DSpace Community: Department of Physiotherapy

Psychosocial Stress Among Patients With Type 2 Diabetes: Habitual Physical Activity as a Promising Moderator

2025-06-02T10:03:04Z

Title: Psychosocial Stress Among Patients With Type 2 Diabetes: Habitual Physical Activity as a Promising Moderator Authors: Adeniyi, A.F.; Ogwumike, O.O.; Kolawole, E.B.; Fasanmade, A.A. Abstract: Psychosocial stress is a disabling condition and is common among people with diabetes mellitus in view of the complexity of the disorder. It is however not clear if the psychosocial stress has any link with habitual physical activity, which is an important component in the care of people with diabetes. This study was conducted to investigate the likely connection between habitual physical activity and psychosocial stress among people with type 2 diabetes. A total of 193 adults with type 2 diabetes took part in this study. Psychosocial stress was assessed using the Revised Questionnaire on Stress in patients with Diabetes (QSD-R) while physical activity was assessed using the Baecke Habitual Physical Activity Questionnaire. Data were analysed using descriptive and inferential statistics at p < .05. The mean age of the participants was 58.76 ± 14.27 years with mean duration of diagnosis being 6.41 ± 4. 51 years. With a mean score of 2.8, work activity was the main source of physical activity for the patients with the least activity index of 1.2 coming from sports participation. Hypoglycaemia and self-medication/diet were the most important sources of stress to the patients and the overall psychosocial stress was related to habitual physical activity (r = - .73, p = .002). Significantly, patients with higher physical activity index presented with lower psychosocial stress. Apart from the well-known improvement in glycaemic control, type 2 diabetes patients that participate more in physical activity may be able to reduce their psychosocial stress. Description: Article

Profile of Children with Cerebral Palsy Attending Outpatient Physiotherapy Clinics in Southwest Nigeria

2025-06-02T09:56:58Z

Title: Profile of Children with Cerebral Palsy Attending Outpatient Physiotherapy Clinics in Southwest Nigeria Authors: Ayanniyi, O; Abdulsalam, K.S. Abstract: Cerebral palsy (CP) is a major cause of childhood disability. The objective of this study was to investigate the causes, types, severity, history of pregnancy, delivery, maternal care, demographic and clinical characteristics of children with CP and their parents as seen in outpatient physiotherapy clinics of the selected hospitals in Southwest Nigeria. A cross-sectional survey of children with CP and their parents was conducted in twelve hospitals in Southwest Nigeria. Information about the participants was obtained from hospital case records, physical examination and interviews. Data were summarized using descriptive and Chi-square tests with Alpha level put at 0. 05. Two hundred and thirteen children with CP were seen, aged 18 months to 12 years, and most of them were male (59.2%). The majority (41.0%) of the mothers were in the age range of 28 to 33 years. Jaundice (39.9%), asphyxia (26.8%) and infection (17.4%) were the leading causes of CP and spastic CP was the most common type (81.7%). Quadriplegic CP presentation was predominant (67.1%), and leading co-morbidities were mental retardation (31%) and speech impairment (26.3%). About 50% of the children severely affected by CP fell within Levels 4 and 5 of the Gross Motor Function Classification System (GMFCS) of CP severity. It was concluded that cerebral palsy in Southwest Nigeria is mainly associated with jaundice, asphyxia and infections. Spastic cerebral palsy was most common and quadriplegic affectation was predominant. It is recommended that factors promoting perinatal problems should be curtailed. Description: Article

Interrelationship among physical activity, quality of life, clinical and sociodemographic characteristics in a sample of Nigerian patients with type 2 diabetes

2021-08-26T15:08:10Z

Title: Interrelationship among physical activity, quality of life, clinical and sociodemographic characteristics in a sample of Nigerian patients with type 2 diabetes Authors: Adeniyi, A.F.; Ogwumike, O.O.; Oguntola, D.A; Adeleye, J.O. Abstract: A number of complexities surround the health and well-being of patients with type 2 diabetes. These difficulties relate to self-care efforts and outcomes, and several other factors play regulatory functions. This study was carried out to investigate the inter-relationship among physical activity, quality of life, and clinical and sociodemographic factors in a group of Nigerian patients with type 2 diabetes. The study was conducted at the outpatient clinics of two major healthcare facilities in Ibadan, Southwest Nigeria. Physical activity was assessed using the International Physical Activity Questionnaire, and quality of life was assessed using the Diabetes Quality of Life Brief Clinical Inventory. Clinical and sociodemographic characteristics were also documented. A total of 227 patients with type 2 diabetes with a mean age of 55.83 ± 13.76 years took part in the study. A total of 156 (68.7%) of the participants, had low level of physical activity, while 81 (35.7%) reported quality of life scores below the intermediate score and hypertension was the mo 63 (27.8%) of the participants. Being 50 years and older (OR = 2.5; 95% CI = 1.21-3.67) increased the odds of having lower quality of life, while physical activity of moderate-to-high intensity reduced the odds (OR = 0.4; 95% CI = 0.2-0.8). A substantial proportion of patients with type 2 diabetes had below intermediate level quality of life, and most of them were physically inactive. Lower quality of life was also linked with sociodemographic and clinical variables but patients with moderate-to-high physical activity were likely to reduce by half the risk of poor quality of life.

EFFECTS OF McKENZIE AND LUMBAR STABILISATION PROTOCOLS ON SEXUAL DYSFUNCTION IN PATIENTS WITH CHRONIC MECHANICAL LOW BACK PAIN

2019-04-18T10:24:08Z

Title: EFFECTS OF McKENZIE AND LUMBAR STABILISATION PROTOCOLS ON SEXUAL DYSFUNCTION IN PATIENTS WITH CHRONIC MECHANICAL LOW BACK PAIN Authors: ADERIBIGBE, O. I. Abstract: Chronic Mechanical Low Back Pain (CMLBP) has been associated with sexual dysfunction (SD). This problem is often not included in the management of individuals with CMLBP. McKenzie and Lumbar stabilisation are well established protocols for managing LBP. However, effects on SD have not been well elucidated. This study was designed to investigate the comparative effects of McKenzie and Lumbar stabilisation protocols on SD in patients with CMLBP. The quasi-experimental study involved 61 (males=23, females=38) individuals with CMLBP and associated SD consecutively recruited from the orthopaedic and general outpatient clinics. University of Ilorin Teaching Hospital. Participants were randomly assigned to either McKenzie Protocol Group (MPG; males=11; females=20) or Lumbar Stabilisation Protocol Group (LSPG; males=12; females=18). The MPG received McKenzie exercises (extension in prone lying, standing and side gliding exercises). The LSPG received lumbar stabilisation exercises (isometric co-contraction in prone lying, crook lying, kneeling, sitting positions, closed and open chain kinetic exercises). Both groups received treatment twice weekly for eight consecutive weeks. Sexual function questionnaire was used to assess sexual variables in females; (Sexual Desire female [SDf], Lubrication, Orgasm, Sexual Satisfaction [SSf] and SD Total female [SDTf]) and males; (Sexual Desire ma1e [SDm], Erectile Dysfunction [ED], Ejaculation [Ej], Sexual Satisfaction [SSm] and SD Total male [SDTm]. Participants were assessed at baseline, 4th and 8th week of the study. Reduction from baseline scores signifies improvement in sexual dysfunction. Data were analysed using descriptive statistics and Student t - test at ex. 0.05. The ages of MPG (49.3±12.8 years) and LSPG (52.3± 10.5 years) were comparable. At baseline, sexual variables were comparable in MPG and LSPG. In Females SDf (4.30±0.7 vs 4.5±0.8); SSf (7.9±1.6 vs 8.12±1.3); Lubrication (9.3±2.2 vs 9.7±2.7); Orgasm (11.6±2.4 vs 11.8±2.1); SDTf (33.1±5.6 vs 34.1± 5.6); and for Males: SDm (3.6±1.3 vs 4.08±0.8); SSm (7.3±1.7 VS 7.46±1.3); ED (7.2±1.2 VS 7.5±2.2); Ej (7.7±2.2 VS 6.7±2.4); SDTm (25.7±3.9 VS 26.8±6.0) for MPG and LSPG respectively. At week four sexual variables were comparable in MPG and LSPG respectively: for Females SDf (3.7±0.8 vs 3.3±1.0); SSf (7.3±1.9 vs 8.4±7.0); Lubrication (8.0±2.2 vs 7.00±2.1); Orgasm (1.4±1.7 vs 10.1±1.8); SDTf (29.4±5.3 vs 28.8±9.0); for Males: SDm (2.9±1.1 vs 3.2± 1.0); SSm (6.0± 1.6 vs 5.6± 1.1); ED (6.1 ±1.0 vs 5.8±1.7; Ej (7.3±2.2 vs 6.0± 1.3) for MPG and LSPG. At week 8, LSPG had significant greater reduction in sexual dysfunction than MPG in SDf and SSf in females: SDf (3.4±0.8 vs 2.3± 1.2); SSf (6.2± 1.5 vs 5.1 ±1.2) respectively. However, MPG and LSPG had comparable effects on Lubrication; Orgasm and SDTf at week eight: Lubrication (6.7± 1.5 vs 6.3±2.0); Orgasm (9.6± 1.5 vs 9.0± 1.8) and SDTf (25.9±4.3 vs 22.8±5.8) for females. In Males, LSPG had a significant greater reduction in all the sexual variables than MPG at week 8, SDm (2.90± 1.0 vs 2.2±0.7); SSm (5.9±1.1 vs 4.3±0.8); ED (6. 1±1.2 vs 4.6± 1.1); Ej (7.3±1.9 vs 5.0±1.1); and SDTm (22.2±3.5 vs 15.9±3.5) respectively. This study observed that Lumbar stabilisation protocol resulted in greater improvement than McKenzie protocol in sexual dysfunction, sexual desire, sexual satisfaction and erectile dysfunction in patients with chronic mechanical low back pain. Description: A Ph,D thesis in the department of Physiotherapy. Faculty of Clinical Science, College of Medicine, University of Ibadan.