Department of Physiotherapy

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A scoping review on the implementation of Global Observatory on Physical Activity recommendations for school children in SubSaharan Africa
(HEALTH PROMOTION PERSPECTIVES, 2022-12-31) Ojedoyin, Olusegun Olatunji
Background: Promoting physical activity (PA) is a critical first step in preventing and lowering the prevalence of non-communicable chronic diseases across all age groups. The Global Observatory on Physical Activity (GoPA) of the World Health Organization (WHO) suggested country-specific guidelines for promoting PA across all age categories to achieve this. However, despite an increase in obesity, there is no information on their compliance for pre-secondary school children in sub-Saharan Africa (SSA). We mapped evidence in the literature and described the available evidence on implementing GoPA recommendations for presecondary school children in SSA. Methods: This scoping review included a search in PubMed, Google Scholar, Scopus, and Cochrane Library with the dates 2013–2020, using keywords and the terms (Physical activity OR exercise AND (GoPA recommendations OR Guidelines) AND ((presecondary school children) OR (primary school children) OR (basic school children) OR (children)). The most important data were tabulated. Results: Twenty-three studies were identified of which ten were eligible for data extraction. Of these ten studies, 2 (20%) were conducted in Nigeria, 4 (40%) in South Africa, 2 (20%) in Ghana and 1(10%) each in Kenya and Senegal were extracted. None of these nations has a national plan or strategy to promote PA and reduce sedentary behaviors (SB). Conclusion: A gap in the formulation of PA guidelines exists in SSA. Urgent action is needed for a national plan or strategy by individual country in SSA to reduce the burden of physical inactivity among school children in SSA.
A systematic review on the effects of non-pharmacological interventions for fatigue among people with upper and/or lower limb osteoarthritis
(Rheumatology Advances in Practice, 2024-01-01) Opeyemi Idowu
Objectives To identify non-pharmacological fatigue interventions and determine the effectiveness of these non-pharmacological interventions in reducing fatigue immediately and over time in OA. Methods A review protocol (CRD42020163730) was developed and registered with the PROSPERO database. Included studies comprised peer-reviewed randomized controlled trials (RCTs) that examined the effects of conservative interventions on fatigue in people with upper and lower limb OA. Cochrane Collaboration’s tool for assessing the risk of bias (ROB-2) was used to assess the quality of evidence of studies. Narrative synthesis was used to summarize the effectiveness of identified fatigue interventions. Results Out of 2644 citations identified from databases, 32 reports were included after screening for titles, abstracts and full texts. Of these reports, 30 parallel RCTs, one cluster and one cross-over RCT were included. 13 RCTs were of low ROB, 6 had some concerns and 13 had high ROB. The narrative synthesis identified interventions for fatigue including exercise, activity pacing, cognitive behavioural therapy, telerehabilitation and complementary alternative therapies. Exercise interventions showed the most significant beneficial effects on fatigue. Conclusions Diverse interventions for fatigue management among individuals with upper and lower limb OA were identified. Of these, exercise interventions appear to be the most promising with the majority of these interventions favouring fatigue improvement. While cognitive behavioural therapy has limited evidence of beneficial effects, there is insufficient evidence regarding the effectiveness of other identified interventions, including complementary and alternative therapies, and telerehabilitation.
An Analysis of Work-Related Musculoskeletal Disorders Among Butchers in Kano Metropolis, Nigeria
(Safety at health and Work, 2016) Opeyemi Idowu
Background: Butchering is often associated with high rates of work-related musculoskeletal disorders (WRMSDs). However, published work on the prevalence of WRMSDs among butchers in Nigeria is scarce. This is important because meat processing practices differ across geographical and cultural locations. This study was therefore aimed at analyzing WRMSDs among butchers in Kano metropolis. Methods: Sociodemographic and work-settings information was obtained from 102 male cattle butchers (age, 37.49±11.68 years) through survey. Information on the prevalence and pattern of musculoskeletal disorders was obtained from the respondents using the Standardized Nordic Questionnaire. Additional information on health seeking practices was also obtained using a pro forma. Associations between the prevalence of WRMSDs and each of the sociodemographic data and work settings were explored using Chi-square analysis. The level of significance was set at p < 0.05. Results: The 12-month and point prevalence rates of WRMSDs among butchers in this study were 88.2% and 74.5%, respectively. Whereas lower back complaints (66.7%) were the overall and lower body quadrant’s most commonly reported WRMSDs among the butchers surveyed, wrist/hand complaints were the leading upper quadrant’s (45.1%) most commonly reported WRMSDs among the respondents. There were significant associations between age and majority of WRMSDs in the body regions. Only 23.3% of the 90 individuals who had WRMSD visited the hospital to seek redress for their WRMSD. Conclusion: The prevalence of WRMSDs is high among butchers in Kano Metropolis. Few individuals with WRMSD utilize healthcare facilities. Age is a major risk factor in this setting.
Association of Public Physical Activity Facilities and Participation in Community Programs with Leisure-time Physical Activity: does the Association differ according to Educational Level and Income?
(BMC Public Health, 2022) Oyeyemi, Adewale
Background: Our aim was to analyze the association of the presence of public physical activity (PA) facilities and participation in public PA programs with leisure-time PA, with an emphasis on the moderating role of educational level and income. Methods: We used data of 88,531 adults (46,869 women), with a mean age of 47.2±17.1y, from the 2019 Brazilian National Health Survey. Leisure-time PA (dichotomized considering 150min/week), the presence of a public PA facility near the household (yes or no), participation in public PA programs (yes or no), educational level (divided into quintiles) and per capita income (divided into quintiles) were all self-reported through interviews. Adjusted logistic regression models were used for the analyses. Results: The presence of public PA facilities near the household and the participation in public PA programs were associated with higher leisure-time PA among all quintiles of income and educational level. However, multiplicative interactions revealed that participating in PA programs [Quintile (Q)1: OR: 13.99; 95%CI: 6.89–28.38 vs. Q5: OR: 3.48; 95%CI: 2.41–5.01] and the presence of public PA facilities near the household (Q1: OR: 3.07; 95%CI: 2.35–4.01 vs. Q5: OR: 1.38; 95%CI: 1.22–1.55) were more associated with higher odds of being active in the leisure-time among the lowest quintile of educational level. Conclusions: The presence of public PA facilities and participation in public PA programs are environmental correlates that may be relevant for designing efective public health interventions to reduce social inequalities in leisuretime PA among adults in low-income areas
BARRIERS TO INFECTION PREVENTION AND CONTROL PRACTICE AGAINST COVID-19
(Journal of Biomedical Investigation, 2023-07-28) Akintayo, Niyi David
Background: Following the COVID-19 pandemic which was declared a public health emergency all over the world, healthcare workers in Nigeria are still faced with many types of barriers to infection prevention and control practices. The study assessed the barriers to compliance with Infection Prevention and Control (IPC) practices among Healthcare Workers (HCWs) in Nigeria during the early phase of COVID-19. Methodology: A cross-sectional descriptive design using a non-probability purposive sampling technique was used to select seventy-eight (78) HCWs working in different healthcare facilities in Nigeria involving medical and allied health professionals such as nurses/midwives, physiotherapists, radiographers, pharmacists, orthotist, prosthetist, orthopaedic technologists, and public health professionals Analysis of the results was done using known standard methods and the results were statistically analyzed. Results: The findings of the study revealed 78 HCWs participated in this study comprising 44(56.4%) medical doctors, 4(4.1%) Nurses, 17(21.8%) Physiotherapists, 5(6.4%) Laboratory scientists, and 8(10.4%) others. Thirty-nine (50.0%) of the participants found overcrowding/understaffing as one of the major barriers to IPC, 37(47.4%) indicated less commitment of HCWs to the IPC policies and 35(44.9%) indicated lack of water as the major barrier to IPC practice. Limitation of personal protective equipment such as face masks was seen as a barrier to compliance in 17(21.8%) of participants and the unavailability of alcohol-based hand rubs was seen as a barrier by 33(42.3%) of participants. Conclusion: Several factors were identified as constituting varying degrees and levels of barriers to IPC practices following COVID-19 in Nigeria. There is a need for the government, policymakers, the leadership of private healthcare facilities, and Healthcare workers to establish an innovative, effective, and efficient system to address barriers to IPC practices which will help to reduce the risk and spread of COVID-19 in healthcare settings.
BARRIERS TO INFECTION PREVENTION AND CONTROL PRACTICE AGAINST COVID-19: A SURVEY OF HEALTHCARE WORKERS IN NIGERIA
(Journal of Biomedical Investigation, 2023) Okafor Anita
Following the COVID-19 pandemic which was declared a public health emergency all over the world, healthcare workers in Nigeria are still faced with many types of barriers to infection prevention and control practices. The study assessed the barriers to compliance with Infection Prevention and Control (IPC) practices among Healthcare Workers (HCWs) in Nigeria during the early phase of COVID-19. Methodology A cross-sectional descriptive design using a non-probability purposive sampling technique was used to select seventy-eight (78) HCWs working in different healthcare facilities in Nigeria involving medical and allied health professionals such as nurses/midwives, physiotherapists, radiographers, pharmacists, orthotist, prosthetist, orthopaedic technologists, and public health professionals Analysis of the results was done using known standard methods and the results were statistically analyzed. Results The findings of the study revealed 78 HCWs participated in this study comprising 44(56.4%) medical doctors, 4(4.1%) Nurses, 17(21.8%) Physiotherapists, 5(6.4%) Laboratory scientists, and 8(10.4%) others. Thirty-nine (50.0%) of the participants found overcrowding/understaffing as one of the major barriers to IPC, 37(47.4%) indicated less commitment of HCWs to the IPC policies and 35(44.9%) indicated lack of water as the major barrier to IPC practice. Limitation of personal protective equipment such as face masks was seen as a barrier to compliance in 17(21.8%) of participants and the unavailability of alcohol-based hand rubs was seen as a barrier by 33(42.3%) of participants.
Bullying in the healthcare workplace: a cross-sectional study among Nigerian physiotherapists
(Springer Open, 2025) Okafor Anita
Workplace bullying (WPB) can impact the overall well-being of healthcare professionals as well as the care provided to patients. There are no available studies on the prevalence of WPB among physiotherapists, especially in Nigeria. This study aimed to investigate the prevalence of WPB and its associated factors among clinical physiotherapists in Nigeria. This cross-sectional study was conducted among 372 Nigerian clinical physiotherapists conveniently recruited at various hospitals. Data was obtained using an adapted self-administered questionnaire and the Negative Acts Questionnaire-Revised (NAQ-R). The prevalence of bullying was 42.1%, with participants reporting repeated experiences within the previous 6 months. A high proportion of participants (83.1%) witnessed someone else being bullied at their workplace. The majority of the bullying incidents involved superiors targeting subordinates (83.7%). Participants reported that the most prevalent forms of bullying were verbal aggression (64.4%), followed by intimidating acts (59.4%), insulting remarks, gossip (58.3%), mind games (29.8%), and neglect of opinions (37.6%). No significant associations were found with gender (p = 0.632), religion (p = 0.151), marital status (p = 0.085), ethnicity (p = 0.896), educational attainment (p = 0.150), or rank (p = 0.091). However, significant associations were identified between WPB and years of practice (p = 0.041), and organization of employment (p < 0.001). The observed prevalence of WPB among Nigerian clinical physiotherapists is of great concern.
Can physical activity attenuate the impact of internet addiction on anxiety in young adults? A moderation analysis
(Journal of Affective Disorders Reports, 2024-01) Opeyemi Idowu
Background: The potential moderators of the nexus between internet addiction (IA) and symptoms of anxiety are less understood. This cross-sectional study aimed to assess the moderating roles of physical activity (PA) and gender in the association between IA and anxiety. Methods: A cross-sectional study of 510 Nigerian undergraduate students was carried out. IA, anxiety, and PA levels (low, moderate, and high) were assessed using Internet Addiction Test, anxiety sub-scale of Depression Anxiety Stress Scale-21, and Patient-Centered Assessment and Counseling for Exercise Plus Nutrition, respec- tively. Moderation analysis was applied while controlling for important covariates. Results: The mean age of the respondents was 21.33 ± 2.63 years. The prevalence of IA and anxiety was 57.6 % and 52.6 %. IA was positively associated with anxiety (b=0.307, 95 % CI: 0.2168-0.3982, t (498) =6.660, p < 0.001). PA level, but not gender seem to moderate the association between IA and anxiety (F (2, 498) =3.561, p=0.029, R2 change =0.011). Moreover, interaction between PA and gender indicated that the moderating effect of PA was less pronounced among females compared with males (F (3, 498) =2.895, p=0.035, R2 change =0.014). Conclusions: PA can attenuate the deleterious nexus between IA and anxiety in young adults. The attenuation of PA in IA-anxiety nexus is weaker among female young adults compared with male counterparts. PA is a viable low-cost intervention strategy in combating the effect of IA on symptoms of anxiety among young adults. Further longitudinal and experimental studies are needed to better understand the underlying mechanisms among IA, anxiety symptoms, PA, and gender.
Clinical factors associated with bone mineral density among individuals with osteoarthritis of the hip and/or knee
(Bulletin of Faculty of Physical Therapy, 2024-08-18) Opeyemi Idowu
Background and objective The association of clinical factors of osteoarthritis (OA) with bone mineral density (BMD) is not well understood. We aimed to synthesize evidence regarding the associated clinical factors for low BMD in people with knee and/or hip osteoarthritis. Methods A systematic literature search limited to human studies was conducted from inception to September 12, 2022. CINAHL, Cochrane, Medline, PsycINFO, PubMed, Web of Science, and African Journal online databases were searched for all clinical factors associated with low BMD (either as osteopenia or osteoporosis). Gray literature or abstracts or protocols, studies with a mixed population of OA without a subgroup analysis for hip and or KOA and non-English were excluded. Following the title and abstract, full-text, screenings, and data extraction, data from eligible studies were synthesized based on the main objective of the study. The Joanna Brigg’s Institute (JBI) Critical Assessment tool was used for quality appraisal. Narrative synthesis and best evidence synthesis were used in the study. Result Five studies (2 case–control, 3 cross-sectional) were included after screening 3355 titles and abstracts. Clinical factors reported in the five studies included: body mass index (BMI); pain, function, and stiffness; symptom duration; presence of varus/valgus deformity; quality of life; and knee function. Whilst there was limited evidence to support the association between BMD measured at any site of the body and BMI, as well as conflicting evidence for the association of BMD with age and gender, there was insufficient evidence to support the association of BMD with other identified clinical factors of hip and or/ knee OA (p < 0.05). In addition, there is conflicting evidence for the association between BMD measured at the lumbar spine and BMI. Conclusion There is insufficient evidence on the association between BMD and its associated clinical factors. With the attendant likelihood of bias in existing studies, there is a need for well-designed studies on bone health in OA.
Comparative assessment of back extensor muscles' endurance between nulliparous and parous women
(Journal of Back and Musculoskeletal Rehabilitation 20(4):143-149, 2007-12) Ojedoyin, Olusegun Olatunji
Abstract.Background and objective: Poor endurance of the back extensor muscles has been reported among more women thanmen. There are several reported reasons for itspredilection but the inﬂuence of parity has not been investigated. The objective ofthis study was to investigate the inﬂuence of parity on back extensor muscles’ endurance between nulliparous and parous women.Methods and Results: 146 women whose ages ranged between 21 to 60 years were recruited into the study using sampling ofconvenience. This consisted of 77 nulliparous women group (21–42 years) with a mean age of 32.7 ±5.7 years and the parouswomen group (26–60 years) with a mean age of 41.2 ±9.9 years. The participants performed the Biering-Sørenson test of Static Muscular Endurance (BSME) and their height, weight and percentage body fat were measured using standard procedures. Body Mass Index (BMI) and lean body mass (LBM) and body fat mass (BFM) were calculated. Data were summarized using the descriptive statistics of mean and standard deviation, Pearson’s Chi-square, Independent t-test, and Analysis of Variance were usedas applicable. The αlevel was set at 0.05. The ﬁnding of this study showed that parous women were signiﬁcantly older, heavier and had greater level of adiposity than their nulliparous counterparts. The result indicated a signiﬁcant association between parity and endurance time (X2=88.05; P=0.020), nulliparous women have signiﬁcantly greater back extensor muscles’ endurance(t=4.902; P=0.000) when compared to parous women. The results suggested that the signiﬁcant age and anthropometric difference between the nulliparous and parous women could contribute to the endurance differences. Number of parity is much related to back extensor muscle endurance (F=22.32; P=0.000). Back extensor muscles’ endurance decreases as the number of parity increases. Conclusion: Our results suggest that parity is an important factor in the aetiology of low back extensor muscles endurance among women. Keywords: Back extensor muscles’ endurance, nulliparous, parous, women
Cross-cultural adaptation and psychometric evaluation of the Yoruba version of Oswestry disability index
(PLOS ONE, 2020-01-08) Opeyemi Idowu
Introduction Low-Back Pain (LBP) is a common public health problem that is often worsened by mal-adaptive beliefs and disability. Thus, necessitating the need for availability of outcome measures to assess these sequelae among patients with chronic LBP. This study aimed to cross-culturally adapt and determine the psychometric properties of the Yoruba version of the ODI (ODI-Y). Methods The ODI-Y was cross-culturally adapted following the process involving forward translation, synthesis, backward translation, expert review, and pilot testing. Internal consistency and test-retest reliability of the ODI-Y were determined using the Cronbach’s alpha and intra-class correlation. Other psychometric properties explored included the factor structure, convergent validity, standard error of measurement and the minimal detectable change. Results One hundred and thirty-six patients with chronic LBP took part in the validation of the ODI-Y; 86 of these individuals took part in the test-retest reliability (within 1-week interval) of the translated instrument. The mean age of the respondents was 50.5±10.6years. The ODI-Y showed a high internal consistency, with a Cronbach’s alpha (α) of 0.81. Test-retest of the Yoruba version of the ODI within 1-week interval yielded an Intra-Class Correlation coefficient of 0.89. The ODI-Y yielded a three-factor structure which accounted for 61.56% of the variance. Correlation of ODI-Y with the visual analogue scale was moderate (r = 0.30; p =0.001). The standard error of measurement and minimal detectable change of the ODI-Y were 2.0 and 5.5. Conclusions The ODI was adapted into the Yoruba language and proved to have good psychometric properties that replicated the results of other obtainable versions. We recommend it for use among Yoruba speaking patients with LBP.
Cross-cultural adaptation and psychometric properties of the Yoruba version of the clinical frailty scale
(Oxford University Press, 2025) Okafor Anita
ackground This cross-sectional study aimed to assess the socio-demographic, anthropometric, and patient characteristics of 94 Yoruba speakers aged 60 years and older, and to validate the Yoruba version of the Clinical Frailty Scale (CFS). Methods This study used a cross-sectional design with a purposive sampling technique and a sample size of 94 participants. This study also made use of the World Health Organisation methodologic guidelines on cultural adaptation of clinical scales. Convergent validity was assessed by evaluating the context that the Clinical frailty scale (CFS) relates to the Edmonton frailty scale, using the Spearman rank correlation coefficient. The known group validity was assessed using one-way ANOVA. Results The mean age of participants was 70.81 ± 8.11 years, with a mean BMI of 27.04 ± 5.61. The cohort included 38 males (44.4%) and 56 females (59.6%). Educational attainment varied, with 20.2% having no education and 9.6% holding postgraduate degrees. The validated CFS has excellent content validity (S-CVI/AVE = 0.96; S-CVI-UA = 0.78). Convergent validity demonstrated a moderate correlation between the CFS and the Edmonton Frail Scale (Spearman’s rho = 0.61, p < 0.01). Known-group validity indicated significant associations between frailty, age (p = 0.02), and BMI (p = 0.007). Conclusion The Yoruba version of the CFS is a valid tool for assessing frailty in elderly Yoruba-speaking populations.
CROSS-CULTURAL ADAPTATION, RELIABILITY AND VALIDITY OF THE YORUBA VERSION OF THE ROLAND MORRIS DISABILITY QUESTIONNAIRE
(Spine, 2017) Opeyemi Idowu
Study design: A translation, cross-cultural adaptation, and psychometric analysis. Objective: The aim of this study was to translate, cross-culturally adapt, and validate the Yoruba version of the RMDQ. Summary of background data: The Roland-Morris Disability Questionnaire (RMDQ) is a valid outcome tool for low back pain (LBP) in clinical and research settings. There seems to be no valid and reliable version of the RMDQ in the Nigerian languages. Methods: Following the Guillemin criteria, the English version of the RMDQ was forward and back translated. Two Yoruba translated versions of the RMDQ were assessed for clarity, common language usage, and conceptual equivalence. Consequently, a harmonized Yoruba version was produced and was pilot-tested among 20 patients with nonspecific long-term LBP (NSLBP) for cognitive debriefing. The final version of the Yoruba RMDQ was tested for its construct validity and re-retest reliability among 120 and 87 patients with NSLBP, respectively. Results: Pearson product moment correlation coefficient (r) of 0.82 was obtained for reliability of the Yoruba version of the RMDQ. The test-retest reliability of the Yoruba RMDQ yielded Cronbach alpha 0.932, while the intraclass correlation (ICC) ranged between 0.896 and 0.956. The analysis of the global scores of both the English and Yoruba versions of the RMDQ yielded ICC value of between 0.995 (95% confidence interval 0.996-0.997), with the item-by-item Kappa agreement ranging between 0.824 and 1.000. The external validity of RMDQ using Quadruple Visual Analogue Scale was r = -0.596 (P = 0.001). The Yoruba version of the RMDQ had no floor/ceiling effects, as no patient achieved either of the maximum or the minimum possible scores. Conclusion: The Yoruba version of the RMDQ has excellent reliability and validity and may be an appropriate outcome tool for clinical and research purposes among Yoruba-speaking patients with LBP.
Effect of Motivational Interviewing and Exercise on Chronic Low Back Pain: A Systematic Review and Meta‐ Analysis
(Musculoskeletal Care, 2025) Opeyemi Idowu
Background: The prevalence of chronic low back pain (CLBP) and its concomitant cost implications have continued to rise across the globe. Currently, there is no effective treatment for CLBP that leads to long‐term improvement. Hence, there is growing recognition of the need for behaviour techniques including motivational interviewing (MI) to address CLBP. Objective: To determine the effect of MI and exercise on pain in individuals with CLBP. Method: We searched for trials in seven databases from inception to April 2024. Trials were included if MI was used alone or in addition to an exercise programme for improving CLBP in adults aged (≥ 18 years). Results: From 3062 records retrieved, we included three randomized controlled trials (RCTs). Only one study was rated as having a low risk of bias. There is no evidence to support the benefit of MI and exercise on improving pain (SMD‐0.23, 95% CI‐ 0.55 to 0.09, I2 = 0%, p = 0.16), disability (MD‐1.80, 95% CI‐4.55 to 0.94, I2 = 85%, p = 0.20) and physical functioning (SMD 0.00, 95% CI‐1.31 to 1.32, I2 = 93%, p = 0.99). Conclusion: There is insufficient evidence to support the effect of MI and exercise on pain in individuals with CLBP. More large‐scale RCTs are needed in evaluating the effectiveness of MI and exercise in individuals with CLBP
Efficacy of Graded Activity with and without Daily-Monitored- Walking on Pain and Back Endurance among Patients with Concomitant Low-Back Pain and Type-2 Diabetes: A Randomized Trial
(Ethiopian Journal of Health Sciences, 2020-03-01) Opeyemi Idowu
BACKGROUND: There is evidence supporting the efficacy of Graded Activity (GA) in managing clinical attributes of patients with Low-Back Pain (LBP) in the general population. However, it is unknown whether GA alone is efficacious in managing these clinical attributes in patients with concomitant LBP and Type-2 Diabetes (T2D) or additional daily-monitored walking will be required. METHODS: A single-blind controlled trial involving 58 patients (mean age: 48.3±9.4 years, 64.7% females) with concomitant LBP and T2D who received treatment twice weekly for twelve weeks was conducted. Participants were randomized into GA or GA with daily-monitored-walking (GAMW) groups. Pain Intensity (PI), Static Back Extensors Endurance (SBEE), Static Abdominal Muscular Endurance (SAME) and Glycaemic Control (GC) were assessed using Visual Analogue Scale, Biering-Sorensen test, flexor endurance test, and in2itTM device respectively at baseline, 4th, 8th and 12th week. Data were analysed using repeated- measures ANOVA and Unpaired t-tests at α = 0.05. RESULTS: There were significant differences in PI, SAME and SBEE among participants in each of GA and GAMW groups respectively (p<0.05). Within-group difference on GC was significant for GAMW (6.3±0.9%, 5.7±0.7%) but not GA (6.3±0.9%, 6.3±0.9%). There was significant difference (p<0.05) between GA and GAMW group participants for SBEE (7.2±0.1 sec, 7.3±0.1 sec) at week 8 of the study and GC (-0.5±0.2%, -0.6±0.5%) at the end of the study. No differences were found between GA and GAMW groups for PI and SAME. CONCLUSION: Graded activity with daily-monitored-walking produced positive effects on GC and yielded a better improvement on SAME and SBEE.
Graded activity with and without daily- monitored-walking in patients with type 2 diabetes with low back pain: secondary analysis of a randomized-clinical trial
(Archives of Physiotherapy, 2021-12) Opeyemi Idowu
Background Graded activity is gradually emerging as a preferred choice in improving psychosocial outcomes including pain self-efficacy, fear-avoidance beliefs, and back-pain beliefs in the general population with low back pain (LBP). Such evidence is, however, lacking among patients with concomitant LBP and type-2 diabetes mellitus (T2DM). This secondary analysis of a randomized control trial aimed to compare the efficacy between graded activity augmented with additional daily-monitored-walking and graded activity alone on disability, pain self-efficacy (PSE), fear-avoidance beliefs (FAB), back-pain beliefs (BPB) and glycaemic control (HbA1c) in patients with concomitant LBP and T2DM. Methods Fifty-eight patients with concomitant LBP and T2DM were randomised into two groups, graded activity with daily-monitored-walking group (GAMWG = 29) or (graded activity group (GAG = 29) in this 12-week single-blind trial. Both groups received graded activity (home/work-place visits, back school and sub-maximal exercises) while the GAMWG received additional daily-monitored-walking. Disability and selected psychosocial outcomes were assessed at weeks 0, 4, 8 and 12 using Roland-Morris disability, fear-avoidance behaviour, pain self-efficacy and back belief questionnaires. Glycaemic control was assessed at weeks 0 and 12 using a point-of-care system (In2it, Biorad Latvia). Data were analysed using mean, median, Friedman’s ANOVA, Mann-Whitney test and t-tests. Results Participants’ mean age was 48.3 ± 9.4 years (95%CI: 45.6, 50.9) while 35.3% were males. The GAMWG participants (n = 25) had better outcomes (P < 0.05) than GAG participants (n = 26) on PSE (1.0, 3.0; r = − 0.1) and FAB (0.01, − 2.0; r = − 0.1) at week 4, LBP-related disability (0.01, − 2.0; r = − 0.2) at week 8 and glycaemic control at week 12 (− 0.59 ± 0.51%,-0.46 ± 0.22%). No other between-group comparisons were statistically significant. Conclusion Graded activity with daily-monitored-walking provided earlier improvements on disability, pain self-efficacy, fear-avoidance beliefs, and glycaemic control, but not back pain beliefs, in patients with concomitant LBP and T2DM.
IMPACT OF DEPRESSION, FATIGUE, AND ANXIETY ON SLEEP QUALITY AMONG STROKE SURVIVORS FROM SELECTED GOVERNMENT HOSPITALS IN OSOGBO, OSUN STATE
(JOURNAL OF BIOMEDICAL INVESTIGATION (JBI), 2024) Okafor Anita
Background Stroke is one of the most common diseases that leads to death and varying disabilities. Mood and fatigue levels affect the depth and length of sleep of stroke survivors, leading to sleep disorders which could lead to the recurrence of stroke. Understanding the impact of sleep quality will enhance patient management. Aim To determine the impact of depression, anxiety, and fatigue on the sleep quality of stroke survivors. Method A cross-sectional design and consecutive sampling technique was used to recruit 50 stroke survivors. The Patient Health Questionnaire-9 was used to determine post-stroke depression, the Fatigue Severity Scale was used to determine post-stroke fatigue, the Generalized Anxiety Disorder-7 was used to determine post-stroke anxiety, and the Pittsburgh Sleep Quality Index was used to evaluate sleep quality. Spearman rank correlation coefficient was used to determine the relationship between these factors. Result Post-stroke depression, fatigue, anxiety, and poor sleep quality were observed in 27.4%, 80.4%, 29.4%, and 23.5% of the participants, respectively. A significant relationship was observed between depression, anxiety, and sleep quality. Conclusion Poor sleep quality may be a risk factor for depression and anxiety among stroke survivors.
IMPACT OF DEPRESSION, FATIGUE, AND ANXIETY ON SLEEP QUALITY AMONG STROKE SURVIVORS FROM SELECTED GOVERNMENT HOSPITALS IN OSOGBO, OSUN STATE
(Journal of Biomedical Investigation, 2024-09-16) Akintayo, Niyi David
Background: Stroke is one of the most common diseases that leads to death and varying disabilities. Mood and fatigue levels affect the depth and length of sleep of stroke survivors, leading to sleep disorders which could lead to the recurrence of stroke. Understanding the impact of sleep quality will enhance patient management. Aim: To determine the impact of depression, anxiety, and fatigue on the sleep quality of stroke survivors. Method: A cross-sectional design and consecutive sampling technique was used to recruit 50 stroke survivors. The Patient Health Questionnaire-9 was used to determine post-stroke depression, the Fatigue Severity Scale was used to determine post-stroke fatigue, the Generalized Anxiety Disorder-7 was used to determine post-stroke anxiety, and the Pittsburgh Sleep Quality Index was used to evaluate sleep quality. Spearman rank correlation coefficient was used to determine the relationship between these factors. Result: Post-stroke depression, fatigue, anxiety, and poor sleep quality were observed in 27.4%, 80.4%, 29.4%, and 23.5% of the participants, respectively. A significant relationship was observed between depression, anxiety, and sleep quality. Conclusion: Poor sleep quality may be a risk factor for depression and anxiety among stroke survivors.
INFECTION PREVENTION AND CONTROL PRACTICE: COMPLIANCE AMONG HEALTHCARE WORKERS IN NIGERIA DURING COVID-19
(Journal of Biomedical Investigation, 2024-09-16) Akintayo, Niyi David
Background: The COVID-19 infection has become a global pandemic and received attention worldwide with varying consequences of death or ill-health among Health Care Workers (HCWs). As a result of COVID-19, infection prevention and control (IPC) practices have been identified to play a concrete role in combating the spread of COVID-19 globally. Infection prevention and control (IPC) programs that are well-planned and carefully implemented have been shown to reduce illness, reduce hospital stays, prevent death, and save money. Aim: This study aimed to investigate compliance with IPC practice among HCWs in Nigeria. Methods: The study adopted a cross-sectional design that used a self-administered paper-based questionnaire. Seventy-eight (78) HCWs workers from different disciplines in different healthcare centres participated across Nigeria. A convenience sampling technique was used. Descriptive statistics of percentages and descriptive statistics were used to present the results. Results: more than half of the participants 44 (56.4%), were medical doctors with the majority of respondents’ ages ranging between 25 and 34 years. All the respondents indicated 100% compliance with handwashing practices during the period of COVID-19. Only 65 (83.2%) wear surgical/N95 masks during patient contact while 51 (65.3%) ensure the maintenance of social/physical distancing during working hours. Conclusion: This study revealed that the HCWs in Nigeria have a relatively good compliance rate to IPC practice indicating they are better positioned to combat outbreaks.
Knowledge Attitude and Practice of Primary Health Care among Nigerian Physiotherapists
(Primary Health Care: Open Access, 2021) Okafor Anita
Purpose: Given the growing interest in the integration of physiotherapy into the National Primary Health Care (PHC) program in Nigeria, it is important to understand perception of physiotherapists in terms of knowledge, attitude and practice of their role in PHC. The purpose of this study is to evaluate the knowledge, attitude and practice of among Nigerian Physiotherapists Materials and Method: Sixty-one physiotherapists from Kano Metropolis were involved in this study. Questionnaire on Knowledge Attitude and Practice (KAP) on Primary Health Care (PHC) was used to collect information on Knowledge Attitude and Practice of PHC of the participants. Results: The mean percentage scores for knowledge and attitude of PHC was 76.44% and 76.06% respectively. Out of all the participants, only 15 (24%) reported that they were involved in the practice PHC. Level of qualification have no significant association with either knowledge of PHC (χ2 = 11.52 and P = 0.401) or attitudes toward PHC (χ2 = 33.887 and P = 0.170). Years of practice have no significant association with either knowledge of PHC (χ2 =42.42 and P= 0.12) or attitude towards PHC (χ2 = 720.11 and P = 0.74). Conclusion: Physiotherapists have good knowledge and attitude towards of PHC. However very few physiotherapists are involved in the practice of PHC.

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