Physiotherapy
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Item 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.Item 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.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.Item Quality of life of Nigerian stroke survivors and Its determinants(2015-01) Badaru, U. M.; Ogwumike, O. O.; Adeniyi, A. F.The disability caused by stroke could lead to significant decline in the level of functioning and deterioration of quality of life (QoL). QoL assessment could be used to evaluate the impact of stroke, assist in planning effective treatment, appraise efficacy of stroke rehabilitation, and evaluate cost effectiveness in order to justify expenditures on health care. This article reviewed the QoL of Nigerian stroke survivors and also identified its determinants. More than 70% of the studies on QoL of Nigerian stroke survivors have been conducted the in South Western part of Nigeria, and few from other parts of the country. The reported mean ages of stroke survivors in the published studies ranged between 54.40 years and 62.8 years. Stroke has moderate impact on QoL of Nigerian survivors, though they experienced lower QoL than their apparently healthy counterparts. The physical, social and emotional domains of QoL were all affected. Language and vision domains were however least affected. Stroke severity, disability and depression are the important predictors of QoL among Nigerian stroke survivors. The influence of motor recovery on QoL of Nigerian stroke survivors in the acute and sub-acute stages of recovery is subject to further research.