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The Knowledge and Participation of Physiotherapists From the Nigerian South-west Related to the Care and Management of Individuals With Sickle Cell Disease

100%
Mbada C. E., Binuyo O. T., Onigbinde O. A., Ayelawa S. O., Olaniyi A. J.
Journal of Physical Education & Health - Social Perspective
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2021
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vol. 10
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issue 18
52-60
EN
Rehabilitative modalities such as incentive spirometry and physiotherapy interventions, e.g. aerobic exercises, have been shown to produce positive outcomes in patients with sickle cell disease (SCD). Hemispheric CVA and other complications arising from SCD are amenable to physiotherapy. There have been few studies on the effectiveness of physiotherapy in the management of individuals with SCD. The present study attempts to assess the SCD-related knowledge, attitude and level of participation of physiotherapists in the Nigerian healthcare system. It also examines a possible association between the foregoing and practice settings. The study was carried out among physiotherapists in South-West Nigeria registered on professional e-platforms. The respondents filled in an adapted electronic version of a questionnaire. The IBM SPSS 20 was used for statistical analysis, and a chi-square test was used to determine an association between the levels of knowledge, practice settings, and participation among the respondents (p < 0.05). The study findings revealed that only 19% of respondents had received a specific training related to the care of SCD patients, although 65% had been involved in the treatment of at least one patient with SCD. Only 29.5% of respondents had “Good Knowledge” of SCD pathophysiology. A statistically significant association (χ2 = 75.357, p = 0.012) was found between respondents’ level of knowledge and their practice settings, i.e. a teaching hospital mostly. The physiotherapists from the Nigerian South-West,mostly those working in teaching hospitals, reported an average level of knowledge of SCD care. Since the management of sickle cell disease is of multidisciplinary character and requires an all hands-on deck approach, controlled trials should be undertaken by physiotherapy researchers regarding the effects of modalities and interventions on pro-inflammatory bio-molecules.
2
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Caregivers’ Perception of Enablers and Barriers to Home Exercise Programme (Hep) Adherence Among Nigerian Stroke Survivors: a Qualitative Study

86%
Ademoyegun A. B., Mbada C. E., Afolabi O. E., Adelowokan O. I., Adeoye B. M., Awotidebe T. O.
Journal of Physical Education & Health - Social Perspective
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2021
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vol. 10
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issue 18
14-27
EN
Background and objective: Stroke survivors often rely on caregivers to perform their Home Exercise Programme (HEP); however, little is known about enablers and barriers to HEP adherence from caregivers’ perspective. This study aims to explore the caregivers’ perspectives on the enablers and barriers to HEP adherence among stroke survivors. Methods: Fourteen caregivers of stroke survivors receiving physiotherapy at a Nigerian university teaching hospital were interviewed for the purpose of a qualitative study. An in-depth interview was used to explore respondents’ perspectives on enablers and barriers to HEP adherence. The gathered data was transcribed verbatim and analyzed. Results: The caregivers were mostly women (8/14) and close family members of the stroke survivors. In their opinion the main HEP adherence enablers were motivation and expectation, positive outcome and experience, availability of social support, timing, and religious beliefs. Overall health and wellness, caregiver’s schedule, negative emotions, and fear of falling were the dominant perceived barriers to HEP adherence. Conclusion: Home exercise programme adherence by stroke survivors is determined by a number of factors, including caregiver-related ones. It is necessary to pay close attention to all undercurrents of HEP adherence related to stroke survivors and their caregivers.
3
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Physiotherapists’ Knowledge, Attitude and Willingness to Care for Covid-19 Patients: a Nationwide Survey in Nigeria

72%
Mbada C. E., Onigbinde O. A., Fatoye C. T., Binuyo O. T., Idowu O. A., Ojoawo A. O., Oke K. I., Okafor U. A., Oghumu S. N., Fatoye F.
Journal of Physical Education & Health - Social Perspective
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2021
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vol. 10
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issue 17
60-73
EN
Introduction: COVID-19 requires an all-inclusive task sharing/shifting approach by clinical professions in order to stem the tide of the pandemic. Physiotherapists have, therefore, potential for front line duties to COVID-19 patients as part of their traditional role in acute care for patients with respiratory complications. This study assessed the knowledge, attitude, and willingness of physiotherapists to care for patients with COVID-19 at the onset of the pandemic. Method: An electronic (WhatsApp) survey of 210 licenced physiotherapists was conducted from March 2020 to July 2020 using an adapted questionnaire from a previous validated tool. Data was analysed using descriptive and inferential statistics. The level of statistical significance was set at p < 0.05. Results: The physiotherapists displayed a high level of awareness (99.0%) about COVID-19, and the social media (96.2%), especially WhatsApp (74.8%), was the main source of information on COVID-19. 28.6% of the respondents had a sufficient level of knowledge of COVID-19. The knowledge about COVID-19 was significantly influenced by educational qualifications (p = 0.00). Also, 77.1%, 74.8% and 87.1% of the respondents werewilling to provide care for patients with COVID-19, be part of front-line care team, and care for COVID-19 survivors, respectively. Conclusion: Nigerian physiotherapists displayed an appreciable level of knowledge of COVID-19 at the onset of the pandemic. The surveyed physiotherapists were also willing to provide care for COVID-19 patients and survivors, as well as to be part of the COVID-19 front-line care team for.
4
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Occurrence and pattern of disability in rural settings in Nigeria

72%
Mbada C. E., Daramola O., Ademoyegun A., Ibidunmoye D. O., Olatoye F. O., Olatoye O., Sonuga A. O., Oyewole I.
Journal of Physical Education & Health - Social Perspective
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2020
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vol. 9
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issue 16
23-36
EN
Background and objectives: Disability is a major public health problem in the developing countries. Yet studies and census reports from developing countries provide insufficient information on disability profiles. Therefore, the aim of this study was to assess occurrence, patterns and socio-demographic correlates of disability in selected rural settings in Nigeria. Materials and methods: This house to house cross-sectional survey was conducted among 200 residents in Moro and Edunabon communities in Ife North Local Government Area, Osun State, Nigeria. Disability was classified according to the World Health Organization International classification with criteria based on functional limitation. Households were considered as the Primary Sampling Unit (PSU) in this study. Descriptive and inferential statistics were used for the analysis of the data obtained. The alpha level was set at p< 0.05. Results: The total occurrence of disability was 16%. Visual disability was the most prevalent (6%) and it was significantly associated with age (χ2=11.702; p= 0.010).  The recorded locomotor, mental, speech and hearing disabilities constituted 5%, 2%, 1% and 2% respectively of the total population surveyed. The overall occurrence was found to be higher among males and the middle-aged group (31-50) and significantly correlated with low socioeconomic status. There was a significant association between visual impairment and age (χ 2=11.702; p= 0.010); hearing disability and marital status (χ2=21.747; p= 0.003); as well as mental disability and marital status (χ2=21.747; p= 0.003). Conclusion: A high occurrence of disability was identified among rural residents in Nigeria, especially among males, those with low socio-economic status, those educated up to secondary school, unemployed and married partners. Visual disability, followed by locomotor disability, is the most common type. It is related to age, while marital status significantly correlates with hearing and mental disability.
5
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Assessment of Nigerian physiotherapy students’ knowledge, attitudes and awareness of physiotherapy roles in the prevention and management of Covid-19: a nationwide online survey

59%
Mbada C. E., Onigbinde O. A., Binuyo O. T., Ademoyegun A. B., Fatoye C. T., Idowu O. A., Ojoawo A. O., Oke K. I., Okafor U. A. C., Ojukwu C. P., Odole A., Fatoye F.
Journal of Physical Education & Health - Social Perspective
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2020
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vol. 9
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issue 15
18-27
EN
This cross-sectional study assessed Nigerian Physiotherapy students’ knowledge, attitudes and awareness of the roles of physiotherapy in the prevention and management of COVID-19.  Four hundred (400) Nigerian physiotherapy students responded to the survey via an electronic (WhatsApp) questionnaire. The survey revealed a high degree of COVID-19 awareness (98.3%) with the social media (83.3%), especially WhatsApp (70.8%), indicated as the. main source of information. 52% of the respondents exhibited a good level of knowledge of the virus, as well as anti-COVID-19 precautions and hygiene. The level of knowledge correlated with the participants’ ages; the final year (class v) had the highest knowledge score (40). While Nigerian physiotherapy students demonstrate a high level of awareness with regard to the virus and its transmission, the level of knowledge relating to physiotherapy roles in COVID-19 appears to be low.
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