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This study examined the awareness, attitude, belief, and utilization of physiotherapy services (PS) in a Nigerian sample. This was a cross-sectional survey involving 885 adult residents of Nnewi in southeastern Nigeria. Awareness of physiotherapy existence was high (61.8%). Many of the respondents (29.7%) got their information about physiotherapy from hospitals and 20.8% thought that government should be responsible for creating awareness about physiotherapy. The majority of respondents (89.6%) felt they needed to know more about physiotherapy while 56% felt their current knowledge about physiotherapy was enough to advise others on PS. Almost all the participants (93%) thought that physiotherapy should be in all hospitals, while 41.3% and 35.6% respectively reported physiotherapy to be always and sometimes effective. Of those who had received physiotherapy, 22.7% and 20.2% felt satisfied and impressed respectively. The majority of respondents (70.5%) claimed they would recommend PS, and 61.1% stated that they would prefer PS to indigenous health services (IHS). Out of these, 43.2% claimed they would discourage the use of IHS. In terms of cost effectiveness, 44.8% preferred physiotherapy to IHS. Ignorance (38.7%) was the most frequently reported reason for preferring IHS to physiotherapy. IHS was reported to have done more harm than good 55-99% of the time (31.8%). Awareness of physiotherapy existence was fair. Participants showed positive belief and attitude, and utilization was high. There is however still a need to raise awareness about physiotherapy and its existence. [ABSTRACT FROM AUTHOR]

Introduction: Through interviews with 148 older persons from four countries and in four languages, the content for a 17-item measure of active living was developed. The purpose of this paper is to present further evidence of the extent to which this new measure, Older Persons Active Living (OPAL), is "fit-for-purpose" for measuring the extent of active living at one point in time., Methods: A cross-sectional study was carried out on a population aged 65 + and living independently, drawn from a participant panel, HostedinCanada, sampling people from Canada, United States, United Kingdom, and Netherlands. The survey instrument comprised the OPAL questionnaire rated on importance and frequency, sociodemographics, and information on physical and mental function. The argument-based approach to validity framed the analyses. Logistic regression, structural equation modeling, ordinary least-squares regression, and correlation were used to generate estimates for parameters underpinning validity evidence., Results: A total of 1612 people completed the survey, 100 to 400 people across the 6 country-language strata. The proportion of people rating the items as extremely or quite important ranged from 60 to 90%, with no important differences between men and women and few differences between strata. A single-factor structure was supported. The ordinality of the response options justified an additive total score yielding a near normal distribution (mean: 33.1; SD: 11.5; range 0-51). Correlations with other measures of converging constructs were of moderate strength (~ 0.50), and differences across groups known to affect functioning and health were observed, suggesting a Miminal Important Difference (MID) of 6 out of 51., Conclusion: The results of this study provide evidence that the 17-item OPAL measure is fit for the purpose of estimating the extent to which older persons are living actively at one point in time., (© 2024. The Author(s), under exclusive licence to Springer Nature Switzerland AG.)

Background: In Nigeria, there is a disparity among physiotherapists regarding therapeutic exercise as a core treatment for patients with knee osteoarthritis (OA). The attitudes and beliefs of physiotherapists could influence this., Objective: To investigate Nigerian physiotherapists' knowledge, attitude, and utilisation of evidence-based therapeutic exercises., Design: A mixed-method of cross-sectional survey and focus group discussion., Setting: Secondary and tertiary health institutions in Nigeria., Participants: Physiotherapists consecutively sampled from the selected institutions., Main Outcome Measures: Participants' knowledge, attitude and utilisation of evidence-based therapeutic exercises for the management of knee OA., Results: This study revealed that 81% of physiotherapists in Nigeria had a fair knowledge of evidence-based practice and the efficacy of therapeutic exercises in managing knee OA. Despite this fair knowledge, 95.3% had a poor attitude. The important emerging categories/themes are treatment preference, clinical experience, and strength of evidence., Conclusion: Physiotherapists in Nigeria have a fair knowledge of evidence-based therapeutic exercises in managing patients with knee OA, although there is a poor attitude and disparity between the use and current recommendations., Funding: The research received no funding from a commercial or non-profit organisation., Competing Interests: Conflict of interest: None reported, (Copyright © The Author(s).)

Background: Knee Osteoarthritis is the most commonly affected joint among Africans. There is a shred of preliminary evidence that a high body mass index (BMI) is associated with high kinesiophobia. Little is known about the relationships of psychosocial factors such as Kinesiophobia, Pain Catastrophizing (PC), Self-Efficacy (SE), and BMI among Nigerians with knee OA., Objective: This study aims to determine the relationships between BMI and selected psychosocial factors (kinesiophobia, pain catastrophizing, and self-efficacy) among individuals with knee OA in Nigeria., Methods: Seventy-seven consecutively sampled patients diagnosed with knee OA from three selected public hospitals in Enugu, South-East Nigeria, participated in this cross-sectional survey. Brief Fear of Movement Scale for Osteoarthritis (BFMSO), Pain Catastrophizing Scale (PCS), and Arthritis Self-Efficacy Scale-8 item (ASES-8 item) were used to assess Kinesiophobia, PC, and SE, respectively. Also, a stadiometer and weighing scale were used to determine height and weight respectively. Data were analyzed using Pearson's correlation coefficient at p < 0 . 05 and multiple linear regression., Results: Participants were aged 58 . 04 ± 12 . 46 years. Female participants had a higher BMI ( 31 . 51 ± 6 . 82 ) than the males ( 26 . 86 ± 3 . 03 ). The mean scores for BMI of the right knee, left knee, and bilateral knees were 29 . 00 ± 5 . 35 , 24 . 78 ± 3 . 74 , and 33 . 02 ± 6 . 80 , respectively. Significant positive correlations were found between BMI and PC ( r = 0 . 35 ) whereas significant negative correlations existed between BMI and SE ( r =- 0 . 30 ). Significant predictive markers of BMI were PC ( β = 0 . 21 ) and SE ( β =- 0 . 89 )., Conclusion: Body mass index, PC, and SE correlate significantly in individuals with knee OA. The results call for the routine integration of psychologically-informed physiotherapy practice in the management of knee OA., Competing Interests: None declared., (© 2022, Hong Kong Physiotherapy Association.)

Background: Little is known about the correlates between pain intensity (PI) and physical function (PF) and psychosocial factors {kinesiophobia (K), Pain Catastrophizing (PC) and Self-efficacy (SE)} among patients diagnosed with knee osteoarthritis in developing countries like Nigeria., Objective: To investigate the correlates of PI and PF and psychosocial factors in patients with knee osteoarthritis in Nigeria., Design: Eighty-nine consecutively sampled patients diagnosed with knee osteoarthritis from three selected public hospitals in Enugu, South-East Nigeria, participated in this cross-sectional survey., Method: Brief Fear of Movement Scale for Osteoarthritis, Pain Catastrophizing Scale and Arthritis Self-Efficacy Scale-8 item were used to assess kinesiophobia, pain catastrophizing and Self-efficacy respectively. Visual Analogue Scale and Ibadan Knee or Hip Osteoarthritis Measure were used to assess PI and PF respectively. Data were analysed using Pearson's correlation coefficient and multiple regression at p = 0.05., Results/findings: Participants were aged 59.11 ± 12.46years involving male (17.9%) and female (82.1%) participants. There were no significant gender differences in the scores of kinesiophobia, PI, PF, PC and self-efficacy. Pain intensity was significantly proportional to kinesiophobia (r = 0.38), and PC(r = 0.39). Better physical function was associated with high self-efficacy (r = 0.35), low kinesiophobia (r = -0.43) and low PC(r = -0.28). Significant predictive markers of PI included kinesiophobia (β = 0.24) and PC(β = 0.11) while that of PF, included kinesiophobia (β = -0.41) and SE(β = 2.39)., Conclusions: Kinesiophobia and pain catastrophizing correlate and predict PI significantly. Kinesiophobia and SE are significant correlates and predictors of PF among patients with knee osteoarthritis in Nigeria., (Copyright © 2018 Elsevier Ltd. All rights reserved.)