South African Journal of Physiotherapy最新文献

{"title":"A profile of adult patients with major burns admitted to a Level 1 Trauma Centre and their functional outcomes at discharge: A retrospective review.","authors":"Irene K Angelou,&nbsp;Heleen van Aswegen,&nbsp;Moira Wilson,&nbsp;Regina Grobler","doi":"10.4102/sajp.v78i1.1543","DOIUrl":"https://doi.org/10.4102/sajp.v78i1.1543","url":null,"abstract":"<p><strong>Background: </strong>Patients with major burns suffer with pain, which impacts their physical function during hospitalisation.</p><p><strong>Objectives: </strong>To describe the demographics, burn characteristics, clinical course, physical function, complications developed after major burns and to establish predictors of non-independent physical function at hospital discharge.</p><p><strong>Method: </strong>Records of all consecutive adult burn admissions to a Level 1 Trauma Centre between 2015 and 2017 were screened retrospectively against our study criteria, using the Trauma Bank Data Registry. Anonymised data from included records were captured on specifically designed data extraction forms. Descriptive statistics were used to summarise findings. A regression analysis was undertaken to establish predictors of non-independent function at discharge.</p><p><strong>Results: </strong>Males represented 87.7% (<i>n</i> = 64) of included records (<i>n</i> = 73). Median age was 38 (interquartile range [IQR]: 22). Thermal burns were most reported (<i>n</i> = 47, 64.4%), followed by median total body surface area (TBSA) 31% and head and arms were most affected (60.3% and 71.2%). Injury severity was high with median intensive care unit (ICU) length of stay (LOS) of 17 (IQR: 34) and hospital LOS 44 (IQR: 31) days. Wound debridement was mostly performed (<i>n</i> = 27, 36.9%) with limb oedema as a common complication (<i>n</i> = 15, 21.7%). Muscle strength and functional performance improved throughout LOS. None of the variables identified were predictors of non-independent function at hospital discharge.</p><p><strong>Conclusion: </strong>Adults with major burns were predominantly male, in mid-life and sustained thermal injury with a high injury severity. Decreased range of motion (ROM) of affected areas, 'fair' muscle strength and independent function were recorded for most patients at hospital discharge.</p><p><strong>Clinical implications: </strong>These findings contribute to the limited body of evidence on the profile, clinical course and outcomes of South African adult burn patients.</p>","PeriodicalId":44180,"journal":{"name":"South African Journal of Physiotherapy","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2022-01-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8831993/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39927859","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Challenges for 2022 and beyond.","authors":"Aimee V Stewart","doi":"10.4102/sajp.v78i1.1828","DOIUrl":"https://doi.org/10.4102/sajp.v78i1.1828","url":null,"abstract":"No abstract available.","PeriodicalId":44180,"journal":{"name":"South African Journal of Physiotherapy","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9772753/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10423297","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impactful educational transitions: Crossroads for physiotherapy education in South Africa?","authors":"Corlia Janse van Vuuren","doi":"10.4102/sajp.v78i1.1638","DOIUrl":"https://doi.org/10.4102/sajp.v78i1.1638","url":null,"abstract":"<p><strong>Background: </strong>Global changes in physiotherapy entry-level educational programmes to exit with a Doctorate or Master's degree have consequences if physiotherapy education, worldwide, is to remain professionally competitive. However, within the South African context, such global competitiveness should be carefully considered against the national healthcare needs and implementation of the National Health Insurance (NHI) programme, with a bigger emphasis on a skilled mid-level workforce, including physiotherapy technicians or community rehabilitation workers.</p><p><strong>Objectives: </strong>These competing interests are carefully considered, against the theoretical background of international DPT training; human resource and financial constraints in the South African healthcare sector; reforms of the South African health and educational sectors intended to address the inequalities of the past; the need for quality healthcare delivery and the professional reputation of physiotherapy in South Africa.</p><p><strong>Methods: </strong>A framework for physiotherapy education in South Africa, to move on from the current educational crossroads, is proposed through an integration of multiple theoretical perspectives.</p><p><strong>Results: </strong>The framework is based on the current challenges being experienced in physiotherapy education and healthcare service delivery, which could be addressed by changes in the education sphere.</p><p><strong>Conclusion: </strong>The baseline suggestions for (re)considering the current education environment for physiotherapy, as proposed in my article, are to ensure that the profession remains relevant and able to confront the current changes presented by the South African healthcare system, including the implementation of the NHI plan, whilst remaining globally aligned and competitive.</p><p><strong>Clinical implications: </strong>The suggested, reconsidered, educational framework for physiotherapy in South Africa could become pivotal in advancing the profession on both a national and international level, through further critical conversations.</p>","PeriodicalId":44180,"journal":{"name":"South African Journal of Physiotherapy","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9082275/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10616560","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence of psychological symptoms and their correlates among physiotherapy clinical students: A cross-sectional study.","authors":"Abdulsalam M Yakasai,&nbsp;Gordana Dermody,&nbsp;Sonill S Maharaj,&nbsp;Auwal B Hassan,&nbsp;Auwal Abdullahi,&nbsp;Jibrin S Usman,&nbsp;Musa S Danazumi","doi":"10.4102/sajp.v78i1.1795","DOIUrl":"https://doi.org/10.4102/sajp.v78i1.1795","url":null,"abstract":"Background Mental health in medical students is well researched, with physiotherapy students receiving less attention even though psychiatry is a recognised specialty within physiotherapy. Objectives To assess the prevalence and correlates of depression, anxiety and stress among physiotherapy clinical students. Methods A descriptive cross-sectional study design was employed on 402 physiotherapy clinical students aged 17–40 years using a convenience sampling method. The data were collected using the self-administered 42-items Depression, Anxiety and Stress scale (DASS) and the data were analysed using a Chi-square test and binary logistic regression analysis. Results The prevalence of depression, anxiety and stress among these students was 79.9%, 85.6% and 81.6%, respectively. The results indicate that financial status and social life influenced depression by 20.6% (odds ratio [OR] [95%] = 1.206 [1.110, 1.311]) and 36% (OR [95%] = 1.360 [1.050, 1.764]), respectively. Fear of repeating a class influenced anxiety by eight times (OR [95%] = 8.330 [6.643, 10.422]). Fear of repeating a class, financial status and academic performance influenced stress by eight times (OR [95%] = 8.360 [6.677, 10.470]), 17.5% (OR [95%] = 1.175 [1.083, 1.275]) and 18.1% (OR [95%] = 1.181 [1.083, 1.276]), respectively. Conclusion Our study concluded that there was a high prevalence of depression, anxiety and stress among physiotherapy clinical students. These outcomes suggest that more attention needs to be given to improving physiotherapy clinical students’ mental health, which will ultimately improve learning outcomes. Clinical implications The long-term effects of psychological distress could potentially impact students’ academic performance. It may also have long-lasting effects after graduation. Therefore, students who are at risk of developing psychological symptoms are needed to be thoroughly examined and then receive early required interventions.","PeriodicalId":44180,"journal":{"name":"South African Journal of Physiotherapy","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9724138/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10741150","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The effectiveness of the median nerve neurodynamic mobilisation techniques in women with mild or moderate bilateral carpal tunnel syndrome: A single-blind clinical randomised trial.","authors":"Hassan Beddaa,&nbsp;Bouchra Kably,&nbsp;Basma Marzouk,&nbsp;Ikrame Mouhi,&nbsp;Abdelghafour Marfak,&nbsp;Youness Azemmour,&nbsp;Ismail Bouzekraoui Alaoui,&nbsp;Nazha Birouk","doi":"10.4102/sajp.v78i1.1823","DOIUrl":"https://doi.org/10.4102/sajp.v78i1.1823","url":null,"abstract":"<p><strong>Background: </strong>Carpal tunnel syndrome (CTS) is the most prevalent upper limb compression neuropathy. Surgical or nonsurgical treatment is recommended. Both mild and moderate CTS can be managed conservatively. Neurodynamic mobilisation techniques (NMTs) of the median nerve have not been widely studied, and conflicting findings exist.</p><p><strong>Methods/design: </strong>Sixty-two female patients with mild or moderate bilateral CTS were assigned one wrist to the treatment group (TG) and the other to the control group (CG). Both groups underwent carpal bone mobilisation. The TG underwent NMTs while the CG received a placebo elbow mobilisation not targeting the median nerve. The Numerical Rating Pain Scale, JAMAR Plus Digital Hand dynamometer and Functional Status Scale (FSS) were used to assess pain, grip strength and functional status.</p><p><strong>Discussion: </strong>Comparison of groups showed that NMTs at 5 weeks decreased pain intensity by 1.15 (<i>p</i> = 0.001) and by 2 (<i>p</i> ˂ 0.001) at 10 weeks. Difference in functional status was 0.45 at 5 weeks (<i>p</i> = 0.003) and 0.84 at 10 weeks (<i>p</i> = 0.003). The CG's grip strength improved by 0.59 (<i>p</i> = 0.05) after 5 weeks and 0.61 (<i>p</i> = 0.028) at 10 weeks. Both groups improved in all parameters over time.</p><p><strong>Conclusion: </strong>When combined with carpal bone mobilisation, both NMTs and placebo elbow mobilisation seem to reduce pain intensity and improve grip strength and functional status. However, NMTs had better results in pain intensity and FSS.</p><p><strong>Clinical implications: </strong>Women with mild or moderate bilateral CTS may benefit from NMTs as a conservative treatment option.</p><p><strong>Trial registration: </strong>Pan African Clinical Trials Registry, PACTR202201807752672, https://pactr.samrc.ac.za/TrialDisplay.aspx?TrialID=19340.</p>","PeriodicalId":44180,"journal":{"name":"South African Journal of Physiotherapy","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9724073/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10372934","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pre-operative physiotherapy for elderly patients undergoing abdominal surgery.","authors":"Rozelle Labuschagne,&nbsp;Ronel Roos","doi":"10.4102/sajp.v78i1.1782","DOIUrl":"https://doi.org/10.4102/sajp.v78i1.1782","url":null,"abstract":"<p><strong>Background: </strong>Elderly patients report a decrease in function and activities of daily living following abdominal surgery. The objectives of our pilot study were to determine the effects of a single pre-operative physiotherapy session consisting of education and exercise on clinical and physical function outcomes in elderly patients.</p><p><strong>Methods/design: </strong>A single-blind pilot randomised controlled trial evaluated clinical and functional outcomes of elderly patients following surgery in a private hospital in Pretoria, South Africa. The outcomes included length of hospital stay (LOS), postoperative pulmonary complications (PPC), first mobilisation uptime, DeMorton Mobility Index (DEMMI), 6-minute walk test (6MWT), Lawton-Brody's instrumental activities of daily living (IADL) and the Functional Comorbidity Index (FCI). Descriptive and inferential statistics were undertaken, and statistical significance was set at <i>p</i> ≤ 0.05.</p><p><strong>Discussion: </strong>Twelve participants (<i>n</i> = 11 female [91.67%] and <i>n</i> = 1 [8.33%] male) with a mean age of 65.75 (±4.47) years were included. Most participants (<i>n</i> = 10, 83.33%) underwent lower abdominal laparotomy (<i>n</i> = 10, 83.33%). The median hospital LOS was <i>n</i> = 4 (IQR 3.25-4) days; walking distance at first mobilisation was 130 m (IQR (85-225), with intervention participants walking further (intervention: 177 m, IQR 100-242.50; control: 90, IQR 60 m - 245 m; <i>p</i> = 0.59). Recruitment was low, with only 10.95% referrals and 47.82% nonconsents.</p><p><strong>Conclusion: </strong>A single physiotherapy session prior to surgery demonstrated a potential favourable change in elderly patients' mobility postoperatively; however, further research is necessary.</p><p><strong>Clinical implication: </strong>A once-off pre-operative physiotherapy session could enhance recovery in elderly patients.</p><p><strong>Trial registration: </strong>Pan African Clinical Trial Registry, PACTR201809874713904, https://pactr.samrc.ac.za/TrialDisplay.aspx?TrialID=3593.</p>","PeriodicalId":44180,"journal":{"name":"South African Journal of Physiotherapy","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9575366/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9754168","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Diastasis recti in the Beninese population: Cross-sectional study from normal values to diagnosis.","authors":"Yollande S Djivoh,&nbsp;Toussaint Kpadonou,&nbsp;Thierry Puttemans,&nbsp;Dominique De Jaeger","doi":"10.4102/sajp.v78i1.1776","DOIUrl":"https://doi.org/10.4102/sajp.v78i1.1776","url":null,"abstract":"<p><strong>Background: </strong>Diastasis recti is diagnosed when the interrecti distance (IRD) is larger than a threshold value. Published thresholds were measured at rest with ultrasound while in Benin physiotherapists use calipers during abdominal contraction.</p><p><strong>Objectives: </strong>The aim was to define IRD threshold values measured with calipers in Beninese participants in order to diagnose diastasis recti in a clinical environment and identify women needing abdominal rehabilitation.</p><p><strong>Method: </strong>Interrecti distance was measured using ultrasound and calipers. Linea alba stiffness was assessed by palpation, abdominal strength and endurance by manual testing. In men and nulliparous women, IRD threshold values were defined as IRD P90. In postpartum women, IRD P80 and a threshold defined with a receiver operating characteristics (ROC) curve based on linea alba stiffness were used. In these women, abdominal strength and endurance were compared depending on IRD threshold and linea alba stiffness with a Mann Whitney test.</p><p><strong>Results: </strong>In 391 Beninese participants, the IRD threshold measured with calipers was 17 mm in men, 15 mm in nulliparous and 18 mm (15 mm with ROC curve) in postpartum women. Postpartum women with an IRD above 18 mm had significantly lower abdominal strength. Those with a slack linea alba had significantly lower abdominal strength and endurance.</p><p><strong>Conclusion: </strong>The defined IRD threshold values can be used in a Beninese clinical environment. Future studies should confirm whether they can be applied to other African populations.</p><p><strong>Clinical implications: </strong>Abdominal rehabilitation should be recommended to postpartum women whose IRD is above the threshold values but also in cases of slack linea alba and poor abdominal function.</p>","PeriodicalId":44180,"journal":{"name":"South African Journal of Physiotherapy","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9724143/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10372936","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Corticosteroid therapy versus physiotherapy on pain, mobility and function in shoulder impingement: A short note.","authors":"Natalie Benjamin-Damons,&nbsp;Naeema A R Hussein El Kout,&nbsp;Rogier van Bever Donker,&nbsp;Tamsen Edwards,&nbsp;Gillian Ferguson","doi":"10.4102/sajp.v78i1.1794","DOIUrl":"https://doi.org/10.4102/sajp.v78i1.1794","url":null,"abstract":"<p><strong>Background: </strong>The global estimate of shoulder pain is 67% and is often associated with subacromial impingement syndrome. Interventions include corticosteroid injection (CSI) therapy and physiotherapy. Further information is needed to compare the effect of these interventions on pain, joint range of motion (ROM) and shoulder function.</p><p><strong>Objectives: </strong>To summarise the best evidence comparing the effect of CSI versus physiotherapy on pain, shoulder ROM and shoulder function in patients with subacromial impingement syndrome.</p><p><strong>Method: </strong>This evidence statement is based on a systematic review and meta-analysis of three randomised controlled trials (RCTs), namely, Rhon et al. (2014) (<i>n</i> = 136), Hay et al. (2003) (<i>n</i> = 207) and Van der Windt et al. (1998) (<i>n</i> = 109), with a total of 452 participants. A total of 14 studies were reviewed and only 3 studies met the inclusion criteria.</p><p><strong>Results: </strong>An improvement in shoulder function was found in favour of CSI at 6- to 7-week follow-up (<i>p</i> < 0.0001), but no evidence was found for the superiority of CSI compared to physiotherapy for pain and ROM over 4-12 weeks. In 24 and 48 weeks, no evidence was found for the superiority of CSI compared to physiotherapy for shoulder function, pain or ROM.</p><p><strong>Conclusion: </strong>No evidence was found for the superiority of CSI compared to physiotherapy for pain and ROM in the short term besides an improvement in shoulder function in favour of CSI at 6-7 weeks. There was a weak recommendation with moderate quality of evidence based on three RCTs (2B).</p><p><strong>Clinical implications: </strong>This evidence statement may inform clinical practice when determining which intervention is best suited to manage patients with shoulder pain.</p>","PeriodicalId":44180,"journal":{"name":"South African Journal of Physiotherapy","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9772720/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10444224","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Return to play in elite rugby players after severe knee injuries.","authors":"Aneurin D Robyn,&nbsp;Quinette A Louw,&nbsp;Jochen Baumeister","doi":"10.4102/sajp.v78i1.1629","DOIUrl":"https://doi.org/10.4102/sajp.v78i1.1629","url":null,"abstract":"<p><strong>Background: </strong>Medical professionals working in an elite sport environment have the challenging task to balance the athlete's readiness to return to the playing field after severe injury with other stakeholders' (coaches, sponsors, teammates) opinions and objectives.</p><p><strong>Objectives: </strong>Our study aimed to evaluate differences in the physical profiles of elite rugby players at return to play (RTP) after a severe knee injury, compared with their pre-injury profiles and matched controls.</p><p><strong>Method: </strong>Before the injury, participants performed four performance tests during their preseason screening. These tests were repeated and compared to baseline once a player was declared fit to play.</p><p><strong>Results: </strong>Significant differences (<i>p</i> ≤ 0.05) were found in the injured players' group who were slower over 10 m speed, in their decision-making time and the total time of the reactive agility tests at RTP, whilst controls were significantly faster over 10 m and 30 m speed tests. The countermovement jump outcomes showed significant improvement in the uninjured participants (<i>p</i> ≤ 0.05).</p><p><strong>Conclusion: </strong>Our study highlights that injured players' running speeds and decision-making times are slower after injury. The uninjured players have a positive outcome to training and match stimulus by improving their running speed and lower body explosive power during the season.</p><p><strong>Clinical implications: </strong>Our study provides insight into the RTP profile of elite rugby players, and a novel finding was the decision-making time deficit. This highlights the importance of cognitive training during injury rehabilitation as athletes make numerous decisions in a pressured and uncontrolled environment during a match. Speed training development is recommended as the athletes were slower after severe knee injury.</p>","PeriodicalId":44180,"journal":{"name":"South African Journal of Physiotherapy","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9082221/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10616563","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Motor function, muscle strength and health-related quality of life of children perinatally infected with HIV.","authors":"Cassandra V Rego,&nbsp;Joanne L Potterton","doi":"10.4102/sajp.v78i1.1812","DOIUrl":"https://doi.org/10.4102/sajp.v78i1.1812","url":null,"abstract":"<p><strong>Background: </strong>Gross motor delays are common in infants and preschool children infected with human immunodeficiency virus (HIV). These delays persist in children of school-going age and may affect participation in classroom and playground activities; however, the extent of the problem is poorly understood in this age group.</p><p><strong>Objectives: </strong>Our study aimed to determine the motor function, muscle strength and health-related quality of life (HRQoL) in children aged 5-10 years who were perinatally infected with HIV.</p><p><strong>Methods: </strong>In our cross-sectional study, participants were recruited using convenience sampling from a Gauteng HIV clinic. Participants were assessed using the Movement Assessment Battery for Children, Second Edition (MABC-2), standing broad jump test (SBJT), Paediatric Quality of Life Inventory^TM (PedsQL) and a sociodemographic questionnaire.</p><p><strong>Results: </strong>Thirty children participated in our study. The MABC-2 showed 60% of the children assessed were either at risk of developmental delay or were already delayed, with the domain of manual dexterity being most affected. The SBJT showed female participants had weaker muscle strength than males. The mean total score on the PedsQL was 81%, with the subscales ranging from very high quality of life scores to moderately high quality of life scores, with emotional functioning having one of the lower overall scores.</p><p><strong>Conclusion: </strong>Children who have been perinatally infected with HIV are at significant risk of delayed motor function. Muscle strength is also an area of concern, as is emotional HRQoL. Further research and implementation of holistic rehabilitation programmes are needed.</p><p><strong>Clinical implications: </strong>Children with HIV need to be prioritised for developmental screening throughout childhood. Health promotion and early intervention need to be at the forefront of our fight against this pandemic.</p>","PeriodicalId":44180,"journal":{"name":"South African Journal of Physiotherapy","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9724116/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10741151","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}