FACULTY OF CLINICAL SCIENCES
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Item Clinical correlates of schizophrenia: a study at the University College Hospital, Ibadan(2002) Morakinyo, J. J.; Oladeji, B.; Odejide, A. O.Item Women, depression, and mental-physical comorbidity: chronic pain as a mediating factor(Cambridge University Press, 2009) Gureje, O.; Oladeji B.Item Mental Health: morbidity and impact(San Diego Elsevier Academic Press, 2008) Gureje, O.; Oladeji, B.Item Standing asymmetry and functional ability in relation to gait parameters in hemiparetic stroke patients(Joint Centre for Research in Prosthetics & Orthotics and Rehabilitation Programmes, 2006) Hamzat, T. K.; Olaleye, O. A.; Adeniyi, A. F.; Awolola, E. O.Objective: Relationships between some temporospatial gait parameters and each of functional ability and standing asymmetry (measured as asymmetry ratio) in hemiparetic stroke patients were investigated. Design: Ex-post facto research design. Sample Size: Thirty-one (18 males and 13 females) patients with hemiparesis, aged between 35 and 65 years (56.97 ± 11.53) were consecutively recruited from the physiotherapy out-patient facility of a Nigerian teaching hospital. Measurements: Two weighing scales were used to measure relative standing weight distribution on each lower limb and subsequently converted to asymmetry ratio (AR), while functional ability was determined using the modified motor assessment scale. Gait parameters were assessed using foot print analysis, obtained during a 10-metre walk test. Pearson's correlation matrix (r) was calculated to establish relationship at 0.05 alpha. Results: Results showed a significantly negative correlation between asymmetry ratio and each of stride length, step length and functional ability (p<0.05). Significantly positive correlation was found between motor function and cach of stride length, step length, cadence, walking speed and step time (p<0.05) were obtained. Conclusion: The lesser the standing asymmetry in stroke patients, the better their motor functions and gait performance. Programmes aimed at enhancing weight bearing activities through the paretic lower limb, to attain standing symmetry, may be used to enhance functional ability and produce better gait functions in post-stroke patients.Item 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.Item Efficacy of Kraus-Weber Exercise Protocol in the Management of Chronic Mechanical Low Back Pain(Joint Centre for Research in Prosthetics & Orthotics and Rehabilitation Programmes, 2003) Hamzat, T. K.; Awolola, E. O.; Adeniyi, A. F.; Olaleye, O.A.Objective: This study was carried out to determine the efficacy of Kraus-Weber exercises in the management of chronic mechanical low back pain (CMLBP). Design: The equivalent group experimental design was used in the study. Sample Size and Sampling Technique: Thirty volunteer participants with diagnosis of CMLBP took part in the study. The fish bowl technique of simple random sampling was used to assign subjects into either the experimental (Kraus-Weber) or control (non-Kraus-Weber) group. Interventions: Pain intensity, lumbar spine flexibility and functional abilities confidence level (FACL) were assessed before and after 6 weeks of treatment. Subjects in the experimental group were treated using Kraus-Weber exercise, heat therapy, massage and back care education. Subjects in the control group were also treated with heat therapy, massage and back care education excluding Kraus-Weber exercise. Data obtained were analyzed using descriptive statistics and inferential statistics of Student t-test and Spearman rank correlation coefficient (Rho). Significance was set at 0.05 alpha level. Results: Results obtained showed that there was no significant difference in the pre-treatment parameters of the two groups studied. There was significantly greater reduction in the post-6-weeks treatment pain intensity and significantly higher post-treatment functional abilities confidence level of the experimental than the control group subjects. Patient's abilities confidence level was found to increase as their pain intensity decreased. Conclusions: Kraus-Weber exercise is an effective tool in the management of CMLBP when combined with heat therapy, massage and back care education. Kraus-Weber exercise in addition to other modalities was therefore recommended in the management of CMLBP.Item Stroke Rehabilitation: When Should Ambulation Activities Commence?(Medical Rehabilitation Therapists (Registration) Board of Nigeria, 2002) Olaleye, O. A.; Hamzat, T. K.Stroke is an important cause of disability worldwide. It results in considerable impairments such as sensory, motor, mental, perceptual and language functions. The motor deficits are characterized by hemiplegia and attendant physical limitation. Independent walking function is a highly desired goal among stroke survivors. It is therefore not surprising that recovery from the illness is often measured using ambulation as yardstick by both the patients and their relatives. This strong desire for ambulation often leads to pressure on the attending physiotherapist to commence ambulation promptly. However, some factors need to be taken into consideration by the physiotherapists before commencing ambulation in stroke rehabilitation. This article looks into issues that should be addressed before training ambulation in stroke patients undergoing rehabilitation.Item 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.Item Evidence based measures for reduction of maternal and child mortality in developing countries(MA Healthcare, 2009) Ndikom, C. M.; Fawole, A. O.Improving maternal and child health in developing countries are critical components of the millennium development goals. The indicators for measuring progress in most developing countries remain poor reflecting poor access to quality maternal and child health care among other factors. Cost-effective interventions to save women's and children's lives are known. Failure to implement these interventions contributes significantly to the poor health indices prevalent in developing countries. Initiatives for improving quality of maternal and child health care must incorporate affordable and cost-effective evidence-based treatment strategies that are applicable in developing countries.Item A Study of Anxiety on First Time Pregnant Women in Ibadan(The International Journal of Development Studies, 2008) Olanisimi, B. O.; Ndikom, C. M.As a result of previous studies that anxiety has deleterious effect on pregnancy, 146 primigradae were tested, on the modified Sarason s General Anxiety scale, at the ante-nata! clinics of the three biggest hospitals in Nigeria. The data generated was analyzed using simple frequency count and percentages. The result indicated that 81% of the primigravidae, representing about 109 of the subjects, were anxious. Similar result was obtained far young, elderly, educated, uneducated and subjects in their second and third trimesters. The counselling implication of the findings includes the need to provide young women with basic childbirth information and counselling before and during pregnancy. Added to this is the need to subject every pregnant woman, who comes far ante-natal clinic, to anxiety test so that remedial action could be taken on those who were found to have anxiety