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Hamzat, Talhatu K.
- Activity, Participation and Quality of Life after Stroke: A 6-month Follow-up of Community-dwelling Nigerian Stroke Survivors
Authors
1 Department of Physiotherapy, College of Medicine, University of Ibadan, Nigeria, NG
Source
Indian Journal of Physiotherapy & Occupational Therapy-An International Journal, Vol 3, No 2 (2009), Pagination: 22-26Abstract
Background Stroke outcomes are best understood through follow-up assessments of the survivors, yet limited longitudinal data exist on stroke survivors in Nigeria. Aims This study therefore assessed the trend of activity, participation and quality of life (QoL) of Nigerian stroke survivors over a period of 6 months post- onset and the relationship among the 3 constructs were explored at the 1st and 6th months post stroke onset. Methods Consecutive stroke survivors were recruited from a tertiary hospital in Nigeria. Activity, participation and QoL of participants were assessed monthly with the Modified Rankin Scale (mRS), London Handicap Scale (LHS) and World Health Organization's WHOQoL-BREF questionnaire respectively monthly for 6 months after stroke onset. Friedman's ANOVA was used to explore the trend of each variable across the study period, while their relationship was computed with the Spearman's correlation coefficient. Results Nine males and 7 females completed the study (mean age; 60.68 + 9.76). Activity and participation of stroke survivors improved progressively over the study period while quality of life displayed an inconsistent pattern of improvements and deteriorations across six months post stroke onset. Activity and participation were also found to correlate poorly with quality of life over the study period. Conclusion It may be important to consider other factors that may positively influence the QoL of stroke survivors since improved activity and participation did not result in improved QoL in this group of people.Keywords
Stroke Survivors, Activity, Participation, Quality of Life, Africans
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- Management of Patients With Concurrent Hypertension and Osteoarthritis of the Knee: Comparative Effect of Using Non Steroidal Anti Inflammatory Drugs and Physical Therapy
Authors
1 Department of Physiotherapy, College of Medicine (UCH) University of Ibadan, PMB 5017 GPO Dugbe Ibadan 2000001 Ibadan, NG
2 Department of Physiotherapy, College of Medicine, University of Ibadan, NG
3 Department of Pharmacology and Therapeutics, College of Medicine, University of Ibadan, NG
Source
Indian Journal of Physiotherapy & Occupational Therapy-An International Journal, Vol 5, No 4 (2011), Pagination: 64-68Abstract
ObjectiveNon steroidal anti-inflammatory drugs (NSAIDs) are commonly used in managing osteoarthritis (OA). A patient with OA may have a coexisting hypertension for which antihypertensive drugs are prescribed. However evidence indicates that NSAIDs diminish efficacy of antihypertensive drugs.
AimThe aim was to determine the respective and combined effects of NSAIDs and physical therapy in management of pain and reduced functional limitation among patients with concurrent hypertension and knee osteoarthritis (CHKO).
DesignThis is a quasi-experimental study technique
LocationPhysiotherapy and Medical Outpatient units of a tertiary facility.
MethodsTwenty-nine individuals (mean age = 65.71±9.96 years) with CHKO were purposively sampled and assigned to one of three treatment groups viz. Physiotherapy and NSAIDS (Group A); Physiotherapy Only (Group B); and NSAIDs only (Group C). All were on antihypertensive drugs during the study period. Resting systolic and diastolic blood pressure, pain rating and functional limitation were assessed using sphygmomanometer, verbal rating scale and the Osteoarthritis Index of Lequesne respectively.
ResultsThere was no significant difference in the pain and functional performance across the three groups (p>0.05). There was significant reduction in pain and increase in functional ability of the patients within each of the groups (p<0.05), with greatest within-group difference observed in Group C. The NSAID did not cause a significant difference in blood pressure of all the patients.
ConclusionThe outcome showed that either Physiotherapy or NSAID could bring about the relief of pain and functional improvement in patients with CHKO.
Clinical Rehabilitation ImpactUse of physiotherapy should be considered in managing symptoms of OA in patients with CHKO especially where drugdrug interaction is envisaged.