A doctoral dissertation entitled )The Effect of Rehabilitation Exercises, Ultrasound, and Reflexology Massage on Some Health Variables in Women with Soft Tissue Rheumatism (Fibromyalgia), aged 35–45 years( was discussed at the College of Physical Education and Sports Sciences for Women – University of Baghdad. The dissertation was presented by the researcher (Zina Amer Kareem).

The examination committee consisted of Prof. Dr. Suad Abdul Hussein Waheeb – Chair, Prof. Dr. Zainab Abd Ali Abbas (University of Koya) – External Member, and Asst. Prof. Dr. Imad Kazem Khalif – Member, Asst. Prof. Dr. Ahmed Mohammed Abdul Khaliq – Member, Asst. Prof. Dr. Khalil Sattar Mohammed – Member, Prof. Dr. Suhad Haseeb Abdul Hameed – Supervisor.

The research aimed to assess the effectiveness of three different rehabilitative methods in improving the health condition of women with soft tissue rheumatism (fibromyalgia). Design a rehabilitation exercise program focusing on increasing the range of motion, reducing pain, and alleviating stiffness. Examine the effect of combining these exercises with two therapeutic techniques—ultrasound and reflexology massage—to determine their impact on improving joint and muscle flexibility, reducing pain severity, and alleviating sleep disturbances. Develop a specialized scale for sleep disorders among this group, contributing to better diagnosis and improving their quality of life.

The researcher concluded that carefully designed rehabilitation exercises improved the range of motion and reduced pain among women with soft tissue rheumatism. The exercises enhanced musculoskeletal efficiency, reduced joint stiffness, improved blood circulation in affected tissues, increased muscle flexibility, improved sleep quality, and reduced stress.

The study recommended adopting the rehabilitation exercises designed in this research to improve the range of motion, reduce pain in the hip, shoulder, and knee joints affected by soft tissue rheumatism, and measure range of motion and pain levels in patients to tailor exercises better, and providing counseling programs to prepare patients psychologically, helping them overcome insomnia and stress caused by the condition and conducting further studies using rehabilitation exercises (massage and ultrasound) to examine their impact on other body joints. This dissertation supports the achievement of the Sustainable Development Goals, particularly Goal 4: Quality Education.

A doctoral dissertation entitled )The Effect of Rehabilitation Exercises, Ultrasound, and Reflexology Massage on Some Health Variables in Women with Soft Tissue Rheumatism (Fibromyalgia), aged 35–45 years( was discussed at the College of Physical Education and Sports Sciences for Women – University of Baghdad. The dissertation was presented by the researcher (Zina Amer Kareem).

The examination committee consisted of Prof. Dr. Suad Abdul Hussein Waheeb – Chair, Prof. Dr. Zainab Abd Ali Abbas (University of Koya) – External Member, and Asst. Prof. Dr. Imad Kazem Khalif – Member, Asst. Prof. Dr. Ahmed Mohammed Abdul Khaliq – Member, Asst. Prof. Dr. Khalil Sattar Mohammed – Member, Prof. Dr. Suhad Haseeb Abdul Hameed – Supervisor.

The research aimed to assess the effectiveness of three different rehabilitative methods in improving the health condition of women with soft tissue rheumatism (fibromyalgia). Design a rehabilitation exercise program focusing on increasing the range of motion, reducing pain, and alleviating stiffness. Examine the effect of combining these exercises with two therapeutic techniques—ultrasound and reflexology massage—to determine their impact on improving joint and muscle flexibility, reducing pain severity, and alleviating sleep disturbances. Develop a specialized scale for sleep disorders among this group, contributing to better diagnosis and improving their quality of life.

The researcher concluded that carefully designed rehabilitation exercises improved the range of motion and reduced pain among women with soft tissue rheumatism. The exercises enhanced musculoskeletal efficiency, reduced joint stiffness, improved blood circulation in affected tissues, increased muscle flexibility, improved sleep quality, and reduced stress.

The study recommended adopting the rehabilitation exercises designed in this research to improve the range of motion, reduce pain in the hip, shoulder, and knee joints affected by soft tissue rheumatism, and measure range of motion and pain levels in patients to tailor exercises better, and providing counseling programs to prepare patients psychologically, helping them overcome insomnia and stress caused by the condition and conducting further studies using rehabilitation exercises (massage and ultrasound) to examine their impact on other body joints. This dissertation supports the achievement of the Sustainable Development Goals, particularly Goal 4: Quality Education.

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