Bashir Kaka - Academia.edu (original) (raw)
Papers by Bashir Kaka
Musculoskeletal Science and Practice
Additional file 1: The Hausa version of the Pain Catastrophizing Scale.
Purpose of the study: This is a hospitals base study that was carried out to determine the epidem... more Purpose of the study: This is a hospitals base study that was carried out to determine the epidemiologic features of amputation in Kano State, North- West, Nigeria. Relevance: Limb amputation is a major but preventable public health menace that is associated with enormous economic, social and psychological effects on patients and their families. However, there is limited data on the epidemiology of amputation in developing countries where the impact of amputation is more felt. And prosthetic services are poor Participants: Two hundred and ninety one (291) amputee’s case files were used in the study the participant’s ages ranged between (10 – 100) years Methods : This was a retrospective study that examined all records of patients who underwent limb amputation in selected hospitals in Kano, between January, 2007 and December, 2011 for cause, age, gender and use of prosthetic device using a self design proforma. Analysis: Data was analyzed using descriptive statistic of frequency and ...
Fisioterapia, 2018
Objectives: Ensuring participation and adherence to exercises in the clinic poses a challenge for... more Objectives: Ensuring participation and adherence to exercises in the clinic poses a challenge for physiotherapists. This study was designed to identify the type and factors that influence participation and adherence to exercises by patients with knee osteoarthritis (KOA). Material and method: This quasi-experimental study randomized 105 patients referred for physiotherapy for KOA into three groups. Patients were required to exercise either aerobically using a cycle ergometer, strengthening exercises using weights and a quadriceps bench or stretching exercises on a gymnasium mat. The exercises were over 5 weeks, 3 times per week and of 30 min duration per session. The Self-Report Scale of Adherence to Physiotherapy was used to determine adherence to exercises and modified 12-item questionnaire for factors influencing adherence. Data were depicted using descriptive and inferential statistics with p< 0.05 statistical significance. Result: A total of 70 (66.7%) patients completed the study with a mean age of 62.4 ± 10.8 years. Adherence to aerobic exercises was 28 (80%); strengthening 25 (71%) and stretching 17 (49%). The education level of the individuals and the decreased level of pain when engaging in the exercises had a statistically significant (p< 0.05) positive influence on participation and adherence. Travel costs to the hospital, forgetting the exercises and increasing pain while engaging in the exercises had a negative impact on participation and adherence to exercises in the clinic. Conclusion: Physiotherapists must consider the type, level of pain, complexity of exercises and travel costs when prescribing exercises in the clinic for patients with KOA. These are relevant factors for participation and adherence to exercises in the clinic.
Hong Kong Physiotherapy Journal, 2019
Background: Knee osteoarthritis (KOA) is a common degenerative articular disease that causes disa... more Background: Knee osteoarthritis (KOA) is a common degenerative articular disease that causes disability and poor quality of life (QoL) of the individuals. Electrotherapeutic agents such as therapeutic ultrasound (US), interferential current (IFC), and infrared radiation are used in the treatment. It is not clear which of these agents is the best in improving these variables. Objective: The study aimed to compare the effects of the combined application of US and IFC therapies and infrared radiation on pain, functional activities, and QoL in people with KOA. Methods: In a randomized controlled study, 60 participants were randomized into two groups, the combination therapy group (CTG) and the infrared radiation group (IRG). Each group received 15-min treatment three times per week for 12 weeks. The visual analog scale (VAS) was used to assess the pain, Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) for functional activities and the Short Form Health Survey quest...
Safety and Health at Work, 2016
Background: Butchering is often associated with high rates of work-related musculoskeletal disord... more Background: Butchering is often associated with high rates of work-related musculoskeletal disorders (WRMSDs). However, published work on the prevalence of WRMSDs among butchers in Nigeria is scarce. This is important because meat processing practices differ across geographical and cultural locations. This study was therefore aimed at analyzing WRMSDs among butchers in Kano metropolis. Methods: Sociodemographic and work-settings information was obtained from 102 male cattle butchers (age, 37.49 AE 11.68 years) through survey. Information on the prevalence and pattern of musculoskeletal disorders was obtained from the respondents using the Standardized Nordic Questionnaire. Additional information on health seeking practices was also obtained using a pro forma. Associations between the prevalence of WRMSDs and each of the sociodemographic data and work settings were explored using Chi-square analysis. The level of significance was set at p < 0.05. Results: The 12-month and point prevalence rates of WRMSDs among butchers in this study were 88.2% and 74.5%, respectively. Whereas lower back complaints (66.7%) were the overall and lower body quadrant's most commonly reported WRMSDs among the butchers surveyed, wrist/hand complaints were the leading upper quadrant's (45.1%) most commonly reported WRMSDs among the respondents. There were significant associations between age and majority of WRMSDs in the body regions. Only 23.3% of the 90 individuals who had WRMSD visited the hospital to seek redress for their WRMSD. Conclusion: The prevalence of WRMSDs is high among butchers in Kano Metropolis. Few individuals with WRMSD utilize healthcare facilities. Age is a major risk factor in this setting.
Archives of Physiotherapy and Global Researches, 2015
Background: Non-specific neck pain (NsNP) constitutes a great burden to individuals in the popula... more Background: Non-specific neck pain (NsNP) constitutes a great burden to individuals in the populace and major challenge to physiotherapists. This study aims at evaluating the effects of stabilization and dynamic exercises on pain intensity, disability and fear avoidance beliefs in patients with NsNP. Material and Methods: Eighty eight patients with NsNP participated in this single-blind randomized controlled trial. The participants were assigned to one of three groups; the Stabilization Group, Stabilization plus Dynamic Exercise Group and Dynamic Exercise Group using fish bowl technique. Treatment was applied three times weekly for 8 weeks and outcomes were measured in terms of pain intensity, disability and fear avoidance beliefs at the end of 4th and 8th week of study. Data were analyzed using descriptive and inferential statistics, at p= 0.05. Results: Seventy six participants with mean age 46.82 ± 12.43 years completed the study. The groups were comparable in baseline outcome measures (p>0.05). Within-group comparison across the three time-points of the study revealed that the different treatment regimens had significant effects on all the outcome measures (p<0.05). There were significant differences between the three groups at week 4 and 8 respectively. Post-hoc analysis showed that Stabilization had higher reductions in pain, disability and fear avoidance beliefs at week 4 and 8 of the study respectively. Conclusion: Stabilization exercises alone as well as stabilization plus dynamic or dynamic exercises are effective. However stabilization exercises resulted in better reduction in pain intensity, functional disability and fear avoidance beliefs in participants with non-specific neck pain.
Journal of Pediatric Neurology, 2013
This study was aimed at examining possible correlation of psychosocial adversities with depressio... more This study was aimed at examining possible correlation of psychosocial adversities with depression in mothers of children with cerebral palsy (CP) in Nigeria. The cross-sectional survey involved 45 consenting mothers of children with CP attending physiotherapy clinics of the University College Hospital, Ibadan, the Federal Medical Center and King Fahd Ibn Abdul-Aziz Women and Children Hospital Gusau, Nigeria. The psychosocial adversities scale (PAS) was used to assess psychosocial adversity while depression was measured with the patient health questionnaire depression scale. The mean age of the mothers was 32.0 ± 5.0 yr and that of their children was 2.4 ± 1.5 yr. Spearman's rank order correlation showed a significant positive correlation between PAS and patient health questionnaire depression scale scores (r = 0.4; P = 0.006). Significant associations (P < 0.001) were found between depression and each item on the PAS, i.e. separated household, problem with extended family, lack of confidants, feeling of loneliness and isolation of mother. Logistic regression analysis indicated negligible risk of depression for mothers with low educational status (odds ratio = 0.4; 95% confidence interval = 0.08–1.1; P = 0.08). The depression risk was more than fourteen-fold in mothers whose husbands earned low incomes (odds ratio = 14.6; 95% confidence interval = 2.6–82.1 P = 0.002). Psychosocial adversities are significantly associated with depression in mothers of children with CP. Poor marital relationships (separated household and problem with extended family) and inadequate social interaction (feeling of loneliness and lack of confidants) were the most important psychosocial stressors associated with depression among mothers of children with CP in Nigeria.
Global Journal of Health Science, 2014
Background: Self-report measures of fear-avoidance beliefs are widely used in clinical practice a... more Background: Self-report measures of fear-avoidance beliefs are widely used in clinical practice and research. To date there is no Hausa version of the Fear Avoidance Beliefs Questionnaire (FABQ). This is important as the Hausa language is a widely spoken language in West Africa. Objectives: The purpose of this study was to translate and validate the Hausa version of the FABQ in patients with non-specific neck pain. Methods: Two independent bilingual Hausa translators translated the English version of the FABQ into Hausa which was thereafter back translated by one independent bilingual translator. A professional expert panel revised the translations to produce a consensus version. The psychometric testing of the final translated instrument was investigated by surveying 54 Hausa speaking patients with chronic non-specific neck pain. Cross-sectional construct validity was evaluated by comparing Hausa Fear Avoidance Beliefs Questionnaire (FABQ-H) with the English version of the FABQ. Internal consistency of the FABQ-H was examined by Cronbach alpha by comparing the scores between the FABQ-H and its subscales. Test-retest reliability was evaluated by administering the Hausa version twice. Results: The translated Hausa version of FABQ proved to be acceptable. The FABQ-H showed strong correlations (r=0.94, p=0.000) with the original English version. There was also high internal consistency between the FABQ-H and its subscales (physical activity component-α=0.88, p=0.000 and work component-α=0.94, p= 0.000). The FABQ-H also showed a high test-retest reliability (intra-class correlation coefficient =0.98). Conclusion: The FABQ-H demonstrated excellent psychometric properties similar to other existing versions. The FABQ-H is recommended for clinical practice.
Physiotherapy Theory and Practice, 2012
Physiotherapy is usually indicated for health promotion and the rehabilitation of individuals wit... more Physiotherapy is usually indicated for health promotion and the rehabilitation of individuals with paralytic poliomyelitis. The endemic nature of this condition in children in Zamfara State, Nigeria necessitated investigation into the utilization of physiotherapy services by parents or primary caregivers of children affected with polio in this sub-region. Parents and primary caregivers of children with paralytic poliomyelitis were recruited using a purposive multi-stage sampling procedure in a cross-sectional survey. Factors associated with the utilization of physiotherapy services were assessed based on questions extracted from a 4-part, 52-item structured questionnaire originally designed for a study which investigated knowledge, attitude, and beliefs of parents of children with paralytic poliomyelitis. A total of 217 participants were included in this study. The mean age was 32.29 ± 9.89 years and the mean knowledge of polio score was 62.0 ± 17.3%. The mean age of the children with paralytic poliomyelitis was 6.41 ± 2.50 years. Only 27.2% of the parents or primary caregivers had utilized physiotherapy service for their children at some point. No association existed between utilization of physiotherapy service and &amp;amp;amp;amp;amp;#39;knowledge of paralytic poliomyelitis&amp;amp;amp;amp;amp;#39;, &amp;amp;amp;amp;amp;#39;employment status&amp;amp;amp;amp;amp;#39;, and &amp;amp;amp;amp;amp;#39;family income&amp;amp;amp;amp;amp;#39; of respondents. Explanations for low utilization of physiotherapy services for children with paralytic poliomyelitis by parents or primary caregivers are discussed.
Maturitas, 2012
Purpose To identify sociodemographic and health correlates of meeting the muscle strengthening (M... more Purpose To identify sociodemographic and health correlates of meeting the muscle strengthening (MS) exercise recommendations in middle-aged and older adults by disability status. Methods Respondents from the 2011 Behavioral Risk Factor Surveillance System were stratified by disability status (with disability, without disability), age [ages 45-64 (middle-aged), 65 + years of age (older adults)] and whether they met MS recommendations (yes, no). Two logistic regression models were run to evaluate whether perceived health status and sociodemographic characteristics were associated with meeting the MS recommendations by disability status. Results The sample included 477,662. Middle-aged persons were 20% more likely than older adults to meet the MS recommendations. Persons with a disability were less likely to meet muscle strengthening recommendations compared with those without. Persons with a disability who reported having poor health were ~ 65% less likely to meet the MS recommendation than those reporting excellent health. Furthermore, those with a disability and with one or more chronic diseases were nearly 40% less likely to meet the MS recommendation than no disability. Among respondents without disability, being Black and being a healthy weight or underweight increased the odds of meeting the MS recommendations. Conclusion Several health and sociodemographic factors were associated with not meeting MS recommendations. Persons with disability and poor health, had the lowest likelihood of participation. Studies are needed to understand whether improving MS exercise behavior may attenuate functional limitations associated with chronic diseases and aging.
BMC Public Health, 2012
Background: Nigeria is one of the major African countries in which incidences of polio infection ... more Background: Nigeria is one of the major African countries in which incidences of polio infection persist in spite of several eradication efforts. The preponderance of paralytic poliomyelitis particularly in the northern part of Nigeria raises the question as to whether parents of children affected with polio know how polio is contracted and spread, whether having a disabled child affects the parents' attitude towards these children, and what they believe about poliomyelitis in view of their socio-cultural and belief system in the sub-region. Zamfara State, in the northwest of Nigeria is one of the endemic areas where resistance to the global campaign on polio eradication was very high. Therefore this study was conducted to investigate the knowledge, attitudes and beliefs of parents/primary caregivers of children affected with paralytic poliomyelitis in Zamfara State. Methods: This study is a cross-sectional survey in which the multistage probability sampling technique was used to randomly select two local government areas in Zamfara State where consenting parents/primary caregivers of children with paralytic poliomyelitis were purposively selected. The knowledge, attitudes and beliefs of parents were assessed with the aid of a 4-part 52-item structured researcher administered questionnaire and the data obtained were analyzed. Results: Two hundred and seventeen parents/primary caregivers participated in the study. One hundred and forty-two, (65.4%) reported good, 51 (23.8%) reported fair, while 24 (11%) of participants reported poor knowledge of paralytic poliomyelitis. More respondents 120 (55.3%) showed a positive attitude towards children with paralytic poliomyelitis. Younger age (P=0.016) and paid employment (P=0.020) were positively associated with good knowledge of paralytic poliomyelitis. Female gender (P=0.020), higher educational level (P=0.015), being employed (P=0.010) and having from middle to high household income (P=0.016) were positively associated with a positive attitude toward children with paralytic poliomyelitis. Most respondents showed a reasonable belief over the cause of their children's condition rather than the erroneous traditional belief that paralytic poliomyelitis is caused by spirit forces. Conclusions: It is of great concern that the good knowledge, positive attitude and reasonable belief by parents/ primary caregivers about paralytic poliomyelitis observed in this study did not play a prominent role in preventing susceptibility of children in northwest Nigeria to paralytic poliomyelitis. It is imperative that Nigerian policy makers should device more strategic measures toward the prevention of paralytic poliomyelitis in this sub region.
Arquivos de Neuro-Psiquiatria, 2012
OBJECTIVE: To validate the Leganés cognitive test (LCT) for cognitive screening in low educated e... more OBJECTIVE: To validate the Leganés cognitive test (LCT) for cognitive screening in low educated elderly Brazilians. METHODS: The study sample was composed of 59 elderly residents from the city of Santa Cruz, in Brazil, with low schooling levels. Reliability was analyzed with a two-day interval between assessments, and concurrent validity was assessed using the Mini Mental State Examination (MMSE). RESULTS: According to the LCT, the prevalence of dementia was 11.8%. The scale items showed a moderate to strong correlation between domains (p<0.01), and inter-rater reliability exhibited ICC=0.81, 95%CI=0.72-0.88. The factor analysis resulted in two factors: memory and orientation. Interscale agreement was considered poor (k=-0.02), supporting the hypothesis of an educational impact on final MMSE scores. CONCLUSION: The results suggest that LCT has acceptable levels of reliability for use in low-educated Brazilian elderly.
Scandinavian journal of pain, Jan 25, 2018
Non-specific neck pain (NsNP) constitutes a burden to the bearers and a management challenge to p... more Non-specific neck pain (NsNP) constitutes a burden to the bearers and a management challenge to physiotherapists globally. Effectiveness of neck stabilisation and dynamic exercises in the management of NsNP has been documented, but it is not clear which exercise regimen is more effective in alleviating its associated pain, depression and anxiety. This study was carried out to compare the effectiveness of neck stabilisation and/or dynamic exercises on pain intensity, depression and anxiety among patients with NsNP. Eighty-nine consenting individuals with NsNP participated in this single-blind, randomised controlled trial. They were recruited from the outpatient physiotherapy clinics of the National Orthopaedic Hospital in Dala, Kano State, Nigeria. Participants were randomly assigned into one of three intervention groups: neck stabilisation exercise group (NSEG; n=30), neck dynamic exercise group (NDEG; n=28) and neck stabilisation and dynamic exercise group (NSDEG; n=31). Treatment ...
Additional file 1. SPIRIT 2013 Checklist.
Trials, 2022
Background Structural impairment of the lumbar multifidus muscle, such as reduced cross-sectional... more Background Structural impairment of the lumbar multifidus muscle, such as reduced cross-sectional area, is evident among individuals with chronic low back pain. Real-time ultrasound imaging (RUSI) biofeedback has been reported to improve preferential activation of as well as retention in the ability to activate the lumbar multifidus muscle during lumbar stabilization exercises (LSE). However, evidence of the effectiveness of this treatment approach in individuals with non-specific chronic low back pain (NCLBP) is still limited. The purpose of this study is, therefore, to determine the effectiveness of LSE with RUSI biofeedback on lumbar multifidus muscle cross-sectional area in individuals with NCLBP. Methods/Design This study is a prospective, single-center, assessor-blind, three-arm, parallel randomized controlled trial to be conducted at National Orthopedic Hospital, Kano State, Nigeria. Ninety individuals with NCLBP will be randomized in a 1:1:1: ratio to receive LSE, LSE with R...
Iranian Rehabilitation Journal, 2021
Objectives: To overcome the inherent limitations of the medical and social models of disability, ... more Objectives: To overcome the inherent limitations of the medical and social models of disability, the World Health Organization developed the first international conceptualization of disability: the International Classification of Functioning, Disability, and Health (ICF). Despite the ICF’s robustness, it is still underutilized in research and practice in Low- and Middle-Income Countries (LMICs). This article discusses the applications, strengths, limitations, and unique considerations when using the ICF to explore disabilities in LMICs like Nigeria. Methods: A literature search was conducted in Medline, CINAHL, Web of Science, AMED, and Google Scholar. Articles were selected if they reported on any of the development, structure, applications, strengths, and limitations of the ICF. The review draws from the selected articles using a narrative discussion. Results: The literature search yielded 22 articles that met the eligibility criteria. The ICF is a classification of components of ...
PLoS ONE, 2021
Introduction Negative attitudes and beliefs about low back pain (LBP) can lead to reduced functio... more Introduction Negative attitudes and beliefs about low back pain (LBP) can lead to reduced function and activity and consequently disability. One self-report measure that can be used to assess these negative attitudes and beliefs and to determine their predictive nature is the Back Beliefs Questionnaire (BBQ). This study aimed to translate and cross-culturally adapt the BBQ into Hausa and assess its psychometric properties in mixed urban and rural Nigerian populations with chronic LBP. Methods The BBQ was translated and cross-culturally adapted into Hausa (Hausa-BBQ) according to established guidelines. To assess psychometric properties, a consecutive sample of 200 patients with chronic LBP recruited from urban and rural clinics of Nigeria completed the questionnaire along with measures of fear-avoidance beliefs, pain catastrophizing, functional disability, physical and mental health, and pain. One hundred of the 200 patients completed the questionnaire twice at an interval of 7–14 d...
PLoS ONE, 2021
[This corrects the article DOI: 10.1371/journal.pone.0249370.].
Musculoskeletal Science and Practice
Additional file 1: The Hausa version of the Pain Catastrophizing Scale.
Purpose of the study: This is a hospitals base study that was carried out to determine the epidem... more Purpose of the study: This is a hospitals base study that was carried out to determine the epidemiologic features of amputation in Kano State, North- West, Nigeria. Relevance: Limb amputation is a major but preventable public health menace that is associated with enormous economic, social and psychological effects on patients and their families. However, there is limited data on the epidemiology of amputation in developing countries where the impact of amputation is more felt. And prosthetic services are poor Participants: Two hundred and ninety one (291) amputee’s case files were used in the study the participant’s ages ranged between (10 – 100) years Methods : This was a retrospective study that examined all records of patients who underwent limb amputation in selected hospitals in Kano, between January, 2007 and December, 2011 for cause, age, gender and use of prosthetic device using a self design proforma. Analysis: Data was analyzed using descriptive statistic of frequency and ...
Fisioterapia, 2018
Objectives: Ensuring participation and adherence to exercises in the clinic poses a challenge for... more Objectives: Ensuring participation and adherence to exercises in the clinic poses a challenge for physiotherapists. This study was designed to identify the type and factors that influence participation and adherence to exercises by patients with knee osteoarthritis (KOA). Material and method: This quasi-experimental study randomized 105 patients referred for physiotherapy for KOA into three groups. Patients were required to exercise either aerobically using a cycle ergometer, strengthening exercises using weights and a quadriceps bench or stretching exercises on a gymnasium mat. The exercises were over 5 weeks, 3 times per week and of 30 min duration per session. The Self-Report Scale of Adherence to Physiotherapy was used to determine adherence to exercises and modified 12-item questionnaire for factors influencing adherence. Data were depicted using descriptive and inferential statistics with p< 0.05 statistical significance. Result: A total of 70 (66.7%) patients completed the study with a mean age of 62.4 ± 10.8 years. Adherence to aerobic exercises was 28 (80%); strengthening 25 (71%) and stretching 17 (49%). The education level of the individuals and the decreased level of pain when engaging in the exercises had a statistically significant (p< 0.05) positive influence on participation and adherence. Travel costs to the hospital, forgetting the exercises and increasing pain while engaging in the exercises had a negative impact on participation and adherence to exercises in the clinic. Conclusion: Physiotherapists must consider the type, level of pain, complexity of exercises and travel costs when prescribing exercises in the clinic for patients with KOA. These are relevant factors for participation and adherence to exercises in the clinic.
Hong Kong Physiotherapy Journal, 2019
Background: Knee osteoarthritis (KOA) is a common degenerative articular disease that causes disa... more Background: Knee osteoarthritis (KOA) is a common degenerative articular disease that causes disability and poor quality of life (QoL) of the individuals. Electrotherapeutic agents such as therapeutic ultrasound (US), interferential current (IFC), and infrared radiation are used in the treatment. It is not clear which of these agents is the best in improving these variables. Objective: The study aimed to compare the effects of the combined application of US and IFC therapies and infrared radiation on pain, functional activities, and QoL in people with KOA. Methods: In a randomized controlled study, 60 participants were randomized into two groups, the combination therapy group (CTG) and the infrared radiation group (IRG). Each group received 15-min treatment three times per week for 12 weeks. The visual analog scale (VAS) was used to assess the pain, Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) for functional activities and the Short Form Health Survey quest...
Safety and Health at Work, 2016
Background: Butchering is often associated with high rates of work-related musculoskeletal disord... more Background: Butchering is often associated with high rates of work-related musculoskeletal disorders (WRMSDs). However, published work on the prevalence of WRMSDs among butchers in Nigeria is scarce. This is important because meat processing practices differ across geographical and cultural locations. This study was therefore aimed at analyzing WRMSDs among butchers in Kano metropolis. Methods: Sociodemographic and work-settings information was obtained from 102 male cattle butchers (age, 37.49 AE 11.68 years) through survey. Information on the prevalence and pattern of musculoskeletal disorders was obtained from the respondents using the Standardized Nordic Questionnaire. Additional information on health seeking practices was also obtained using a pro forma. Associations between the prevalence of WRMSDs and each of the sociodemographic data and work settings were explored using Chi-square analysis. The level of significance was set at p < 0.05. Results: The 12-month and point prevalence rates of WRMSDs among butchers in this study were 88.2% and 74.5%, respectively. Whereas lower back complaints (66.7%) were the overall and lower body quadrant's most commonly reported WRMSDs among the butchers surveyed, wrist/hand complaints were the leading upper quadrant's (45.1%) most commonly reported WRMSDs among the respondents. There were significant associations between age and majority of WRMSDs in the body regions. Only 23.3% of the 90 individuals who had WRMSD visited the hospital to seek redress for their WRMSD. Conclusion: The prevalence of WRMSDs is high among butchers in Kano Metropolis. Few individuals with WRMSD utilize healthcare facilities. Age is a major risk factor in this setting.
Archives of Physiotherapy and Global Researches, 2015
Background: Non-specific neck pain (NsNP) constitutes a great burden to individuals in the popula... more Background: Non-specific neck pain (NsNP) constitutes a great burden to individuals in the populace and major challenge to physiotherapists. This study aims at evaluating the effects of stabilization and dynamic exercises on pain intensity, disability and fear avoidance beliefs in patients with NsNP. Material and Methods: Eighty eight patients with NsNP participated in this single-blind randomized controlled trial. The participants were assigned to one of three groups; the Stabilization Group, Stabilization plus Dynamic Exercise Group and Dynamic Exercise Group using fish bowl technique. Treatment was applied three times weekly for 8 weeks and outcomes were measured in terms of pain intensity, disability and fear avoidance beliefs at the end of 4th and 8th week of study. Data were analyzed using descriptive and inferential statistics, at p= 0.05. Results: Seventy six participants with mean age 46.82 ± 12.43 years completed the study. The groups were comparable in baseline outcome measures (p>0.05). Within-group comparison across the three time-points of the study revealed that the different treatment regimens had significant effects on all the outcome measures (p<0.05). There were significant differences between the three groups at week 4 and 8 respectively. Post-hoc analysis showed that Stabilization had higher reductions in pain, disability and fear avoidance beliefs at week 4 and 8 of the study respectively. Conclusion: Stabilization exercises alone as well as stabilization plus dynamic or dynamic exercises are effective. However stabilization exercises resulted in better reduction in pain intensity, functional disability and fear avoidance beliefs in participants with non-specific neck pain.
Journal of Pediatric Neurology, 2013
This study was aimed at examining possible correlation of psychosocial adversities with depressio... more This study was aimed at examining possible correlation of psychosocial adversities with depression in mothers of children with cerebral palsy (CP) in Nigeria. The cross-sectional survey involved 45 consenting mothers of children with CP attending physiotherapy clinics of the University College Hospital, Ibadan, the Federal Medical Center and King Fahd Ibn Abdul-Aziz Women and Children Hospital Gusau, Nigeria. The psychosocial adversities scale (PAS) was used to assess psychosocial adversity while depression was measured with the patient health questionnaire depression scale. The mean age of the mothers was 32.0 ± 5.0 yr and that of their children was 2.4 ± 1.5 yr. Spearman's rank order correlation showed a significant positive correlation between PAS and patient health questionnaire depression scale scores (r = 0.4; P = 0.006). Significant associations (P < 0.001) were found between depression and each item on the PAS, i.e. separated household, problem with extended family, lack of confidants, feeling of loneliness and isolation of mother. Logistic regression analysis indicated negligible risk of depression for mothers with low educational status (odds ratio = 0.4; 95% confidence interval = 0.08–1.1; P = 0.08). The depression risk was more than fourteen-fold in mothers whose husbands earned low incomes (odds ratio = 14.6; 95% confidence interval = 2.6–82.1 P = 0.002). Psychosocial adversities are significantly associated with depression in mothers of children with CP. Poor marital relationships (separated household and problem with extended family) and inadequate social interaction (feeling of loneliness and lack of confidants) were the most important psychosocial stressors associated with depression among mothers of children with CP in Nigeria.
Global Journal of Health Science, 2014
Background: Self-report measures of fear-avoidance beliefs are widely used in clinical practice a... more Background: Self-report measures of fear-avoidance beliefs are widely used in clinical practice and research. To date there is no Hausa version of the Fear Avoidance Beliefs Questionnaire (FABQ). This is important as the Hausa language is a widely spoken language in West Africa. Objectives: The purpose of this study was to translate and validate the Hausa version of the FABQ in patients with non-specific neck pain. Methods: Two independent bilingual Hausa translators translated the English version of the FABQ into Hausa which was thereafter back translated by one independent bilingual translator. A professional expert panel revised the translations to produce a consensus version. The psychometric testing of the final translated instrument was investigated by surveying 54 Hausa speaking patients with chronic non-specific neck pain. Cross-sectional construct validity was evaluated by comparing Hausa Fear Avoidance Beliefs Questionnaire (FABQ-H) with the English version of the FABQ. Internal consistency of the FABQ-H was examined by Cronbach alpha by comparing the scores between the FABQ-H and its subscales. Test-retest reliability was evaluated by administering the Hausa version twice. Results: The translated Hausa version of FABQ proved to be acceptable. The FABQ-H showed strong correlations (r=0.94, p=0.000) with the original English version. There was also high internal consistency between the FABQ-H and its subscales (physical activity component-α=0.88, p=0.000 and work component-α=0.94, p= 0.000). The FABQ-H also showed a high test-retest reliability (intra-class correlation coefficient =0.98). Conclusion: The FABQ-H demonstrated excellent psychometric properties similar to other existing versions. The FABQ-H is recommended for clinical practice.
Physiotherapy Theory and Practice, 2012
Physiotherapy is usually indicated for health promotion and the rehabilitation of individuals wit... more Physiotherapy is usually indicated for health promotion and the rehabilitation of individuals with paralytic poliomyelitis. The endemic nature of this condition in children in Zamfara State, Nigeria necessitated investigation into the utilization of physiotherapy services by parents or primary caregivers of children affected with polio in this sub-region. Parents and primary caregivers of children with paralytic poliomyelitis were recruited using a purposive multi-stage sampling procedure in a cross-sectional survey. Factors associated with the utilization of physiotherapy services were assessed based on questions extracted from a 4-part, 52-item structured questionnaire originally designed for a study which investigated knowledge, attitude, and beliefs of parents of children with paralytic poliomyelitis. A total of 217 participants were included in this study. The mean age was 32.29 ± 9.89 years and the mean knowledge of polio score was 62.0 ± 17.3%. The mean age of the children with paralytic poliomyelitis was 6.41 ± 2.50 years. Only 27.2% of the parents or primary caregivers had utilized physiotherapy service for their children at some point. No association existed between utilization of physiotherapy service and &amp;amp;amp;amp;amp;#39;knowledge of paralytic poliomyelitis&amp;amp;amp;amp;amp;#39;, &amp;amp;amp;amp;amp;#39;employment status&amp;amp;amp;amp;amp;#39;, and &amp;amp;amp;amp;amp;#39;family income&amp;amp;amp;amp;amp;#39; of respondents. Explanations for low utilization of physiotherapy services for children with paralytic poliomyelitis by parents or primary caregivers are discussed.
Maturitas, 2012
Purpose To identify sociodemographic and health correlates of meeting the muscle strengthening (M... more Purpose To identify sociodemographic and health correlates of meeting the muscle strengthening (MS) exercise recommendations in middle-aged and older adults by disability status. Methods Respondents from the 2011 Behavioral Risk Factor Surveillance System were stratified by disability status (with disability, without disability), age [ages 45-64 (middle-aged), 65 + years of age (older adults)] and whether they met MS recommendations (yes, no). Two logistic regression models were run to evaluate whether perceived health status and sociodemographic characteristics were associated with meeting the MS recommendations by disability status. Results The sample included 477,662. Middle-aged persons were 20% more likely than older adults to meet the MS recommendations. Persons with a disability were less likely to meet muscle strengthening recommendations compared with those without. Persons with a disability who reported having poor health were ~ 65% less likely to meet the MS recommendation than those reporting excellent health. Furthermore, those with a disability and with one or more chronic diseases were nearly 40% less likely to meet the MS recommendation than no disability. Among respondents without disability, being Black and being a healthy weight or underweight increased the odds of meeting the MS recommendations. Conclusion Several health and sociodemographic factors were associated with not meeting MS recommendations. Persons with disability and poor health, had the lowest likelihood of participation. Studies are needed to understand whether improving MS exercise behavior may attenuate functional limitations associated with chronic diseases and aging.
BMC Public Health, 2012
Background: Nigeria is one of the major African countries in which incidences of polio infection ... more Background: Nigeria is one of the major African countries in which incidences of polio infection persist in spite of several eradication efforts. The preponderance of paralytic poliomyelitis particularly in the northern part of Nigeria raises the question as to whether parents of children affected with polio know how polio is contracted and spread, whether having a disabled child affects the parents' attitude towards these children, and what they believe about poliomyelitis in view of their socio-cultural and belief system in the sub-region. Zamfara State, in the northwest of Nigeria is one of the endemic areas where resistance to the global campaign on polio eradication was very high. Therefore this study was conducted to investigate the knowledge, attitudes and beliefs of parents/primary caregivers of children affected with paralytic poliomyelitis in Zamfara State. Methods: This study is a cross-sectional survey in which the multistage probability sampling technique was used to randomly select two local government areas in Zamfara State where consenting parents/primary caregivers of children with paralytic poliomyelitis were purposively selected. The knowledge, attitudes and beliefs of parents were assessed with the aid of a 4-part 52-item structured researcher administered questionnaire and the data obtained were analyzed. Results: Two hundred and seventeen parents/primary caregivers participated in the study. One hundred and forty-two, (65.4%) reported good, 51 (23.8%) reported fair, while 24 (11%) of participants reported poor knowledge of paralytic poliomyelitis. More respondents 120 (55.3%) showed a positive attitude towards children with paralytic poliomyelitis. Younger age (P=0.016) and paid employment (P=0.020) were positively associated with good knowledge of paralytic poliomyelitis. Female gender (P=0.020), higher educational level (P=0.015), being employed (P=0.010) and having from middle to high household income (P=0.016) were positively associated with a positive attitude toward children with paralytic poliomyelitis. Most respondents showed a reasonable belief over the cause of their children's condition rather than the erroneous traditional belief that paralytic poliomyelitis is caused by spirit forces. Conclusions: It is of great concern that the good knowledge, positive attitude and reasonable belief by parents/ primary caregivers about paralytic poliomyelitis observed in this study did not play a prominent role in preventing susceptibility of children in northwest Nigeria to paralytic poliomyelitis. It is imperative that Nigerian policy makers should device more strategic measures toward the prevention of paralytic poliomyelitis in this sub region.
Arquivos de Neuro-Psiquiatria, 2012
OBJECTIVE: To validate the Leganés cognitive test (LCT) for cognitive screening in low educated e... more OBJECTIVE: To validate the Leganés cognitive test (LCT) for cognitive screening in low educated elderly Brazilians. METHODS: The study sample was composed of 59 elderly residents from the city of Santa Cruz, in Brazil, with low schooling levels. Reliability was analyzed with a two-day interval between assessments, and concurrent validity was assessed using the Mini Mental State Examination (MMSE). RESULTS: According to the LCT, the prevalence of dementia was 11.8%. The scale items showed a moderate to strong correlation between domains (p<0.01), and inter-rater reliability exhibited ICC=0.81, 95%CI=0.72-0.88. The factor analysis resulted in two factors: memory and orientation. Interscale agreement was considered poor (k=-0.02), supporting the hypothesis of an educational impact on final MMSE scores. CONCLUSION: The results suggest that LCT has acceptable levels of reliability for use in low-educated Brazilian elderly.
Scandinavian journal of pain, Jan 25, 2018
Non-specific neck pain (NsNP) constitutes a burden to the bearers and a management challenge to p... more Non-specific neck pain (NsNP) constitutes a burden to the bearers and a management challenge to physiotherapists globally. Effectiveness of neck stabilisation and dynamic exercises in the management of NsNP has been documented, but it is not clear which exercise regimen is more effective in alleviating its associated pain, depression and anxiety. This study was carried out to compare the effectiveness of neck stabilisation and/or dynamic exercises on pain intensity, depression and anxiety among patients with NsNP. Eighty-nine consenting individuals with NsNP participated in this single-blind, randomised controlled trial. They were recruited from the outpatient physiotherapy clinics of the National Orthopaedic Hospital in Dala, Kano State, Nigeria. Participants were randomly assigned into one of three intervention groups: neck stabilisation exercise group (NSEG; n=30), neck dynamic exercise group (NDEG; n=28) and neck stabilisation and dynamic exercise group (NSDEG; n=31). Treatment ...
Additional file 1. SPIRIT 2013 Checklist.
Trials, 2022
Background Structural impairment of the lumbar multifidus muscle, such as reduced cross-sectional... more Background Structural impairment of the lumbar multifidus muscle, such as reduced cross-sectional area, is evident among individuals with chronic low back pain. Real-time ultrasound imaging (RUSI) biofeedback has been reported to improve preferential activation of as well as retention in the ability to activate the lumbar multifidus muscle during lumbar stabilization exercises (LSE). However, evidence of the effectiveness of this treatment approach in individuals with non-specific chronic low back pain (NCLBP) is still limited. The purpose of this study is, therefore, to determine the effectiveness of LSE with RUSI biofeedback on lumbar multifidus muscle cross-sectional area in individuals with NCLBP. Methods/Design This study is a prospective, single-center, assessor-blind, three-arm, parallel randomized controlled trial to be conducted at National Orthopedic Hospital, Kano State, Nigeria. Ninety individuals with NCLBP will be randomized in a 1:1:1: ratio to receive LSE, LSE with R...
Iranian Rehabilitation Journal, 2021
Objectives: To overcome the inherent limitations of the medical and social models of disability, ... more Objectives: To overcome the inherent limitations of the medical and social models of disability, the World Health Organization developed the first international conceptualization of disability: the International Classification of Functioning, Disability, and Health (ICF). Despite the ICF’s robustness, it is still underutilized in research and practice in Low- and Middle-Income Countries (LMICs). This article discusses the applications, strengths, limitations, and unique considerations when using the ICF to explore disabilities in LMICs like Nigeria. Methods: A literature search was conducted in Medline, CINAHL, Web of Science, AMED, and Google Scholar. Articles were selected if they reported on any of the development, structure, applications, strengths, and limitations of the ICF. The review draws from the selected articles using a narrative discussion. Results: The literature search yielded 22 articles that met the eligibility criteria. The ICF is a classification of components of ...
PLoS ONE, 2021
Introduction Negative attitudes and beliefs about low back pain (LBP) can lead to reduced functio... more Introduction Negative attitudes and beliefs about low back pain (LBP) can lead to reduced function and activity and consequently disability. One self-report measure that can be used to assess these negative attitudes and beliefs and to determine their predictive nature is the Back Beliefs Questionnaire (BBQ). This study aimed to translate and cross-culturally adapt the BBQ into Hausa and assess its psychometric properties in mixed urban and rural Nigerian populations with chronic LBP. Methods The BBQ was translated and cross-culturally adapted into Hausa (Hausa-BBQ) according to established guidelines. To assess psychometric properties, a consecutive sample of 200 patients with chronic LBP recruited from urban and rural clinics of Nigeria completed the questionnaire along with measures of fear-avoidance beliefs, pain catastrophizing, functional disability, physical and mental health, and pain. One hundred of the 200 patients completed the questionnaire twice at an interval of 7–14 d...
PLoS ONE, 2021
[This corrects the article DOI: 10.1371/journal.pone.0249370.].