{"title":"Physiotherapy in Wound Healing","authors":"Sunday R Akinbo, PT, PhD, MNSP","doi":"10.34058/njmr.v13i1.2.32","DOIUrl":"https://doi.org/10.34058/njmr.v13i1.2.32","url":null,"abstract":"","PeriodicalId":185801,"journal":{"name":"Nigerian Journal of Medical Rehabilitation","volume":"76 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2009-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126214434","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ontgbinde Ayodele Teslim, Ra Adedoyin, Sangodeyi Bukola Janet
{"title":"Job Evaluation of Clinical Physiotherapists in the South West of Nigeria","authors":"Ontgbinde Ayodele Teslim, Ra Adedoyin, Sangodeyi Bukola Janet","doi":"10.34058/njmr.v12i1.2.30","DOIUrl":"https://doi.org/10.34058/njmr.v12i1.2.30","url":null,"abstract":"Background ofthe study: Resourcefulness is the quality of being able to cope with a difficult situation and have imaginative abilities while service development processes allow the building and testing of services and related component. The involvement of physiotherapists in supervision, administration, teaching and research in health sciences is yet to be ascertained. \u0000Aims: The primary purpose of this study was to evaluate level of involvement of clinical physiotherapists in administration, teaching, research and policy formulation, human resources and information technology. \u0000Method: One hundred (100) copies of self-administered questionnaire adopted from National Health services job evaluation questionnaire were administered to physiotherapists in selected Federal and State Hospitals. The response rate was 71 %. The data was analysed using descriptive Statistic. \u0000Results: The result showed that 97.2%,84.5%,76.6% and 58.5% of clinicians were resourceful in effective patient communication, analytical skill, patient care and freedom of action respectively. Also 10% carried out research regularly and 35.2% carried it out occasionally. About 47.9% and 80.3% were resourceful in human resources management and policy formulation respectively for physiotherapists in the chief cadre. The assistant Chief Physiotherapists were found to be more resourceful than the Chief Physiotherapists in the area of resource management. The study further showed that only 17.4% of the physiotherapists were involved in utilizing information technology. \u0000Conclusion: This study concluded that clinicians are not highly resourceful especially in the areas of human resources, policy and research, and information technology but were involved in effective communication, judgment and analytical skills, patient care and have freedom of actions. \u0000 KEY WORDS: Resourcefulness, Administration, Physiotherapy, Policy","PeriodicalId":185801,"journal":{"name":"Nigerian Journal of Medical Rehabilitation","volume":"2021 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2009-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127549199","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Relationship Between Cardiorespiratory Fitness Blood Pressure of Nigerian","authors":"A. Akinpelu, O. Oyewole, K. Oritogun","doi":"10.34058/njmr.v12i1.2.25","DOIUrl":"https://doi.org/10.34058/njmr.v12i1.2.25","url":null,"abstract":"Background: Knowledge about the relationship between cardiorespiratory fitness and health outcome is important, because such information adds essential information to the aggregated data that serve as the basis for physical activity guidelines. \u0000Objective: The purpose of this study was to evaluate relationship between cardiorespiratory fitness and blood pressure in normotensive individual. \u0000Methods: A cross-sectional survey of secondary school students in Sagamu local government area of Ogun state, Nigeria during 2006 school year was carried out. In all 1638 (790 male and 848 female) apparently healthy students with age ranged between 12 and 18 years were selected from 11 schools (8 public and 3 private). The Cardiorespiratory fitness (CRF) and blood pressure of the subjects were measured. \u0000Results: A significant negative correlation between CRF and blood pressure (systolic and diastolic) was observed. There was significant curvilinear graded relation between CRF and blood pressure. Coefficient of determination (R2) for cardiorespiratory fitness was 1.54% and 1.18% for systolic and diastolic blood pressure respectively. \u0000Conclusion: The greatest benefit may be achieved when increasing the fitness from low to moderate cardiorespiratory fitness. It is therefore important to direct action towards those adolescents who are the least physically fit to increase their cardiorespiratory fitness and hence reduced their blood pressure. \u0000Key words: Cardiorespiratory fitness index, blood pressure, CHD","PeriodicalId":185801,"journal":{"name":"Nigerian Journal of Medical Rehabilitation","volume":"41 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2009-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132767461","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A. Onigbinde, R. Adedoyin, O. O. Orijajogun, A. Uloko
{"title":"Effect of Percussion and Postural Drainage Positions on Cardiovascular and Respiratory Parameters","authors":"A. Onigbinde, R. Adedoyin, O. O. Orijajogun, A. Uloko","doi":"10.34058/njmr.v12i1.2.28","DOIUrl":"https://doi.org/10.34058/njmr.v12i1.2.28","url":null,"abstract":"Background of the study: There are different drainage positions for different lobes of the lungs but most studies on the effect of postural drainage and percussion on cardiovascular and cardiorespiratory are old and also inconclusive. \u0000Aims: The primary aim of this study was to determine the effect of postural drainage positions and percussion in prone lying with foot of bed raised to 45cm and right side lying with 45 degree turn on to the face on cardiovascular and cardiorespiratory parameters such as systolic blood pressure (SBP), diastolic blood pressure (DBP), heart rate (RR) and respiratory rate (RR). \u0000Method: Forty subjects (20 males and females each) participated in the study and they were randomly assigned to 4 groups with 10 participants in each group. The cardiovascular and cardiorespiratory parameters were measured at sitting (pre-positioning), mid and postpositioning after 15 minutes. The data was analysed using descriptive and inferential statistic. \u0000Results: The results showed that percussion significantly decreased the systolic blood pressure (F = 3.15; P < 0.05) while the respiratory rate was increased significantly (F= 5.40; p < 0.05) when the subjects were in prone lying position. The result also showed that the systolic blood pressure and the respiratory rate increased significantly (F=I.26; p < 0.05) and (F=7.18; p","PeriodicalId":185801,"journal":{"name":"Nigerian Journal of Medical Rehabilitation","volume":"95 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2009-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121178171","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
C. Mbada, O. Akinwande, J. Babalola, O. R. Seyi-Adeyemo, A. S. Odejide
{"title":"Gender Differences in Cardiovascular Response to Upper Extremities Isometric Exercises in Normotensive Subjects","authors":"C. Mbada, O. Akinwande, J. Babalola, O. R. Seyi-Adeyemo, A. S. Odejide","doi":"10.34058/njmr.v12i1.2.31","DOIUrl":"https://doi.org/10.34058/njmr.v12i1.2.31","url":null,"abstract":"Background and objective: Studies on gender differences in cardiovascular responses to isometric exercise have been numerous and conflicting. The objective of this study was to determine if the cardiovascular responses to upper extremities isometric exercises differ between apparently healthy male end female subjects. \u0000Methods: One hundred and sixty apparently healthy adults with the mean age of 39.0 ± 11.04 years were consecutively recruited into the study. This consisted of 80 males (39.0 ± 10.82 years) and 80 females (38.96 ± 11.25). Data were obtained on participants' age, height, weight, body mass index, blood pressure, heart rate, and Rate Pressure Product. Data were summarized using descriptive statistics of mean and standard deviation. Independent t-test was used to compare physical characteristics between genders while repeated measure of ANOVA was used to compare the pre and post isometric exercises cardiovascular parameters between genders. Level of significance for all tests was set at p< 0.05. \u0000Results: The baseline cardiovascular parameters were not significantly different (p> 0.05) between the male and the female participants. The post exercise cardiovascular parameters were significantly greater (p< 0.05) than the baseline values without gender bias. However, the post exercise SBP and RPP were significantly different (p< 0.05) between the male and the female participants respectively. \u0000Conclusion: Isometric exercises of the upper limbs can lead to a significant increase in cardiovascular parameters among apparently healthy male and female subjects. Higher ventricular contraction is evoked among males leading increased SBP while the myocardial oxygen uptake and the measure of the oxygen consumption of the heart muscles of the female participants in response to upper extremities isometric exercises is higher than that of the males as demonstrated by the RPP. \u0000Key words: Isometric exercises, cardiovascular response, upper extremities exercises.","PeriodicalId":185801,"journal":{"name":"Nigerian Journal of Medical Rehabilitation","volume":"98 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2009-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124903399","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A. Adeniyi, A. O. Sanya, A. Fasanmade, B. Tijjani, A. Uloko
{"title":"Association Between Pulse Index and Metabolic syndrome in Individuals with Type 2 Diabetes Mellitus: Outcome of a Twelve-Weeks Therapeutic Exercise","authors":"A. Adeniyi, A. O. Sanya, A. Fasanmade, B. Tijjani, A. Uloko","doi":"10.34058/njmr.v12i1.2.27","DOIUrl":"https://doi.org/10.34058/njmr.v12i1.2.27","url":null,"abstract":"Background and Objective: Metabolic syndrome (MS) is an entity with clustering of cardiovascular risk factors and is associated with Type 2 Diabetes Mellitus (T2DM). Low level cardiovascular fitness is also associated with risk of T2DM. An association between Pulse Index (PI) and MS requires further description. This study sought to determine the association between PI and components of MS. Methods: Seventy-seven participants/subjects aged 48.6±6.52 years with T2DM were enrolled into the study at Aminu-Kano Teaching Hospital, Kano, Nigeria. PI and components of MS including Fasting Blood Glucose (FBG), Glycosylated Haemoglobin (HBAlc), High-Density Lipoprotein (HDL-CHOL), Triglycerides (TRIG.), Blood Pressure (BP) and obesity were assessed before and after twelve-week therapeutic exercises. Results: Inverse correlations were obtained for PI and each ofFBG (r=-0.45), HBAlc (r=-0.52), TRIG (r=-0.26), BP(r=-0.43/-0.32), Waist Circumference (r=-0.53), BMI (r=-0.79), blood pressure (r=-0.43/-0.32) except HDL-CHOL (r= 0.67), (P< 0.05 for all the subjects/participants). Conclusions: Low-levels of PI were associated with poor glycaemia, hypertension, obesity and dyslipidaemia. Therapeutic exercises aimed at improving cardiovascular fitness may have significant improvement on MS. which in turn aids the prevention of both T2DM and cardiovascular diseases. Keywords: Type 2 Diabetes Mellitus, Cardiovascular fitness, aerobic exercises, Pulse Index'","PeriodicalId":185801,"journal":{"name":"Nigerian Journal of Medical Rehabilitation","volume":"272 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2009-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134000576","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Prevalence of Low Back Pain in Commercial Motor Drivers and Private Automobile Drivers","authors":"D. O. Odebiyi, D. C. Ogwezi, B. O. Adegoke","doi":"10.34058/njmr.v12i1.2.29","DOIUrl":"https://doi.org/10.34058/njmr.v12i1.2.29","url":null,"abstract":"Background: The low back is susceptible to injury (pain) because it supports most of the body weight. Prolonged sitting and being sedentary are some of the risk factors to developing low back pain (LBP). This study was designed to determine and compare the prevalence of LBP in Commercial Motor Drivers (CMD) and Private Automobile Drivers (PAD). \u0000Materials and Method: Five hundred males (250-CMD and 250-PAD) participated in the survey. The participants were made to complete a 33-item closed ended questionnaire. The questionnaire collected information on the respondents' biodata, driving, back pain and the effects of driving on the low back (LB). The questionnaire was selfadministered. \u0000Results: The results showed that LBP was a major problem among these groups ofdrivers. The 12-month prevalences of LBP among the CMD and PAD were 96% and 88% respectively. Twelve-month prevalence of LBP was significantly (p< 0.05) higher in the CMD. Sixty four percent and 42% of the CMD and PAD attributed the cause of their back pain to the length of time spent sitting when driving. \u0000Conclusion: Low back pain was a major problem among the respondents; but was experienced more among CMD. The higher prevalence of LBP in CMD was attributed to the length of time spent sitting when driving. \u0000KEY WORDS: Prevalence, low back pain, Commercial Motor Drivers, Private Automobile Drivers.","PeriodicalId":185801,"journal":{"name":"Nigerian Journal of Medical Rehabilitation","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2009-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116898644","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Evidence-Based Practice: Challenges to Medical Rehabilitation Practitioners","authors":"Sunday R Akinbo, PT, PhD, MNSP","doi":"10.34058/njmr.v12i1.2.24","DOIUrl":"https://doi.org/10.34058/njmr.v12i1.2.24","url":null,"abstract":"","PeriodicalId":185801,"journal":{"name":"Nigerian Journal of Medical Rehabilitation","volume":"159 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2009-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114165696","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Test-Retest Reliability of Ultrasound Imaging of Lumbar Multifidus Muscle","authors":"Oluleke Ganiyu Sokunbi","doi":"10.34058/njmr.v12i1.2.26","DOIUrl":"https://doi.org/10.34058/njmr.v12i1.2.26","url":null,"abstract":"Background to the study: Muscle strength and muscle size measurement are useful indicator of musculoskeletal pathology but it seems difficult at the moment to isolate individual paravertebral muscle for strength testing. It may therefore be useful to measure muscle size which can be achieved in vivo using diagnostic imaging technique. \u0000Purpose of the study: The purpose of this study is to demonstrate test-retest reliability of using diagnostic ultrasound imaging in the assessment of multifidus cross sectional area (CSA). \u0000Materials and method: Five apparently healthy volunteers (2 males 3 females) whose ages ranged from 23 to 35 years participated in this study. FF Sonic UF-750XT diagnostic ultrasound imaging machine with a 5MHz curvilinear transducer was used for ultrasound imaging oflumbar multifidus muscle. \u0000Results: The results shows that the average scores of lumbar multifidus ranged from 5.3cm2 to 8.6cm2. The test retest reliability for measuring lumbar multifidus on both single (0.996) and average measures (0.999) was good (P< 0.05). \u0000Conclusion: Ultrasound imaging could be said to be a reliable method that could be used by physiotherapist in evaluating multifidus muscle size which in turn could be a useful guide to the assessment of the effects of low back pain (LBP) and in the evaluation of the efficacy of common therapeutic intervention for LBP disorders. \u0000KEY WORDS: Multifidus, Reliability, Ultrasound Imaging","PeriodicalId":185801,"journal":{"name":"Nigerian Journal of Medical Rehabilitation","volume":"25 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2009-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124830268","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Comparative Efficacy of Low level Laser Therapy And Pulsed Ultrasound in the Management of Second - Degree Contusion","authors":"O. Ayanniyi, O. B. Ogunkunle, C. Mbada","doi":"10.34058/NJMR.V11I2.15","DOIUrl":"https://doi.org/10.34058/NJMR.V11I2.15","url":null,"abstract":"Low level LASER therapy (LLLT) and pulsed ultrasound have been shown to relieve pain, promote healing and tissue repair in sport injuries. The objective of this study was to investigate the comparative efficacy of LLLT and pulsed ultrasound in the management of second - degree contusion in sportsmen. \u0000 \u0000This is a 2 group pre-test – post-test quasi – experimental study involving 20 sportsmen, ten were in Group A (LLLT) and ten in Group B (P-US). They were aged between 19 and 30 years with the mean age 24.9 ± 3.28 years and 27.4 ± 3.75 years for the Group A and Group B respectively. Treatment consisted of six sessions, in a period of 2 weeks. Data collected on each participants included age, weight, height, site of injury, pain intensity, swelling, calf girth and range of motion. \u0000 \u0000The result of the study revealed decrease in pain for both LLLT and pulsed ultrasound (p0.05). \u0000 \u0000It was concluded that both therapies are equally effective in the management of pain resulting from second – degree contusion in sportsmen. \u0000 \u0000KEYWORDS: Low level LASER, pulsed ultrasound, second – degree contusions.","PeriodicalId":185801,"journal":{"name":"Nigerian Journal of Medical Rehabilitation","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2007-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116789392","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}