Pub Date : 2023-10-31DOI: 10.1186/s43161-023-00155-6
Esha Arora, Hrishikesh Yadav, G. Arun Maiya, Tom Devasia, Ram Bhat, Ganesh Kamath
Abstract Background The primary symptom of peripheral arterial disease (PAD) is intermittent claudication and the most common non-invasive diagnostic method is ankle brachial index. Peripheral arterial disease is usually accompanied by various other co-morbidities like type 2 diabetes mellitus, hypertension, and hypercholesterolemia. Literature suggests that when peripheral arterial disease is accompanied by type 2 diabetes mellitus, the ankle-brachial index can be falsely elevated due to medial calcification of the arteries. Therefore, an assessment of microcirculation using the toe brachial index is needed to diagnose PAD in these individuals. It has been well established that walking ability and ankle-brachial index are correlated in peripheral arterial disease. However, there is a dearth of literature on whether there is a correlation between toe brachial index (TBI) and walking ability. Therefore, the objective of the study is to find the correlation between toe brachial index and walking ability in type 2 diabetes mellitus with peripheral arterial disease. A total of 1485 participants were screened for the study, among which 133 met the inclusion criteria. Informed consent was obtained and the included participants were assessed for their demographic details. Toe brachial index was performed with the help of Doppler and 6-min walk test was performed to measure the claudication in the participants. Results In the present study of 133 participants, we found a strong positive correlation between toe brachial index and 6-min walk distance ( r = 0.911 p value < 0.05). The walking ability is directly proportional to the TBI, i.e., the lesser the values of TBI, the lesser the walking distance covered in peripheral arterial disease with type 2 diabetes mellitus. Conclusion The present study concludes that there is a strong positive correlation between toe brachial index and 6-min walk distance.
{"title":"Correlation between toe brachial index and walking ability in peripheral arterial disease with type 2 diabetes mellitus","authors":"Esha Arora, Hrishikesh Yadav, G. Arun Maiya, Tom Devasia, Ram Bhat, Ganesh Kamath","doi":"10.1186/s43161-023-00155-6","DOIUrl":"https://doi.org/10.1186/s43161-023-00155-6","url":null,"abstract":"Abstract Background The primary symptom of peripheral arterial disease (PAD) is intermittent claudication and the most common non-invasive diagnostic method is ankle brachial index. Peripheral arterial disease is usually accompanied by various other co-morbidities like type 2 diabetes mellitus, hypertension, and hypercholesterolemia. Literature suggests that when peripheral arterial disease is accompanied by type 2 diabetes mellitus, the ankle-brachial index can be falsely elevated due to medial calcification of the arteries. Therefore, an assessment of microcirculation using the toe brachial index is needed to diagnose PAD in these individuals. It has been well established that walking ability and ankle-brachial index are correlated in peripheral arterial disease. However, there is a dearth of literature on whether there is a correlation between toe brachial index (TBI) and walking ability. Therefore, the objective of the study is to find the correlation between toe brachial index and walking ability in type 2 diabetes mellitus with peripheral arterial disease. A total of 1485 participants were screened for the study, among which 133 met the inclusion criteria. Informed consent was obtained and the included participants were assessed for their demographic details. Toe brachial index was performed with the help of Doppler and 6-min walk test was performed to measure the claudication in the participants. Results In the present study of 133 participants, we found a strong positive correlation between toe brachial index and 6-min walk distance ( r = 0.911 p value < 0.05). The walking ability is directly proportional to the TBI, i.e., the lesser the values of TBI, the lesser the walking distance covered in peripheral arterial disease with type 2 diabetes mellitus. Conclusion The present study concludes that there is a strong positive correlation between toe brachial index and 6-min walk distance.","PeriodicalId":34220,"journal":{"name":"Bulletin of Faculty of Physical Therapy","volume":"57 10","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135814154","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}
Abstract Background Electronic cigarettes or e-cigarettes have gained significant popularity as an alternative to traditional combustible tobacco smoking particularly among the youth. Although there is a growing prevalence of e-cigarette usage, the effects on cardiovascular function and physical capacity have not been adequately studied. The toxic products in combustible tobacco cigarettes negatively impact functional exercise capacity. However, the available data regarding the effect of e-cigarette use on functional exercise capacity are scarce. Thus, in the current study, we aimed to evaluate the functional aerobic exercise capacity among chronic e-cigarette users compared to combustible cigarette smokers and non-smokers. Results This comparative, cross-sectional study was conducted on 105 healthy volunteers. Participants were assigned into three study groups each consisting of 35 participants: chronic e-cigarette users, combustible cigarette smokers, and a non-smoker control group. Basal demographic and clinical data were similar in all groups. Mean heart rates and respiratory rates were significantly higher among e-cigarette smokers and combustible cigarette smokers compared to non-smoker controls ( p < 0.001). Chronic e-cigarette users and combustible cigarette smokers had shorter 6-MWT distances compared to non-smokers (508.3, 488, and 616.6 m, respectively, p < 0.001). Borg scale scores after performing the six-minute walking test were significantly higher in chronic e-cigarette users and combustible cigarette smokers groups compared to non-smokers, where perceived exertion (4.9, 5.5, 2.1, respectively, p < 0.001), dyspnea (5.7, 6.5, 0.1, respectively, p < 0.001) and leg fatigue (4.2, 5.4, 1.4, respectively, p < 0.001). Conclusion In this cross-sectional study, significant evidence demonstrates that e-cigarette use is not harmless. This was particularly presented in apparently healthy e-cigarette users in comparison to the healthy non-smoker control group. Chronic e-cigarette use is associated with reduced functional capacity compared to non-smoker controls. This was signified by decreased 6MWT walking distances, higher Borg scale scores, and lower oxygen saturation percentages among the chronic electronic cigarette users as compared to non-smoker controls after performing the six-minute walking test. All the evaluated parameters in the current study were similarly reduced among both the e-cigarette users group and the combustible cigarette smokers group compared to non-smokers with no statistically significant differences between both smoker groups.
{"title":"Evaluation of functional aerobic exercise capacity among chronic e-cigarette users compared to combustible cigarette smokers and non-smokers: a comparative study","authors":"Heba Ammar, Rania Hashish, Shrouk Mohamed Ali, Ahmed Salem, Abeer Hagras","doi":"10.1186/s43161-023-00154-7","DOIUrl":"https://doi.org/10.1186/s43161-023-00154-7","url":null,"abstract":"Abstract Background Electronic cigarettes or e-cigarettes have gained significant popularity as an alternative to traditional combustible tobacco smoking particularly among the youth. Although there is a growing prevalence of e-cigarette usage, the effects on cardiovascular function and physical capacity have not been adequately studied. The toxic products in combustible tobacco cigarettes negatively impact functional exercise capacity. However, the available data regarding the effect of e-cigarette use on functional exercise capacity are scarce. Thus, in the current study, we aimed to evaluate the functional aerobic exercise capacity among chronic e-cigarette users compared to combustible cigarette smokers and non-smokers. Results This comparative, cross-sectional study was conducted on 105 healthy volunteers. Participants were assigned into three study groups each consisting of 35 participants: chronic e-cigarette users, combustible cigarette smokers, and a non-smoker control group. Basal demographic and clinical data were similar in all groups. Mean heart rates and respiratory rates were significantly higher among e-cigarette smokers and combustible cigarette smokers compared to non-smoker controls ( p < 0.001). Chronic e-cigarette users and combustible cigarette smokers had shorter 6-MWT distances compared to non-smokers (508.3, 488, and 616.6 m, respectively, p < 0.001). Borg scale scores after performing the six-minute walking test were significantly higher in chronic e-cigarette users and combustible cigarette smokers groups compared to non-smokers, where perceived exertion (4.9, 5.5, 2.1, respectively, p < 0.001), dyspnea (5.7, 6.5, 0.1, respectively, p < 0.001) and leg fatigue (4.2, 5.4, 1.4, respectively, p < 0.001). Conclusion In this cross-sectional study, significant evidence demonstrates that e-cigarette use is not harmless. This was particularly presented in apparently healthy e-cigarette users in comparison to the healthy non-smoker control group. Chronic e-cigarette use is associated with reduced functional capacity compared to non-smoker controls. This was signified by decreased 6MWT walking distances, higher Borg scale scores, and lower oxygen saturation percentages among the chronic electronic cigarette users as compared to non-smoker controls after performing the six-minute walking test. All the evaluated parameters in the current study were similarly reduced among both the e-cigarette users group and the combustible cigarette smokers group compared to non-smokers with no statistically significant differences between both smoker groups.","PeriodicalId":34220,"journal":{"name":"Bulletin of Faculty of Physical Therapy","volume":"30 3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135569915","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}
Pub Date : 2023-10-19DOI: 10.1186/s43161-023-00152-9
Mohammad Jahirul Islam, Sohel Ahmed, Khandaker Md Kamrul Islam, Muhammad Abdullah Al Mamun, Shankar Kumar Roy, Shishir Ranjan Chakraborty
Abstract Background Healthcare providers serve as the backbone of the healthcare system, yet they frequently have low back pain (LBP) due to ergonomic factors. Therefore, the objective of this research was to identify the characteristics of LBP and its associated factors among healthcare providers in Bangladesh. Methodology In this cross-sectional study, 310 medical providers, both male and female, participated. An interviewer-administered questionnaire was used to evaluate data regarding different measures of LBP. The chi-square test and descriptive statistics were used to evaluate the data. To identify the predicted risk factor for LBP, binary logistic regression was performed. Result A total of 51.9% of healthcare providers reported having LBP at least once a day in the past 12 months, 25.8% had chronic LBP, 18.1% had to take time off work due to LBP, and 57.89% had received combination medication and physiotherapy in the previous 12 months. The advanced age (41–59 years) adjusted odds ratio (AOR) = 1.83, 95% confidence interval (CI) = 1.04–3.22; p = 0.034), lifting objects ( AOR = 2.00, 95% CI = 1.06–3.78; p = 0.032), awkward position ( AOR = 6.54, 95% CI = 3.04–14.10; p = 0.001), physical exercise ( AOR = 3.81, 95% CI = 2.23–6.52; p = 0.001), and comorbidities ( AOR = 1.79, 95% CI = 1.00–3.20) were predictors for developing LBP at least once in the past 12 months. Conclusion According to this study, more than half of healthcare professionals reported having LBP at least once in the previous 12 months. Good working posture, ergonomic knowledge, and safe lifting techniques are essential to getting rid of this problem. In addition, good medical attention and regular exercise are required.
{"title":"Characteristics of low back pain and its associated factors among healthcare providers at a tertiary hospital in Sylhet city: a cross-sectional study","authors":"Mohammad Jahirul Islam, Sohel Ahmed, Khandaker Md Kamrul Islam, Muhammad Abdullah Al Mamun, Shankar Kumar Roy, Shishir Ranjan Chakraborty","doi":"10.1186/s43161-023-00152-9","DOIUrl":"https://doi.org/10.1186/s43161-023-00152-9","url":null,"abstract":"Abstract Background Healthcare providers serve as the backbone of the healthcare system, yet they frequently have low back pain (LBP) due to ergonomic factors. Therefore, the objective of this research was to identify the characteristics of LBP and its associated factors among healthcare providers in Bangladesh. Methodology In this cross-sectional study, 310 medical providers, both male and female, participated. An interviewer-administered questionnaire was used to evaluate data regarding different measures of LBP. The chi-square test and descriptive statistics were used to evaluate the data. To identify the predicted risk factor for LBP, binary logistic regression was performed. Result A total of 51.9% of healthcare providers reported having LBP at least once a day in the past 12 months, 25.8% had chronic LBP, 18.1% had to take time off work due to LBP, and 57.89% had received combination medication and physiotherapy in the previous 12 months. The advanced age (41–59 years) adjusted odds ratio (AOR) = 1.83, 95% confidence interval (CI) = 1.04–3.22; p = 0.034), lifting objects ( AOR = 2.00, 95% CI = 1.06–3.78; p = 0.032), awkward position ( AOR = 6.54, 95% CI = 3.04–14.10; p = 0.001), physical exercise ( AOR = 3.81, 95% CI = 2.23–6.52; p = 0.001), and comorbidities ( AOR = 1.79, 95% CI = 1.00–3.20) were predictors for developing LBP at least once in the past 12 months. Conclusion According to this study, more than half of healthcare professionals reported having LBP at least once in the previous 12 months. Good working posture, ergonomic knowledge, and safe lifting techniques are essential to getting rid of this problem. In addition, good medical attention and regular exercise are required.","PeriodicalId":34220,"journal":{"name":"Bulletin of Faculty of Physical Therapy","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135729653","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}
Pub Date : 2023-10-19DOI: 10.1186/s43161-023-00148-5
Charuhasini Mahapatra, Abhishek Abhinandan
Abstract Background Adolescent girls who participate in sports have injuries 4–6 times greater as compared to boys. Several factors are responsible for the injuries are as anatomical, biomechanical, hormonal, and some extrinsic factors. The ideal level of motor characteristics, including speed, endurance, agility, and flexibility, determines how well a player performs in Kho-Kho. Speed and agility are two major components for better Kho-Kho performance. This study aimed to evaluate the correlation between speed and agility with an influence on gender in Kho-Kho players. Method A total of 75 participants (boys 34 and girls 41) Kho-Kho players in the age groups 11–17 years were included in the study based on selection criteria. For the agility-modified T test for speed, a 50-m Dash test was done. Results Pearson’s correlation was used to analyze the collected data. The results indicated a moderate correlation between agility and speed in both genders ( r = 0.404, p = 0.001), but in boys specifically, it showed a moderate correlation( r = 0.586, p = 0.001) and in girls, it showed a weak correlation ( r = 0.267, p = 0.095). Conclusion It can be concluded from the results of this study that there is a moderate correlation between speed and agility in Kho-Kho players, but boys have a moderate and girls have a weak correlation this indicates combining both genders and a particular gender also shows a weak to moderate correlation between speed and agility in adolescent Kho-Kho players.
参加体育运动的青春期女孩受伤的几率是男孩的4-6倍。造成损伤的因素有解剖学、生物力学、激素和一些外在因素。理想水平的运动特性,包括速度、耐力、敏捷性和灵活性,决定了玩家在Kho-Kho中的表现。速度和敏捷性是提高Kho-Kho性能的两个主要组成部分。本研究的目的是评估Kho-Kho运动员的速度和敏捷性与性别之间的相关性。方法选取年龄11 ~ 17岁的75名Kho-Kho选手,其中男34名,女41名。对于速度的敏捷性修正T检验,进行了50米短跑测试。结果采用Pearson相关法对收集的资料进行分析。结果表明,敏捷性与速度在两性中呈中等相关性(r = 0.404, p = 0.001),但在男生中呈中等相关性(r = 0.586, p = 0.001),在女生中呈弱相关性(r = 0.267, p = 0.095)。结论从本研究的结果可以看出,弹拨运动员的速度与敏捷性之间存在着中等的相关关系,但男孩有中等的相关关系,女孩有弱的相关关系。这表明,结合性别和特定性别,青少年弹拨运动员的速度与敏捷性之间也存在着弱至中等的相关关系。
{"title":"Correlation between speed and agility with an influence of gender in adolescent Kho-Kho players—an observational study","authors":"Charuhasini Mahapatra, Abhishek Abhinandan","doi":"10.1186/s43161-023-00148-5","DOIUrl":"https://doi.org/10.1186/s43161-023-00148-5","url":null,"abstract":"Abstract Background Adolescent girls who participate in sports have injuries 4–6 times greater as compared to boys. Several factors are responsible for the injuries are as anatomical, biomechanical, hormonal, and some extrinsic factors. The ideal level of motor characteristics, including speed, endurance, agility, and flexibility, determines how well a player performs in Kho-Kho. Speed and agility are two major components for better Kho-Kho performance. This study aimed to evaluate the correlation between speed and agility with an influence on gender in Kho-Kho players. Method A total of 75 participants (boys 34 and girls 41) Kho-Kho players in the age groups 11–17 years were included in the study based on selection criteria. For the agility-modified T test for speed, a 50-m Dash test was done. Results Pearson’s correlation was used to analyze the collected data. The results indicated a moderate correlation between agility and speed in both genders ( r = 0.404, p = 0.001), but in boys specifically, it showed a moderate correlation( r = 0.586, p = 0.001) and in girls, it showed a weak correlation ( r = 0.267, p = 0.095). Conclusion It can be concluded from the results of this study that there is a moderate correlation between speed and agility in Kho-Kho players, but boys have a moderate and girls have a weak correlation this indicates combining both genders and a particular gender also shows a weak to moderate correlation between speed and agility in adolescent Kho-Kho players.","PeriodicalId":34220,"journal":{"name":"Bulletin of Faculty of Physical Therapy","volume":"55 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135730475","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}
Pub Date : 2023-10-18DOI: 10.1186/s43161-023-00153-8
Chidiebele Petronilla Ojukwu, Emelie Moris Anekwu, Zimuzor Ude-Bassey, Chioma Linda Onuchukwu, Stephen Sunday Ede, Sylvester Caesar Chukwu, Adaora Justina Okemuo, Joseph C. Eze, Chinelo Jennifer Okafor
Abstract Background Musculoskeletal ultrasound imaging (MSUI) is an efficient monitoring and re-evaluation tool used for the management of musculoskeletal conditions in several clinical domains. Its utilization among physiotherapists, particularly in African countries, is yet to be explored. Objective This study investigated the knowledge, attitude, and perception of physiotherapists on the utilization of MSUI in the clinical management of musculoskeletal conditions. Methods One hundred and ninety-two consenting Nigerian-based physiotherapists practicing in public and private health institutions participated in this cross-sectional survey. They responded to a three-sectioned structured questionnaire, investigating socio-demographic and occupational characteristics, knowledge, attitude, and utilization of MSUI for the management of musculoskeletal conditions. Data were analyzed with descriptive statistics and Pearson’s chi-square test at a significant level of 0.05. Results The majority (79.2%) of the respondents had positive knowledge of MSUI and its benefits as a clinical modality for managing MSCs. However, only 4.2% had utilized MSUI in clinical practice. Non-utilization of MSUI was commonly attributed to a lack of access to MSUI (60.3%) and its unavailability in most diagnostic centers (42.9%). Almost all (99.0%) of them agreed to the necessity for increased availability of MSUI to physiotherapists for enhancement of physiotherapy interventions in the management of MSCs. Conclusion Knowledge of MSUI among Nigerian-based physiotherapists is adequate, but its utilization as a clinical tool is poor. Improved availability of MSUI to physiotherapists is necessary as well as specialty training on the utilization and interpretation of MSUI.
{"title":"Knowledge, attitude, and perception of Nigerian-based physiotherapists on the utilization of musculoskeletal ultrasound imaging in the clinical management of musculoskeletal conditions","authors":"Chidiebele Petronilla Ojukwu, Emelie Moris Anekwu, Zimuzor Ude-Bassey, Chioma Linda Onuchukwu, Stephen Sunday Ede, Sylvester Caesar Chukwu, Adaora Justina Okemuo, Joseph C. Eze, Chinelo Jennifer Okafor","doi":"10.1186/s43161-023-00153-8","DOIUrl":"https://doi.org/10.1186/s43161-023-00153-8","url":null,"abstract":"Abstract Background Musculoskeletal ultrasound imaging (MSUI) is an efficient monitoring and re-evaluation tool used for the management of musculoskeletal conditions in several clinical domains. Its utilization among physiotherapists, particularly in African countries, is yet to be explored. Objective This study investigated the knowledge, attitude, and perception of physiotherapists on the utilization of MSUI in the clinical management of musculoskeletal conditions. Methods One hundred and ninety-two consenting Nigerian-based physiotherapists practicing in public and private health institutions participated in this cross-sectional survey. They responded to a three-sectioned structured questionnaire, investigating socio-demographic and occupational characteristics, knowledge, attitude, and utilization of MSUI for the management of musculoskeletal conditions. Data were analyzed with descriptive statistics and Pearson’s chi-square test at a significant level of 0.05. Results The majority (79.2%) of the respondents had positive knowledge of MSUI and its benefits as a clinical modality for managing MSCs. However, only 4.2% had utilized MSUI in clinical practice. Non-utilization of MSUI was commonly attributed to a lack of access to MSUI (60.3%) and its unavailability in most diagnostic centers (42.9%). Almost all (99.0%) of them agreed to the necessity for increased availability of MSUI to physiotherapists for enhancement of physiotherapy interventions in the management of MSCs. Conclusion Knowledge of MSUI among Nigerian-based physiotherapists is adequate, but its utilization as a clinical tool is poor. Improved availability of MSUI to physiotherapists is necessary as well as specialty training on the utilization and interpretation of MSUI.","PeriodicalId":34220,"journal":{"name":"Bulletin of Faculty of Physical Therapy","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135884601","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}
Pub Date : 2023-10-18DOI: 10.1186/s43161-023-00149-4
Naomi Wanjiru Kingau
Abstract Background Stroke is a major cause of death and disability in adults globally. Most post-stroke survivors experience various impairments which requires rehabilitation. Likewise, returning home after a stroke represents challenging moments full of struggle. This study, therefore, explores options of rehabilitation and resources of support for stroke survivors in Eldoret, Kenya. Method A qualitative descriptive approach was used to conduct the study. The study utilised semi-structured interviews. Fifteen dyads of stroke survivors (10 men and 5 women; aged 40–75 years) were enrolled from a rehabilitation outpatient clinic (Medical Park Physical Therapy) in Eldoret, Kenya. Interviews were conducted at the patients’ house, and an inductive approach was used to enable thematic content analysis. Results Two dominant themes and several categories emerged from the participants; these included the following: (1) rehabilitation services available for stroke survivors and (2) resources of support. Conclusions The study found that stroke units are only available at the national hospitals and not accessible to many. Patients receive physiotherapy and occupational therapy services during hospital stay but has poor access post discharge. Transport, distance, and lack of finances have been highlighted as the main challenges. There is scarcity of speech therapist as well as advanced orthotics for stroke rehabilitation. From a clinical perspective, healthcare system should be better structured to accommodate continuity of care post discharge for stroke survivors.
{"title":"Exploring rehabilitation options and resources of support for stroke survivors in Eldoret, Kenya: qualitative study","authors":"Naomi Wanjiru Kingau","doi":"10.1186/s43161-023-00149-4","DOIUrl":"https://doi.org/10.1186/s43161-023-00149-4","url":null,"abstract":"Abstract Background Stroke is a major cause of death and disability in adults globally. Most post-stroke survivors experience various impairments which requires rehabilitation. Likewise, returning home after a stroke represents challenging moments full of struggle. This study, therefore, explores options of rehabilitation and resources of support for stroke survivors in Eldoret, Kenya. Method A qualitative descriptive approach was used to conduct the study. The study utilised semi-structured interviews. Fifteen dyads of stroke survivors (10 men and 5 women; aged 40–75 years) were enrolled from a rehabilitation outpatient clinic (Medical Park Physical Therapy) in Eldoret, Kenya. Interviews were conducted at the patients’ house, and an inductive approach was used to enable thematic content analysis. Results Two dominant themes and several categories emerged from the participants; these included the following: (1) rehabilitation services available for stroke survivors and (2) resources of support. Conclusions The study found that stroke units are only available at the national hospitals and not accessible to many. Patients receive physiotherapy and occupational therapy services during hospital stay but has poor access post discharge. Transport, distance, and lack of finances have been highlighted as the main challenges. There is scarcity of speech therapist as well as advanced orthotics for stroke rehabilitation. From a clinical perspective, healthcare system should be better structured to accommodate continuity of care post discharge for stroke survivors.","PeriodicalId":34220,"journal":{"name":"Bulletin of Faculty of Physical Therapy","volume":"284 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135884297","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}
Pub Date : 2023-10-18DOI: 10.1186/s43161-023-00151-w
Charuhasini Mahapatra, Joseph Oliver Raj Alexander
Abstract Background The functional movement screening (FMS), Flamingo balance, Y balance, and sit and reach tests are the screening tools for fundamental movement patterns, balance, and flexibility, respectively; the latter three tests are components of quantifying fitness levels. Functional movement screening is used to measure the quality of movement, and it is an injury risk predictor. There are several studies done to find the correlation between functional movement screening and fitness parameters in athletes but has not been studied much in non-athlete population. The aim of this study is to determine the correlation between functional movement screening with static and dynamic balance and flexibility in healthy adult nonathletes, and to find gender differences, if any. Method A total of 65 healthy nonathletes in the age group 18 to 27 years were included in the study based on the selection criteria. The functional movement screening, Y-balance test, Flamingo balance test, and sit and reach test were done for all participants. Results Pearson’s correlation was used to analyze the collected data. The results indicated a poor correlation between FMS and fitness parameters. These are FMS and Y-balance test left and right side ( r = 0.216, 0.144, p = 0.084, 0.251), FMS with Flamingo balance test left and right side ( r = 0.071, 0.197 p = 0.575, 0.115), and FMS with sit and reach test ( r = 0.006, p = 0.961). Conclusion The results showed that functional movement screening and balance (Flamingo and Y balance) and sit and reach cannot be used interchangeably as they do not have any strong correlation. The results of the study also indicate that using only one of the tools cannot predict injury risk in healthy individuals. They have to be used in conjunction with each other.
功能运动筛查(functional movement screening, FMS)、Flamingo balance、Y平衡和坐下及伸及测试分别是基本运动模式、平衡和柔韧性的筛查工具;后三项测试是量化健康水平的组成部分。功能运动筛查用于衡量运动质量,是一种损伤风险预测指标。已经有一些研究发现功能性运动筛查与运动员体能参数之间的相关性,但对非运动员人群的研究还不多。本研究的目的是确定功能运动筛查与健康成年非运动员静态和动态平衡和柔韧性之间的相关性,并发现性别差异,如果有的话。方法选取年龄在18 ~ 27岁的健康非运动员65例为研究对象。对所有受试者进行功能运动筛查、y型平衡测试、火烈鸟平衡测试、坐及够及测试。结果采用Pearson相关法对收集的资料进行分析。结果表明,FMS与适应度参数的相关性较差。分别是FMS和y -平衡试验左右侧(r = 0.216, 0.144, p = 0.084, 0.251), FMS和Flamingo平衡试验左右侧(r = 0.071, 0.197, p = 0.575, 0.115), FMS和坐下及到达试验(r = 0.006, p = 0.961)。结论功能性运动筛选与平衡(Flamingo和Y平衡)与坐与够不能互换使用,两者之间没有很强的相关性。研究结果还表明,仅使用其中一种工具无法预测健康个体的受伤风险。它们必须相互配合使用。
{"title":"Relationship of functional movement screening with balance and flexibility in adult nonathletes—an observational study","authors":"Charuhasini Mahapatra, Joseph Oliver Raj Alexander","doi":"10.1186/s43161-023-00151-w","DOIUrl":"https://doi.org/10.1186/s43161-023-00151-w","url":null,"abstract":"Abstract Background The functional movement screening (FMS), Flamingo balance, Y balance, and sit and reach tests are the screening tools for fundamental movement patterns, balance, and flexibility, respectively; the latter three tests are components of quantifying fitness levels. Functional movement screening is used to measure the quality of movement, and it is an injury risk predictor. There are several studies done to find the correlation between functional movement screening and fitness parameters in athletes but has not been studied much in non-athlete population. The aim of this study is to determine the correlation between functional movement screening with static and dynamic balance and flexibility in healthy adult nonathletes, and to find gender differences, if any. Method A total of 65 healthy nonathletes in the age group 18 to 27 years were included in the study based on the selection criteria. The functional movement screening, Y-balance test, Flamingo balance test, and sit and reach test were done for all participants. Results Pearson’s correlation was used to analyze the collected data. The results indicated a poor correlation between FMS and fitness parameters. These are FMS and Y-balance test left and right side ( r = 0.216, 0.144, p = 0.084, 0.251), FMS with Flamingo balance test left and right side ( r = 0.071, 0.197 p = 0.575, 0.115), and FMS with sit and reach test ( r = 0.006, p = 0.961). Conclusion The results showed that functional movement screening and balance (Flamingo and Y balance) and sit and reach cannot be used interchangeably as they do not have any strong correlation. The results of the study also indicate that using only one of the tools cannot predict injury risk in healthy individuals. They have to be used in conjunction with each other.","PeriodicalId":34220,"journal":{"name":"Bulletin of Faculty of Physical Therapy","volume":"75 6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135883007","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}
Abstract Background Pelvic floor dysfunction (PFD) is a global health problem affecting millions of women worldwide. Vaginal childbirth has been reported to be the most important factor in the etiology of PFD though a prior study also reported a high prevalence of PFD in nulliparous women. Some previous studies had suggested Urinary incontinence before pregnancy as a major risk factor for incontinence later in life, thus prevention of PFD has become a major priority in women’s health, and identification of women at risk is a key element in current prevention strategies It is therefore necessary to investigate the prevalence and risk factors for PFD in Nulligravida women who have never been pregnant to enable preventative measures especially as it regards lifestyle modification. Methods Participants were 160 Nulligravida students aged between 17 and 26 years. They were screened for pelvic floor dysfunction using an Australian pelvic floor questionnaire which assessed their bladder function, bowel function, pelvic organ prolapse, and sexual function. Descriptive statistics of frequency and percentage were used to summarize categorical variables. Univariate analysis of Fisher’s exact test and Wilcoxon rank-sum test were conducted to show the association of categorical and continuous variables with pelvic floor dysfunction (PFD) respectively. The risk factors of PFD with p values < 0.05 were considered significant. All analyses were performed using R Statistical Computing Programming version 4.2.2. Results The prevalence of having at least one of any of the PFD was 73.1% while the prevalence of bladder, bowel, prolapse, and sex dysfunction were 25.63% (41/160), 53.75% (86/160), 1.88% (3/160), and 23.13% (37/160) respectively. BMI was not a significant risk factor for any type of PFD while multi-variable logistic regression identified the level of study, height, history of UTI, and non-sport participation as significant ( p < 0.05) risk factors for at least one type of PFD with Odd ratio of 4.91, > 100, 8.47, and 2.86 respectively. Conclusion There is high prevalence of PFD among Nulligravida students, with non-participation in sports and history of urinary tract infections being the main significant risk factors.
{"title":"Prevalence of pelvic floor dysfunction and associated risk factors among Nulligravida college students: a cross-sectional study","authors":"Ayoola Ibifubara Aiyegbusi, Desire Ifeoma Eze, Oluwaseyi Jessy Balogun, Joseph Ayodeji Olamijulo","doi":"10.1186/s43161-023-00147-6","DOIUrl":"https://doi.org/10.1186/s43161-023-00147-6","url":null,"abstract":"Abstract Background Pelvic floor dysfunction (PFD) is a global health problem affecting millions of women worldwide. Vaginal childbirth has been reported to be the most important factor in the etiology of PFD though a prior study also reported a high prevalence of PFD in nulliparous women. Some previous studies had suggested Urinary incontinence before pregnancy as a major risk factor for incontinence later in life, thus prevention of PFD has become a major priority in women’s health, and identification of women at risk is a key element in current prevention strategies It is therefore necessary to investigate the prevalence and risk factors for PFD in Nulligravida women who have never been pregnant to enable preventative measures especially as it regards lifestyle modification. Methods Participants were 160 Nulligravida students aged between 17 and 26 years. They were screened for pelvic floor dysfunction using an Australian pelvic floor questionnaire which assessed their bladder function, bowel function, pelvic organ prolapse, and sexual function. Descriptive statistics of frequency and percentage were used to summarize categorical variables. Univariate analysis of Fisher’s exact test and Wilcoxon rank-sum test were conducted to show the association of categorical and continuous variables with pelvic floor dysfunction (PFD) respectively. The risk factors of PFD with p values < 0.05 were considered significant. All analyses were performed using R Statistical Computing Programming version 4.2.2. Results The prevalence of having at least one of any of the PFD was 73.1% while the prevalence of bladder, bowel, prolapse, and sex dysfunction were 25.63% (41/160), 53.75% (86/160), 1.88% (3/160), and 23.13% (37/160) respectively. BMI was not a significant risk factor for any type of PFD while multi-variable logistic regression identified the level of study, height, history of UTI, and non-sport participation as significant ( p < 0.05) risk factors for at least one type of PFD with Odd ratio of 4.91, > 100, 8.47, and 2.86 respectively. Conclusion There is high prevalence of PFD among Nulligravida students, with non-participation in sports and history of urinary tract infections being the main significant risk factors.","PeriodicalId":34220,"journal":{"name":"Bulletin of Faculty of Physical Therapy","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136113092","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}
Pub Date : 2023-10-16DOI: 10.1186/s43161-023-00150-x
Joy O. Apiloko, Oluwakayode S. Aje, Taofeek O. Awotidebe, Martin I. Okhawere, Chidozie E. Mbada, Ogochukwu K. Onyeso, Festus A. Idomeh, Charles O. Adagbusi, Kayode I. Oke
Abstract Background Exercise is beneficial to bone health. However, little is known about the interaction effect of gender and sport type on bone turnover in young athletes. This study aimed to examine the influence of gender and sports categories (high, medium, and low impact) on bone turnover: reabsorption markers–osteocalcin, calcium, inorganic phosphate (IP), alkaline phosphatase (ALP), and resorption marker–cross-linked N-telopeptides of type 1 collagen (NTx) among a university’s undergraduate athletes. Methods The study was an ex-post facto design involving forty-seven purposively recruited gender- and sport-type-matched undergraduate athletes whose demographic characteristics and BMI were obtained. Participants’ 5 mL antecubital blood samples were collected and analysed for serum levels of osteocalcin, calcium, IP, ALP, and NTx using standard laboratory protocols, Bio-Tek spectrometer, and KC4 (3.3) software. Data were analysed using descriptive statistics and two-way ANOVA. Results The study involved 24 females and 23 males ( n = 47) aged 22.15 ± 3.35 years with an average BMI of 23.34 ± 4.66. There was no significant gender effect on the biomarkers. However, there was a significant effect of the sports category on IP ( F = 4.307, p = 0.020), calcium ( F = 6.807, p = 0.003), and ALP serum levels ( F = 11.511, p < 0.001). Specifically, mid-impact sports participants had a higher IP than the low-impact group (mean difference [MD] = 0.81 mg/dL, p = 0.036). Low-impact had a higher calcium level than mid-impact (MD = 0.40 mg/dL, p = 0.022) and high-impact (MD = 0.49 mg/dL, p = 0.003). Conversely, low-impact had lower ALP than mid-impact (MD = − 11.13 U/L, p = 0.013) and high-impact (MD = − 17.44 IU/L, p < 0.001). Conclusion Moderate to high-impact sports positively affected bone turnover in young athletes. However, gender had no significant impact.
运动有益于骨骼健康。然而,关于性别和运动类型对年轻运动员骨转换的相互作用知之甚少。本研究旨在研究性别和运动类别(高、中、低影响)对骨更替的影响:重吸收标志物-骨钙素、钙、无机磷酸盐(IP)、碱性磷酸酶(ALP)和重吸收标志物- 1型胶原的交联n端肽(NTx)。方法采用事后设计的方法,有目的地招募了47名性别和运动类型匹配的大学生运动员,获得了他们的人口统计学特征和体重指数。使用标准实验室方案、Bio-Tek光谱仪和KC4(3.3)软件,收集参与者5ml的阴道前血液样本,分析血清骨钙素、钙、IP、ALP和NTx的水平。数据分析采用描述性统计和双向方差分析。结果女性24例,男性23例(n = 47),年龄22.15±3.35岁,平均BMI为23.34±4.66。在生物标志物上没有显著的性别影响。然而,运动类别对血清IP (F = 4.307, p = 0.020)、钙(F = 6.807, p = 0.003)和ALP水平有显著影响(F = 11.511, p <0.001)。具体而言,中等冲击运动参与者的IP高于低冲击组(平均差异[MD] = 0.81 mg/dL, p = 0.036)。低撞击组的钙含量高于中撞击组(MD = 0.40 mg/dL, p = 0.022)和高撞击组(MD = 0.49 mg/dL, p = 0.003)。相反,低撞击的ALP低于中撞击(MD = - 11.13 U/L, p = 0.013)和高撞击(MD = - 17.44 IU/L, p <0.001)。结论中高强度运动对青年运动员骨转换有积极影响。然而,性别没有显著影响。
{"title":"Influence of sport type and gender on bone turnover markers in young athletes","authors":"Joy O. Apiloko, Oluwakayode S. Aje, Taofeek O. Awotidebe, Martin I. Okhawere, Chidozie E. Mbada, Ogochukwu K. Onyeso, Festus A. Idomeh, Charles O. Adagbusi, Kayode I. Oke","doi":"10.1186/s43161-023-00150-x","DOIUrl":"https://doi.org/10.1186/s43161-023-00150-x","url":null,"abstract":"Abstract Background Exercise is beneficial to bone health. However, little is known about the interaction effect of gender and sport type on bone turnover in young athletes. This study aimed to examine the influence of gender and sports categories (high, medium, and low impact) on bone turnover: reabsorption markers–osteocalcin, calcium, inorganic phosphate (IP), alkaline phosphatase (ALP), and resorption marker–cross-linked N-telopeptides of type 1 collagen (NTx) among a university’s undergraduate athletes. Methods The study was an ex-post facto design involving forty-seven purposively recruited gender- and sport-type-matched undergraduate athletes whose demographic characteristics and BMI were obtained. Participants’ 5 mL antecubital blood samples were collected and analysed for serum levels of osteocalcin, calcium, IP, ALP, and NTx using standard laboratory protocols, Bio-Tek spectrometer, and KC4 (3.3) software. Data were analysed using descriptive statistics and two-way ANOVA. Results The study involved 24 females and 23 males ( n = 47) aged 22.15 ± 3.35 years with an average BMI of 23.34 ± 4.66. There was no significant gender effect on the biomarkers. However, there was a significant effect of the sports category on IP ( F = 4.307, p = 0.020), calcium ( F = 6.807, p = 0.003), and ALP serum levels ( F = 11.511, p < 0.001). Specifically, mid-impact sports participants had a higher IP than the low-impact group (mean difference [MD] = 0.81 mg/dL, p = 0.036). Low-impact had a higher calcium level than mid-impact (MD = 0.40 mg/dL, p = 0.022) and high-impact (MD = 0.49 mg/dL, p = 0.003). Conversely, low-impact had lower ALP than mid-impact (MD = − 11.13 U/L, p = 0.013) and high-impact (MD = − 17.44 IU/L, p < 0.001). Conclusion Moderate to high-impact sports positively affected bone turnover in young athletes. However, gender had no significant impact.","PeriodicalId":34220,"journal":{"name":"Bulletin of Faculty of Physical Therapy","volume":"227 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136113091","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}
Pub Date : 2023-10-11DOI: 10.1186/s43161-023-00146-7
Taofeek O. Awotidebe, Olufesola M. Fasakin, Adekola B. Ademoyegun, Chiedozie C. Nwajei, Kayode I. Oke, Rufus A. Adedoyin
Abstract Background and aim Women are well known for having lower handgrip strength (HGS) compared to men. However, factors contributing to lower HGS in women remain unclear. This study investigated the influence of body and hand anthropometric characteristics (HAC) on HGS among young Nigerian undergraduate women. Methods Apparently healthy 500 young female adults from a Nigerian University were recruited conveniently. Age and physical characteristics were recorded. Right and left (R&L) HGS were measured using an electronic dynamometer. HAC including R&L arm girth (ArG), forearm girth (FaG), wrist girth (WrG), finger span (FSp), finger breath (FBr), finger length (FLg) and palm length (PLg) were measured. Data were analysed using descriptive and inferential statistics. Alpha level was set at p < 0.05. Results The mean age of the participants was 22.46 ± 3.72 years. Age and body mass index (BMI) contributed about 20.0 and 12.0% to the prediction of HGS, respectively. Similarly, R&L HAC: ArG, FaG, WrG, FSp, FBr, FLg and PLg contributed about 22.8 and 14.8% to the prediction of HGS, respectively. Significant correlations occurred between HGS and each of BMI, R&L HAC ( p < .05). Furthermore, significant correlations were also found between age and each of R&L HAC ( p < .001). Conclusions Age, BMI and HAC have significant influence on the HGS of young Nigerian undergraduate women. Hence, physical factors such as weight, height, BMI, and hand anthropometric measurements are recommended as part of routine assessment for effective rehabilitation plans in the care of women with hand disability or poor hand function.
{"title":"Influence of body and hand anthropometric characteristics on handgrip strength in young Nigerian women","authors":"Taofeek O. Awotidebe, Olufesola M. Fasakin, Adekola B. Ademoyegun, Chiedozie C. Nwajei, Kayode I. Oke, Rufus A. Adedoyin","doi":"10.1186/s43161-023-00146-7","DOIUrl":"https://doi.org/10.1186/s43161-023-00146-7","url":null,"abstract":"Abstract Background and aim Women are well known for having lower handgrip strength (HGS) compared to men. However, factors contributing to lower HGS in women remain unclear. This study investigated the influence of body and hand anthropometric characteristics (HAC) on HGS among young Nigerian undergraduate women. Methods Apparently healthy 500 young female adults from a Nigerian University were recruited conveniently. Age and physical characteristics were recorded. Right and left (R&L) HGS were measured using an electronic dynamometer. HAC including R&L arm girth (ArG), forearm girth (FaG), wrist girth (WrG), finger span (FSp), finger breath (FBr), finger length (FLg) and palm length (PLg) were measured. Data were analysed using descriptive and inferential statistics. Alpha level was set at p < 0.05. Results The mean age of the participants was 22.46 ± 3.72 years. Age and body mass index (BMI) contributed about 20.0 and 12.0% to the prediction of HGS, respectively. Similarly, R&L HAC: ArG, FaG, WrG, FSp, FBr, FLg and PLg contributed about 22.8 and 14.8% to the prediction of HGS, respectively. Significant correlations occurred between HGS and each of BMI, R&L HAC ( p < .05). Furthermore, significant correlations were also found between age and each of R&L HAC ( p < .001). Conclusions Age, BMI and HAC have significant influence on the HGS of young Nigerian undergraduate women. Hence, physical factors such as weight, height, BMI, and hand anthropometric measurements are recommended as part of routine assessment for effective rehabilitation plans in the care of women with hand disability or poor hand function.","PeriodicalId":34220,"journal":{"name":"Bulletin of Faculty of Physical Therapy","volume":"56 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136059358","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}