Ibrahim MoustafaUniversity of Sharjah, UAE
Title: The Influence of Sagittal Plane Spine Alignment on functional, Neurophysiology and Sensorimotor Control Measures: Optimization of Function through Structural Correction
Spine sagittal alignment has emerged as one of the most important clinical outcomes in healthcare. It has been well documented that optimal sagittal alignment is highly correlated with good clinical outcomes in wide range of musculoskeletal disorders. Sagittal spinal misalignments are thought to cause dysfunctions in the entire neuromusculoskeletal system that may lead to altered neurophysiological function, abnormal sensorimotor control, and altered autonomic nervous system function. Abnormalities in neutral upright spine alignment (sagittal translation or flexion deformities) are known to increase mechanical loads (stresses and strains) on the central nervous system. These increased mechanical loads may subtly or overtly impair neurophysiological function as measured with evoked potentials in terms of latency and amplitudes of potentials. Proprioceptive afferentation from spine ligaments, muscles and discs are considered a major component of sensorimotor control. The voluminous mechanoreceptors in spinal muscles, ligaments, and discs plays an intimate role, providing the necessary neurophysiological input in a feed forward and feedback system for sensorimotor control via connections to the vestibular, visual and central nervous systems. Of particular interest, a network of neurophysiological connections between spine mechanoreceptors and the sympathetic nervous system has been documented. Numerous studies have shown that restoring healthy spine alignment and posture has a significant impact on neurophysiology, sensorimotor control, and autonomic nervous system performance. Our research team has carried out a number of high-caliber studies that show how restoring the sagittal spine's alignment is crucial for enhancing neurophysiology, sensorimotor control, and autonomic nervous system performance.
Dr. Ibrahim Moustafa is a Professor of Physiotherapy at University of Sharjah (UOS), United Arab Emirates (UAE). He received the doctoral degree in physical therapy form Cairo University in 2009 , and he was promoted to associate professor in 2014, and full professor in 2022. He served as the chairperson of physiotherapy department, University of Sharjah since 2018. His recent publications include many international journals and conference papers in the area of spinal rehabilitation and neurophysiological basis of posture correction.
He founded and led a rehabilitation research group in 2021 to advance the evaluation and therapeutic intervention in musculoskeletal and neurological disorders for different target populations. He obtained several national and international scientific and research awards. He is acting as associate editor, guest associate editor, and editorial board member in many international journals.