Building the future physiotherapist: Transcending boundaries to creative thinking
April 2024
Disruptive and undetermined events continue to give a new outlook to industries, including that of healthcare. Failure to continuously renew and standardize approaches among organized professions in healthcare, like physiotherapy, will continue to give more power to alternative health marketplaces, widen the knowledge-practice gap, reduce professional prestige and policy protection, slow down innovation, expand inter-...
Development of a contextualised physical activity programme to improve health outcomes among people living with HIV-related disability in Nigeria: A study protocol
April 2024
Transitioning from a life-threatening infection resulting in acute illness to a long-term manageable condition implies that HIV management requires collaboration between primary care clinicians and rehabilitation teams. Recognized as an effective, safe, and beneficial health strategy, physical activity has been recommended in HIV management. However, despite its numerous benefits, there remains a low prevalence of...
Cardiopulmonary physiotherapy as a specialty: Students’ experience and factors that influence their career choice
December 2023
Studies have shown that physiotherapy students have limited knowledge about cardiopulmonary physiotherapy specialty despite the increased need for cardiopulmonary physiotherapy services in Nigeria. The study aims to assess undergraduate physiotherapy clinical students' experiences in the cardiopulmonary physiotherapy specialty and the factors that influence their career choice. A cross-sectional survey was conducted...
Hamstring weakness: A sequel of cerebrovascular accident
June 2022
Cerebrovascular accident (CVA), commonly known as stroke is a condition that results from infarction of neurons in the brain due to vascular compromise. It is a highly prevalent disease, a leading cause of death and long-term disability. The most frequent sign after stroke is muscle weakness, which leads to loss of functions in the upper and lower limb. The mechanism of muscle weakness in stroke can be neural or...
Prevalence of neck pain among heavy truck drivers in Maiduguri north-eastern Nigeria
May 2022
It is a general presumption that most workers in blue collar occupations are susceptible to spinal problems of postural nature including neck pain, the prevalence of which relatively less attention has been paid by researchers compared to other work related musculoskeletal disorder such as back pain. This study was aimed to investigate the prevalence of neck pain among heavy truck drivers in Maiduguri, North-Eastern...
Point prevalence and risk factors for work-related musculoskeletal disorders among academic staff in a Nigerian University
April 2022
Work-Related Musculo-Skeletal Disorder (WRMSD) is a common complaint among the working population. In spite of the keen interest of Nigerian researchers in this subject, there is a dearth of information concerning university academic staff. Yet, this group of workers are critical to high-level manpower development. The aim of this study is to assess the risk factors and determine the point prevalence of WRMSD among...
Ergonomic evaluation and the predictors of occupation related musculoskeletal disorders among tailors in Enugu Metropolis
September 2021
Tailoring task is usually fostered with the adoption of constrained postures, repetitive movements, and prolonged static loading which have been identified as major ergonomic risk factors of occupation related musculoskeletal disorders (OMSD). This study was undertaken to ergonomically evaluate the work set up and determine the prevalence and predictors of OMSD among tailors in Enugu Metropolis. This exploratory...
Pattern of physical activity, sleep duration and quality of life among individuals with diabetes mellitus in selected health facilities in Kano, Northwestern Nigeria
September 2021
Data on physical activity (PA) and sleep duration (SD) as important correlates of quality of life (QoL) among diabetic patients are scarce. This study investigated the pattern of self-reported PA, SD and QoL in purposively selected diabetes patients (N = 124, mean age: 54.61) at two major hospitals in Kano, Nigeria. Respondents’ PA level, SD and QoL were estimated using the International PA Questionnaire, a...
Health care education in Nigeria: Evolutions and emerging paradigms
August 2021
Books on healthcare education in Nigeria are not readily available. A book on this important topic has been reviewed to promote the book among Nigerian Physiotherapists who are the primary readers of the Journal of the Nigeria Society of Physiotherapy. The book was found to be readable, complete, accurate and suitable for the intended audience. Keywords: Healthcare education, Nigeria, academic administration.
Relationship between post-stroke spasticity and functional ambulation among Nigerian stroke survivors
July 2021
Ambulation is a common goal of stroke rehabilitation that is often linked to lower limb spasticity. This study was conducted to investigate the relationship between paretic lower limb spasticity and functional ambulation after stroke. Thirty stroke survivors (19 males) aged 57.77 ± 9.52 years participated in this correlational cross-sectional study. Spasticity of the paretic lower limb was assessed using the...
A qualitative study on barriers to practitioner implementation of cardiac rehabilitation services in a tertiary health facility in Kano, Nigeria
July 2021
The burden of cardiovascular diseases is on the rise in resource-constrained developing countries. Cardiac rehabilitation (CR) is a constellation of multidisciplinary interventions designed to alleviate the burden of cardiovascular disorders. Qua litative data on barriers to the utilisation of cardiac rehabilitation services among healthcare personnel in Nigeria is not available. This research was undertaken to explore...
Sleep quality and physical activity level of community dwelling older adults in Lagos State: A cross-sectional study
July 2021
The potentially complex relationship between sleep and physical activity has been characterized as difficult to answer. This study was to determine the relationship between Physical Activity (PA) and Sleep Quality (SQ) among community dwelling older adults in Idi-Araba, Lagos-State. A cross-sectional study of older adults aged 55 years and above. The participants’ PA level and SQ were measured using the Physical...
Comparative effects of aerobic exercise training and incentive spirometry on selected cardiopulmonary parameters in apparently healthy elderly
December 2020
Individuals that are above 60 years old have decreased functions of several organs, such that the lungs can lose greater than 40% of their capacity over time and a significant reduction in cardiopulmonary muscle strength and endurance. However, some of these changes can be negated by lifestyle modification. This study compared the effects of aerobic exercise training and incentive spirometry on selected cardiopulmonary...
Health policy development and implementation in Nigeria: The role of physiotherapists
December 2020
This article discussed the historical context of health policy development in Nigeria and the roles physiotherapists can play in its implementation. It also proposed a conceptual framework on the connection between physiotherapy and health policy development and the plausible physical therapy services within the Nigerian national health policy agenda. The issues raised are a call to action for Nigerian physiotherapists...
The path to our destiny: The transitioning of physiotherapy in Nigeria from occupation to a true profession
November 2020
The themes of the 55th annual conference of the Nigeria Society of Physiotherapy are “Advancing Physiotherapy in Nigeria: The Next Step”, “Physiotherapy in Preventive Healthcare: Challenges and the Way Forward.” I have been asked to tailor my keynote speech to address both themes of the conference. The Biblical metaphor of the Promise Land was utilized as the centerpiece of this presentation. I...
Prevalence, correlates and risk factors of musculoskeletal disorders among Nigerian physiotherapy and architecture undergraduates
November 2020
Physiotherapy students are vulnerable to sustaining Musculoskeletal Disorders (MSD) due to manual handling activities. Also, Architecture students who frequently adopt awkward postures while using the drawing board may equally be exposed to some risks of MSD. The degree of MSDs and their precipitating factors among these cohorts have not been empirically compared. This study therefore assessed and compared the...
Reach and effect of a virtual campaign for promoting physical activity during the covid19-era
November 2020
Measures put in place to curb the spread of the coronavirus have inadvertently fostered a reduction in physical activity. This study reports a virtual campaign designed to promote the health and physical activity level of individuals and increase awareness on practices to curb the spread of Coronavirus. The campaign enlisted a total of 141 volunteers recruited via a public call for volunteers to share promotional...
Relationship between parental socioeconomic status and cardiovascular parameters of primary school pupils in Ile-Ife, Nigeria
December 2011
Socioeconomic status has been reported to affect the blood pressure of adults in Nigeria. However, it is yet to be confirmed if it also affects the blood pressure of Nigerian children. The objective of this study was therefore to investigate the effect of parental socioeconomic status on the cardiovascular parameters of primary school pupils in Ile-Ife, Nigeria. The weight, height, abdominal circumference, systolic...
Perceptual Learning Exercises: An adjunct to balance exercises for normal healthy geriatric population
December 2011
In older adults, falls commonly lead to injury, loss of independence, associated illness, and early death. The purpose of this study was to investigate the effects of perceptual learning exercises on static balance in a normal healthy geriatric population. A total of 28 healthy elderly subjects (19 female and 9 male) participated in this randomized two-group parallel controlled trial. The whole population was divided...
Our Chance, Our Choice, Our Legacy
December 2011
Everyone present is a witness to an event not merely born out of nostalgic yearnings to rendezvous with colleagues and friends after years of hard work and sojourn in the US, but rather, a gathering of professionals, bonded by a shared national and philosophical identity. It was born out of our resolve to look back and discuss our past, present and the future as it relates to our origin. My address will therefore...
Our American Journey: Challenges, threats and opportunities
December 2011
As someone who was not born in this country (United States of America), I feel comfortable discussing this topic from a vantage position as a naturalized citizen of the United States who arrived here at the age of 25. The first general rule of any presentation is to know the composition of your audience. Let us do a check. I am assuming that a majority of the individuals in this hall are Nigerians like me with a...
Utilizing research findings in physiotherapy: A call for gap bridging
December 2011
The relevance of research in clinical sciences is anchored on the notion to improve practice through the implementation of outcomes. However, realization of this goal remains a mirage because the purposes for which research and publication are meant have not been fully met as a result of failure to apply the results in most clinical settings. The increase in the research-practice gap calls for scrutiny with a view to...
Ethics and contextual framework for professional behaviour and code of practice for physiotherapists in Nigeria
December 2011
Physiotherapists make decisions that involve ethical judgment in the course of practice and are guided by a code of professional behaviour. The purpose of this review is to elucidate decision-making in physiotherapy practice, highlight the dynamic nature of ethics, and discuss some professional behaviour expectations within the context of the Nigerian society. This paper presents the multidimensional context of ethical...
Economic Burden of Low Back Pain on Patients Seen at the Outpatient Physiotherapy Clinics of Secondary and Tertiary Health Institutions in Ibadan
December 2011
A limited amount of data exists on the burden of low back pain (LBP) in developing countries. This study was therefore carried out to determine the economic burden of LBP on patients seen in out-patient physiotherapy clinics of secondary and tertiary health institutions in Ibadan. Forty (25 males, 15 females) individuals with LBP receiving physiotherapy in secondary and tertiary health institutions in Ibadan...
Evolving opportunities for people living with a disability and the need to prepare physiotherapists for community-based rehabilitation
December 2011
This paper discusses the relevant issues regarding the role of physical therapists in a community-based rehabilitation (CBR) model that seeks to improve the quality of life of persons with disabilities and their families by meeting their basic needs. CBR focuses on the needs of the individual and the wider population, and extends beyond purely medical interpretation. The traditional institutional-based medical model...
Relationship among three field methods of estimating percent body fat in young adults
December 2011
A certain amount of fat is essential for normal body functioning and subcutaneous fat is usually considered to represent a good estimate of total body fat. It is uncertain, however, whether the different field methods of estimating percent body fat will give similar values, considering the variations in the methods used in the assessment. This study sought to determine the relationships among percent body fat value...
Effects of proprioceptive neuromuscular facilitation technique on the functional ambulation of stroke survivors
December 2011
This study investigated the effect of an 8-week proprioceptive neuromuscular facilitation (PNF) treatment programme on the functional ambulation of post-stroke individuals measured with the Emory Functional Ambulation Profile (EFAP) - a timed-test instrument comprising 5 subtasks. Seventeen male and female post-stroke individuals (mean age 56.73+8.79 years) were recruited into the study and treated with a PNF protocol...
Relationship between pain intensity, activity limitation, static and dynamic back muscles endurance in patients with non-specific long-term low-back pain
December 2011
Research on the correlation of trunk muscles’ endurance with other outcome measures in patients with long-term low-back pain (LBP) is scarce. This study assessed the relationship between pain intensity, activity limitation, and static and dynamic back extensors endurance in patients with non-specific long-term LBP. Sixty-seven patients screened using the McKenzie Institute’s Lumbar Spine Assessment Format...
Patterns in Nigerian physiotherapy and rehabilitation journals: are Nigerian physiotherapists publishing?
June 2009
In order for any clinical science based profession to advance, there is need to update its knowledge base through research. The results of such research endeavours are usually disseminated through publications in scientific journals. The authorship pattern in two Nigerian physiotherapy and rehabilitation journals was studied. The aim was to establish the involvement of Nigerian physiotherapists in research and...
Physiotherapy management of sub-acute post- partum diastasis of pubic symphysis: a case report
June 2009
A thirty-five year old woman who complained of excruciating pain in the pelvis, the right hip and the lower back region, associated with inability to stand or walk without extreme discomfort, was referred to the in-patient physiotherapy department of the Lagos University Teaching Hospital. A working clinical and radiological diagnosis of post-partum pubic diastasis was made by the referring physician. She had had a safe...
Fifty years of physiotherapy in Nigeria: trends, perspectives and future direction
June 2009
Knowledge of the determinants and evolution of quality in health practice and training enriches our understanding and interpretation of the current trends and also deepens our perspective on the future direction of the physiotherapy profession and training. This article describes the emergence of the dominant model of physiotherapy practice and training. The paper discusses historical trends in the perception of medical...
Comparison of patients’ satisfaction with physio- therapy care in private and public hospitals
June 2009
Patient satisfaction is an important measure of quality of care. This study compares the level of satisfaction in patients who receive physiotherapy care in private and public hospitals. The subjects (N=639) were patients who received physiotherapy care as outpatients in four (4) private and three (3) public hospitals, and who completed a 63-item closed-ended structured questionnaire titled, Modified Patient...
Where is the Evidence?
June 2009
In the past, many professionals practiced without evidence. Practice was based mainly on a loose body of knowledge. Some of the knowledge was simply lore that drew upon the experiences of generations of practitioners, and much of it had no truly scientific evidence on which to justify various practices.
Effects of continuous exercise training on white blood cell count in men with essential hypertension
June 2009
White blood cell (WBC) count is considered a biomarker of the inflammatory processes that result from vascular injury that actively contributes to the development of cardiovascular diseases, precisely hypertension. The positive role of exercise in the management of hypertension has long been established. However, the relationship between WBC count and hypertensive management, particularly in a non pharmacological...
Relationship between functional abilities confidence level and performance of motor function after stroke
June 2009
This study investigated the relationship between motor function and functional abilities confidence level among community-dwelling stroke survivors. Fifty patients (mean age 54.84±10.68 years) who suffered first incidence hemispheric cerebrovascular accident and were undergoing physiotherapy on outpatient basis at the University College Hospital, Ibadan. a tertiary health institution in Nigeria, took part in the...
Relative effectiveness of transcutaneous electrical nerve stimulation and hot packs in the management of hemiplegic shoulder pain
June 2009
Transcutaneous electrical nerve stimulation (TENS) and hot packs (HP) are among the common modalities used in the management of hemiplegic shoulder pain (HSP). The choice of either of the modalities is dependent on personal discretion rather than on proven relative effectiveness. This study examined the relative effectiveness of TENS and hot both groups. However, there was equal statistically significant improvement...
Shortwave diathermy in the management of chronic pelvic inflammatory disease pain: case reports
December 2008
The purpose of this case study was to determine the therapeutic effect of Short Wave Diathermy (SWD) in the symptomatic management of chronic Pelvic Inflammatory Disease (PID) pain. Three cases of chronic PID were referred from the Obstetric and Gyneocology department of Murtala Muhammed Specialist Hospital (MMSH) and a Private Gyneocology Hospital in Kano, Nigeria, for Physiotherapy. SWD was administered to 2 of the...
Opinion of a section of Nigerian physiotherapists on training and utilization of middle level worker
December 2008
Delegation is the process of entrusting authority and responsibility to others. The support worliforce across the whole health care sector in some countries is growing in terms of number and developing in relation to its scope of activity but it appears as if Nigerian physiotherapists are divided in opinion on utilization ofmiddle level workers and there is still dearth ofempirical data to establish this. The primary...
Rehabilitation care outcome of lower limb fractures in a Nigerian Teaching Hospital-A retrospective study
December 2008
Fracture is a common cause ofinjuries to lower extremities. It is clinically assumed that younger and male patients have better outcome following acute care rehabilitation of lower limb fractures. This study was therefore carried out to investigate pattern and outcome oj acute care rehabilitation of lower limb fractures. All cases of unilateral lower limb fractures referred for physiotherapy at LAUTECH Teaching...
Assessment of patients satisfaction with physiotherapy care
December 2008
Patients' satisfaction has not been closely monitored in Physiotherapy and limited studies exist in this area ofallied health services. This study focused on patients' satisfaction with Physiotherapy services in the Federal Medical Centre, Abeokuta, Nigeria (FMCA). A self administered questionnaire in English and Yoruba versions, was distributed to 51 respondents (Patients and Patients' proxies) who had...
Assessment of back extensor muscles endurance of apparently healthy Nigerian adults
December 2008
Studies on gender differences in back extensors muscles endurance has been inconsistent and inconclusive. The objective ofthis study was to evaluate gender differences in timed isometric back extensor muscles endurance among apparently healthy adult Nigerians. 376 apparently healthy consecutive adults whose ages ranged between 21 to 62 years with the mean aged 38.9 ± 13.5 years participated in this study. This...
Physiotherapy in primary health care: are we ready?
December 2008
Given the growing interest of the Nigerian physiotherapists in primary care, it is important to understand the general concept of this health care delivery system and the responsibilities associated with being a primary care provider. Physicians are historically trained to shoulder the responsibilities of a primary care provider. Other professionals are also redesigning their curriculum in order to be able to provide...
Influence of age on hamstring tightness in apparently healthy Nigerians
December 2005
Purpose: Hamstring tightness has been documented in apparently healthy Nigerian adults and in those with musculoskeletal problems, but the influence of age on hamstring tightness has not been studied. This study was therefore designed to determine the influence of age on hamstring tightness in apparently healthy subjects. Methods: Hamstring tightness was measured using the active knee extension test (AKET) in 240...
Physiotherapy in health care delivery
December 2005
Physical therapy (PT) in health care delivery is not confmed to rehabilitative management or treatment of musculoskeletal injuries or diseases alone. It has continued to be relevant in areas of preventive medicine and in the prevention of primary and secondary conditions that may lead to disability. Some techniques of physical therapy have also been employed as panacea to some musculoskeletal conditions that have proven...
Risk factors for low back pain among hospital workers in Ibadan, Oyo State, Nigeria
December 2005
This study investigated the risk factors for low back pain among workers in hospitals in Ibadan under the Oyo State Hospital Management Board. A crosssectional survey was carried out using a two-part questionnaire. Six hundred and seventy-five questionnaires were circulated and self administered out of which 446 were duly completed and returned, representing a response rate of 66 %. The data was analysed with the...
Management of uterine with electrostimulation - A Case Report
December 2005
A thirty-year-old woman with a history offirst degree prolapse with cystocele and enterocele after ten days of normal delivery was referred for physiotherapy. The patient complained of general discomfort and low back pain while walking. She was treated using faradic electrical stimulation with 2000ms pulse duration and lOOOms pulse interval at an intensity of 37mA. This output was used for 20 minutes at each treatment...
Gender distribution of physiotherapy graduates from Nigerian Universities
December 2005
Physiotherapy has been reported to be a predominantly female profession in the United Kingdom. There is a paucity of socio-demographic literature on Nigerian physiotherapists generally and the gender distribution of the practitioners in particular. The objective of this ...
Hamstring and quadriceps strength ratio: effect of age and gender
December 2005
This study was carried out to investigate how age and gender influence hamstring-quadriceps (knee flexor-extensor) muscle strength ratio in a Nigerian urban population. One hundred and fifty apprently healthy male and female subjects in 3 age groups (group I, 11-20 years; group II, 21-40 years and group III, 41-60 years) participated. The hamstrings and quadriceps isometric muscle strength of all the patients was...
Relevance of physiotherapy in the management of faecal incontinence
December 2005
Pelvic floor dysfunction usually results infaecal incontinence. The dysfunctions are decreased rectal sensation, impaired anal sensation, rectal prolapse, and weakness of the pelvic muscles due to complicated birth delivery or prolonged labour. Trauma to the perineum or the sacral nerve roots is also a cause of pelvic dysfunction. The management involves medical, surgical and physiotherapy...
Identifying with our knowledge base
December 2002
There is need for physiotherapists to identify with the science or the knowledge base of the profession -.which is pathokinesiology. The NUC (1989) "Minimum Standards ... for Training ... of Physiotherapists ... "simply defines patholkinesiology as the science of physiotherapy. A broader definition coins pathokinesiology as the kinesiology of the human body under pathological condition or the analytical and...
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