Browsing by Author "Olaleye, O. A."

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Association between Selected Indices of Adiposity and Lung Performance in Children with Cerebral Palsy
(Academic Journals, 2015) Ayo-Ogunseye, O. A.; Olaleye, O. A.; Hamzat, T. K.
Children with cerebral palsy (CP) have mobility impairments which may lead to problems with body weight. Increased body weight or adiposity may result in respiratory dysfunction. This study investigated the relationship between indices of adiposity and lung performance in children with CP in Ibadan, Nigeria. Twenty-four children with CP participated in this ex-post facto study. Anthropometric and spirometric parameters were measured following standard procedures. Data were summarized using descriptive statistics and analysed using the Pearson's Product Moment Correlation at p = 0.05. Body mass index (BMI) was not significantly related (p > 0.05) to the indices of lung performance measured, but subscapular skinfold (SSF) thickness was significantly related with chest excursions at the 4th (r=-0.43) and 9th (r=-0.42) ribs. Quadriceps skinfold thickness (QST) was also significantly related with chest excursions at the 4th (r=-0.61), 7 (r = -0.60) and 9th (r = -0.50) ribs and the respiratory rate (p=0.03) but not with FVC, FEV, FEV/FVC and PEF (p > 0.05). This study demonstrated that increased adiposity is associated with decreased respiratory excursion in children with CP. Therapeutic intervention for children with CP should include components aimed at controlling obesity.
Clinical and Psychosocial Predictors of Community Reintegration of Stroke Survivors Three Months Post In-Hospital Discharge
(Jimma University, Ethiopia., 2017) Ekechukwu, N. E.; Olaleye, O. A.; Hamzat, T. K.
BACKGROUND: There appears to be a dearth of published literature on the biopsychosocial predictors of community reintegration (CR) among stroke survivors. This study aims to investigate the clinical and psychosocial predictors of CR among stroke survivors three months post in-hospital discharge. METHODS: Fifty-two stroke survivors took part in this prospective exploratory study. The participants’ clinical attributes of motor function (MF), balance (Bal) and psychosocial characteristics of Fall Self- Efficacy (FSE), Balance Self-Efficacy (BSE), Self Esteem (SEst) and Social Support (SS) were assessed pre-discharge and at three months post-discharge. CR was also assessed at three months post-discharge. Data were analyzed using paired t-test, Pearson’s Moment correlation and multiple regressions. Level of significance was set at p = 0.05 RESULTS: The mean age of the participants was 61.21±11.25 years with mean hospital length of stay of 5.31±3.71weeks. There were significant differences in the mean MF, Bal, FSE, BSE, SEst and SS scores of the participants pre- and post-discharge (p < 0.05). Also, there was a significant correlation between CR and each of MF, Bal, FSE, BSE, SEst and SS. Pre-discharge Age (β = 0.226, p = 0.001) and FSE (β = 1.387, p = 0.040) significantly predicted CR. Post-discharge age (β = -0.164, p = 0.005) and Bal (β = 0.142, p = 0.048). FSE (β = 1.243, p = 0.034) also significantly predicted CR. CONCLUSION: Age, Bal and FSE are important predictors of CR among stroke survivors. Therefore, rehabilitation programmes should focus on improving Bal and FSE in order to enhance community reintegration among stroke survivors.
Development and Evaluation of a Primary HealthCare-based Physiotherapy Intervention and its Effects on Selected Indices of Stroke Recovery
(MA Healthcare Ltd, 2013) Olaleye, O. A.; Hamzat, T. K.; Owolabi, M. O.
Aim: To develop a Primary Healthcare-Based Physiotherapy Intervention (PHCPI) that requires simple, inexpensive, easy-to-use equipment for stroke rehabilitation and evaluate its effects on selected clinical indices of recovery among post-acute stroke survivors over a 10-week period. Methods: Three databases (Medline, Pubmed and PEDro) were used to identify treatment approaches with proven efficacy. The authors synthesised these treatment approaches to develop the PHCPI, which was used in a repeated measure design involving 25 (mean age=60.6 ± 10.2 years) consenting individuals with first-incidence stroke. These individuals were treated at a primary health centre, twice weekly for 10 consecutive weeks. Outcomes were assessed using the Modified Motor Assessment Scale (MMAS), the Short Form Postural Assessment Scale for Stroke (SF-PASS) and the Reintegration to Normal Living Index (RNLI), before the intervention and fortnightly thereafter. Walking speed and quality of life were also assessed before the intervention and at week 10 of it. Results: Within-subject multivariate analysis, after controlling for gender, showed a significant increase in motor function, postural balance, walking speed and quality of life. Their community reintegration scores also improved over the period. Conclusion: The PHCPI resulted in improved motor function, community reintegration, walking speed, postural balance and quality of life among community-dwelling stroke survivors. This intervention can be used for stroke rehabilitation at primary health centres.
Disability and Quality of Life among People Living With HIV/AIDS in Ibadan, Nigeria
(Zambia Medical Association, 2017) Olaleye, O. A.; Adetoye, A. A.; Hamzat, T. K.
Background: Improvements in medical and pharmacologic management of HIV/AIDS has led to increased life expectancy for the afflicted individuals. Hence, the focus of management for People Living With HIV/AIDS (PLWHA) has shifted to issues relating to function and Quality of Life (QoL). Information is scarce on disability issues and quality of life among people living with HIIV/AIDS in Nigeria. This was the premise of this study that assessed the level of disability and how it related to quality of life among people living with HIV/AIDS in Ibadan, the largest city in Nigeria. Methods: 360 PLWHA (274 females; 86 males) aged 37.79±9.37 years participated in this study. They were recruited from the anti-retroviral clinics of one secondary and one tertiary healthcare facilities in Ibadan, Nigeria. Disability and QoL were assessed using the 12-item WHO Disability Assessment Schedule (WHODAS 2.0) and the WHOQOL_HIV Bref respectively. Data were analysed using Chi square and Kruskal Wallis test at p = 0.05. Results: Almost a quarter (23.6%) reported being currently ill, with HIV/AIDS-related symptoms accounting for the highest perceived illness (42.5%). Majority of these participants (71.1%) had mild to extreme disabilities. There were no significant associations (p > 0.05) between disability and each of age, sex and employment status. Disability was however, significantly associated with level of education, alcohol use, CD4 count, history of tuberculosis and QoL (p<0.005) between disability and each of age, sex and employment status. Disability was however, significantly associated with level of education, alcohol use, CD4 count, history of tuberculosis and QoL (p<0.001) Conclusion: Disability was relatively high among people living with HIV/AIDS in Ibadan, Nigeria. Although mostly rated mild, disability was associated with poor QoL. This underscores the need for early identification of disability in people living with HIV/AIDS to minimise its impact on their QoL.
Drivers of Cost of Treatment for Traumatic Spinal Cord Injury in Ibadan, Nigeria
(Pan African Association of Neurological Sciences (PAANS), 2020) Olaleye, O. A.; Ojomo, O. A.; Hamzat, T. K.
Background: Traumatic Spinal Cord Injury (TSCI) is a costly condition in human and economic terms. Yet, studies on direct cost of treatment for TSCI in resource-constraint countries are sparse. Objective: To estimate the direct cost of treatment for patients with TSCI at the University College Hospital (UCH), Ibadan, Nigeria using an incidence-based costing approach. Methods: All new cases of TSCI admitted in the hospital from January, 2009 to December, 2013 were identified and reviewed. Direct costs of in-patient and out-patient treatments over the first year of injury were estimated. Results: 114 individuals with TSCI (73 males; 41 females) were admitted and discharged home alive from the hospital. The largest cost driver to the patients and the National Health Insurance Scheme was cost of consultations by neurosurgeons which constituted about a third (34.4%) of the total costs of treatment. Less than a fourth (24.2%) of the total cost of in-patient treatment was spent on therapeutic interventions (surgery, drugs and physiotherapy). There was a significant relationship between the direct cost of treatment and each of the severity of traumatic spinal cord injury and length of hospital stay (p = 0.01). Level of injury was not significantly associated with direct cost of treatment (p=0.89). Conclusion: Direct cost of treatment for individuals with TSCI in Ibadan, Nigeria is substantial. This high cost underscores the need for novel service models with potential for minimizing cost for patients with TSCI in Nigeria.
Early Mobilisation of Patients with Acute Stroke: A survey of knowledge, attitude and practice health care professionals in South-west, Nigeria
(African Journals Online., 2020) Olaleye, O. A.; Amusan, O. I.; Adeyinka, A. O.
BACKGROUND: Early mobilisation of acute stroke survivors has been associated with fewer deaths and better clinical outcomes. Yet, there are conflicting reports about the knowledge, attitude and practice of early mobilisation among clinicians. We investigated the knowledge, attitude and practice of early mobilization among health care professionals in South-West, Nigeria. MATERIALS AND METHODS: All the 159 health care professionals comprised 68(42.8%) nurses, 45(28.3%) physicians and 46(28.9%) physiotherapists involved in acute stroke care were surveyed using a content-validated questionnaire. Pearson’s Product Moment correlation and ANOVA were used to analyse data at p < 0.05. RESULTS: Most (n=147; 92.5%) of the participants agreed that early mobilization reduces complications of immobility. Majority of the HCPs were knowledgeable and had positive attitude towards early mobilisation (n=139; 87.4%). Attitude differed significantly across different healthcare professions (p=0.02). Most health care professionals (n=149; 93.7%) reported practicing early mobilization of acute stroke patients. There was a significant relationship between years of work experience and each of knowledge and attitude (p<0.05) CONCLUSIONS: Although, many health care professionals expressed concerns about the risks of early mobilization, including possibility of death, they reported practicing early mobilisation. It may be necessary to conduct a risk-benefit analysis of early mobilisation and provide appropriate practice guidelines to promote implementation. This could further enhance the health care professionals’ confidence in practicing early mobilisation and improve stroke care.
Effect of Aerobic Exercise on Post-Stroke Cognitive Function: A Systematic Review
(MA Healthcare Ltd, 2020) Abba, M. A.; Olaleye, O. A.; Hamzat, T. K.
Background/Aims: Literature suggests that aerobic exercise improves cognitive impairments post stroke. This systematic review was conducted to analyse evidence on the effectiveness of aerobic exercise in improving post-stroke cognitive impairments. Methods: Online databases (PubMed, EMBASE and Web of Science) were systematically searched from inception until 13 July 2017 using the keywords stroke/exercise/cognition. Clinical trials that met the inclusion criteria were assessed for methodological quality using the PEDro scale. Extracted data were synthesised for evidence. Results: A total of seven studies met the inclusion criteria. Participants in most of the studies were aged over 60 years and the majority had ischaemic stroke. The most commonly used measure for assessing cognition was the Mini Mental State Examination. The majority of studies included moderate to high intensity exercise (50–70% of VO2max) for 30–60 minutes three to five times per week. There is moderate evidence that aerobic exercise enhances global cognitive function, attention and working memory. Evidence that aerobic exercise improves memory, levels of brain-derived neurotrophic factor and executive function is conflicting and limited. Conclusions: Aerobic exercise is moderately effective in improving post-stroke cognitive impairments. More clinical trials are needed in view of the methodological limitations and paucity of existing studies.
Effects of over-ground walking and cognitive rehabilitation on cognition, brain-derived neurotrophic factor, participation and quality of life among stroke survivors: a study protocol
(Taylor & Francis, 2020) Abba, M. A.; Olaleye, O. A.; Hamzat, T. K.
Background: Cognitive rehabilitation (CR) is an important component of stroke rehabilitation. Most of the strategies used for this purpose are not readily affordable. This is the protocol of a trial to investigate the effects of over-ground walking (OGW) exercise and CR on cognitive function among stroke survivors. Methods: This is a three-centre, single blind, randomised controlled trial (RCT). Fifty-seven stroke survivors with mild to moderate cognitive impairments will be recruited from three healthcare facilities and randomly assigned into three groups. Group A will receive moderate intensity OGW exercise. Group B will receive CR using an adapted cognitive intervention comprising an attention and a memory tasks. Group C will receive combine OGW and CR exercise. All interventions will be thrice weekly for 8 weeks. Outcomes to be assessed at baseline, 4th and 8th week of interventions are cognition, brain-derived neurotrophic factor (BDNF), quality of life and participation using Mini-Mental State Examination, Melsin brand ELISA kit, stroke-specific quality of life and London Handicap Scale, respectively. Friedman and Kruskal–Wallis tests will be used for within-group and between-group comparison of data. Discussion: This trial is the first to examine the effect of OGW exercise on cognition and BDNF among stroke survivors.
Expectations of Individuals with Neurological Conditions from Rehabilitation: A Mixed-Method Study of Needs
(South African Society of Physiotherapy, 2021) Olaleye, O. A.; Zaki, D. A.; Hamzat, T. K.
Background: Knowledge of the specific expectations of patients with neurological conditions (NCs) from rehabilitation helps in setting attainable goals. Such expectations may vary from situation to situation. There are no studies investigating rehabilitation expectations amongst individuals with NCs in Nigeria. Objectives: The aim of our study was to explore the rehabilitation expectations of individuals with NCs. Method: This convergent mixed-methods study comprised a cross-sectional survey of 105 individuals with NCs and two sessions of Focus Group Discussions (FGDS) amongst eight individuals with NCs. The modified Needs Assessment Questionnaire was used to assess rehabilitation needs as a proxy for rehabilitation expectations, whilst disability was assessed using the World Health Organization Disability Assessment Schedule 2.0. Quantitative data were summarised using descriptive statistics and analysed using inferential statistics at p < 0.05. Thematic analysis was conducted on the qualitative data. Results: Sixty-one (58.1%) stroke survivors, 33 (31.4%) individuals with spinal cord injury (SCI) and 11 (10.5%) with traumatic brain injury (TBI) aged 46.48 ± 15.91 were surveyed. The need for social/recreational activity was the most expressed need (100%) amongst the participants. Mobility was reported as an important need constituting a barrier to enjoying life by 93 (88.6%) participants. Individuals with SCI expressed the greatest needs compared with the other two groups. Needs were significantly correlated with severity of disability (p < 0.05). Four overarching themes (physical health, financial, healthcare services/rehabilitation and emotional/social) representing major areas of needs emerged from the FGD data. Conclusion: Individuals with NCs in Nigeria have specified expectations of rehabilitation. Disability was a major driver of these expectations, irrespective of NC subtype. Clinical implications: Rehabilitation programmes for individuals with NCs should target expressed needs or expectations of each patient cohort and minimise disabilities associated with these conditions.
Functional Ability, Community Reintegration and Participation Restriction among Community-Dwelling Female Stroke Survivors in Ibadan
(Jimma University (Research and Publications Office), 2014) Hamzat, T. K.; Olaleye, O. A.; Akinwumi, O. B.
"BACKGROUND: Stroke is not gender-discriminatory. Yet, the subject of stroke among females has apparently not received significant attention from clinical researchers. The consequences of stroke include functional and psychosocial sequelae which may cause disability, hinder community reintegration and restrict participation. The inter-relationships among functional ability, community reintegration and participation restriction of community-dwelling, female stroke survivors in Ibadan were assessed in this descriptive study. METHODS: Fifty-two community-dwelling female stroke survivors (mean age = 56.55±9.91 years) were surveyed using consecutive sampling technique. Their functional ability level was measured using the Functional Independence Measure (FIM) while London Handicap Scale (LHS) was used to assess their participation restriction. Data were analyzed using Spearman Rank Correlation Coefficient (rho) and Mann-Whitney U test at p = 0.05. RESULTS: Significantly positive correlations (p< 0.05) were found between functional ability and community reintegration (r = 0.54; p = 0.01) as well as between participation restriction and community reintegration (r = 0.34; p = 0.05). Individuals with left hemiplegia had significantly higher mean rank scores in functional ability (30.41) than those who had right hemiplegia (mean rank scores = 21.94). CONCLUSION: Functional ability which appears to be related to stroke laterality showed positive association with both community reintegration and participation restriction. This suggests that improving the functional ability of the stroke survivors may reduce participation restriction and enhance their reintegration into the community. A similar study which compares male and female stroke survivors in the same community is thus necessary. "
Health-Related Behaviour of Students of Federal College of Agriculture, Animal Health and Production Technology, Ibadan
(Royal People Limited., 2004) Hamzat, T. K.; Okpeze, C. N.; Olaleye, O. A.
The emphasis on health services is shifting from curative measures and hospital-based care to preventive behaviour that promotes health. This new approach involves every member of the society. A study of 132 students of the Federal College of Agriculture and Animal Health and Production Technology, Ibadan was carried out to investigate their health-related behaviour. Health related behaviours are steps taken to preserve one's own health and avoidance of detrimental behaviours. One hundred and eighteen (89.39%) of the students engage in sporting activities. Only 6.06%, 9.85%, 24.24% and 10.61% of the students smokers, drinks alcohol, drinks coffee and chews Kolanut respectively. Majority of the Students (78.03%) live a stress-free life. This result shows that only a few of the students exhibits negative health-related behaviour while the majority has positive-related behaviour. It was recommended that positive attitudes and healthy lifestyles should be encouraged among students of tertiary institutions in Nigeria.
Hepatitis B and C in doctors and dentists in Nigeria
(Oxford University Press, 1997) Olubuyide, I. O.; Ola, S. O.; Aliyu, B.; Dosumu, O. O.; Arotiba, J. T; Olaleye, O. A.; Odaibo, G. N.; Odemuyiwa, S. O.; Olawuyi, F.
"We surveyed a random sample (n=75) of doctors and dentists at University College Hospital, Ibadan, Nigeria. They were offered anonymous testing for hepatitis B surface antigen (HBsAg), hepatitis B antibodies to hepatitis B core antigen (anti-HBc) and to hepatitis C virus (anti-HCV) by enzyme immunoassay. The results suggest a high prevelance of hepatitis B virus (HBV) with a high potential of transmissibility, as well as a high prevalence of HCV infection. The majority of the doctors and dentist use universal precaution for protection against viral hepatitis on <50% of the occasion when they carry out procedures on their patients. Infection with HBV was associated with type of specialty (surgeaon, dentists) and lack of HBV vaccination (p<0.05). After logistic regression, these factors, were independently associated. with HBV infection (p<0.05). Sixty (80%) had not hepatitis received prior HBV vaccination. Unvaccinated personnel were more likely to be surgeons, dentists, <37 years of age, and have fewer years of professional activity (p<0.05). After logistic regression, only fewer years of professional activity remained independently associated with lack of vaccination (p<0.05). To reduce the occupational exposure of doctors and dentists use universal precaution must be rigorously adhered to when the doctors and dentists carry out procedures on their procedures on their patients, and all health-care workers should be vaccinated with HBV vaccine and the HCV vaccine, when it becomes available."
Hepatitis B and C virus and hepatocellular carcinoma
(1997) Olubuyide, I. O.; Aliyu, B.; Olaleye, O. A.; Ola, S. O.; Olawuyi, F.; Malabu, U. H.; Odemuyiwa, S. O.; Odaibo, G. N.; Cook, G. C.
"Antibody to hepatitis C virus (anti-HCV) was detected in 18.7% of patients with hepatocellular carcinoma ma (HCC)a nd in 10.9% of controls (P<0.001).The corresponding prevalences of hepatitis B surface antigen [HBsAg] were 59.3% and 50.0%(P<0.001). Using paticnts with non-hepatic disease as controls stepwise logistics regression analysis indicated that both anti-HCV (odds ratio 6-88%; 9.5% confidence interval [CI] 1.63-9-77) and HBsAg (odds ratio 6.46; 95% Cl 1.68-18:13) were independent risk factors for HCC. Calculation of the incremental odds ratio indicated no interaction between hepatitis B virus {HBV) and HCV. Blood transfusion was a significant risk factor for acquiring HCV infection with odds ratios of 5.48 (95% CI 1.07-29.0) and 2.86 (95%. CI 1.31-22.72) for HCC cases and controls, respectively. The mean age HCC cases with HBsAg and anti-HCV was lower than that of HCC patients with anti-HCV alone (p<0.01). It is concluded that there is a high rate of HBV infection, and a low rate of HCV infection, among Nigerian patients with HCC. However, HBV and HCV are independent risk factors for the developement of HCC, with HBV having an effect more rapidly. Screening of blood products for transfusion might minimize the risk of HCV transmission."
Informal Stroke Caregivers’ Satisfaction with Healthcare Services in a Tertiary Healthcare Centre in Ibadan, Nigeria
(Athens Alexander Technological Educational Institute, 2014) Akinpelu, A. O.; Olaleye, O. A.; Odole, A. C.; Otaiku, O. A.
Background: Many of the consequences of stroke affect not only the stroke survivor but also the informal caregiver. Most studies on informal stroke caregivers in literature are on the effects of care giving on the physical, emotional and psychological well-being of these carers. Considering the important role informal caregivers play in the rehabilitation process of the stroke survivor, there is the need to consider their views and expectations from care received by their care recipients. Objectives: This study investigated the satisfaction of informal stroke caregivers with healthcare services being received by their care recipients in a tertiary hospital in Ibadan. Methodology: Fifty consenting informal caregivers (12 males, 38 females) of stroke survivors receiving in-patient care on the medical wards of a tertiary healthcare facility participated in this cross-sectional survey. A self-developed, 3-part questionnaire adapted from the Caregivers’ Satisfaction with Stroke Care Questionnaire was used for this study. Results: The data collected was summarized using descriptive statistics of mean and percentages and illustrated with pie charts. Most of the participants (44%) were children of the patients. The results obtained showed that 48% of the participants were highly satisfied, 48% were satisfied while only 4% reported dissatisfaction. Areas of dissatisfaction were quality of food, water supply, electricity supply, waiting time and information about the condition of their care recipients. Conclusion: This study showed that the extent of satisfaction of informal stroke caregivers with inpatient care at the University College Hospital was good. It has also shown the need to routinely assess the satisfaction of informal carers with services being provided in the hospital for the purpose of quality assurance.
Injury Pattern of FIFA, CAF and UEFA Soccer Tournaments: A Retrospective Study of Selected 2002 Matches
(South African Society of Physiotherapy, 2004) Hamzat, T. K.; Adeniyi, A. F.; Awolola, O. E.; Olaleye, O. A.
This retrospective study was undertaken to detail the injuries sustained by players in the 2002 event of the Federation of International Football Association (FIFA) male senior world cup, Confederation of African Football (CAF) male nations' cup and Union of European Football Association (UEFA) clubs championship competitions. This was aimed at determining the frequency, causes, severity and treatment modalities of injuries sustained in selected matches at these three competitions. Twenty-four matches (eight from each tournament) were randomly selected from the pool of matches played. Video tape footage of the selected matches was reviewed to assess the possible cause and severity of injuries, parts of the body injured and different lines of injury management undertaken during these tournaments. The data are presented using frequency, percentages and means. A total of III injuries were recorded. CAF matches had the highest occurrence of soccer injuries (42.34%). The knee was the most commonly injured part of the body in each of the three competitions (FIFA-23.5%, CAF-14.9% and UEFA-20.0%). Ice-massage therapy was used extensively in the three tournaments. Knee injuries were most commonly caused by tackling attempts. Most of the injuries sustained were minor and the leading immediate therapeutic intervention was cryotherapy.
Integrating Physiotherapy into Primary Health Care in Nigeria: Perceptions of Primary Health Care Practitioners
(Taylor & Francis, 2022) Olaleye, O. A.; Abiodun, A. O.
The perception of Primary Health Care (PHC) practitioners about integrating physiotherapy into PHC in Nigeria is still unknown. The aim of this study was to examine the knowledge and attitude of PHC practitioners in Nigeria regarding the integration of physiotherapy into PHC. The participants in this cross- sectional study were 183 PHC practitioners (physicians, nurses, and community health workers). A content-validated, semi-structured questionnaire was used to obtain information about history of exposure to physiotherapy, knowledge, and attitudes toward integrating physiotherapy into PHC. Data was analyzed using Pearson's product moment correlation and Analysis of Variance at a = 0.05. Participants were mostly females (n = 154; 84.2%) and aged 39.97 ± 9.38 years. The mean years of work experience was 14.41 ± 8.68 years. Participants had limited knowledge about the role and scope of physiotherapy but were willing to learn more about physiotherapy. Less than half of the participants however, had favorable attitude toward integrating physiotherapy into PHC. Knowledge differed significantly across healthcare professions (p < .05) and was significantly correlated with attitude (p < .01). Our findings underscore the importance of interprofessional education and teamwork among healthcare providers. This might enhance understanding, modify attitudes and facilitate the inclusion of physiotherapy into PHC in Nigeria. Additionally, this could improve access to physiotherapy services for Nigerians.
Integrating Physiotherapy into Primary Health Care Practice in Nigeria: A call to action.
(African Journals Online., 2014) Hamzat, T. K.; Olaleye, O. A.
In Nigeria, Physiotherapy is often regarded as a second-contact health service suitable only for secondary and tertiary health facilities that are usually located in urban centers. Yet many patients who require the professional services of a physiotherapist are unable to access it either as a result of non-availability of physiotherapy centers and or non-affordability by the populace occasioned by cost and distance to location of the health facilities. Bringing physiotherapy closer to the doorsteps of those who need it in low-income societies can be ensured through its inclusion in primary health care models. This is because Primary health centers are located with short distances in the community and are funded by the government. We discussed the relevance of primary health care physiotherapy model in promoting health of the population and the feasibility of this model in a low-income society such as Nigeria.
Knowledge and Beliefs of Informal Caregivers of Children with Cerebral Palsy in Nigeria Concerning Cerebral palsy
(Zambia Medical Association, 2019) Adegbemigun, O. D.; Hamzat, T. K.; Olaleye, O. A.
Background: Caregivers of children with Cerebral Palsy (CP) play an important role in the habilitation of their wards. Their knowledge and beliefs about CP may affect their disposition to habilitation and the quality of care and habilitation their wards would receive. Knowledge and beliefs of informal caregivers of children with CP in Southwest, Nigeria were investigated in this study. 3 six(71%) respondents reported good knowledge while 9(9.7%) reported poor knowledge about cerebral palsy. Most of the caregivers responded correctly in expressing their belief, causes and management of cerebral palsy Methods: Ninety-three informal caregivers (relatives or friends) of children with CP who routinely provide an average of 3-5hours of care per week without pay were surveyed. A 56-item questionnaire was used to collect information on socio-demographics, knowledge and beliefs of the informal caregivers about CP. Data were summarized using descriptive statistics of mean, percentages and standard deviation. Results: Participants were aged 36.6 ±8.6 years and their age ranged from 16-66 years. Majority of the respondents (n = 85; 91.4%) were female. Most of the participants (n = 87; 93.5%) were married and (62.4%) had completed tertiary education. Sixty six (71%) respondents reported good knowledge while 9(9.7%) reported poor knowledge about cerebral palsy. Most of the caregivers responded correctly in expressing their belief, causes and management of cerebral palsy Conclusions: Informal caregivers of children with cerebral palsy in southwestern Nigeria had good knowledge and positive beliefs about cerebral palsy hence the need to ensure that they seek appropriate intervention to this condition.
Knowledge and Perception of Nigerian University Undergraduates about the Risks Associated with using Commercial Motorcycle for Transportation
(Zambia Medical Association, 2017) Ajayi, O. O.; Fatudimu, M. B.; Olaleye, O. A.; Hamzat, T. K.
Background and Purpose of Study: Commercial motorcycle is a popular mode of mass transportation in Nigeria, which despite its acknowledged benefits has been associated with health and social problems. It is embraced largely by young Nigerians, including university undergraduates who have not been well studied with respect to this mode of transportation. We determined the proportion of undergraduates of a Nigerian university regularly using commercial motorcycle. Level of knowledge and perception of risks associated with usage and some factors that may influence choice of commercial motorcycle were also investigated. Methods: This cross-sectional survey was conducted among Nigeria premier University of Ibadan undergraduates, recruited from their halls of residence using consecutive sampling technique. A self-administered questionnaire was hand distributed to obtain information on the respondents' socio-demographic variables, knowledge and perception of risks associated with using commercial motorcycle for transportation. Descriptive statistics were calculated and Chi- square test was used as inferential statistics at á = 0.05. Results: Among the 1000 respondents, 75% regularly used commercial motorcycle for transportation. A statistically significant association was found between gender and the knowledge of risks (p? 0.001) and also between age and the perception of risks associated with using this mode of transportation. However, there was no significant difference in the knowledge (p=0.03 and perception of risks (p=0.97) associated with using commercial motorcycle for transport between users and non- users. Conclusions: Respondents had limited knowledge and low perception of the risks associated with using commercial motorcycle for transport. Strategies should be put in place to educate these youths on the risks associated with using commercial motorcycle for transport.
Knowledge, perception and attitude of physiotherapy and medical undergraduates in Nigeria towards people with disability
(College of Medicine, University of Ibadan, and University College Hospital, Ibadan, Nigeria, 2022) Olaleye, O. A.; Sowemimo O. M.
Background: Knowledge, perception and attitude of healthcare professionals could constitute barriers that could affect healthcare provision for, and social life of People with Disability (PWD). Knowledge, perception and attitude towards PWD was investigated among physiotherapy and medical undergraduates of the University of Ibadan, Nigeria using a mixed-method design. Methods: Knowledge and perception of first and final year physiotherapy and medical undergraduates about PWD were assessed using a validated questionnaire while attitude was assessed using the Attitude Towards Disabled Persons scales (Forms A and O). Focus Group Discussion (FGD) was held with eight purposively selected students from the survey sample. Data were analysed using Man- Whitney U test at p-value <0.05. Transcripts from the discussion were analysed thematically. Results: 187 undergraduates (106 males) aged 20.35+2.67years participated in the survey. Majority of the participants (≥88.0%) were knowledgeable about physical disabilities but had poor perception and negative stereotypes about PWD. Only 38(20.3%) of the participants reported that PWD experienced disparities in accessing healthcare. First- year physiotherapy undergraduates had more positive attitudes towards PWD than first-year medical students (68.2% vs 35.0%, p<0.01) whereas final year medical students had more positive attitude that final year physiotherapy students (68.2% vs 52.6%, p=0.29) on form O. Participants in the FGD believed disability could be socially constructed and not just on account of physical impairments. They considered treating PWD as being more stressful than treating people without disability. Conclusion: Participants had good knowledge, ambivalent attitude and poor perception about PWD. Their perception and attitude could be improved through adequate exposure and contact with PWD.