Background/Objectives: Benign paroxysmal positional vertigo (BPPV) is the most prevalent vestibular disorder encountered in clinical settings and is highly responsive to evidence-based diagnostic and therapeutic interventions. However, variations in practice patterns among physician specialties can compromise timely diagnosis and effective treatment. Understanding these variations is essential for improving clinical outcomes and standardizing care. This study aimed to assess the diagnostic and treatment practices for BPPV among Ear, Nose, and Throat (ENT) specialists, neurologists, general practitioners, and family physicians in Saudi Arabia and to examine how these practices are influenced by clinical experience and patient case exposure. Methods: A cross-sectional, questionnaire-based study was conducted between April 2023 and March 2024 at King Khalid University, Abha, Saudi Arabia. A total of 413 physicians were recruited using purposive sampling. Data were analyzed using IBM SPSS version 24.0. Parametric tests, including one-way ANOVA and chi-square tests, were used to assess differences across groups. A p-value of <0.05 was considered statistically significant. Results: Overall, all physician groups exhibited limited adherence to guideline-recommended positional diagnostic and therapeutic maneuvers. However, ENT specialists and neurologists demonstrated relatively higher compliance, particularly in performing the Dix–Hallpike test, with 46.97% and 26.79% reporting “always” using the maneuver, respectively (p < 0.001, Cramér’s V = 0.22). Neurologists were the most consistent in conducting oculomotor examinations, with 73.68% reporting routine performance (p < 0.001, Cramér’s V = 0.35). Epley maneuver usage was highest among neurologists (86.36%) and ENT specialists (77.14%) compared to family physicians (50.60%) and GPs (67.50%) (p = 0.044). Physicians with 11–15 years of experience and >50 BPPV case exposures consistently showed a greater use of diagnostic maneuvers, repositioning techniques, and guideline-concordant medication use (betahistine 76.67%; p < 0.001). Continuing medical education (CME) participation and the avoidance of unnecessary imaging were also highest in this group (46.67% and 3.33%, respectively; p < 0.001). Conclusions: Significant inter-specialty differences exist in the management of BPPV in Saudi Arabia. Greater clinical experience and higher case exposure are associated with improved adherence to evidence-based practices. Targeted educational interventions are needed, particularly in primary care, to enhance guideline implementation.

BACKGROUND: The increasing prevalence of work-related musculoskeletal disorders (WRMSDs) necessitates a reevaluation of physiotherapy department design. Optimizing these spaces is crucial as they serve as primary settings for preventing and managing WRMSDs, highlighting the need for a forward-thinking approach. OBJECTIVE: This study aims to outline a vision for future research by identifying key strategies to prevent WRMSDs and enhance operational efficiency in physiotherapy departments. METHODS: Ergonomics, workplace safety, and physiotherapy practices formed the basis for this paper in identifying the current challenges and opportunities in departmental design. Expert insights and feedback from healthcare practitioners aiding in the formulation of innovative solutions and recommendations for future research endeavors. RESULTS: Integration of ergonomic principles, advanced technologies, interdisciplinary collaboration, and proactive safety measures into physiotherapy department design improve working environments for physiotherapists. CONCLUSION: Envisioning the future of physiotherapy department design offers promising avenues for improving patient care outcomes and supporting therapist well-being.

Rheumatoid arthritis (RA) is a chronic autoimmune disease that impairs proprioception and postural control, increasing fall risk and reducing quality of life. This study evaluated cervical proprioception and postural control in RA patients versus asymptomatic individuals, examined their relationship within the RA group, and investigated pain’s mediating effects on this association. In this cross-sectional study, 82 RA patients and 82 age- and gender-matched controls were recruited. Cervical proprioception was assessed using the Cervical Joint Position Error Test (CJPET), while postural control was evaluated via a stabilometric force platform measuring center-of-pressure length (L CoP), 95

BackgroundMedical culture refers to institutional attitudes toward technology usage, innovation, teamwork, and evidence-based practices. Hospitals with strong innovation cultures promote mobile app use, while traditional settings may resist change, relying on conventional methods. Medical culture significantly influences the usage of technology in health care, including mobile health (mHealth) applications, which have the potential to enhance patient care in physical therapy settings. Understanding the role of medical culture and other factors such as app usability and workplace setting in shaping the usage and perceived effectiveness of mobile apps is essential for promoting their integration into clinical practice. ObjectiveThe study aimed to assess how medical culture influences health care professionals’ usage of mobile apps in clinical settings, particularly in physical therapy interventions, and to examine the relationship between the perceived effectiveness of mobile apps and cultural attitudes toward technology in health care teams. MethodsThis cross-sectional study was conducted between April 2023 and March 2024 at a tertiary care hospital specializing in rehabilitation and physical therapy. A total of 456 health care professionals, including physical therapists and rehabilitation specialists, were surveyed. Medical culture was measured using a composite scale, while mobile app usage and perceived effectiveness were assessed through structured questionnaires. ResultsMedical culture was strongly associated with mobile app usage frequency (r=0.54, P=.01), and multiple linear regression analysis showed that medical culture significantly predicted app usage (β=.45, P=.002). App usability, in terms of ease of use (β=.37, P=.008) and patient engagement features (β=.28, P=.02), also contributed to the perceived effectiveness of mobile apps. Hospitals showed higher usage and perceived effectiveness than private practices and rehabilitation centers. Years of experience (β=.32, P=.01) and app usage frequency (β=.45, P=.01) were additional significant predictors. ConclusionsThis study highlights the critical role of medical culture in promoting the usage and perceived effectiveness of mobile apps in physical therapy. Positive cultural attitudes toward technology, combined with user-friendly app designs, can enhance the integration of mHealth tools in clinical settings. These findings underscore the importance of fostering an innovative medical culture and supporting the development of usable, patient-centered applications to optimize patient care.

The study explores global trends in adolescent health using data from the health behavior in school-aged children (HBSC) study, focusing on the role of education, socioeconomic status, and school-based health programs. It examines cross-country comparisons to assess disparities in adolescent wellbeing and health behaviors. Findings highlight that nations with comprehensive public health policies report lower adolescent obesity rates and better mental wellbeing, whereas regions with limited resources, experience greater health inequalities. The key factors contributing to these disparities include economic conditions, access to healthcare, and variations in school health programs. The study underscores the need for evidence-based, culturally adaptable interventions to improve adolescent health outcomes. By analyzing current policies and identifying gaps, this review aims to guide future public health strategies toward reducing inequalities and strengthening school-based health initiatives worldwide.

Background/Objectives: Vestibular migraine is a frequently underdiagnosed cause of dizziness in adult females, often overlapping clinically with other vestibular and neurological conditions. Despite its recognition in diagnostic criteria, limited data exist on its prevalence and functional impact in women presenting with dizziness in clinical settings. This study assesses the frequency and diagnostic rate of vestibular migraine among females aged 20–50 years presenting with dizziness and evaluates its impact on quality of life and work productivity. Methods: A cross-sectional study was conducted, which included 196 female patients reporting dizziness who were evaluated. Vestibular migraine was diagnosed using ICHD-3 criteria. Functional impact was assessed using the Dizziness Handicap Inventory (DHI) and Work Productivity and Activity Impairment (WPAI) questionnaire. Group comparisons and regression analyses were conducted using SPSS version 24. Results: Vestibular migraine was diagnosed in 84 participants, yielding a prevalence rate of 42.86% (95% CI: 36.13–49.86%). Compared to non-migraine participants, those with vestibular migraine had longer dizziness duration (37.62 ± 11.34 vs. 24.58 ± 10.49 min, p = 0.032), higher DHI (58.34 ± 15.62 vs. 32.76 ± 14.83, p < 0.001) and WPAI scores (42.19 ± 13.45 vs. 23.47 ± 12.90, p < 0.001), and more missed workdays. Regression analysis identified vestibular migraine, poor sleep, anxiety/depression, and BMI as significant predictors of work impairment. Conclusions: Vestibular migraine is a prevalent and functionally disabling condition among women with dizziness, underscoring the importance of systematic diagnosis and multidisciplinary management.

Background/Objectives: Cognitive impairment and vestibular dysfunction commonly co-occur in older adults and may share overlapping neuroanatomical pathways. Understanding their association may enhance the early identification of cognitive decline using clinically feasible vestibular assessments. This study aimed to examine the relationship between vestibular dysfunction and early cognitive impairment, assess the diagnostic accuracy of vestibular markers, and explore the association of subjective dizziness and balance measures with cognitive performance. Methods: Our cross-sectional study included 90 participants aged ≥60 years, classified into cognitively healthy, mild cognitive impairment (MCI), and early Alzheimer’s disease (AD) groups. Cognitive function was assessed using the MoCA and the MMSE; vestibular function was evaluated via posturography sway and horizontal vHIT gain. Subjective dizziness and balance were measured using the Dizziness Handicap Inventory (DHI), gait speed, and eyes-closed balance time. The data were analyzed using SPSS v24 with ANOVA, Pearson correlations, linear regression, and ROC curve analyses. Results: Significant group differences were found across the cognitive and vestibular scores (MoCA: p = 0.001. Sway: p = 0.001. vHIT: p = 0.001). vHIT gain and posturography sway independently predicted the MoCA and MMSE scores (adjusted R2 = 0.68 and 0.65, respectively). The ROC analysis showed a strong diagnostic accuracy for posturography sway (AUC = 0.87) and vHIT gain (AUC = 0.82). Conclusions: Vestibular dysfunction is significantly associated with early cognitive impairment and may serve as a useful clinical marker for cognitive screening in older adults.

Background/Objectives: Vestibulo-ocular reflex (VOR) function, measured by the video head impulse test (vHIT) gains, plays a crucial role in postural stability and quality of life. Cochlear implant recipients often experience vestibular dysfunction, but its relationship with balance and patient-reported outcomes remains underexplored. This study aimed to (1) evaluate the relationship between vHIT gains and postural stability in cochlear implant recipients; (2) assess the impact of vHIT gains on quality-of-life metrics; and (3) identify key predictors of postural stability, including vHIT gains and demographic/clinical characteristics. Methods: This cross-sectional study was conducted between August 2023 and February 2024 and included 46 participants that comprised cochlear implant recipients and age-matched normal hearers who underwent the vHIT for lateral, anterior, and posterior semicircular canal function. Postural stability was assessed using dynamic posturography, and quality of life was measured using the Short Form-36 (SF-36). Multiple linear regression and correlation analyses were performed. Results: The vHIT gains demonstrated significant positive correlations with postural stability, with the lateral canal showing the strongest association (r = 0.742, p = 0.001), followed by the posterior (r = 0.701, p = 0.003) and anterior canals (r = 0.684, p = 0.005). A multiple regression analysis identified the lateral canal as the most significant predictor of postural stability (β = 0.512, p = 0.001, adjusted R2 = 0.47). Quality-of-life metrics were inversely correlated with the vHIT gains, particularly in the posterior canal (r = −0.712, p = 0.002), which explained 43–51% of the variance. Conclusions: This study highlighted the lateral semicircular canal as the primary determinant of postural stability in cochlear implant recipients, underscoring the importance of vestibular assessments in optimizing balance and functional outcomes.

Objective:This study aimed to (1) assess the associations among cognitive function, fear of falling, and balance in community-dwelling older adults; (2) identify key predictors of balance performance; and (3) examine implications for fall prevention strategies. Methods:Eighty-four older adults (≥65 years) residing independently in the community were recruited during outpatient visits. Cognitive function was assessed using the Saint Louis University Mental Status (SLUMS), fear of falling was measured with the Falls Efficacy Scale-International (FES-I), and balance performance was evaluated using the Berg Balance Scale (BBS). Physical activity, demographic factors, and fall history were also recorded. Results:Bivariate correlations showed that higher cognitive function was associated with better balance (r = 0.45, p = 0.014), while greater fear of falling was linked to poorer balance (r = -0.52, p = 0.003). A hierarchical regression model revealed that cognitive function (β = 0.32, p = 0.002) and fear of falling (β = -0.44, p < 0.001) were significant predictors of balance performance, even after controlling for age, gender, physical activity, and fall history. Exploratory logistic regression showed that fear of falling (OR = 1.12, p = 0.002) and balance performance (OR = 0.91, p = 0.008) were significant predictors of fall history. Conclusion:Cognitive function and fear of falling are independent and meaningful predictors of balance performance in older adults. These findings support the integration of cognitive and psychological assessments into exercise-based fall prevention strategies.

BackgroundPersistent Postural-Perceptual Dizziness (PPPD) is a chronic disorder that significantly affects the quality of life (QoL) and daily living. Vestibular rehabilitation therapy (VRT) has emerged as a promising treatment option, yet its effectiveness, particularly in relation to symptom duration, anxiety, and depression, remains underexplored.MethodsThis cross-sectional study assessed the effect of VRT on the QoL in 188 PPPD patients, as well as the correlation between the duration of symptoms and dizziness severity and the role of anxiety and depression in the treatment response. QoL was assessed using the EuroQol-5 Dimension (EQ-5D), and dizziness-related handicap using the Dizziness Handicap Inventory (DHI) and anxiety and depression using the Hospital Anxiety and Depression Scale (HADS).ResultsNinety three patients were included in the analysis. QoL was significantly improved post-VRT with a greater mean EQ-5D score (EQ-5D post-VRT 0.72; EQ-5D pre-VRT 0.61, p = 0.032). Age was also found to correlate with increased dizziness severity (p < 0.001), although this was not as strong as the correlation of symptom duration (longer duration correlating with increased dizziness severity; p < 0.01), anxiety (r = −0.45, p = 0.002) and depression (r = −0.51, p < 0.001) (both significantly associated with poorer outcomes especially with reference to VRT) emerging as independent correlates of reduced effectiveness of treatment.ConclusionsThis study revealed the benefit of VRT in patients with PPPD on QoL and indicates the importance of identifying and treating psychological factors to improve the success of treatment for PPPD.

The integration of Artificial Intelligence (AI) into healthcare has the potential to revolutionize medical diagnostics, particularly in specialized fields such as Ear, Nose, and Throat (ENT) medicine. However, the successful adoption of AI-assisted diagnostic tools in ENT practice depends on the understanding of various factors; these include influences on their effectiveness and acceptance among healthcare professionals. This cross-sectional study aimed to assess the usability and integration of AI tools in ENT practice, determine the clinical impact and accuracy of AI-assisted diagnostics in ENT, measure the trust and confidence of ENT professionals in AI tools, gauge the overall satisfaction and outlook on the future of AI in ENT diagnostics, and identify challenges, limitations, and areas for improvement in AI-assisted ENT diagnostics. A structured online questionnaire was distributed to 600 certified ENT professionals with at least one year of experience in the field. The questionnaire assessed participants’ familiarity with AI tools, usability, clinical impact, trust, satisfaction, and identified challenges. A total of 458 respondents completed the questionnaire, resulting in a response rate of 91.7%. The majority of respondents reported familiarity with AI tools (60.7%) and perceived them as generally usable and clinically impactful. However, challenges such as integration with existing systems, user-friendliness, accuracy, and cost were identified. Trust and satisfaction levels varied among participants, with concerns regarding data privacy and support. Geographic and practice setting differences influenced perceptions and experiences. The study highlights the diverse perceptions and experiences of ENT professionals regarding AI-assisted diagnostics. While there is general enthusiasm for these tools, challenges related to integration, usability, trust, and cost need to be addressed for their widespread adoption. These findings provide valuable insights for developers, policymakers, and healthcare providers aiming to enhance the role of AI in ENT practice.

Background:The burgeoning prevalence of Type 2 Diabetes Mellitus (T2DM) has been linked to a spectrum of health complications, including those affecting the musculoskeletal system. Knee proprioception, muscle strength, and stability are essential for maintaining functional mobility and preventing falls, yet their relationship with T2DM is not fully elucidated. Objectives:This study aimed to compare knee proprioception, muscle strength, and limits of stability (LOS) between individuals with T2DM and asymptomatic controls and to examine the moderating role of physical activity on these relationships. Methods:In a cross-sectional design, 192 participants (96 with T2DM and 96 asymptomatic) underwent assessments for knee proprioception using a digital inclinometer, muscle strength via a handheld dynamometer, and LOS through dynamic posturography, graded as a percentage of maximum lean without losing balance. Results:Our analysis revealed that individuals with T2DM demonstrated reduced knee muscle strength, with mean differences of 12.90 Nm (right) and 18.80 Nm (left) in 25° of flexion, and 25.78 Nm (right) and 26.36 Nm (left) in 40° of flexion, compared to asymptomatic controls. Proprioception errors were greater in the T2DM group (p < 0.001), with significant deficits noted in both knee 25° of flexion and 40° of flexion. Stability limits were also compromised, with the T2DM group displaying a decreased ability to maintain balance across all tested directions (p < 0.001). Physical activity emerged as a positive moderator, with higher activity levels correlating with improved muscle strength and stability. Conclusion:T2DM significantly impairs musculoskeletal function, highlighting the need for integrated management strategies. The study underscores the importance of physical activity in mitigating T2DM-related musculoskeletal deterioration, suggesting that therapeutic interventions should include a focus on enhancing muscle strength and stability to improve the quality of life in this population.

The objectives of this study are to compare hip muscle strength, hip joint proprioception, and functional balance between individuals with unilateral hip OA and asymptomatic individuals and to examine the relationships among these variables in the hip OA population. In a prospective cross-sectional study, 122 participants (unilateral Hip OA: n = 56, asymptomatic: n = 56) were assessed at the CAMS/KKU musculoskeletal Physical Therapy laboratory. Ethical standards were upheld throughout the research, with informed consent obtained. Hip muscle strength was measured using a hand-held dynamometer, hip joint proprioception with a digital inclinometer, and functional balance using the Berg Balance Scale (BBS) and Timed Up and Go (TUG) test. Hip OA individuals exhibited significantly lower muscle strength and proprioceptive accuracy, and poorer functional balance than controls (p < 0.003). Correlation analyses revealed a positive correlation between muscle strength and BBS scores (r = 0.38 to 0.42) and a negative correlation with TUG test times (r = -0.36 to -0.41). Hip joint reposition sense (JRS) in flexion showed a negative correlation with balance (r = -0.46), while JRS in abduction was positively correlated (r = 0.46). The study highlights the clinical importance of muscle strength and proprioception in functional balance among individuals with unilateral hip OA. The results support the incorporation of muscle strengthening and proprioceptive training in interventions to improve balance and mobility in this population.

Medical culture significantly influences the adoption of technology in healthcare, including mobile health applications, which have the potential to enhance patient care in physical therapy settings. Understanding the role of medical culture and other factors such as app usability and workplace setting in shaping the adoption and perceived effectiveness of mobile applications is essential for promoting their integration into clinical practice. The study aimed to assess how medical culture influences healthcare professionals' adoption of mobile applications in clinical settings, particularly in physical therapy interventions, and to examine the relationship between the perceived effectiveness of mobile applications and cultural attitudes toward technology in healthcare teams. This cross-sectional study was conducted between April 2023 and March 2024 at a tertiary care hospital specializing in rehabilitation and physical therapy. A total of 456 healthcare professionals, including physical therapists and rehabilitation specialists, were surveyed. Medical culture was measured using a composite scale, while mobile app usage and perceived effectiveness were assessed through structured questionnaires. Medical culture was strongly associated with mobile app adoption (r = 0.54, p = 0.014), and multiple linear regression analysis showed that medical culture significantly predicted app usage (β = 0.45, p = 0.002). App usability, in terms of ease of use (β = 0.37, p = 0.008) and patient engagement features (β = 0.28, p = 0.021), also contributed to the perceived effectiveness of mobile applications. Hospitals showed higher adoption and perceived effectiveness compared to private practices and rehabilitation centers. Years of experience (β = 0.32, p = 0.014) and app usage frequency (β = 0.45, p = 0.010) were additional significant predictors. his study highlights the critical role of medical culture in promoting the adoption and perceived effectiveness of mobile applications in physical therapy. Positive cultural attitudes toward technology, combined with user-friendly app designs, can enhance the integration of mobile health tools in clinical settings. These findings underscore the importance of fostering an innovative medical culture and supporting the development of usable, patient-centered applications to optimize patient care. Not Applicable

The COVID-19 pandemic, caused by the novel coronavirus SARS-CoV-2, has manifested with respiratory symptoms and a spectrum of extra-pulmonary complications. Emerging evidence suggests potential impacts on the auditory and vestibular systems, but the extent and nature of these effects in recovered individuals remain unclear. This study aimed to investigate the prevalence and severity of vertigo and hearing impairment in individuals who have recovered from COVID-19 and to identify potential risk factors associated with these sensory symptoms. A cohort of 250 recovered COVID-19 patients was assessed. Standardized questionnaires, including the Dizziness Handicap Inventory and the Vertigo Symptom Scale, were used to evaluate vertigo. Hearing assessment was conducted using pure-tone audiometry, speech audiometry, tympanometry, and oto-acoustic emissions testing. Logistic regression analysis was performed to assess the association between COVID-19 severity and the occurrence of sensory symptoms, controlling for confounding variables such as age and comorbidities. Of the participants, 10% reported vertigo, varying severity. Hearing assessments revealed that most participants had normal hearing, with an average speech discrimination score of 94.6. Logistic regression analysis indicated a significant association between severe COVID-19 and an increased likelihood of vertigo (OR 2.11, 95% CI 1.02-4.35, P = .043) and hearing impairment (OR 3.29, 95% CI 1.60-6.78, P = .002). This study suggests a significant association between COVID-19 severity and vertigo and hearing impairment prevalence. The findings underscore the importance of sensory symptom assessment in the post-recovery phase of COVID-19, highlighting the need for comprehensive healthcare approaches to manage long-term sequelae.

BackgroundHip osteoarthritis (OA) is a degenerative joint disease that predominantly affects the elderly, causing significant morbidity due to joint pain, stiffness, and loss of function. This study aimed to assess the limits of stability (LOS) using computerized posturography and evaluate the correlations with functional mobility in elderly individuals with hip OA.MethodsThis cross-sectional study included elderly individuals aged 65 years and above with a clinical diagnosis of hip OA and age-matched asymptomatic controls. The LOS was measured using a computerized dynamic posturography system, which quantified the maximum distance and angle participants could shift their center of gravity without losing balance. Functional mobility was assessed using the Timed Up and Go (TUG) test, which measures the time taken for participants to stand up, walk 3 m, turn around, walk back, and sit down.ResultsThe study included 86 elderly individuals with hip OA and 86 age-matched asymptomatic controls. LOS assessments showed that individuals with hip OA had significantly lower stability scores across all directions compared to controls (p < 0.001). TUG test times were significantly slower for the OA group (10.50 ± 2.20 s) compared to controls (8.70 ± 2.00 s, p < 0.001). Positive correlations were found between LOS and functional mobility (r = 0.50, p = 0.009). Moderation analysis revealed that age and duration of OA significantly influenced the relationship between stability and mobility.ConclusionHip OA significantly impacts stability and functional mobility in elderly individuals. Enhanced stability is associated with improved mobility, and demographic and clinical variables such as age and duration of OA play crucial roles in these relationships. These findings underscore the importance of targeted therapeutic interventions to improve stability and mobility in this population.

Cervical proprioception and postural stability play crucial roles in maintaining optimal head and neck positioning, yet their relationship and implications in cervical spondylosis (CS) remain underexplored. This study aims to investigate cervical proprioceptive reposition errors, limits of stability, and their association in individuals with CS while considering the mediating effects of pain and kinesiophobia. The primary objectives are to compare cervical proprioceptive reposition errors and limits of stability variables between individuals with CS and age-matched healthy controls, explore their associations within the CS group, and determine the mediating roles of pain and kinesiophobia. A cross-sectional study recruited 60 individuals with CS and 60 healthy controls. Cervical joint reposition errors (JREs) were assessed using a cervical range-of-motion device, while limits of stability were evaluated using a computerized dynamic posturography system. Pain, kinesiophobia, and demographic data were collected. Parametric tests, correlation analyses, and multiple regression were employed for data analysis. Individuals with CS exhibited significantly higher cervical JREs in flexion, extension, and rotation compared with healthy controls (p < 0.001). Within the CS group, correlations revealed associations between JREs and limits-of-stability variables (p < 0.05). Mediation analysis demonstrated significant direct and indirect effects of pain and kinesiophobia on the relationship between JREs and limits-of-stability variables in the CS group (p < 0.005). CS is associated with impaired cervical proprioception, increased reposition errors, and compromised postural stability. This study highlights the interplay between proprioception, stability, pain, and psychological factors, emphasizing the need for comprehensive interventions in individuals with CS to enhance functional outcomes and quality of life.

ObjectiveThis study evaluates the impact of physiotherapy interventions on health outcomes and explores the correlation between physiotherapy session characteristics and improvements in health among older individuals.MethodsIn a cross-sectional design, 384 older adults with chronic conditions such as arthritis, osteoporosis, Chronic Obstructive Pulmonary Disease (COPD), diabetes, and hypertension were recruited.ResultsThe proportion of arthritis (39.1%) and hypertension (45.8%) was notably high. Participants receiving physiotherapy showed significant improvements in pain levels (mean reduction from 5.09 to 2.95), mobility scores (improvement from 3.0 to 3.96), and functional independence. A positive correlation was identified between the frequency of physiotherapy sessions and pain reduction (r = 0.26, p = 0.035), and a stronger correlation between session duration and both pain reduction (r = 0.38, p = 0.002) and mobility improvement (r = 0.43, p = 0.001). High satisfaction rates with physiotherapy were reported, and age was found to be a significant negative predictor of health outcomes (Coef. = −0.3402, p = 0.0009).ConclusionPhysiotherapy interventions significantly improve health outcomes in older adults with chronic diseases.

Acute mastoiditis, a complication of otitis media, poses significant challenges in diagnosis and treatment, particularly in pediatric populations. This study aims to comprehensively evaluate the demographic characteristics, clinical features, and prognostic factors associated with acute mastoiditis in pediatric patients in Saudi Arabia. Analysis of a multicenter dataset was conducted to assess demographic variables, symptomatology, disease course, and predictors of acute mastoiditis in pediatric patients. Significant associations were found between demographic variables (age group, gender, nationality) and acute mastoiditis risk. Symptomatology analysis revealed consistent frequencies of otalgia across age groups and genders. Disease course analysis highlighted a mean duration from symptom onset to diagnosis of 14.11 days, with frequent complications like mastoid abscess and meningitis. Predictor identification identified symptoms (otalgia, fever, otorrhea), duration of illness, and complications as significant predictors of disease severity. These findings contribute valuable insights into the epidemiology and clinical management of acute mastoiditis, informing targeted interventions to improve patient outcomes.

BackgroundDiabetes mellitus (DM) remains a concern globally and particularly in Saudi Arabia, where its prevalence is continuously increasing among the Saudi population. DM is known to increase the risk of cardiovascular disease (CVD), which can progress significantly if DM is poorly controlled.AimDetermine the prevalence of cardiovascular events among patients with type 2 diabetes (T2DM) in the west region of Saudi Arabia, and additionally the use of antidiabetic agents with cardiovascular benefits (ADc) in T2DM patients with cardiovascular events (CVEs).MethodA retrospective cohort study was conducted among all patients with T2DM who presented to the diabetic center of Prince Mansour Military Hospital (PMMH), Taif city, between the 1st of January and 30th of June 2021. Data extracted from patient medical records included demographics, home medications, medications used to treat T2DM, lab results, and ECG data. Descriptive statistics were used to analyze and compare the results. The study was approved by the Research and Ethics Committee of Medical Services General Directorate, Armed Forces Hospitals, Taif region.ResultA total of 349 patients with T2DM were recruited and included in the final analysis. Of this study population, 132 patients had experienced at least one cardiovascular event while 54 were considered to be at risk of future cardiovascular events due to having risk factors for cardiovascular diseases above and beyond the presence of diabetes. A subgroup analysis was conducted to examine HbA1c% among all groups; interestingly, all were similar, with p > 0.05. Of all diabetic patients with CVEs, only 34.8 % were on at least one anti-diabetic agent known to have cardiovascular benefits; the remainder were on other anti-diabetic agents. A similar analysis was conducted on diabetic patients with risk of CVEs, of which only 13 % were on at least one anti-diabetic agent having known cardiovascular benefits; the remainder were on other anti-diabetic agents.ConclusionThe prevalence of CVEs among T2DM patients in Saudi Arabia is very close to the global prevalence, but ADcs are underutilized in this population. Tighter glycemic control is warranted to help rein in and reduce the CVE incidence among patients with T2DM.