Nigerian Journal of Medical Rehabilitation最新文献

{"title":"Effect of Dominance On The Isometric Hamstring Muscle Length In Undergraduate Students","authors":"O. Oyewole","doi":"10.34058/NJMR.V11I2.17","DOIUrl":"https://doi.org/10.34058/NJMR.V11I2.17","url":null,"abstract":"Background: The knee is frequently prone to traumatic and degenerative afflictions and hence is a common site of pain requiring physical therapy interventions. During the process of rehabilitation, comparisons are usually made with the contralateral knee vis-à-vis the knee muscle torques as a criterion reference. In order to validate this practice, is necessary to determine to what extent a pre-injury difference exists between the limbs of otherwise normal subjects. \u0000 \u0000Objective: The purpose of this study was to provide isometric strength data of hamstring muscles in healthy subject and to investigate the effect of dominance on it. \u0000 \u0000Method: Eighty normal male undergraduate subjects with mean age of 23.5 ± 2.14years (range 20-29) were exposed to isometric muscular strength measurement of the hamstring muscles. The thigh muscle bulk, limb length and leg length were also measured. \u0000 \u0000Results: The result showed that dominance has effect on the isometric muscular strength of the lower limb when classified as dominant or non-dominant, strong or weak and right or left. There was also significant effect of dominance on muscle bulk. Significant correlation was found between muscle strength, muscle bulk and body weight. No correlation was found between muscle strength and leg length. Age has no effect on the strength. \u0000 \u0000Conclusion: This study suggests that in gross comparisons only, pre-injury significance exists between contralateral limbs. \u0000 \u0000KEYWORDS: Isometric hamstring muscle strength, dominance leg, leg length, muscle bulk.","PeriodicalId":185801,"journal":{"name":"Nigerian Journal of Medical Rehabilitation","volume":"1 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":"131934583","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":"Perception of Low Vision Students In Saudi Arabia Regarding Their Integration Into Regular Schools","authors":"Abdullah Z. Alotaibi","doi":"10.34058/NJMR.V11I2.18","DOIUrl":"https://doi.org/10.34058/NJMR.V11I2.18","url":null,"abstract":"Background: Low Vision, also referred to as “partial sight”, has been defined as “reduced central acuity or visual field loss which even with best optical correction still results in visual impairment from a performance standpoint. Low vision affects many aspects of life, the main goal in the field of low care therefore, is to assist the low vision patient in making the best use of remaining vision for a reasonable quality of life. Education of students with low vision has become a central focus of concern in special education in different countries such as Saudi Arabia. Student with visual impairments have received educational services in a variety of settings including schools for blind or in segregated classrooms in a public school building. \u0000 \u0000Objective: The aim of this study was to investigate the subjective response of Saudi Arabia low vision students towards their integration into regular schools. \u0000 \u0000Methods: Twenty-nine (29) low vision students who study in three regular schools participated in this study. The average age was 13.2 years. They have not used any Low Vision Aids either when they study in blind schools or after they have been integrated into regular schools. A questionnaire was used to measure the subjective response of the student towards the integration in comparison with segregation (School for the Blind). \u0000 \u0000Results: The result of the questionnaire shows that 75.86% of normally sighted students deal friendly with low vision students. Also, it has been found that 79.31% of the visually impaired students were happy to be in regular schools; however, 3.45% was unhappy. Moreover, it has been found that 86.2% of them support the concept of integration in comparison with segregation. In other words, they are not supporting isolation in terms of education. \u0000 \u0000Conclusion: It can be concluded from the study that the integration of low vision students in the regular schools can be very effective and play an important role in improving the quality of education provided to them. \u0000 \u0000KEY WORDS: Integration, Segregation, Low Vision students, Regular Schools.","PeriodicalId":185801,"journal":{"name":"Nigerian Journal of Medical Rehabilitation","volume":"87 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":"125659735","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":"Cardiovascular Responses Of Type 2 Diabetes Patients To Intermittent And Continous Aerobic Exercises","authors":"M. Akindele, P. Kodzo, Mustapha Naimat","doi":"10.34058/NJMR.V11I2.22","DOIUrl":"https://doi.org/10.34058/NJMR.V11I2.22","url":null,"abstract":"Background: The use of aerobic exercise as a form of glycemic control in type 2 diabetes mellitus has been well documented in the literatures. High blood pressure has been shown to be one of the sequelae of type 2 diabetes mellitus. Determination of mode of exercises for glycemic control that will not adversely affect the cardiovascular indices of type 2 diabetes mellitus subjects is highly indicated. \u0000 \u0000Objective: The purpose of this study was to determine the acute cardiovascular responses of type 2 diabetes mellitus subjects to continuous and intermittent modes of exercises. \u0000Results: There was statistical significant difference in heart rate of both groups. Continuous mode of exercise elicited no statistical difference in SBP and DBP but there was statistical significant difference in SBP in intermittent exercise group with no statistical significant in their DBP. Cross comparison of pre and post cardiovascular indices showed that there were statistical significant differences in SBP (F=0.710, P>0.05) and DBP (F=1.397, P>0.05). \u0000 \u0000Conclusion: Cardiovascular responses of type 2 diabetes mellitus subjects were higher in intermittent exercise group compared with the continuous exercise group. \u0000 \u0000KEYWORDS: Type 2 diabetes mellitus, Aerobic exercise, cardiovascular response.","PeriodicalId":185801,"journal":{"name":"Nigerian Journal of Medical Rehabilitation","volume":"11 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":"132722355","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":"Comparison of Blood Pressure In Deaf Secondary School Children and Their hearing Counterparts: Association Between Noise and Blood Pressure","authors":"O. Nwaorgu, O. Arulogun","doi":"10.34058/NJMR.V11I2.14","DOIUrl":"https://doi.org/10.34058/NJMR.V11I2.14","url":null,"abstract":"Background and Objective: High blood pressure has been known to be one of the problems that could develop as a result of exposure to noise. Consequently, those who are hearing impaired are thought to be immune to this. This study assessed the relationship between noise exposure and blood pressure. \u0000 \u0000Methodology: This is a comparative prospective study involving participants (consisting of the hearing and the hearing impaired) drawn from a school environment that is situated close to a major highway and railway and evaluating the impact of noise on their blood pressure. \u0000 \u0000Results: The study population consisted of 299 secondary school students. The noise sensitive group comprised 220 participants with normal hearing while the noise-insensitive group comprised 79 hearing impaired from the same school. More participants 6 (85.7%) from the noise insensitive group were found to have significantly higher blood pressure than their hearing counterparts 1 (14.3%). In addition, majority of the participants (63.1%) irrespective of their level of noise sensitivity were underweight. \u0000 \u0000Conclusion: This study finds noise exposure alone not sufficient to bring about an increase in blood pressure of the studied population. This not withstanding we advocate for policy measures aimed at controlling the source of environmental noise around educational institution which will aid in reducing the adverse effects of noise on the school children. \u0000 \u0000KEYWORDS: Blood pressure, Hearing impairment, Body Mass Index, School Pupils.","PeriodicalId":185801,"journal":{"name":"Nigerian Journal of Medical Rehabilitation","volume":"1 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":"128183144","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":"Stress And Strain At The Lateral Collateral Ligament Complex Of The Elbow Joint","authors":"G. Mbaka, A. Ejiwunmi, V. U. Chukwuma, O. Odusote","doi":"10.34058/NJMR.V11I2.21","DOIUrl":"https://doi.org/10.34058/NJMR.V11I2.21","url":null,"abstract":"Background: The radial collateral ligament was previously believed to be the only ligament existing at the lateral aspect of the elbow joint until Morrey and An (1976) classified the ligaments to include radial collateral (RCL) and lateral ulnar collateral ligaments (LUCL). There is therefore the need to assess the impact these ligaments in elbow joint stability. \u0000 \u0000Objective: To investigate how the RCL and LUCL are affected by stress and strain in both routine and forceful movements of the limb. \u0000 \u0000Materials and Methods: Eight (8) embalmed upper extremities were used for this investigation. The elbow joint was dissected with care taken to preserve the lateral ulnar collateral ligament seen in seven of the limbs. Qualitative assessment of ligament tension was made under valgus and varus stresses. The angles at which stress was applied were 450, 700, 750, 900, 1100, 1200 and full extension. These angles were chosen partly because most movements during racket sporting activities take place at higher angles (Regan et al 1991). The angles were determined by hand held goniometer while the arm was firmly held in a retort stand. \u0000 \u0000Results: The RCL is more able to absorb stress and strain because of its greater flexibility enhanced by its attachment at the annular ligament. However, LUCL a thickened mass, in both valgus and varus stresses was taut throughout most of the entire arc of flexion. It is a much stronger ligament that effectively stabilizes elbow joint in both routine and forceful movement. \u0000 \u0000Conclusion: This study has been able to establish that LUCL is more prone to stress and strain. Being attached from bone to bone, it equally provides greater stability at the lateral aspect of elbow joint. \u0000 \u0000KEY WORDS: Elbow joint; Ulna and Radial Collateral Ligament; stress and strain.","PeriodicalId":185801,"journal":{"name":"Nigerian Journal of Medical Rehabilitation","volume":"1 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":"123753893","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":"Effects of Transcutaneous Electrical Nerve Stimulation (TENS) On Hormone profiles In Subjects With Primary Dysmenorrhoea - A Preliminary Study","authors":"B. A. Tella, A. Olisa, S. Akinbo, G. Ajayi, D. Alamu, B. Osundiya","doi":"10.34058/NJMR.V11I2.20","DOIUrl":"https://doi.org/10.34058/NJMR.V11I2.20","url":null,"abstract":"Background & Objective: Primary dysmenorrhoea (PD) is the occurrence of painful menstrual cramps of uterine origin which occurs in the absence of any underlying disease. The objective of this study was to evaluate the effect of TENS on the hormones; cortisol and prolactin in individual with PD. \u0000 \u0000Methods: Plasma levels of cortisol and prolactin were studied in twenty-one (21) subjects with mean age of 23 + 2 years by obtaining blood sample from each subject, pre-and post-TENS therapy on the first day of menstruation. Visual Analogue Scale (VAS) was used to assess the pre-and post-treatment pain intensity. The TENS unit was applied for a duration of 30 minutes. \u0000 \u0000Results: The paired t-test showed that there was an overall reduction in the mean cortisol and prolactin from pre treatment values of 28.45µg/dl±5.27 and 56.81ng/ml±31.86 to post treatment values of 27.33µg/dl±5.13 and 53.23ng/ml±37.63 respectively. However these differences were not statistically significant (P>0.05). Pain intensity was significantly reduced comparing pre and post treatment VAS scores. \u0000 \u0000Conclusion: The probable mechanism by which TENS effects alteration in cortisol and prolactin levels and pain reduction in PD might be through the opioid-modulating analgesia system, which releases B-endorphins and other endogenous opiates in response to pain. This is because there is close relationship between B-endorphin, cortisol and neurons, which secrete dopamine into the hypothalamic-pituitary-portal system. However this study gives further evidence that women with PD have disturbed hormonal profiles. \u0000 \u0000KEY WORDS: Primary dysmenorrhoea, TENS, Cortisol, Prolactin.","PeriodicalId":185801,"journal":{"name":"Nigerian Journal of Medical Rehabilitation","volume":"282 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":"122858054","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 Impact Of Internship Programme And Its Effects On The Physiotherapy Practice In Nigeria","authors":"A. Onigbinde","doi":"10.34058/NJMR.V11I2.23","DOIUrl":"https://doi.org/10.34058/NJMR.V11I2.23","url":null,"abstract":"Background: The recent introduction of one year internship training programme is one of the few steps taken to update standard and knowledge of upcoming physiotherapists in Nigeria. It is a compulsory one-year clinical training post-graduation from the university under the supervision of the clinicians. The major importance of introducing the new policy is to promote acquisition and utilization of new skills, and as well, develop skills and confidence already acquired during undergraduate days. \u0000 \u0000Objectives: The aim of this study was to assess and evaluate the new internship-training programme considering welfare package like salary and wages, accommodation, employment opportunities, acceptability and working environment. The study also evaluated the opinion of the supervisors on the impact of the new policy on the profession, government and clinical practice. \u0000 \u0000Method: Structured copies of self-administered questionnaires were distributed to forty-four interns at three accredited University Teaching Hospitals in Nigeria while 30 questionnaires were distributed to supervising physiotherapists in these hospitals. The response rate for interns was 100% while it was 60% for the supervisors. The data obtained from the designed questionnaire were analyzed by descriptive analysis. \u0000 \u0000Results: The result showed that the 52% of the interns were satisfied with the support from their senior colleagues, work load (80%), freedom to plan and manage patients (100%), and supervision from senior colleagues (62%). They were grossly dissatisfied with their salaries (91%), equipment available (79%), pattern of conducting ward rounds (89%), and office environment (58%). The result also revealed that all the supervising physiotherapists (100%) were satisfied with the skill and clinical practice of the interns. The result further showed that the programme has a positive impact in terms of clinical practice, confidence employment opportunity, productivity and government policy (66–100%). \u0000 \u0000Conclusion: This study concluded that the internship programme has a remarkable positive impact on the profession of physiotherapy in Nigeria. However, the intern physiotherapists were not satisfied most especially with their monthly income and pattern of conducting clinical rounds. \u0000 \u0000KEY WORDS: Physiotherapy Internship Programme, Nigerian Physiotherapists.","PeriodicalId":185801,"journal":{"name":"Nigerian Journal of Medical Rehabilitation","volume":"43 4","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2007-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"120984837","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":"Musculoskeletal Complications And General Health Status Of Individuals With Sickle Cell Disease","authors":"O. Ayanniyi, A. Ayeni, M. O. Oni-Orisan","doi":"10.34058/NJMR.V11I2.19","DOIUrl":"https://doi.org/10.34058/NJMR.V11I2.19","url":null,"abstract":"Sickle cell disease is a chronic disease that is associated with high degree of morbidity and mortality. The objective of this study was to find the relationship between musculoskeletal complications and general health status of patients with sickle cell disorders. \u0000 \u0000The HSQ 2.0 questionnaire, (a general health survey questionnaire), was used to assess the subjects’ health status while a separate questionnaire was used to compile data on complications. Descriptive and inferential statistic of Spearman’s correlation was used to find relationship between complications and health status. Level of significance was set at 0.05 alpha. \u0000 \u0000Seventy-two subjects with sickle cell disorder participated in the study. Fifty-six (77.8%) were of genotype Hb SS. Most of the subjects, 51 (70.8%) normally experienced back pain, 22 (30.5%) had chest pain while only 2.8% had visual problem. Generally, subjects scored low on all health status sub-scales except the mental health sub-scale where the mean score was near 60% (59.84 ± 17.41%). The lowest mean score (47.99 ± 24.03%) was obtained on role limitation due to physical health sub-scale. There were significant correlations between complications and health status. \u0000 \u0000It was concluded that the health of individuals with sickle cell disease is compromised on all the eight domains of health status and that painful complications affect their social and physical functioning and impose limitation on them. It was also concluded that the more the number of body parts with pain the lower the health status become. \u0000 \u0000KEYWORDS: Musculoskeletal complications; Health status; Sickle cell disease.","PeriodicalId":185801,"journal":{"name":"Nigerian Journal of Medical Rehabilitation","volume":"17 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":"122405707","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 Spinal Mobility, Physical Performance, Pain Intensity and Functional Disability In Patients With Chronic Low Back Pain","authors":"D. O. Odebiyi, S. O. Kujero, T. Lawal","doi":"10.34058/NJMR.V11I2.16","DOIUrl":"https://doi.org/10.34058/NJMR.V11I2.16","url":null,"abstract":"Background: Physiotherapy clinical assessment has traditionally relied on clinical tests of impairment. These tests correlate poorly with patients’ pain and dysfunction, especially in the case of chronic pain. This study was designed to investigate the correlation between some of these tests in patients with chronic low back pain. \u0000 \u0000Methodology: Twenty-three patients (16 males, 7 females) with chronic low back pain participated in the study. Roland- Morris Disability Questionnaire (R-MDQ), Visual Analogue Scale (VAS) and Physical Performance Battery (PPB) were used to collect data. The spinal range of motion was assessed using a tape measure and a goniometer. Data analysis was done using Pearson Moment Product correlation coefficient and Spearman’s Rank. \u0000 \u0000Results: Statistical analysis showed that there was a significant inverse correlation between repeated trunk flexion and anterior trunk flexion (r = -0.488, p","PeriodicalId":185801,"journal":{"name":"Nigerian Journal of Medical Rehabilitation","volume":"70 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":"121549807","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}