electronic databases were used to search the literature: Pedro, Cochrane Central Register of Controlled Trials, Embase, PubMed, and Web of Science. We included only RCTs that investigated the effect of resistance exercise on body composition and functional capacity. Two independent reviewers conducted the process of study selection and data extraction. Results: The search strategy retrieved 687 results. One hundred and twenty-six records were deleted as duplicates. Consequently, 534 studies were excluded after the title/abstract assessment. After further detailed evaluation of twenty-seven full texts, seven RCTs were included; all the RCTs examined the isolated effect of resistance exercise in women with sarcopenic obesity. The included studies comprised 306 participants, with an average age of 64 to 72 years. We noticed a trend of improvement in the included studies among the intervention groups compared to the control groups among the different outcomes. The study protocol was inconsistent for the intervention settings, duration, and outcomes. Including a modest number of trials made it impossible to perform data meta-analysis. Conclusions: Heterogeneity among studies regarding training protocols and the outcome measures reported limited robust conclusions. Still, resistance exercise intervention can improve body composition and functional capacity among elderly women with sarcopenic obesity.