Physiotherapy
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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 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.