Physiotherapy

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Start date: 2010End date: 2019

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    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.
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    Motor function, community reintegration and quality of life in stroke survivors with pre-stroke driving history
    (College of Medicine, University of Ibadan, and the University College Hospital, Ibadan, Nigeria., 2018) Olaleye, O. A.; Nwankwo, O. K.; Hamzat, T. K.
    Background: Driving is an important activity of daily living associated with improved community reintegration and better quality of life. It is however unclear if there is a definite difference in the motor function, community reintegration and quality of life of stroke survivors who returned to driving and those who did not. Methods: Stroke survivors with pre-stroke driving history participated in this cross sectional survey. Socio-demographics, clinical characteristics and driving history were documented. Motor function, community reintegration and quality of life were assessed using the Modified Motor Assessment Scale (MMAS), Reintegration to Normal Living Index (RNLI) and Health-Related Quality of Life in Stroke Patients (HRQOLISP-40) respectively. Returners and non-returners were compared using Mann Whitney U test at á0.05 . Results: Fifteen out of the 44 stroke survivors (34.1%) who participated in this study had returned to driving after their stroke. There was no significant difference in age, time since stroke onset and years of driving experience prior to stroke onset (p >0.05) between returners and non-returners. There was however a significant difference in the motor function, community reintegration and quality of life between the two groups (p<0.01) Conclusion: Stroke survivors with pre-stroke driving who returned to driving after stroke had better motor function, community reintegration and quality of life compared to their counterparts who had not returned to driving.
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    Relationships between Community Reintegration and Clinical and Psychosocial Attributes in Individuals with Spinal Cord Injury in a Nigerian City
    (American Spinal Injury Association, 2018) Atobatele, K. O.; Olaleye, O. A.; Fatoye, F. A.; Hamzat, T. K.
    Background: The bio-psychosocial model for comprehensive understanding of community reintegration among individuals with spinal cord injury (SCI) varies across communities. Yet, information about community reintegration in Nigeria is not available. Objective: To investigate the association between community reintegration and clinical and psychosocial attributes among Nigerians with SCI. Methods: Fifty individuals (31 females; 19 males) with SCI aged 38.6 ± 11.1 years participated in this longitudinal survey. Pain, functional ability, and severity of injury were assessed at discharge and at 1, 2, and 3 months post discharge from inpatient care using the Visual Analogue Scale (VAS), FIM®, and American Spinal Injury Association Impairment Scale (AIS), respectively. Self-esteem (SE), social support (SS), and depression were also assessed using the Self-Esteem Questionnaire, Social Support Questionnaire, and Beck Depression Inventory, respectively. CR was assessed at 1, 2, and 3 months post-discharge using the Reintegration to Normal Living Index (RNLI). Data were analyzed using Spearman’s rho correlation and Friedman test. Results: The psychosocial and clinical attributes were significantly different from baseline and across the 3 months post-discharge (p < .0001), except for SS. CR significantly correlated with level of injury, function ability, SE, and depression across the 3 months post-discharge (p < .01). CR was significantly correlated with SS only at 1 month post-discharge (p = .027). Conclusion: Individuals with SCI had significant improvement in clinical and psychosocial attributes from discharge to 3 months post-discharge. Improvements in these variables were associated with better reintegration into the community.
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    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.
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    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.
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    Utilization of Physiotherapy in the continuum of stroke care at a tertiary hospital in Ibadan, Nigeria
    (Faculty of Medicine, Makerere University, 2017) Olaleye, O. A.; Lawal, Z. I.
    Objectives: To investigate the pattern of referral for and utilisation of physiotherapy in the continuum of stroke care at a tertiary hospital in Ibadan, Nigeria. Methods: Referral notes and medical records of patients admitted in the University College Hospital, Ibadan with a clinical diagnosis of stroke between January, 2009 and December, 2013 were retrospectively reviewed. Information on age, sex, type of stroke, length of hospital stay, referral for physiotherapy and utilisation of physiotherapy were retrieved. Data were summarised using descriptive statistics and analysed using Chi-square test. Results: A total of 783 patients with stroke were admitted in the hospital during the period under study. The in-patient mortal ity rate was 37.2%. The mean Length of Hospital Stay (LoHS) was 16.17±12.34 days. Referral rate for physiotherapy was high (75.8%) and the mean time from admission to referral for physiotherapy was three days. Majority of patients referred utilised physiotherapy (63.4%) and mean number of physiotherapy sessions received during in-patient care was 8.69±6.45. There was a significant association between LoHS and utilisation of in-patient physiotherapy (p=0.02). Conclusion: The referral rate of stroke patients for physiotherapy was relatively high. Utilisation of in-patient physiotherapy reduced length of hospital stay among patients with stroke. Utilisation of out-patient physiotherapy was low. Strategies to enhance out-patient utilisation should be explored.
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    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.
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    Satisfaction of Nigerian Stroke Survivors with Outpatient Physiotherapy Care
    (Taylor & Francis, 2017) Olaleye, O. A.; Hamzat, T. K.; Akinrinsade, M.A.
    Objective: To investigate the satisfaction of stroke survivors with outpatient physiotherapy care. Methods: Sixty stroke survivors were surveyed using the European Physiotherapy Treatment Outpatient Satisfaction Survey (EPTOPS). Focus group discussion (FGD) was also conducted with four stroke survivors from the same sample. Data were analyzed using the Kruskal Wallis test and Spearman’s correlation coefficients at p = 0.05. FGD was transcribed and thematically analyzed. Results: Nearly all the participants (98.3%) indicated one of good, very good, and excellent improvement in their clinical conditions with physiotherapy. Majority expressed satisfaction with their physiotherapy care, the modal response being very good (59.3%). Patients’ satisfaction and socio-demographics were not significantly correlated (p > 0.05). Overarching themes from FGD were physiotherapy in stroke rehabilitation, satisfaction with physiotherapy care, cost, and lack of continuity of care as sources of dissatisfaction. Physiotherapists’ demeanor was a facilitator of satisfaction. Conclusion: The stroke survivors were generally satisfied with outpatient physiotherapy care. However, lack of continuity and cost of care were sources of dissatisfaction among patients. Delivery of physiotherapy to stroke survivors in Nigeria should be structured to allow for continuity of care as this may enhance satisfaction. Implementation of inexpensive rehabilitation strategies may help reduce cost of physiotherapy.
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    Perceived quality of physiotherapy services among informal caregivers of children with cerebral palsy in Ibadan, Nigeria
    (IOS Press, 2015) Olaleye, O. A.; Hamzat, T. K.; Oloso, M. O.
    OBJECTIVE: Effective physiotherapy intervention for children with cerebral palsy (CP) requires that expectations of their caregivers be incorporated into treatment plans and strategies. This study explored the perceived Quality of Physiotherapy (QoP) for children with CP in Ibadan, Nigeria METHODS: This cross-sectional survey explored the perceived QoP using the SERVQUAL instrument among informal care givers of children with CP from two different healthcare facilities. Data was analysed using Mann Whiney U and Wilcoxon Signed Rank tests at p ⩽ 0.05. RESULTS: Fifty-three informal caregivers (50 females, 3 males) of children with CP (32 males, 21 females) were surveyed. Fourth-fifths (81.13%) of the caregivers perceived the QoP service for their children as poor. The highest negative and positive ranks were in the tangible and responsiveness dimensions of the SERVQUAL respectively. CONCLUSIONS: The study demonstrated that caregivers of children with CP perceived the quality of physiotherapy provided for their children as poor. This poor perception is related more to the tangible dimension of care. Strategies to improve care environment for children with CP and their informal caregivers should be implemented to engender satisfaction with care.
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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.