South African Journal of Physiotherapy最新文献

{"title":"Mental health content in the physiotherapy undergraduate curriculum in South Africa.","authors":"Marilyn Hooblaul, Oladapo M Olagbegi, Thayananthee Nadasan","doi":"10.4102/sajp.v80i1.2061","DOIUrl":"10.4102/sajp.v80i1.2061","url":null,"abstract":"<p><strong>Background: </strong>Knowledge about mental health in physiotherapy practice is essential as mental health can impact physical health. Little is known about the mental health content in the South African physiotherapy undergraduate programme.</p><p><strong>Objectives: </strong>Our study explored the mental health content in the undergraduate physiotherapy programme at eight universities and the perceptions of academic staff at an identified training institution in South Africa and stakeholders about the relevance of mental health in the undergraduate physiotherapy programme.</p><p><strong>Method: </strong>Our study employed a concurrent-mixed method design, which consisted of: (1) the administration of a survey to academic leaders or lecturers undertaking mental health teaching at universities and (2) an online interview that included stakeholders and a focus group to gauge perceptions of academic staff at an identified institution in South Africa.</p><p><strong>Results: </strong>Seven of eight universities participated in our study. All the universities had a psychology module and agreed that it is crucial to have mental health content in the curriculum. There is diversity in the mental health content between the universities.</p><p><strong>Conclusion: </strong>There is a need for consistency in the mental health content at all universities to ensure that all students receive the same skill set to have an impact on the quality of care.</p><p><strong>Clinical implications: </strong>There is a need to include mental health content at universities offering theoretical and practical undergraduate programmes.</p>","PeriodicalId":44180,"journal":{"name":"South African Journal of Physiotherapy","volume":"80 1","pages":"2061"},"PeriodicalIF":1.0,"publicationDate":"2024-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11304370/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141903180","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 and predictors of HIV-related disability among people living with HIV in Nigeria.","authors":"Temitope S Oladejo, Hellen Myezwa, Adedayo T Ajidahun, Sam Ibeneme","doi":"10.4102/sajp.v80i1.2001","DOIUrl":"10.4102/sajp.v80i1.2001","url":null,"abstract":"<p><strong>Background: </strong>People living with human immunodeficiency virus (PLWH) live longer, but experience human immunodeficiency virus (HIV)-related comorbidities and disabilities that lower their quality of life. Understanding the prevalence, risk factors, and disability patterns is crucial for tailored interventions.</p><p><strong>Objectives: </strong>To explore the prevalence and predictors of HIV-related disability among PLWH in Nigeria.</p><p><strong>Method: </strong>This cross-sectional survey involved 385 PLWH, exploring demographic data, HIV history, recent symptoms, disability (measured by the WHO Disability Assessment Schedule-WHODAS 2.0). Descriptive statistics summarised the data, all variables were entered into univariate and multivariate regression models. IBM SPSS 25^® was used for all analyses at a 95% confidence level.</p><p><strong>Results: </strong>The prevalence of disability among PLWH was 39.5%, the mean age was 42.2 ± 10.43 years, and 73% of the participants were females. Factors significantly associated with disability were marital status (<i>p</i> = 0.009) and level of education (<i>p</i> = 0.001).</p><p><strong>Conclusion: </strong>The study reveals a prevalence of disability (39.5%) among PLWH on antiretroviral therapy (ART), emphasising the need for tailored interventions considering socio-demographic factors. Continuous screening, risk identification, and effective management strategies are imperative, recognising disability as an indicator of health and quality of life.</p><p><strong>Clinical implications: </strong>With PLWH experiencing increased life expectancy, the study underscores the need for an informed patient-centred approach to care, recognising the specific challenges faced by PLWH in Nigeria and guiding the development of targeted interventions to enhance both functional outcomes and overall well-being.</p>","PeriodicalId":44180,"journal":{"name":"South African Journal of Physiotherapy","volume":"80 1","pages":"2001"},"PeriodicalIF":1.0,"publicationDate":"2024-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11304381/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141903137","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":"Peer support as pressure ulcer prevention strategy in special school learners with paraplegia.","authors":"Undine S Rauter, Desmond Mathye","doi":"10.4102/sajp.v80i1.2047","DOIUrl":"10.4102/sajp.v80i1.2047","url":null,"abstract":"<p><strong>Background: </strong>Adults with spinal cord injuries perceived peer support as beneficial in preventing secondary health conditions, but the role of peer support among adolescent learners with paraplegia in special schools is still unknown.</p><p><strong>Objectives: </strong>To explore the perspectives of current and previous learners with paraplegia on peer support to prevent pressure ulcers in a special school.</p><p><strong>Method: </strong>A qualitative, exploratory, descriptive study design was used. The authors conducted 12 semi-structured telephonic, audio-recorded interviews and a focus group discussion with current and previous learners with paraplegia attending a special school. The interviews were transcribed verbatim and translated, and data were organised using the Nvivo-12 Pro program. Through conducting an inductive thematic analysis categories, sub-themes and themes were identified from the participants' narratives.</p><p><strong>Results: </strong>The participants' perspectives included positive and challenging aspects of peer support reflected in four sub-themes: group-based support, individual peer mentoring, challenges with peer support and the roles of the school physiotherapist regarding peer support.</p><p><strong>Conclusion: </strong>Learners saw peer support as a crucial strategy in preventing and reducing pressure ulcers. Establishing a peer support system with group and individual components in special schools could be a game-changer to end pressure ulcers among learners with paraplegia and ensure better health and educational outcomes.</p><p><strong>Clinical implications: </strong>Physiotherapists in special schools should support peer support initiatives among learners with paraplegia to ensure successful pressure ulcer prevention.</p>","PeriodicalId":44180,"journal":{"name":"South African Journal of Physiotherapy","volume":"80 1","pages":"2047"},"PeriodicalIF":1.0,"publicationDate":"2024-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11304358/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141903181","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":"Supported self-management in long-term conditions in an African context.","authors":"Leigh Hale, Amanda Wilkinson, Sonti Pilusa, Aimee Stewart","doi":"10.4102/sajp.v80i1.1978","DOIUrl":"10.4102/sajp.v80i1.1978","url":null,"abstract":"<p><p>Self-management is an important strategy to improve quality of life, appropriately manage long-term health conditions, and reduce the economic burden of long-term health conditions. However, equitable healthcare access remains an issue, and the focus on 'self' in self-management is problematic. Our review aims to explore the conceptualisation and evolution of supported self-management in an African context and its relevance to physiotherapy. A state-of-the-art review of the literature was undertaken by the authors. The authors knowledge of the subject area and a database search retrieved recent articles exploring patients' and healthcare providers' understanding of supported self-management in Africa. Relevant articles were read, and data summaries of included studies were extracted and tabulated. Findings were organised deductively. Sixteen studies, 11 primary research, and 5 reviews (2016-2023) undertaken in a variety of sub-Saharan countries with healthcare workers (~<i>n</i> = 177) and people (~<i>n</i> = 16 115) living with a mix of non-communicable and communicable conditions were considered in this state-of-the-art review. Self-management perceptions were drawn from Western authors spanning development research and understanding of the concepts in Western thinking. We conclude that imported concepts, such as supported self-management for long-term conditions, should be considered within local health delivery solutions. These should be embedded in an understanding of traditional African health systems.</p><p><strong>Clinical implications: </strong>There is a need to develop locally derived African solutions. Self-management strategies for long-term health conditions should be developed, considering traditional holistic African health systems.</p>","PeriodicalId":44180,"journal":{"name":"South African Journal of Physiotherapy","volume":"80 1","pages":"1978"},"PeriodicalIF":1.1,"publicationDate":"2024-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11079351/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140896095","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 role of the physiotherapist in concussion.","authors":"Megyn K Robertson, James McLoughlin","doi":"10.4102/sajp.v80i1.2013","DOIUrl":"10.4102/sajp.v80i1.2013","url":null,"abstract":"<p><p>In the last decade, concussion research has exploded in multiple fields of scientific research. This has helped to clarify what causes, influences, and perpetuates human concussion, and displays the integral role physiotherapists play in concussion management. In this article we discuss the latest research relevant to the key role of physiotherapy in concussion management. A narrative review of the literature on concussion was conducted. The current review analyses how concussion has influenced physiotherapy in several categories: assessment, treatment, management, research rigour and building the profile of the profession. Scientific concussion research has largely converged in support of the role of physiotherapists utilising specific components including: (1) autonomic, (2) cervicogenic, (3) vestibulo-ocular and (4) psychological approaches to management. Latest research supports the critical role of physiotherapy in concussion care in the assessment, management, and prevention of concussion with scope for further interdisciplinary collaborations.</p><p><strong>Clinical implications: </strong>Concussion is complex. A basic mental health, Vestibular Ocular Motor Screening (VOMS) and four key components relating to concussion management (autonomic, cervicogenic, vestibular oculomotor, and psychological approaches to management) should be included in the undergraduate and postgraduate curriculum. This will aid clinical physiotherapists to support their patients. A call to advance more intradisciplinary physiotherapy teamwork should be encouraged as valuable knowledge sharing is potentially lost within the framework of 'specialisation'. If needed, the skills of a greater interdisciplinary team are imperative to facilitate patient management and recovery from this multi-faceted injury.</p>","PeriodicalId":44180,"journal":{"name":"South African Journal of Physiotherapy","volume":"80 1","pages":"2013"},"PeriodicalIF":1.1,"publicationDate":"2024-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11079349/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140897076","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":"Undergraduate students' choices around community service and internship: A single faculty study.","authors":"Heather Talberg, Tamara Dayaram, Sarah Geel, Sivuyile Mthembu, Rofhiwa Nthangeni, Savannah Pillay, Theresa L Burgess","doi":"10.4102/sajp.v80i1.1980","DOIUrl":"10.4102/sajp.v80i1.1980","url":null,"abstract":"<p><strong>Background: </strong>The Internship and Community Service Programme (ICSP) places newly graduated health professionals for a compulsory training period. Universities adopt multiple strategies to encourage students to select rural placements for ICSP.</p><p><strong>Objectives: </strong>This study describes ICSP choices among final-year MBChB and Health and Rehabilitation Science students at a South African university and the factors influencing their decisions.</p><p><strong>Method: </strong>A cross-sectional qualitative descriptive study was conducted using a self-developed online questionnaire. Eighty-five final-year students were recruited.</p><p><strong>Results: </strong>Most respondents (<i>n</i> = 38, 45.8%) chose the Western Cape (WC) as their first choice placement. There was a significant difference between MBChB and other health science students' choice of level of healthcare (χ = 10.39, <i>p</i> = 0.006), with MBChB less likely to choose primary healthcare (PHC) level placements. District and tertiary care options were perceived as better sites for learning and practice, while PHC and rural sites, considered underresourced and understaffed, were avoided. Although MBChB students indicated a lower preference for rural placements, this was not significant.Factors influencing ICSP application decisions included professional support, work environment, and social and personal considerations.</p><p><strong>Conclusion: </strong>Students' placement choices were based on their perceptions of clinical exposure, learning opportunities, mentorship and supervision. Placements closer to home were preferred. UG clinical exposure and rural background seem to have some impact on choice but need further investigation.</p><p><strong>Clinical implications: </strong>Universities should continue to explore ways to improve students' readiness for practice in underresourced settings. Improved exposure to rural and PHC sites during training could encourage better uptake during ICSP placement.</p>","PeriodicalId":44180,"journal":{"name":"South African Journal of Physiotherapy","volume":"80 1","pages":"1980"},"PeriodicalIF":1.1,"publicationDate":"2024-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11079367/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140897077","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 knowledge, attitudes and perceptions of physiotherapists and chiropractors in South Africa.","authors":"Micaela Ravidutt, Sonill Mahara","doi":"10.4102/sajp.v80i1.1922","DOIUrl":"10.4102/sajp.v80i1.1922","url":null,"abstract":"<p><strong>Background: </strong>Effective healthcare delivery occurs when health professionals collaborate and provide holistic, patient-centred care. Physiotherapists and chiropractors treat a common range of patients with an overlap in their scope of practice and modalities because of typical healthcare roles that could lead to 'perceived' animosity.</p><p><strong>Objectives: </strong>To assess the knowledge, attitudes, and perceptions of qualified chiropractors and physiotherapists regarding each other's practice.</p><p><strong>Method: </strong>A cross-sectional survey using an online questionnaire and analysed descriptively.</p><p><strong>Results: </strong>Participants were chiropractors (<i>n</i> = 116) and physiotherapists (<i>n</i> = 190). Chiropractors achieved a mean knowledge score of 75.7%, with physiotherapists at 59.7% on the assessments of each other's patients; an average score of 85.3% and 72.0% respectively, on knowledge of treatment modalities; knowledge score of 82.4% and 77.3% respectively, on the conditions treated by the other professional. A total of 82.8% (<i>n</i> = 96) of chiropractors and 70.0% (<i>n</i> = 133) of physiotherapists indicated the other professionals' competence in treating neuromusculoskeletal conditions. Inter-professional referrals occurred between 81.9% of chiropractors (<i>n</i> = 95) and 55.3% of physiotherapists (<i>n</i> = 105). Chiropractors (69.0%, <i>n</i> = 80) and physiotherapists (55.3%, <i>n</i> = 105) wanted to collaborate to manage patients.</p><p><strong>Conclusion: </strong>In the surveyed population in South Africa, chiropractors and physiotherapists had good knowledge, positive attitudes and perceptions of each other's practices, especially in the private sector.</p><p><strong>Clinical implications: </strong>Inter-professional collaboration between chiropractors and physiotherapists should be encouraged so that healthcare delivery can be holistic and patient-centred for better clinical outcomes.</p>","PeriodicalId":44180,"journal":{"name":"South African Journal of Physiotherapy","volume":"80 1","pages":"1922"},"PeriodicalIF":1.1,"publicationDate":"2024-02-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10913180/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140040541","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":"Psychosocial reintegration post-traumatic spinal cord injury in Rwanda: An exploratory study.","authors":"Maurice Kanyoni, Lena N Wikmar, Joliana Philips, David K Tumusiime","doi":"10.4102/sajp.v80i1.1996","DOIUrl":"10.4102/sajp.v80i1.1996","url":null,"abstract":"<p><strong>Background: </strong>Traumatic spinal cord injury (TSCI) survivors are confronted by both physical and psychosocial barriers when returning to their communities. Therefore, reintegration is an important aspect of their journey back into social life.</p><p><strong>Objectives: </strong>To assess psychosocial reintegration after TSCI in Rwanda.</p><p><strong>Method: </strong>All community-dwelling adults who were registered in the previous epidemiological study were recruited and injury characteristics questionnaire and the Sydney Psychosocial Reintegration Scale version 2 (SPRS-2) were used to collect data through a telephone interview.</p><p><strong>Results: </strong>The study traced 58 participants, 77.6% (<i>n</i> = 45) were male and 56.9% (<i>n</i> = 33) were categorised with paraplegia. Overall, the results show poor community reintegration. The SPRS-2 and domain mean (SD) scores were: overall SPRS-2 of 20.95 (11.56), occupational activity (OA) of 3.68 (4.31), interpersonal relationship (IR) of 7.11(4.31) and living skills (LS) of 7.43 (5.32). Gender significantly influenced overall SPRS-2 (<i>p</i> = 0.011) and two domains: OA (<i>p</i> = 0.005) and LS (<i>p</i> = 0.012). Level of injury was significantly associated with an OA domain score of SPRS-2 (<i>p</i> = 0.002). Gender explained 29% of the variance in the LS domain of SPRS-2, with males reporting better psychosocial reintegration.</p><p><strong>Conclusion: </strong>Gender strongly predicted psychosocial reintegration following a TSCI, which is an indication of the role of social support.</p><p><strong>Clinical implications: </strong>Traumatic SCI rehabilitation should be holistic to help prepare the person to return to the community. There should be an assessment of an individual's readiness to return to the community before discharge from the hospital.</p>","PeriodicalId":44180,"journal":{"name":"South African Journal of Physiotherapy","volume":"80 1","pages":"1996"},"PeriodicalIF":1.1,"publicationDate":"2024-02-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10913185/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140040540","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":"Quadriceps vascular occlusion does not alter muscle action or balance: A cross-sectional study.","authors":"Daiene C Ferreira, Letícia B Vale, Felipe H Santos, Christiane S G Macedo","doi":"10.4102/sajp.v80i1.1954","DOIUrl":"10.4102/sajp.v80i1.1954","url":null,"abstract":"<p><strong>Background: </strong>Partial vascular occlusion (PVO) can increase muscle strength and hypertrophy without joint overload. However, PVO could increase the possibility of imbalances and injuries during physical activity.</p><p><strong>Objectives: </strong>To identify changes in strength, muscle activation, and postural control during the use of PVO in young women.</p><p><strong>Method: </strong>A total of 14 healthy women aged between 18 and 30 years were evaluated. Dynamometry was used to analyse the strength of the quadriceps muscle, and surface electromyography to evaluate quadriceps muscle activity. A force platform was utilised to assess postural control, static single-legged support, single-legged squat, and climbing and descending stairs. Participants were randomly assigned to the evaluations either with or without PVO. The results were compared and correlated.</p><p><strong>Results: </strong>The performance of static, dynamic, or stair exercises, with or without PVO, did not indicate differences in muscle strength and recruitment (<i>p</i> > 0.05). The use of PVO improved the velocity of anteroposterior (AP) oscillation of static postural control (<i>p</i> = 0.001). We found a moderate negative correlation between muscle strength and postural control during the ascending stairs task with the use of PVO (<i>r</i> = -0.54; <i>r</i> = -0.59), while in the group without PVO, the correlation was moderate to high (<i>r</i> = -0.55; <i>r</i> = -0.76).</p><p><strong>Conclusion: </strong>The use of PVO did not impair muscle strength and recruitment of the quadriceps or postural control in healthy women.</p><p><strong>Clinical implications: </strong>Partial vascular occlusion can be used during dynamic exercises without impairing the balance and muscle strength of the quadriceps during its execution.</p>","PeriodicalId":44180,"journal":{"name":"South African Journal of Physiotherapy","volume":"80 1","pages":"1954"},"PeriodicalIF":1.1,"publicationDate":"2024-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10839211/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139698549","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":"Factors affecting quality of life in adults with HIV: A local cross-sectional study.","authors":"Karina Berner, Quinette A Louw","doi":"10.4102/sajp.v79i1.1921","DOIUrl":"10.4102/sajp.v79i1.1921","url":null,"abstract":"<p><strong>Background: </strong>Understanding health-related quality of life (HRQOL) among people with HIV (PWH) can inform strategies to maintain or improve health and functioning. Most HRQOL research has focused on resource-rich settings, underrepresenting younger cohorts in low-resource settings.</p><p><strong>Objectives: </strong>To assess HRQOL and associated factors in PWH visiting two primary healthcare clinics in the Western Cape, South Africa.</p><p><strong>Method: </strong>A cross-sectional study included 48 PWH (58.3% women; mean age: 39.2 [10.3]). Health-related QOL was assessed using EQ-5D-5L descriptive domains, visual analogue scale (EQ-VAS), and index score (EQ-index). Mobility was assessed using clinical tests. Tobit regression determined associations.</p><p><strong>Results: </strong>Mean and median EQ-VAS scores were 88.14 (16.35) and 95.00. Mean and median EQ-index scores were 0.84 (0.10) and 0.90. PWH reported problems as pain/discomfort (35.4%), depression/anxiety (25.0%), mobility (22.9%), usual activities (18.7%) and self-care (12.5%) domains. Slow chair rise (<i>p</i> = 0.012), low income (<i>p</i> = 0.030), longer HIV duration (<i>p</i> = 0.009) and polypharmacy (<i>p</i> = 0.034) were associated with lower HRQOL. Antiretroviral therapy (ART) adherence was associated with higher HRQOL (<i>p</i> = 0.020).</p><p><strong>Conclusion: </strong>Despite high overall HRQOL, specific domains presented challenges to PWH. Health-related QOL was associated with chair rise repetitions, income, HIV duration, polypharmacy, and treatment adherence. Comprehensive care and contextualised interventions to address these through rehabilitation, including health promotion, are proposed strategies for future investigation.</p><p><strong>Clinical implications: </strong>Clinicians should be cognisant of potential physical and mental functioning problems, and factors related to drug therapy, socio-economic status and disease duration that may affect HRQOL even in seemingly unimpaired PWH.</p>","PeriodicalId":44180,"journal":{"name":"South African Journal of Physiotherapy","volume":"79 1","pages":"1921"},"PeriodicalIF":1.1,"publicationDate":"2023-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10696562/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138499734","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}