Knowledge, practices and perceived barriers of physiotherapists involved in disaster management: a cross-sectional survey of Nigeria-based and trained physiotherapists.

BACKGROUND: Disasters represent substantial health risks to the human population. Proper interventions at all stages of disaster management (DM) are essential for human-related outcomes. The role of physiotherapy in DM should not be underestimated, but unfortunately information on the involvement of physiotherapists in DM is limited in sub-Saharan Africa. METHODS: One hundred and fifty Nigeria-based and trained physiotherapists were recruited to complete a questionnaire investigating the knowledge, practices and perceived barriers of the role of physiotherapists in DM. RESULTS: Physiotherapists had moderate knowledge of their role at every stage of DM. However, their involvement in specific DM-related activities during various stages of DM in the country was low. Major barriers to the involvement of physiotherapists in DM included a lack of established government policies on the integration of physiotherapists in DM (90.0%) and a lack of specialty clinical practice areas in DM (89.3%). For improved involvement of physiotherapists in DM in Nigeria, respondents recommended creating an awareness of the role of physiotherapists in DM (91.3%), providing continuous education programmes on DM (90.6%) and inclusion of DM in physiotherapy training programmes in Nigeria (90.0%). CONCLUSION: Physiotherapists perceived that they are not adequately involved in DM in Nigeria, despite their moderate knowledge of their role during DM.

Pulmonary functions of commercial tricyclists (Keke Napep riders) in Enugu State, Nigeria.

BACKGROUND: Tricyclists are continuously exposed to vehicle emissions and other environmental pollutants, due to the nature of their job and vehicle design, which may be hazardous to health. However, there is paucity of data on the pulmonary functions of commercial tricyclists in Nigeria, which should have provided insight into any relevant health concerns in this population, hence this study. OBJECTIVES: This study evaluated the pulmonary functions of tricyclists, in comparison with those of age-matched non-tricyclists. METHODS: Two hundred and ten (210) [150 commercial tricyclists; 60 non-tricyclists] males (aged 20-65 years) participated in this unmatched case-control study in Enugu, Enugu state, Nigeria. Their pulmonary functions [Forced Vital Capacity (FVC), Forced Expiratory Volume in one second (FEV1), Peak Expiratory Flow Rate (PEFR)] were assessed using a computerized spirometer. Independent T-test and Pearson Chi-square were used to analyze data at a significant level of P<0.05. RESULTS: Cough (46.0%) and dust allergies (40.7%) were the commonest reported respiratory symptoms among tricyclists. There were significant differences in the FVC (P<0.001), FEV1 (P<0.001) and PEFR (P<0.001) between the two groups, with tricyclists showing lower pulmonary function values. FEV1/FVC was <70% with increased FVC in 83.3% of the tricyclists, suggesting restrictive pulmonary abnormalities. CONCLUSION: Decreased pulmonary function values of commercial tricyclists in this study is suggestive of their predisposition to occupation-related pulmonary disorders, particularly the restrictive patterns.

Association of tibiofemoral angle, quadriceps angle and body mass index in a selected adolescent population.

BACKGROUND: Tibiofemoral angle (TFA) and quadriceps angle (QA) are important in the evaluation of patients with knee pathologies associated with these angles. OBJECTIVES: This study investigated correlations among TFA, QA and body mass index (BMI) among Nigerian adolescent population. METHODS: A total of 519 (262 males and 257 females) adolescents aged between 10-18 years selected by stratified random sampling technique from some randomly selected schools in Nnewi metropolis. This study utilised the cross-sectional survey design. A height meter and bathroom weighing scale were used to collect data for BMI while a universal plastic goniometer was used to measure TFA and QA. Independent t- test, paired t-test and Pearson Product Moment Correlation were used to analyse the data obtained. RESULTS: Findings of this study showed there was significant difference between right and left QA of males (t= 2.824; p= 0.005), and females (t= -2.012; p= 0.045) with the right QA been higher than the left in both males and females. Males have a higher TFA and QA (p<0.05 in all cases) than females. A significant negative correlation was found between BMI and right TFA (p=0.034), and between TFA and QA (p= <0.0001). CONCLUSION: TFA positively significantly correlated with QA, with males having higher QA and TFA than females. The obtained information is important in the assessment and management of knee pathologies associated with these angles.