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Effects of threshold inspiratory muscle trainer versus trigger sensitivity adjustment versus conventional therapy on respiratory function in mechanically ventilated patients: a randomized controlled trial. (2025)
Journal Article
Abdeen, H. A., Atef, H., Elnahas, N. G., Khalaf, O. A., Soliman, Y. M., Elkorashy, R. I., Mowad, S., Moreno-Segura, N., Carrasco, J. J., & Marques-Sule, E. (2025). Effects of threshold inspiratory muscle trainer versus trigger sensitivity adjustment versus conventional therapy on respiratory function in mechanically ventilated patients: a randomized controlled trial. Respiratory Physiology and Neurobiology, 337, Article 104469. https://doi.org/10.1016/j.resp.2025.104469

Background
Prolonged mechanical ventilation in chronic obstructive pulmonary disease is associated with severe complications, and then earlier weaning is desirable. Then, strategies such as inspiratory muscle trai... Read More about Effects of threshold inspiratory muscle trainer versus trigger sensitivity adjustment versus conventional therapy on respiratory function in mechanically ventilated patients: a randomized controlled trial..

The effectiveness of mulligan mobilization with movement (MWM) on outcomes of patients with ankle sprain: a systematic review and meta-analysis (2025)
Journal Article
ElMeligie, M. M., Abdeen, H. A., Atef, H., Marques-Sule, E., & Karkosha, R. N. (2025). The effectiveness of mulligan mobilization with movement (MWM) on outcomes of patients with ankle sprain: a systematic review and meta-analysis. BMC Sports Science, Medicine and Rehabilitation, 17(1), Article 105. https://doi.org/10.1186/s13102-025-01121-6

Background: Ankle sprains are common injuries that cause pain, swelling, and reduced range of motion (ROM), adversely affecting physical activity. In this study, we aim to review the effectiveness of mobilization with movement (MWM) in improving outc... Read More about The effectiveness of mulligan mobilization with movement (MWM) on outcomes of patients with ankle sprain: a systematic review and meta-analysis.

Effects of Reduced-Exertion High-Intensity Training versus Short Moderate-Intensity Continuous Training on biomarkers of mortality risk in sedentary women: a Randomized Clinical Trial (2025)
Journal Article
Eldin, H. B., Atef, H., Muñoz-Gómez, E., Moreno-Segura, N., ElZalabany, S., Alanazi, R., Alruwili, W., Alruwili, S., Sultan, S., & Marques-Sule, E. (2025). Effects of Reduced-Exertion High-Intensity Training versus Short Moderate-Intensity Continuous Training on biomarkers of mortality risk in sedentary women: a Randomized Clinical Trial. Journal of Bodywork and Movement Therapies, 42, 710-714. https://doi.org/10.1016/j.jbmt.2025.01.056

Introduction
This study aimed to compare the effects of reduced-exertion high-intensity training (REHIT) versus short moderate-intensity continuous training (SMICT) on functional capacity, resting heart rate (RHR)... Read More about Effects of Reduced-Exertion High-Intensity Training versus Short Moderate-Intensity Continuous Training on biomarkers of mortality risk in sedentary women: a Randomized Clinical Trial.

Associations among frailty conditions and pain indicators: Data from 22 356 European older adults (2024)
Journal Article
Sentandreu‐Mañó, T., Marques‐Sule, E., Deka, P., Tomás, J. M., Andrés Romero Pintado, L., Klompstra, L., & Atef, H. (2024). Associations among frailty conditions and pain indicators: Data from 22 356 European older adults. Geriatrics and Gerontology International, https://doi.org/10.1111/ggi.15016

Aim: Recent studies supported the presence of a relationship between pain and frailty, but more research is needed to highlight the pain–frailty association. The study aimed to investigate the prevalence and the influence of different pain indicators... Read More about Associations among frailty conditions and pain indicators: Data from 22 356 European older adults.

Different levels of continuous training improve echocardiographic parameters, quality of life, and functional capacity in heart failure with reduced ejection fraction patients (2024)
Presentation / Conference Contribution
Atef, H., Helmy, Z. M., Elnaggar, M., Marques-Sule, E., & Abdeen, H. Different levels of continuous training improve echocardiographic parameters, quality of life, and functional capacity in heart failure with reduced ejection fraction patients. Presented at ACNAP 2024 (14 - 15 June), Wrocław (Poland)

Background Various comorbidities and physiological alterations contribute to the complexity of heart failure conditions, influencing the optimal approach to exercise-based rehabilitation. Purpose This study sought to investigate and compare the effec... Read More about Different levels of continuous training improve echocardiographic parameters, quality of life, and functional capacity in heart failure with reduced ejection fraction patients.

Publisher Correction: Evaluating knowledge, attitude, and physical activity levels related to cardiovascular disease in Egyptian adults with and without cardiovascular disease: a community-based cross-sectional study (2024)
Journal Article
Ramadan, A., Aboeldahab, H., Bashir, M. N., Belal, M. M., Wageeh, A., Atia, A., Elbanna, M., Alhejazi, T. J., Abouzid, M., Atef, H., Khalid, E., Elaziz, O. A. A., Eldeeb, M. I., Kamel Omar, D. O., Refaey, N., Setouhi, A., & AK, M. (in press). Publisher Correction: Evaluating knowledge, attitude, and physical activity levels related to cardiovascular disease in Egyptian adults with and without cardiovascular disease: a community-based cross-sectional study. BMC Public Health, 24(1), Article 1214 (2024). https://doi.org/10.1186/s12889-024-18722-4

Evaluating knowledge, attitude, and physical activity levels related to cardiovascular disease in Egyptian adults with and without cardiovascular disease: a community-based cross-sectional study (2024)
Journal Article
Ramadan, A., Aboeldahab, H., Bashir, M. N., Belal, M. M., Wageeh, A., Atia, A., Elbanna, M., Alhejazi, T. J., Abouzid, M., Atef, H., Khalid, E., Elaziz, O. A. A., Eldeeb, M. I., Kamel Omar, D. O., Refaey, N., Setouhi, A., Mohammed, A. K., & AK, M. (in press). Evaluating knowledge, attitude, and physical activity levels related to cardiovascular disease in Egyptian adults with and without cardiovascular disease: a community-based cross-sectional study. BMC Public Health, 24(1), Article 1107. https://doi.org/10.1186/s12889-024-18553-3

Background
Cardiovascular disease (CVD) represents a significant health challenge in Egypt, yet there exists limited understanding regarding the knowledge, attitudes, and physical activity levels associated with CVD. These factors play a pivotal rol... Read More about Evaluating knowledge, attitude, and physical activity levels related to cardiovascular disease in Egyptian adults with and without cardiovascular disease: a community-based cross-sectional study.

Comparative effects of moderate-intensity interval training on sleep quality and functional capacity in atrial fibrillation patients with two types of sleep apnea (2024)
Journal Article
Atef, H., Muka, T., Elansary, D., Mohammed Ali, H., & Mahdi Ahmad, A. (2024). Comparative effects of moderate-intensity interval training on sleep quality and functional capacity in atrial fibrillation patients with two types of sleep apnea. Physiotherapy Quarterly, 32(1), 93-99. https://doi.org/10.5114/pq.2024.135428

Introduction:
This study aimed to examine the effects of moderate-intensity interval training (MIIT) on the quality of sleep and functional capacity in atrial fibrillation (AF) patients with different presentations of sleep apnoea after coronary art... Read More about Comparative effects of moderate-intensity interval training on sleep quality and functional capacity in atrial fibrillation patients with two types of sleep apnea.

The SAFE study: Stress and fatigue control by exercise: Acute and long-term effects of aerobic exercise in lactating employed mothers (2024)
Journal Article
Shehata, M. A., Basyouny, S. E., Atef, H., Hussien, H. E., & Botla, A. M. (2024). The SAFE study: Stress and fatigue control by exercise: Acute and long-term effects of aerobic exercise in lactating employed mothers. WORK, 77(2), 641-649. https://doi.org/10.3233/wor-220677

BACKGROUND: Stress and fatigue experienced by lactating employed mothers can affect mothers’ and babies’ mental and physical health detrimentally. Aerobic exercise is known to control stress and fatigue, but the dosages of the exercises needed to mai... Read More about The SAFE study: Stress and fatigue control by exercise: Acute and long-term effects of aerobic exercise in lactating employed mothers.

Effects of COVID-19 Lockdown on Heart Failure Patients: A Quasi-Experimental Study (2023)
Journal Article
Sánchez-González, J. L., Almenar-Bonet, L., Moreno-Segura, N., Gurdiel-Álvarez, F., Atef, H., Sillero-Sillero, A., López-Vilella, R., Santolalla-Arnedo, I., Juárez-Vela, R., Tejada-Garrido, C. I., & Marques-Sule, E. (2023). Effects of COVID-19 Lockdown on Heart Failure Patients: A Quasi-Experimental Study. Journal of Clinical Medicine, 12(22), Article 7090. https://doi.org/10.3390/jcm12227090

Introduction: The COVID-19 lockdown has been associated with reduced levels of physical activity, quality of life, and sleep quality, but limited evidence exists for its impact on heart failure patients. This study examined the influence of the COVID... Read More about Effects of COVID-19 Lockdown on Heart Failure Patients: A Quasi-Experimental Study.

Physiotherapists’ Ethical Climate and Work Satisfaction: A STROBE-Compliant Cross-Sectional Study (2023)
Journal Article
Sillero Sillero, A., Ayuso Margañon, R., Moreno-Segura, N., Carrasco, J. J., Atef, H., Ayuso Margañon, S., & Marques-Sule, E. (2023). Physiotherapists’ Ethical Climate and Work Satisfaction: A STROBE-Compliant Cross-Sectional Study. Healthcare, 11(19), Article 2631. https://doi.org/10.3390/healthcare11192631

(1) Background: This study aimed to examine the relationship between Spanish physical therapists’ perceptions of the ethical climate, their moral sensitivity (awareness of ethical issues), and job satisfaction.

(2) Methods: the study analyzed des... Read More about Physiotherapists’ Ethical Climate and Work Satisfaction: A STROBE-Compliant Cross-Sectional Study.

Effects of high-intensity interval training with an eccentric hamstring exercise program in futsal players: A randomized controlled trial (2023)
Journal Article
Gómez, E. M., Atef, H., Elsayed, S. H., Zakaria, H. M., Navarro, M. P., & Sulé, E. M. (2023). Effects of high-intensity interval training with an eccentric hamstring exercise program in futsal players: A randomized controlled trial. Medicine, 102(31), Article e34626. https://doi.org/10.1097/md.0000000000034626

Background: Physiotherapy protocols based on high-intensity interval training (HIIT) or eccentric hamstring exercises like Nordic Curl (NC) have been scarcely studied in futsal players. The objective of this study was to compare the effectiveness of... Read More about Effects of high-intensity interval training with an eccentric hamstring exercise program in futsal players: A randomized controlled trial.

Effect of aerobic exercise, slow deep breathing and mindfulness meditation on cortisol and glucose levels in women with type 2 diabetes mellitus: a randomized controlled trial (2023)
Journal Article
Obaya, H. E., Abdeen, H. A., Salem, A. A., Shehata, M. A., Aldhahi, M. I., Muka, T., Marques-Sule, E., Taha, M. M., Gaber, M., & Atef, H. (in press). Effect of aerobic exercise, slow deep breathing and mindfulness meditation on cortisol and glucose levels in women with type 2 diabetes mellitus: a randomized controlled trial. Frontiers in Physiology, 14, Article 1186546. https://doi.org/10.3389/fphys.2023.1186546

Background: Aerobic exercise combined with breathing exercise can be an integral part of diabetes mellitus treatment. This single-center, randomized, parallel-group study investigated the effect of the combination of aerobic exercise with slow deep b... Read More about Effect of aerobic exercise, slow deep breathing and mindfulness meditation on cortisol and glucose levels in women with type 2 diabetes mellitus: a randomized controlled trial.

Would the Actigraph Always be Sufficient for Sleep Analysis in Exercise-Based Studies? A Case Report of Negative Response of Sleep to Exercise (2023)
Journal Article
Atef, H., & Gaber, M. (in press). Would the Actigraph Always be Sufficient for Sleep Analysis in Exercise-Based Studies? A Case Report of Negative Response of Sleep to Exercise. Sleep Science, 16(02), 265-270. https://doi.org/10.1055/s-0043-1770808

Introduction: Sleep deprivation is common after coronary artery bypass grafting (CABG). It is mostly managed well by exercise. The number of reported post-CABG cases that respond negatively to exercise is scanty. The etiology is usually associated wi... Read More about Would the Actigraph Always be Sufficient for Sleep Analysis in Exercise-Based Studies? A Case Report of Negative Response of Sleep to Exercise.

Task-oriented training for upper limb functions in patients with multiple sclerosis: Systematic review and meta-analysis (2023)
Journal Article
Ahmed Hassanin, M., Aly, M. G., Atef, H., Marques-Sule, E., & Ahmed, G. M. (2023). Task-oriented training for upper limb functions in patients with multiple sclerosis: Systematic review and meta-analysis. Multiple Sclerosis and Related Disorders, 73, Article 104625. https://doi.org/10.1016/j.msard.2023.104625

Patients with multiple sclerosis (MS) typically experience varying degrees of impairments and disabilities. Task-oriented training (TOT) has been used for those patients to improve their motor skills. This review aimed to evaluate the primary researc... Read More about Task-oriented training for upper limb functions in patients with multiple sclerosis: Systematic review and meta-analysis.

Physical Therapists’ Ethical and Moral Sensitivity: A STROBE-Compliant Cross-Sectional Study with a Special Focus on Gender Differences (2023)
Journal Article
Moreno-Segura, N., Fuentes-Aparicio, L., Fajardo, S., Querol-Giner, F., Atef, H., Sillero-Sillero, A., & Marques-Sule, E. (2023). Physical Therapists’ Ethical and Moral Sensitivity: A STROBE-Compliant Cross-Sectional Study with a Special Focus on Gender Differences. Healthcare, 11(3), Article 333. https://doi.org/10.3390/healthcare11030333

(1) Background: Healthcare professionals´ clinical practice, their care of patients and the clinical decision-making process may be influenced by ethical and moral sensitivity. However, such outcomes have been scarcely studied in physical therapists.... Read More about Physical Therapists’ Ethical and Moral Sensitivity: A STROBE-Compliant Cross-Sectional Study with a Special Focus on Gender Differences.

Different Continuous Training Intensities Improve Echocardiographic Parameters, Quality of Life, and Functional Capacity in Heart Failure Patients with Reduced Ejection Fraction. (2023)
Journal Article
Abdeen, H. A., Helmy, Z. M., Elnaggar, M. I., Aldhahi, M. I., Taha, M. M., Marques-Sule, E., Amin, D. I., Ibrahim, B. S., Abdel Aziz, A., Castiglione, V., & Atef, H. (2023). Different Continuous Training Intensities Improve Echocardiographic Parameters, Quality of Life, and Functional Capacity in Heart Failure Patients with Reduced Ejection Fraction. International Journal of General Medicine, 16, 3933-3945. https://doi.org/10.2147/ijgm.s420933

Background
Multiple comorbidities and physiological changes play a role in a range of heart failure conditions and influence the most effective approach to exercise-based rehabilitation. This research aimed to examine and compare the outcomes of con... Read More about Different Continuous Training Intensities Improve Echocardiographic Parameters, Quality of Life, and Functional Capacity in Heart Failure Patients with Reduced Ejection Fraction..