Olubukola Olaleye - Academia.edu (original) (raw)

Papers by Olubukola Olaleye

African Journal of Health Sciences, 2020

Frontiers in rehabilitation sciences, Feb 21, 2023

Background: Use of standardized tools to assess balance and mobility limitations is a recommended... more Background: Use of standardized tools to assess balance and mobility limitations is a recommended practice in stroke rehabilitation. The extent to which clinical practice guidelines (CPGs) for stroke rehabilitation recommend specific tools and provide resources to support their implementation is unknown. Purpose: To identify and describe standardized, performance-based tools for assessing balance and/or mobility and describe postural control components challenged, the approach used to select tools, and resources provided for clinical implementation, in CPGs for stroke. Methods: A scoping review was conducted. We included CPGs with recommendations on the delivery of stroke rehabilitation to address balance and mobility limitations. We searched seven electronic databases and grey literature. Pairs of reviewers reviewed abstracts and full texts in duplicate. We abstracted data about CPGs, standardized assessment tools, the approach for tool selection, and resources. Experts identified postural control components challenged by each tool. Results: Of the 19 CPGs included in the review, 7 (37%) and 12 (63%) were from middleand high-income countries, respectively. Ten CPGs (53%) recommended or suggested 27 unique tools. Across 10 CPGs, the most commonly cited tools were the Berg Balance Scale (BBS) (90%), 6-Minute Walk Test (6MWT) (80%), Timed Up and Go Test (80%) and 10-Meter Walk Test (70%). The tool most frequently cited in middle-and high-income countries was the BBS (3/3 CPGs), and 6MWT (7/7 CPGs), respectively. Across 27 tools, the three components of postural control most frequently challenged were underlying motor systems (100%), anticipatory postural control (96%), and dynamic stability (85%). Five CPGs provided information in varying detail on how tools were selected; only 1 CPG provided a level of recommendation. Seven CPGs provided resources to support clinical implementation; one CPG from a middle-income country included a resource available in a CPG from a high-income country. Conclusion: CPGs for stroke rehabilitation do not consistently provide recommendations for standardized tools to assess balance and mobility or resources to facilitate clinical application. Reporting of processes for tool selection and recommendation is inadequate. Review findings can be used to inform global efforts to develop and translate recommendations and resources for using standardized tools to assess balance and mobility post-stroke.

Ethiopian journal of health sciences, Feb 6, 2017

BACKGROUND: There appears to be a dearth of published literature on the biopsychosocial predictor... more BACKGROUND: There appears to be a dearth of published literature on the biopsychosocial predictors of community reintegration (CR) among stroke survivors. This study aims to investigate the clinical and psychosocial predictors of CR among stroke survivors three months post in-hospital discharge. METHODS: Fifty-two stroke survivors took part in this prospective exploratory study. The participants' clinical attributes of motor function (MF), balance (Bal) and psychosocial characteristics of Fall Self-Efficacy (FSE), Balance Self-Efficacy (BSE), Self-Esteem (SEst) and Social Support (SS) were assessed pre-discharge and at three months post-discharge. CR was also assessed at three months post-discharge. Data were analyzed using paired t-test, Pearson's Moment correlation and multiple regressions. Level of significance was set at p = 0.05 RESULTS: The mean age of the participants was 61.21±11.25 years with mean hospital length of stay of 5.31±3.71weeks. There were significant differences in the mean MF, Bal, FSE, BSE, SEst and SS scores of the participants pre-and post-discharge (p < 0.05). Also, there was a significant correlation between CR and each of MF, Bal, FSE, BSE, SEst and SS. Pre-discharge Age (β =-0.226, p = 0.001) and FSE (β = 1.387, p = 0.040) significantly predicted CR. Post-discharge age (β =-0.164, p = 0.005) and Bal (β = 0.142, p = 0.048). FSE (β = 1.243, p = 0.034) also significantly predicted CR. CONCLUSION: Age, Bal and FSE are important predictors of CR among stroke survivors. Therefore, rehabilitation programmes should focus on improving Bal and FSE in order to enhance community reintegration among stroke survivors.

African journal of medicine and medical sciences, 2015

BACKGROUND Wheelchairs provide individuals with mobility impairments opportunity for independent ... more BACKGROUND Wheelchairs provide individuals with mobility impairments opportunity for independent living within their environment. However, using this device may have psychosocial impacts with consequent influence on the quality of life of the users. The psychosocial impact of wheelchair usage among individuals with mobility disability in a Nigerian community was investigated. METHODS The study is a descriptive cross-sectional survey. People who have been independent users of wheelchair for a minimum of six months prior to the study were recruited from centres for people with disabilities in Ibadan, Nigeria into the study. A profile of their use of the device was documented and the psychosocial impact of wheelchair was assessed using the Psychosocial Impact ofAssistive Devices Scale. Data were analysed using descriptive and inferential statistics at p = 0.05. RESULTS Sixty consenting individuals with mobility disability participated in this study. Their mean age was 38.7 +/- 14.1 yea...

Journal of Interprofessional Care

Physiotherapy is often regarded as a second-contact health service suitable only for secondary an... more Physiotherapy is often regarded as a second-contact health service suitable only for secondary and tertiary health facilities that are usually located in urban centres. Yet many patients who require the professional services of a physiotherapist are unable to access it either as a result of non-availability of physiotherapy centres and or nonaffordability by the populace occasioned by cost and distance to location of the health facilities. Attempts at correcting this anomaly has resulted in health policy focus shift from institution to community care. Bringing physiotherapy closer to the doorsteps of those who need it in low income societies can be ensured through its inclusion in primary health care models. The relevance of primary health care physiotherapy model in promoting health of the population and the feasibility of this model are discussed, with particular reference to low income societies such as Nigeria.

Ethiopian Journal of Health Sciences, 2014

BACKGROUND: Stroke is not gender-discriminatory. Yet, the subject of stroke among females has app... more BACKGROUND: Stroke is not gender-discriminatory. Yet, the subject of stroke among females has apparently not received significant attention from clinical researchers. The consequences of stroke include functional and psychosocial sequelae which may cause disability, hinder community reintegration and restrict participation. The interrelationships among functional ability, community reintegration and participation restriction of community-dwelling, female stroke survivors in Ibadan were assessed in this descriptive study. METHODS: Fifty-two community-dwelling female stroke survivors (mean age = 56.55±9.91 years) were surveyed using consecutive sampling technique. Their functional ability level was measured using the Functional Independence Measure (FIM) while London Handicap Scale (LHS) was used to assess their participation restriction. Data were analyzed using Spearman Rank Correlation Coefficient (rho) and Mann-Whitney U test at p = 0.05. RESULTS: Significantly positive correlations (p< 0.05) were found between functional ability and community reintegration (r = 0.54; p = 0.01) as well as between participation restriction and community reintegration (r = 0.34; p = 0.05). Individuals with left hemiplegia had significantly higher mean rank scores in functional ability (30.41) than those who had right hemiplegia (mean rank scores = 21.94). CONCLUSION: Functional ability which appears to be related to stroke laterality showed positive association with both community reintegration and participation restriction. This suggests that improving the functional ability of the stroke survivors may reduce participation restriction and enhance their reintegration into the community. A similar study which compares male and female stroke survivors in the same community is thus necessary.

Physiotherapy Theory and Practice

African Journal of Neurological Sciences, 2020

Background: Traumatic Spinal Cord Injury (TSCI) is a costly condition in human and economic terms... more Background: Traumatic Spinal Cord Injury (TSCI) is a costly condition in human and economic terms. Yet, studies on direct cost of treatment for TSCI in resource-constraint countries are sparse.

Medical journal of Zambia, Jun 9, 2017

Ethiopian Journal of Health Sciences, 2017

There appears to be a dearth of published literature on the biopsychosocial predictors of communi... more There appears to be a dearth of published literature on the biopsychosocial predictors of community reintegration (CR) among stroke survivors. This study aims to investigate the clinical and psychosocial predictors of CR among stroke survivors three months post in-hospital discharge. Fifty-two stroke survivors took part in this prospective exploratory study. The participants' clinical attributes of motor function (MF), balance (Bal) and psychosocial characteristics of Fall Self-Efficacy (FSE), Balance Self-Efficacy (BSE), Self-Esteem (SEst) and Social Support (SS) were assessed pre-discharge and at three months post-discharge. CR was also assessed at three months post-discharge. Data were analyzed using paired t-test, Pearson's Moment correlation and multiple regressions. Level of significance was set at p = 0.05. The mean age of the participants was 61.21±11.25 years with mean hospital length of stay of 5.31±3.71weeks. There were significant differences in the mean MF, Bal,...

The South African Journal of Physiotherapy, 2021

Background Knowledge of the specific expectations of patients with neurological conditions (NCs) ... more Background Knowledge of the specific expectations of patients with neurological conditions (NCs) from rehabilitation helps in setting attainable goals. Such expectations may vary from situation to situation. There are no studies investigating rehabilitation expectations amongst individuals with NCs in Nigeria. Objectives The aim of our study was to explore the rehabilitation expectations of individuals with NCs. Method This convergent mixed-methods study comprised a cross-sectional survey of 105 individuals with NCs and two sessions of Focus Group Discussions (FGDS) amongst eight individuals with NCs. The modified Needs Assessment Questionnaire was used to assess rehabilitation needs as a proxy for rehabilitation expectations, whilst disability was assessed using the World Health Organization Disability Assessment Schedule 2.0. Quantitative data were summarised using descriptive statistics and analysed using inferential statistics at p < 0.05. Thematic analysis was conducted on t...

Background: Many of the consequences of stroke affect not only the stroke survivor but also the i... more Background: Many of the consequences of stroke affect not only the stroke survivor but also the informal caregiver. Most studies on informal stroke caregive rs in literature are on the effects of care giving on the physical, emotional and psychological well-being of these carers. Considering the important role infor mal caregivers play in the rehabilitation process of th e stroke survivor, there is the need to consider th eir views and expectations from care received by their care recip ients. Objectives: This study investigated the satisfaction of informa l stroke caregivers with healthcare services being received by their care recipients in a tertiary hos pital in Ibadan. Methodology : Fifty consenting informal caregivers (12 males, 3 8 females) of stroke survivors receiving in-patient care on the medical wards of a tertiary healthcare facil ity participated in this cross sectional survey. A self-developed, 3-part questionnaire adapted from the Caregivers’ Satisfac tion with Strok...

Purpose: Patients’ satisfaction with care is a measure of the quality of healthcare services rece... more Purpose: Patients’ satisfaction with care is a measure of the quality of healthcare services received and a predictor of their adherence to treatment schedule as well as compliance with recommended regime. The importance of understanding factors associated with satisfaction of stroke survivors with outpatient physiotherapy services necessitated this study. Relevance: Patients receiving physiotherapy care, like other health services, tend to demand value-for-money-and-time now more than ever from their health providers. Hence it is pertinent to examine post-stroke individuals’ satisfaction with physiotherapy. This is with a view of improving the quality of services being received by the patients. Participants: Sixty stroke survivors who were not aphasic and had no cognitive impairments were recruited for the study. Methods: A mixed methods technique using qualitative and quantitative data was used. Quantitative data was collected using a socio-demographic questionnaire, the Physical ...

Purpose: This randomized controlled clinical trial evaluated the feasibility of using a primary h... more Purpose: This randomized controlled clinical trial evaluated the feasibility of using a primary health centre for the rehabilitation of community-dwelling stroke survivors. Relevance: Conventionally, stroke survivors receive physiotherapy in hospital settings and their homes. This conventional approach is becoming increasingly expensive, inaccessible and fraught with shortfalls in service provision. This study has shown that Primary Health Centres (established to offer cost–effective health services close to patients’ homes) could be successfully used for rehabilitation of chronic stroke survivors. Methods: Fifty-two consecutively recruited, first incident stroke survivors participated in the study. They were randomly assigned into either the Primary Health Care Group (PHCG, n=25) or the Home Group (HG, n=27). Participants in the PHCG were treated at a primary health centre while those in the HG were treated in their individual homes. Treatment was twice weekly for 10 consecutive we...

Proceedings of the 21st Congress of the International Ergonomics Association (IEA 2021)

Journal of the Nigeria Society of Physiotherapy

Ambulation is a common goal of stroke rehabilitation that is often linked to lower limb spasticit... more Ambulation is a common goal of stroke rehabilitation that is often linked to lower limb spasticity. This study was conducted to investigate the relationship between paretic lower limb spasticity and functional ambulation after stroke. Thirty stroke survivors (19 males) aged 57.77 ± 9.52 years participated in this correlational cross-sectional study. Spasticity of the paretic lower limb was assessed using the Modified Tardieu Scale. Functional ambulation performance was assessed using the Emory Functional Ambulation Profile (E-FAP). Data were analyzed using Pearson's product moment correlation and stepwise regression analysis at p = 0.05. Spasticity was highest in the ankle plantaflexors (253.20 ± 32.62°). There was a significant relationship between spasticity of the affected lower limb and functional ambulation performance (r=0.61; p<0.05). Stepwise regression analysis indicated that only spasticity of the ankle plantaflexors predicted functional ambulation. Spasticity of the paretic ankle plantaflexors has discriminative power for predicting functional ambulation. This underscores the need for focused rehabilitation aimed at reducing spasticity of ankle plantaflexors for improved functional ambulation among stroke survivors.

International Journal of Therapy and Rehabilitation

Background/Aims Literature suggests that aerobic exercise improves cognitive impairments post str... more Background/Aims Literature suggests that aerobic exercise improves cognitive impairments post stroke. This systematic review was conducted to analyse evidence on the effectiveness of aerobic exercise in improving post-stroke cognitive impairments. Methods Online databases (PubMed, EMBASE and Web of Science) were systematically searched from inception until 13 July 2017 using the keywords stroke/exercise/cognition. Clinical trials that met the inclusion criteria were assessed for methodological quality using the PEDro scale. Extracted data were synthesised for evidence. Results A total of seven studies met the inclusion criteria. Participants in most of the studies were aged over 60 years and the majority had ischaemic stroke. The most commonly used measure for assessing cognition was the Mini Mental State Examination. The majority of studies included moderate to high intensity exercise (50–70% of VO2max) for 30–60 minutes three to five times per week. There is moderate evidence that...

European Journal of Physiotherapy

Nigerian Journal of Medical Rehabilitation

Rehabilitation after stroke is a process that plays an important role in improving and / or enhan... more Rehabilitation after stroke is a process that plays an important role in improving and / or enhancing recovery beyond what would have occurred spontaneously. The choice of environment for provision of rehabilitation services, mode of organisation and delivery of services are pertinent to the outcome of rehabilitation. Yet limited information exists on the best way to organise stroke rehabilitation and the relative cost of such services. The involvement and empowerment of patients are inherent and integral to the rehabilitation process. Health policy should therefore be directed at the adoption of rehabilitation settings that stimulate the involvement of patients in their own rehabilitation process and at an affordable cost.