Physiotherapy
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Item 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.Item 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.Item Psychosocial Impact of Wheelchair Usage on Individuals with Mobility Disability in Ibadan, Nigeria(College of Medicine, University of Ibadan, and University College Hospital, Ibadan, Nigeria, 2015) Hamzat, T. K.; Olaleye, O. A.; Agbomeji, O. T.Background: Wheelchairs provide individuals with mobility impairments opportunity for independent living within their environment. However, using this device may have psychosocial impacts with consequent influence on the quality of life of the users. The psychosocial impact of wheelchair usage among individuals with mobility disability in a Nigerian community was investigated. Methods: The study is a descriptive cross-sectional survey. People who have been independent users of wheelchair for a minimum of six months prior to the study were recruited from centres for people with disabilities in Ibadan, Nigeria into the study. A profile of their use of the device was documented and the psychosocial impact of wheelchair was assessed using the Psychosocial Impact of Assistive Devices Scale. Data were analysed using descriptive and inferential statistics at p = 0.05. Results: Sixty consenting individuals with mobility disability participated in this study. Their mean age was 38.7±14.1 years. Majority (90%) were manual wheelchair users and two-thirds (63.3%) had been using the wheelchair for d” five years. Approximately a third of the participants use their wheelchairs occasionally. There was no significant difference (p=0.26) in the psychosocial impact of wheelchair usage between male and female users. Conclusion: The psychosocial impact of wheelchair was similar between male and female users. However, the impact was higher on the self-esteem of male than female users and lower on their competence than that of their female counterparts. This may be due to stigmatization or a culturally related unwillingness of men in our environment to be dependent on others.