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- ItemOpen AccessChronic pain after stroke: A hospital-based study of its profile and correlation with health-related quality of life(Middle East Journal of Rehabilitation and Health, 2017) Olawale, O. A.; Ajepe, T. O.; Oke, K. I.; Ezeugwa, C. J.Background: Chronic pain is one of the most troublesome sequelae of stroke. The correlation between post-stroke pain and patients’ quality of life has not been extensively studied. Objectives: The purpose of this study was to investigate certain profiles of post-stroke chronic pain and evaluate its correlation with health-related quality of life. Methods: The study involved 118 participants with stroke comprising 72 (61.0%) males and 46 (39.0%) females. A convenience sampling technique was used to recruit the subjects for the study. Socio-demographic data of the participants were taken. Data on chronic pain and health-related quality of life (HRQoL) were collected using the brief pain inventory (BPI) and short form health survey (SF-36), respectively. Independent t-test was used to compare HRQoL between participants with and without chronic pain. The correlation of chronic pain with HRQoL was investigated using Spearman’s correlation coefficient. The level of significance was P ≤ 0.05. Results: Chronic pain was reported by 88 (72%) out of the 118 participants. Musculoskeletal pain was the most common type of pain. The upper limb was the most reported site of pain (63.6%). Participants with chronic pain had poorer HRQoL than those without chronic pain (P = 0.001). There were significant correlations between chronic pain and all domains of HRQoL (P < 0.05) with r values ranging from 0.181 to 0.309. Conclusions: The study showed that the majority of patients with stroke had chronic pain. The pain had a significant impact on all domains of health-related quality of life among the patients.
- ItemOpen AccessCognitive Behavioural Therapy and Core Stabilization Exercise on Pain-Related Disability and Psychological Status in patients with Non-Specific Chronic Low Back Pain(European journal of clinical and experimental medicine., 2020) Akodu, A.K; Ogunbiyi, T.A; Fapojuwo, O.AIntroduction. Exercises have been shown to relieve symptoms in non-specific chronic low back pain (NSCLBP) patients. Aim. This study compared the effects of cognitive behavioural therapy (CBT) and core stabilization exercises (CSE) on pain-related disability, psychological status and sleep disturbance in patients with NSCLBP. Material and methods. This randomized controlled trial involved a total of thirty-seven (37) participants. They were randomly allotted into three groups [CBT (11), CSE (14) and control (12)]. The intervention was done once per week for duration of 60 minutes for the CBT group, 30 minutes for CSE group and 10 minutes for the control group twice per week for 8 consecutive weeks. Assessment of outcome was done at baseline, 4 weeks and 8 weeks. Data were analyzed using statistical package for social science version 25 at alpha level of less than 0.05. Results. The results of this study showed that there was significant improvement in the level of pain-related disability (p= 0.001), level of anxiety (p =0.001), depression (p = 0.01, p = 0.001, p =0.001) and sleep disturbance (p = 0.001) in all the groups (CBT, CSE, control) post treatment. Conclusion. CBT and CSE are both effective in the treatment of pain-related disability, sleep disturbance, and psychological status of NSCLBP patients.
- ItemOpen AccessCore stabilization and Mckenzie back extension exercises on pain, functional disability and insomnia in patients with Non-specific Chronic low back pain (NSCLBP).(Medicina Sportiva, 2020) Akodu, A.K;; Odunfa, S.K;Aim: This study compared the effects of core stabilization and McKenzie back extension exercises on pain, functional disability, insomnia and Quality of Life (QoL) in patients with Non-specific Chronic low back pain (NSCLBP). Material and Method. Forty-one (41) participants (16males, 25 females) participated in this study. They were recruited from a tertiary Hospital in Lagos state. Participants were allocated into three groups using computer generated random number sequence. Group 1 received core stabilization exercises, Group 2 received McKenzie back exercises and Group 3 received Transcutaneous Electrical Nerve Stimulation (TENS) and back care education. Pain intensity, functional disability, insomnia and quality of life were assessed using Numerical Pain Rating Scale (NPRS), Oswestry disability questionnaire, Insomnia Severity Index (ISI) and SF-36 Quality of life (Qol) questionnaire respectively at baseline, and end of 4thweek post intervention. Results. There was an improvement in the clinical outcome, pain (p=0.001, 0.004), functional disability (p= 0.001, 0.01) and insomnia (p= 0.001, 0.012) in both group 1 and 2 but most of the improvement was noticed in group 1 post intervention. Significant improvement was displayed in the general health (p=0.001, 0.004, 0.049), physical function (p=0.001, 0.007, 0.007) and social function (p=0.026, 0.02, 0.007) domains of quality of life post intervention in all the 3 groups (1, 2, 3). Across groups comparison showed, significant difference in both pain (p=0.01), insomnia (p=0.02) and physical function (p=0.002). Conclusions. Both core stabilization and McKenzie back extension exercise group had improved outcomes following intervention
- ItemOpen AccessThe effect of stabilization exercise on pain-disability, sleep disturbance and psychological status of patients with non-specific chronic low back pain.(The Korean pain society, 2018) AKODU, AKBackground: Sleep disturbance and depression are becoming more recognized as important symptoms among individuals with chronic low back pain. This study evaluated the effect of stabilization exercise on pain-related disability, sleep disturbance and the psychological status of patients with non-specific chronic low back pain (NSCLBP). Methods: A total of 26 patients (M/F = 17/9) with NSCLBP with a mean age of 50.0 ± 15.5 took part in this study. Participants were recruited from selected hospitals in Lagos state. Ethical approval was sought and obtained from the health research and ethics committee of Lagos University Teaching Hospital Idi-araba, Lagos, Nigeria. Participants performed stabilization exercise for eight weeks consecutively and were assessed for pain-related disability, anxiety, depression, and sleep disturbance using the pain-disability index, hospital anxiety and depression scale, and the insomnia severity index at baseline, the 4th week, and the 8th week, postintervention. Results: The participants studied recorded significant reduction in pain-related disability (P = 0.001). There was also improvement in the sleep quality (P = 0.001), depression level (P = 0.001), and anxiety level (P = 0.001), post intervention. Conclusions: This study revealed that stabilization exercise is very useful in the management of sleep disturbance, pain-related disability, depression, and anxiety in NSCLBP patients. (Korean J Pain 2018; 31: 199-205)
- ItemOpen AccessEffects of a 6-week aerobic exercise programme on the cardiovascular parameters, body composition, and quality of life of people living with human immune virus.(Korean Society of Exercise Rehabilitation, 2018) John, D. O.; Tella, B. A.; Olawale, O. A.; John, J. N.; Adeyemo, T. A.; Okezue, O. C.This study evaluated the effects of aerobic exercise program on the cardiovascular parameters, body composition, and quality of life (QoL) of people living with human immune virus (HIV). Patients were recruited from the HIV clinic in a tertiary hospital in Nigeria. Fish bowl method was used to randomize the patients to either experimental or control group. Experimental group received nutritional counseling and aerobic exercise program on a treadmill, 3 times a week for a period of 6 weeks, while the control group received only nutritional counseling. Cardiovascular parameters, aerobic fitness, body composition parameters, and QoL were evaluated at baseline and 6 weeks. Descriptive statistics was used to explore demographic data while the hypothesis was tested using inferential statistics of t-test. Alpha level was set at P< 0.05. The result showed that there was an improvement in cardiovascular parameters in both groups, attaining significance in the experimental group (P= 0.000). Aerobic fitness increased significantly in experimental group (P= 0.000). Body composition decreased significantly while there was a significant difference in the muscle mass (%) between groups (P< 0.05). All domains of QoL had a significant improvement in both groups (P< 0.005). A 6-week aerobic exercise program in addition to nutritional counseling was able to significantly improve cardiovascular fitness, body composition, and QoL in people living with HIV/acquired immune deficiency syndrome. Nutritional counseling alone can bring about an improvement only in QoL parameters.
- ItemOpen AccessThe effects of intrasound therapy on the healing of tendon exposed to alcohol(University of Lagos, Faculty of Basic Medical Sciences, 2015) Aiyegbusi, A.I; Dosumu, O.O; Samuel, T.A; Anunobi, C.C; Duru, F.I; Akinfeleye, A; Okafor, U.ABackground: Functional abnormalities in wound structure has been identified as a potential complication if a patient consumes alcohol prior to injury and studies suggest that even a single incidence of acute ethanol exposure can have adverse effects on the tissue response to trauma. Ethanol ingestion has been shown to result in abnormal and delayed healing 3 weeks after injury. Objective: This study investigated the effects of Low Intensity Intrasound therapy (LITR) given twice daily on the morphology and antioxidant parameters in the healing tendon following an acute injury in rats exposed to prior ethanol consumption. Methods: Fifteen male rats randomized into three groups, all had induced crush injury to the Lt Achilles tendon. Groups 2 and 3 had prior administration of 30% ethanol for six days while Group 1 (Control) had no alcohol and no follow up intervention. Group 2 received no treatment while group 3 had LITR twice daily. LITR was commenced immediately post-injury and was given over the first 6 days. The animals were sacrificed on day 20 post-injury and the tendons excised and processed for histology, antioxidant and malondialdehyde (MDA) assay. Results: The tendons in Group 2 showed disordered and haphazard collagen formation with neutrophilic infiltrates and high tenoblast population 20 days post-injury while the LITR tendons demonstrated dense, organized, parallel collagen deposits with fewer tenoblasts. LITR also significantly improved the antioxidant parameters and lowered the MDA when compared with the tendon of rats that were fed alcohol but received no treatment (p<0.05). Conclusion: LITR reversed the deleterious effect of ethanol on the healing tendon and resulted in near-normal morphology of the healing tendon 20 days post-injury
- ItemOpen AccessEffects of Muscle Energy Technique and Neck Stabilization Exercise on Pain and Functional Disability, psychological status, sleep disturbance in Patients with Non-Specific Chronic Neck Pain(Kowsarmedical, 2019-04-23) Zibiri, R.A; AKODU, A.K; Okafor, U.A.CBackground: Neck pain is one of the most common and painful musculoskeletal conditions. It is a problem in societies probably due to the widespread use of electronic gadgets such as computers, mobile phones, and tablets. It causes pain, functional disability, depression, and sleep disturbances. Therapeutic exercises have beenknownto be one of the major interventions to improve chronic neck pain. Objectives: This randomized controlled study aimed to compare the efficacy of muscle energy technique (MET) and neck stabilization exercise (NSE) on pain, neck disability, depression, anxiety, and sleep disturbance in patients with non-specific chronic neck pain (NSCNP). Methods: Thirty-five participants participated in this study. They were recruited from two hospitals in Lagos state and randomly assigned into 3 groups using computer-generated random number sequence. Group 1 (n = 12) received MET, neck care education (NCE), and infra-red radiation (IR), group 2 (n = 12) received NSE, neck care education (NCE), and IR, and group 3 (n = 11) received NCE and IR. Assessment of pain, neck disability, depression, anxiety, and sleep disturbance were done using numerical pain rating scale (NPRS), neck disability index (NDI), hospital anxiety depression scale (HADS) and Insomnia severity index (ISI) at baseline, end of 4 weeks and 8 weeks post-intervention. This study lasted for a period of 5 months (May - September, 2017). Results: The participants in the 3 groups(MET+NCE+IR,NSE+NCE+IR, NCE+IR) indicated significantimprovementin all the outcome parameters; pain (P = 0.001, 0.001, 0.001, respectively), disability (P = 0.002, P = 0.002, P = 0.003, respectively), depression (P = 0.02, 0.002, 0.003, respectively), anxiety (P = 0.01, P = 0.002, P = 0.03, respectively), and sleep disturbance (P = 0.01, P = 0.002, P = 0.01, respectively) post-intervention. Significant differences were observed in all outcome parameters except for depression (P = 0.456) and anxiety (P = 0.179) when across group comparisons were performed. Conclusions: Muscle energy technique and neck stabilization exercises and neck care are all effective in managing pain, neck disability, depression, anxiety, and sleep disturbance in NSCNP patients, but neck stabilization exercises have a better effect than a muscle energy technique. Keywords: Muscle Energy Technique, Exercise, Patients, Chronic Neck Pain
- ItemOpen AccessEffects of Neck Stabilization and Isometric Neck Exercises on Non-Specific Chronic Neck Pain: A Pilot Study(Journal of Riphah College of Rehabilitation Sciences (JRCRS), 2020) Akodu, A.K;; Ajepe, T.O;; Sorunke, M.A;Objectives: To evaluate the efficacy of neck stabilization and isometric neck exercises on pain-related disability, sleep disturbance, psychological status and cardiopulmonary parameters in patients with non-specific chronic neck pain (NSCNP). Methodology: This study was done within a period of May-October, 2019. 14 patients with NSCNP were involved in this research. The patients were enrolled into the research from two post secondary health facilities in Lagos state and distributed into groups A, B and C with the aid of random numbers generated by the computer: Group A received Neck stabilization exercises only, Group B received Neck stabilization and isometric neck exercises, Group C received Isometric neck exercises only. Subjects were evaluated for pain-related disability, sleep disturbance, psychological status (anxiety and depression), systolic and diastolic blood pressure (SBP, DBP), heart rate (HR), respiratory rate (RR), mean arterial pressure (MAP), rate pressure product (RPP), forced vital capacity (FVC), forced expiratory volume in 1 second (FEV1), peak expiratory flow rate (PEFR) and perceived exertion rate (RPE) before intervention and end of 4th week. Results: This research showed that neck stabilization combined with isometric exercise improved pain-related disability (p=0.04), anxiety (p=0.04) and depression (p=0.04) after 4 weeks intervention. Some pulmonary parameters, FVC (p=0.05, p=0.02), FEV1 (p=0.02, p=0.01) improved significantly post intervention in both neck stabilization exercise alone and neck stabilization combined with isometric neck exercise groups. While PEFR (p=0.02, p=0.01) improved significantly in both neck stabilization combined with isometric neck exercises and isometric neck exercise group alone post intervention. Conclusion: This study draws the conclusion that neck stabilization exercise only and neck stabilization combined with isometric exercise will better improve pain-related disability, anxiety, depression, sleep disturbance and some selected pulmonary parameters (FVC, FEV1, PEFR) in patients with NSCN
- ItemOpen AccessEffects of Task-Oriented Circuit Class Training on Physical Fitness of Stroke Survivors(Exercise Fitness and Health Alliance, 2016) Frimpong, E.; Antwi-Boasiako, C.; Ababio, E.; Ahenkorah, J.; Olawale, O. A.Aim: The purpose of this study was to assess the effectiveness of task-oriented circuit class training on physical fitness of stroke survivors in the early stages of stroke rehabilitation. Method: This study involved twenty (20) hemiparetic stroke survivors with ten (10) participants each in the task-oriented circuit class training group (TCCTG) and the non-circuit class training group (NCCTG). Participants in TCCTG underwent supervised TCCT with duration of 80 minutes per session, three times per week for 8 weeks in addition to conventional physiotherapy. Assessments were done at baseline and week 8 using resting heart rate (RHR), 5-minute heart rate recovery (5-min HRR), blood pressure (BP), 6–minute walk test (6-MWT), 10-metre walk test (10-MWT) and functional ambulatory category (FAC) score as outcome measures. Results: There were significant reductions in RHR, 5-min HRR, SBP and DBP (p<0.05) with significant increases in 6-MWT, 10-MWT and FAC score (p<0.05) within the TCCTG. However, only the 6-MWT and 10-MWT showed significant differences (p=0.0432 and p=0.0121) in the NCCTG. The means of RHR, 5-min HRR, SBP and DBP were significantly lower in the TCCTG than the NCCTG (p<0.05). Also, at week 8, there were significant increases in 6-MWT, 10-MWT and FAC score (p<0.05) in the TCCTG compared to the NCCTG. Conclusion: Task-oriented circuit class training can improve both physical fitness and functional capacity in stroke survivors in the early stages of stroke rehabilitation.
- ItemOpen AccessErgometer cycling improves the ambulatory function and cardiovascular fitness of stroke patients-a randomized controlled trial(The Society of Physical Therapy Science, 2019-03-19) Ofori, E. K.; Frimpong, E.; Ademiluyi, A.; Olawale, O. A.[Purpose] The aim of this study was to assess the effects of ergometer cycling on the ambulatory function and cardiovascular fitness of patients with stroke in the sub-acute phase. [Participants and Methods] Twenty (20) patients with stroke in the sub-acute phase were randomly allocated to either an ergometer cycling group (n=10) or a control group (n=10). The experimental (ergometer cycling) group performed cycling exercises in addition to conventional physiotherapy for 60 minutes per session, three times per week for 8 weeks. The control group only received conventional physiotherapy for the same duration as the experimental group. Assessments of participants' functional ambulatory category, ambulatory velocity, 6-minute walk test, heart rate and blood pressure were conducted at baseline and at the end of the 8-week intervention. [Results] The means of the ambulatory velocity and distance walked in 6 minutes were significantly higher in the ergometer cycling group than those of the control group at week 8. However, the increase in the FAC score was not significant. The means of heart rate, systolic and diastolic blood pressures significantly decreased in the ergometer cycling group compared to the control group at the end of the 8-week of intervention. [Conclusion] This study demonstrated that ergometer cycling improved the ambulatory function and cardiovascular fitness of patients with stroke in the sub-acute phase.
- ItemOpen AccessEvaluation of Predictive Factors Influencing Community Reintegration in Adult Patients with Stroke(Journal of Neurosciences in Rural Practice, 2018-01) Olawale, O. A.; Usman, J. S.; Oke, K. I.; Osundiya, O. C.Objectives: Patients with stroke are faced with gait, balance, and fall difficulties which could impact on their community reintegration. In Nigeria, community reintegration after stroke has been understudied. The objective of this study was to evaluate the predictors of community reintegration in adult patients with stroke. Materials and methods: Participants were 91 adult patients with stroke. Gait variables, balance self-efficacy, community balance/mobility, and fall self-efficacy were assessed using Rivermead Mobility Index, Activities-specific Balance Confidence Scale, Community Balance and Mobility Scale, and Falls Efficacy Scale-International respectively. Reintegration to Normal Living Index was used to assess satisfaction with community reintegration. Pearson Product-Moment Correlation Coefficient was used to determine the relationship between community reintegration and gait spatiotemporal variables, balance performance, and risk of fall. Multiple regression analysis was used to determine predictors of community reintegration (P ≤ 0.05). Results: There was significant positive relationship between community reintegration and cadence (r = 0.250, P = 0.017), functional mobility (r = 0.503, P = 0.001), balance self-efficacy (r = 0.608, P = 0.001), community balance/mobility (r = 0.586, P = 0.001), and duration of stroke (r = 0.220, P = 0.036). Stride time (r = -0.282, P = 0.073) and fall self-efficacy (r = 0.566, P = 0.001) were negatively correlated with community reintegration. Duration of stroke, balance self-efficacy, community balance/mobility, and fall self-efficacy (52.7% of the variance) were the significant predictors of community reintegration. Conclusion: Community reintegration is influenced by cadence, functional mobility, balance self-efficacy, community balance/mobility, and duration of stroke. Hence, improving balance and mobility during rehabilitation is important in enhancing community reintegration in patients with stroke.
- ItemOpen AccessGeneralised Joint Hypermobility, Musculoskeletal Injuries and Psychological Status among Dancers In Lagos State(Saudi journal of sport medicine, 2021) AKODU, AK; Balogun, YO; Osundiya, OC; Adeagbo, CA; Ogunleye, IEIntroduction: Dancers are athletes who are vulnerable to musculoskeletal injuries and hypermobility, and their emotional level is very important for optimal performance. Objective: To evaluate the prevalence of generalized joint hypermobility (GJH) and its association with musculoskeletal injuries and psychological factors among dancers in Lagos state. Materials and Methods: This was a cross‑sectional analytical survey involving 114 dancers (54 males and 60 females), selected from two dance groups in Lagos state. The participants completed a 31‑item musculoskeletal pain questionnaire, 9‑item validated Beighton index, and 21‑item depression, anxiety, and stress scale. Data were analyzed using inferential statistics of Chi‑square and summarized using mean, standard deviation, frequency, and percentages at an alpha level of 5%. Results: The results showed that the 12‑month prevalence of musculoskeletal disorders among dancers was 77 (67%), and the knee, 25 (21.9%), was the most commonly affected body site. The prevalence of GJH was 81 (71.1%), with the majority having distinct hypermobility. The level of anxiety among dancers was extremely severe, 35 (30.7%). There was no significant association (P = 0.487) between GJH and the 12‑month prevalence of musculoskeletal injuries and psychological factors (P > 0.05) among dancers. Conclusions: There was a high prevalence of musculoskeletal injuries and joint hypermobility among dancers. The knee was the most frequently injured joint. The majority of the dancers’ joints are distinctly hypermobile, and most of the dancers have extremely severe anxiety. Musculoskeletal injuries and psychological factors did not influence GJH.
- ItemOpen AccessAn investigation of Cardiopulmonary Parameters of Internally and Non Internally Displaced Persons in Maiduguri Metropolitan Council, Borno State, Nigeria(2022-01) Akodu, A.K;; Abubakar, I;; Aweto, H.AInternally displaced persons (IDPs) are at high risk of developing cardiopulmonary problems compared to non-internally displaced persons (NIDPs). This study examined selected cardiopulmonary parameters in internally and non-internally displaced persons in a Nigerian population. The analytical cross-sectional study design employed a purposive sampling technique to recruit 800 participants (400 IDPs and 400 NIDPs) from four internally displaced camps and four host communities at camps located in Maiduguri Metropolitan Council of Borno State. Mercury sphygmomanometer, pulse oximeter and spirometer were used to measure the cardiopulmonary parameters of the participants. Descriptive statistics of the mean and standard deviation were used to evaluate socio demographic characteristics while an independent t-test was used to compare selected cardiopulmonary parameters of the participants. The result revealed a significant difference (P=0.001) in cardiopulmonary parameters of systolic blood pressure (SBP), diastolic blood pressure (DBP), heart rate (HR), mean arterial pressure (MAP), rate pressure product (RPP), respiratory rate (RR), forced expiratory volume in one second (FEV1) and forced vital capacity (FVC) between internally and non-internally displaced persons. There was a significant difference (P<0.05) in the age and sex matched of the cardiopulmonary parameters between internally displaced and non-internally displaced groups. But there was a significant difference (P<0.05) in the sex matched of the cardiopulmonary parameters within non-internally displaced persons, while significant difference only exist in the DBP (P=0.029) and MAP (P=0.030) within internally displaced persons. The study concludes with findings highlighting cardiopulmonary deficit faced by a significant number of IDPs as compared to NIDPs, who unavoidably found themselves in unfortunate conditions of displacement.
- ItemOpen AccessKnowledge and Perception of Cardiovascular Risk Factors among Patients with Type II Diabetes Mellitus, 2017(Iranian Journal of Health, Safety & Environment, 2022) Ajepe, TO; AKODU, AK; Ajenipa, OAIndividuals with diabetes are more likely to develop cardiovascular disease (CVD) compared to those without diabetes and when they do, it tends to be more extensive. This study investigated the knowledge and perception of cardiovascular disease risk factors in patients with type II diabetes mellitus (DM). This cross-sectional survey involved 125 patients with type II diabetic Mellitus aged 34-85 years. The heart disease fact questionnaire (HDFQ) and the Perception of Risk of Heart Disease Scale (PRHDS) were used for data collection. Data were analyzed using SPSS version 22.0. The mean score of the knowledge and perception of cardiovascular risk factors among the participants was 11.68±6.71 and 57.47±8.37 respectively. There was a significant difference in the knowledge (p=0.011) and perception (p=0.009) of risk factors of cardiovascular disease between male and female participants. This study shows a fair knowledge and perception of cardiovascular risk factors among patients with type II DM and there was a distinction in the perception and knowledge of cardiovascular risk factors between male and female participants.
- ItemOpen AccessLimb Length Discrepancy and Gait Parameters of Amateur Football Players in Lagos State, Nigeria(South African Journal of sport Medicine, 2020) Akodu, AK; Akindele, OABackground: Football is a widely played sport globally. Limb length discrepancies have been found to be common among football players and these may lead to abnormal gait. Objectives: The purpose of this study was to determine the relationship between limb length discrepancy (LLD) and gait parameters of amateur football players in Lagos State, Nigeria. Methods: Eighty-nine amateur football players participated in the cross-sectional study. They were recruited from different stadia in Lagos State. Limb length and gait parameters were measured using tape and footprint measurements. Results: The prevalence of real limb length discrepancy among the participants was 75% (n = 67). The results of this study showed that the right leg was the shorter leg in 60% (n = 53) of the participants. There was no significant correlation between gait parameters and limb length measurement. Conclusion: Although limb length discrepancy is common among amateur football players in Lagos State, the relationship between limb length and gait parameters is weak.
- ItemRestrictedPhysiotherapy in the management of knee arthroplasty: a review(Nigeria quarterly Journal of hospital medicine., 2011-04) Akodu, AK; Giwa, SO; Akinbo, SRA; Ahmed, UABackground: Although total knee arthroplasty (TKA) is considered the treatment of choice for patients with intractable pain and substantial functional disabilities who have not had acceptable relief and functional improvement after conservative treatment. It was found out that patients with total knee arthroplasty need physiotherapy intervention for pre-operative and post- operative management. Objectives: To take a critical look at the importance of TKA following destruction of the knee joint, its indications and contraindications and to ascertain the current trend involved in the physiotherapy management of TKA. Methods : The current literature materials on physiotherapy management of TKA was reviewed. Results: The aim of treatment is to maximize functionality and independence and to minimize complication such as deep vein thrombosis and pulmonary embolism by relieving pain using cryotherapy, improving range of motion with mobilization techniques, muscle strengthening, therapeutic exercise, transfer training, gait training and training of activities of daily living. These are administered as home programme or in organized groups led by a physiotherapist and has been shown to improve outcome related to physical activity after knee joint arthroplasty. Conclusion: It was concluded that interventions, including physiotherapy and functional exercises after discharge, is still beneficial after TKA. Key Words: Physiotherapy, arthroplasty, Knee
- ItemOpen AccessPsychological Impact of Cerebral Palsy on Families: The African Perspective(Journal of Neurosciences in Rural Practice, 2013-04) Olawale, O. A.; Abraham, N. D.; Yaadar, R. K.Background: Psychological stress associated with cerebral palsy (CP) is known to be one of the most depressing conditions of families. In the traditional African society, some peculiar factors may contribute to the stress. Aims: The aims of this study were to identify and describe, from the African perspective, the psychological impact of CP on families and determine the strategies adopted by families in coping with it. Settings and design: The study was a cross-sectional descriptive survey conducted in the Physiotherapy Department of a tertiary hospital. Materials and methods: Participants were 52 parents of children with CP. They completed a questionnaire designed to determine the degree of psychological stress on the families and strategies adopted to cope with the stress. Statistical analysis: Descriptive statistics were used to show responses in graphical formats. Results: Respondents agreed that having adequate knowledge of CP would help them cope well with the demands of taking care of children with CP. 38.5% of respondents said that people in the society accused them of some wrongdoing that has made their children to have CP. Personal problems experienced include loss of job, lack of concentration at work, loss of family joy, and derangement of financial affairs of the family. 26 (50%) of them resort to religious/spiritual intervention as an alternative or complementary mode of treatment for their children while 28% resort to dependence on the extended family system for support. Conclusion: Families caring for children with CP generally have a positive attitude towards their children. However, there is need to educate the public on the causes of CP and treatment options available to families.
- ItemOpen AccessSmartphone addiction, psychological status, pain related disability of neck and shoulder among undergraduates in College of Medicine, University of Lagos.(South African Journal of Public Health, 2020) Akodu, AK; Adenekan, YA; Zibiri, RABackground. The use of smartphones in our current digital society has resulted in the development of musculoskeletal and emotional symptoms among undergraduates. Objectives. To determine the correlations among smartphone addiction, selected psychological status and clinical variables among undergraduates in the College of Medicine, University of Lagos, Nigeria. Methods. A cross-sectional survey was conducted among 837 undergraduates (500 females, 337 males). Questionnaires comprising a smartphone addiction scale, depression, stress and anxiety scale, neck disability index and shoulder pain disability index were used to collect self-report measures. Assessment of selected anthropometric variables (weight, height and body mass index (BMI)) was done. Pearson’s correlation coefficient and Spearman’s ρ were used to determine the correlation between variables at an α value of p<0.05. Results. The outcome of this study revealed that more than half, 447 (53.4%), of the undergraduates were addicted to smartphone use. Eighty (9.6%) participants had severe depression, 155 (18.5%) had severe anxiety while 59 (7%) were severely stressed. It was observedthat there was a significant relationship (p<0.05) but a weak correlation between smartphone addiction, psychological status, pain-related disability of neck and shoulder, BMI and weight. Conclusion. Smartphone addiction is prevalent among undergraduates, and is correlated with their psychological status, selected anthropometric variables and pain-related disability of the neck and shoulder. It is recommended that undergraduates be enlightened on the impact of smartphone addiction on psychological health and the musculoskeletal system.
- ItemOpen AccessTask-oriented circuit training improves ambulatory functions in acute stroke: a randomized controlled trial.(International Research Journals, 2014-08) Frimpong, E.; Olawale, O. A.; Antwi, D. A.; Antwi-Boasiako, C.; Dzudzor, B.Stroke survivors have reduced ambulatory capacity which impairs their activities of daily living. Exercise training modalities can be used to improve ambulatory functions of stroke survivors. To investigate the effects of task-oriented circuit training in improving ambulatory functions of stroke survivors in the acute stage of stoke rehabilitation. Twenty (20) stroke survivors were randomized into circuit training group (CTG) and control group (CG), with 10 subjects in each group. The subjects in the CTG, in addition to conventional therapy, underwent 8 weeks of task-oriented circuit training; subjects in the CG received conventional physiotherapy treatment only. Assessments were done at weeks 4 and 8 with ten-metre walk test (10MWT), six-minute walk test (6MWT) and functional ambulatory category (FAC) as outcome measures. There were significant differences in the 10MWT, 6MWT and FAC between the CTG and the CG at week 8 (P0.591) at weeks 4 and 8. Task-oriented circuit training improved ambulatory functions of stroke survivors in the acute stage.