DEPARTMENT OF PHYSIOTHERAPY

Background: Stroke is a major cause of motor impairment, death and disability globally. It often results in spastic hemiplegia due to upper motor neuron lesions, hindering activities of daily living. Clinical evidence shows that functional electrical stimulation facilitates neuromuscular re-education through electrical impulses, thus, enhancing motor recovery, improving muscle strength and promoting functional independence post-stroke. Aim: The aim of this study is to determine the effectiveness of functional electrical stimulation on spasticity among spastic hemiplegic stroke survivors in UBTH. Methods: Simple random sampling technique was used to select 2 groups of participants; experimental and control group. A sample size of 40 participants was recruited for this study, and the FES device, MAS, MRS, FIM and demographic questionnaire was used to obtain data. Descriptive statistics of frequency and percentage distribution and inferential statistics of one way anova was used to summarize the data. Alpha level was 0.05. Results: The study demonstrated a significant reduction in upper limb spasticity following Functional Electrical Stimulation, with participants in the experimental group showing better spasticity reduction and improves activities of daily living than those receiving conventional therapy alone. Thus, confirming the clinical effectiveness of FES in modulating abnormal muscle tone among post-stroke survivors. Conclusion: The integration of FES into physiotherapy practice enhanced ADL and upper limb spasticity. Hence, is a reliable tool in post stroke rehabilitation, fostering neuro plasticity recovery and improved quality of life. Key words: Functional electrical stimulation, spasticity, stroke.

Background : Physical activity (PA) is crucial for reducing non-communicable diseases and enhancing quality of life among older adults, yet participation remains low, particularly in Nigeria, where inactivity rates reach over 63% among those aged 75–79. Limited context- specific research exists on barriers, benefits, and facilitators of PA among older adults in Benin City. Aim : This study aimed to investigate the perceived barriers, benefits, and facilitators of PA among older adults in Benin City, Nigeria. Method: A mixed-method cross-sectional design was employed, involving 400 community- dwelling adults aged 60 and above in Egor Local Government Area. Data were collected using the Exercise Benefits and Barriers Scale (EBBS) and qualitative interviews. Descriptive statistics, t-tests, and ANOVA analyzed quantitative data, while thematic analysis explored qualitative responses. Results: Key barriers included exercise milieu (e.g., inaccessible facilities) and physical exertion (e.g., fatigue), while facilitators encompassed life enhancement (e.g., improved daily functioning) and psychological well-being (e.g., reduced stress). Education and marital status significantly influenced EBBS scores (p<0.05), unlike age, gender, or socioeconomic status. Conclusion: Older adults in Benin City recognize PA’s benefits but face environmental and physical barriers. Tailored interventions addressing infrastructure, health literacy, and social support are essential for promoting active aging.

Background: Knee osteoarthritis (OA) is a prevalent degenerative joint disease, particularly affecting the elderly, and significantly impacts both quality of life (QoL) and physical activity (PA) levels. The disease, marked by pain, joint stiffness, and mobility limitations, can exacerbate physical and psychological distress in older adults. Despite its widespread impact, there is limited research on how knee OA affects these dimensions among elderly populations in Nigeria. Aims: This study aimed to evaluate the impact of knee osteoarthritis on QoL and physical activity levels among elderly outpatients at the University of Benin Teaching Hospital. Methods: A cross-sectional descriptive study was conducted on 50 elderly patients (aged 60 and above) diagnosed with knee osteoarthritis. QoL was measured using the WHOQOL-BREF, physical activity levels were assessed using the Physical Activity Scale for the Elderly (PASE), and pain intensity was evaluated with the Numerical Pain Rating Scale (NPRS). Data were analyzed using descriptive and inferential statistics, including chi-square tests and MannWhitney U tests. Results: The majority of respondents (64%) reported low QoL, with high levels of physical activity observed in 88% of participants. Pain intensity varied, with 40% of participants experiencing severe pain. No significant differences were found between male and female respondents in terms of QoL, physical activity, or pain intensity ( p=0.565; p=0.230; p=0.012 respectively). Furthermore, no no significant association were found between age and each of QoL ,physical activity levels and pain intensity(p=0.409;p=0.620;p=0.059 respectively) Conclusion: This study revealed that elderly patients with knee osteoarthritis experience low quality of life and generally high physical activity levels, with mild-to-severe variations in pain intensity. Furthermore, no statistically significant associations were found between age and each of QoL, physical activity and pain intensity Keywords: Knee osteoarthritis, elderly, quality of life, physical activity, pain.

Background/Aim: Low back pain (LBP) is a common musculoskeletal problem during pregnancy, often contributing to functional limitations and reduced quality of life. This study aimed to determine the prevalence of low back pain, identify associated risk factors and assess its impact on functional activities among pregnant women attending the antenatal clinic at the University of Benin Teaching Hospital (UBTH). Methodology: A cross-sectional study was conducted among pregnant women attending the antenatal clinic at UBTH. Data were collected using a structured selfadministered questionnaire comprising sociodemographic information, obstetric history, potential risk factors, the Nordic Musculoskeletal Questionnaire and the Oswestry Disability Index (ODI) to assess functional limitation. Descriptive VWDWLVWLFV VXPPDUL]HG SDUWLFLSDQWV¶ VRFLRGHPRJUDSKLF GDWD ZKLOH LQIHUHQWLDO statistics (Chi-square tests) examined associations between LBP and potential risk factors. The level of significance was set at p < 0.05. Results: The prevalence of low back pain among the study population was 58% in the last 7 days, indicating a moderate occurrence during pregnancy. The risk factors associated with LBP were prolonged standing, physically demanding work, poor ergonomic postures, stress frequency and the feeling of anxiety (p < 0.05). The majority of participants experienced mild to moderate disability as measured by the ODI. Conclusion: Low back pain is prevalent among pregnant women at UBTH and is influenced by multiple physical and occupational factors. The condition moderately affects functional activities and daily living. Awareness, early physiotherapy intervention and ergonomic education during antenatal care are recommended to minimize its impact.

Background: Spinal pain (SP), encompassing low back, neck, and upper back discomfort, is a prevalent musculoskeletal problem among healthcare professionals and students. Clinical postings expose Basic Medical Sciences students to physically demanding tasks such as prolonged standing, awkward postures, and repetitive patient handling, predisposing them to SP. Despite its burden, limited research has examined its prevalence and associated factors among students across different health disciplines in Nigeria. Aim: This study aimed to evaluate the prevalence, pattern, contributing factors, coping strategies, and functional limitations related to spinal pain among Basic Medical Sciences students during clinical postings at the University of Benin. Methods: A cross-sectional descriptive study was conducted among 351 students from Physiotherapy, Nursing, Radiography, and Medical Laboratory Science departments. Data were collected using a structured questionnaire that included sociodemographic characteristics, spinal pain prevalence (12-month and 7-day recall), and the Spinal Functional Index (SFI). Data were analyzed using descriptive and inferential statistics, with significance set at p < 0.05. Results: The 12-month prevalence of lower back pain, upper back pain, and neck pain was 51.9%, 12.5%, and 21.4%, respectively. Within the past 7 days, prevalence rates were 42.2%, 14.8%, and 17.1%. Physiotherapy and Nursing students reported the highest occurrence of spinal pain. Although 20.5% of respondents sought medical care or missed activities due to pain, most reported mild functional limitations (mean SFI = 4.57 ± 2.78). There was no significant relationship between age and functional limitation (r = –0.028, p = 0.597), or between posting hours and functional limitation (r = 0.104, p = 0.052). Gender showed no significant association with spinal pain prevalence. Conclusion: Spinal pain is highly prevalent among Basic Medical Sciences students during clinical postings, particularly among those in physiotherapy and nursing. The findings underscore the need for ergonomic education, workload management, and institutional policies that prioritize student musculoskeletal health. Keywords: Spinal pain, Basic Medical Sciences students, clinical postings, ergonomics, musculoskeletal disorders. Low back pain, University of Benin.

Background: Developmental milestones mark a child’s progress in physical,cognitive , language and social abilities, typically achieved within specific age ranges. Delayed developmental milestones (DDM), affecting 8 -12% of children aged 0-5 in Nigeria can stem from birth complications, genetic disorders, neurological conditions, poor nutrition and environmental factors. Physiotherapy is crucial for early intervention, improving motor functions and quality of life in children with DDM, such as cerebral palsy. Caregiver’s knowledge and attitude significantly influence the success of physiotherapy, yet in Nigeria, cultural beliefs, limited information and financial constraints often hinder it’s utilization. Aim: This study was done to assess the level of knowledge and attitudes of caregivers towards physiotherapy for children with delayed developmental milestones in University of Benin Teaching Hospital. Method: A descriptive cross sectional study was conducted, recruiting 94 caregivers of children with DDM at University of Benin Teaching Hospital. Participants were selected using a purposive sampling technique. Data were collected through a self administered questionnaire comprising socio-demographic questionnaire and a self developed questionnaire based on Knowledge, Attitudes and Practice (KAP) model assessing knowledge and attitudes towards physiotherapy. Analysis involved descriptive statistics and chi-square tests, with a significance level set at 0.05. Results: Sixty one (64.9%) of caregivers had good knowledge of physiotherapy, though gaps existed in understanding the causes and goals. A total of ninety one (97.9%) displayed positive attitudes towards physiotherapy. Educational level was significantly associated with knowledge (p < 0.001). Major barriers to participation included financial limitations, transportation difficulties , lack of understanding and work schedule conflict. Conclusion: Caregivers possess good knowledge and positive attitudes towards physiotherapy, with educational level influencing knowledge. However, financial and transportation difficulties hinder its utilization, suggesting the need for targeted education and support programs to enhance treatment outcomes

worldwide, requiring standardized assessment tools to ensure accurate evaluation and effective rehabilitation. Despite their clinical importance, the knowledge and utilization of stroke assessment scales among neurological physiotherapists in Nigeria remains inconsistent. This study sought to address this gap by assessing the knowledge and clinical application of stroke assessment scales among neurological physiotherapist in Benin City, Edo State. Aim: This study evaluated the knowledge and utilization of stroke assessment scales among neurological physiotherapists in Benin City, Edo State. Method: A descriptive cross-sectional survey of 43 licenced neurological physiotherapists was conducted using a validated questionnaire. Data were analysed with SPSS (v27) using descriptive and Chi-square statistics at a 0.05 significance level. Results: Most respondents showed fair knowledge (55.8%) and moderate utilization (46.5%) of stroke assessment scales. A significant association existed between knowledge and utilization (p = 0.010). Gender was found to influence knowledge level although educational qualification and professional cadre showed no significant relationship. Conclusion: Neurological physiotherapists in Benin City possess moderate knowledge and usage of stroke assessment scales, yet a critical gap persists between awareness and practice. Strengthening continuous professional development and institutional support is essential to bridge this gap and foster evidence based standardized stroke rehabilitation.

Background: Stroke remains one of the leading causes of adult disability worldwide, requiring standardized assessment tools to ensure accurate evaluation and effective rehabilitation. Despite their clinical importance, the knowledge and utilization of stroke assessment scales among neurological physiotherapists in Nigeria remains inconsistent. This study sought to address this gap by assessing the knowledge and clinical application of stroke assessment scales among neurological physiotherapist in Benin City, Edo State. Aim: This study evaluated the knowledge and utilization of stroke assessment scales among neurological physiotherapists in Benin City, Edo State. Method: A descriptive cross-sectional survey of 43 licenced neurological physiotherapists was conducted using a validated questionnaire. Data were analysed with SPSS (v27) using descriptive and Chi-square statistics at a 0.05 significance level. Results: Most respondents showed fair knowledge (55.8%) and moderate utilization (46.5%) of stroke assessment scales. A significant association existed between knowledge and utilization (p = 0.010). Gender was found to influence knowledge level although educational qualification and professional cadre showed no significant relationship. Conclusion: Neurological physiotherapists in Benin City possess moderate knowledge and usage of stroke assessment scales, yet a critical gap persists between awareness and practice. Strengthening continuous professional development and institutional support is essential to bridge this gap and foster evidence based standardized stroke rehabilitation

Background: Musculoskeletal disorders (MSDs) are a leading cause of disability, particularly among individuals in physically demanding occupations like market trading. Market women in Oredo Local Government Area (LGA), Benin City, are exposed to risk factors such as prolonged standing and heavy lifting, yet many do not access orthopaedic physiotherapy services. This study aimed to investigate the barriers and facilitators influencing their access to these essential services. Methods: A cross-sectional analytical study was conducted among 374 market women selected via convenience sampling from markets in Oredo LGA. Data were collected using a structured, self-administered questionnaire. Analysis involved descriptive statistics (frequencies, percentages) and inferential statistics (Pearson correlation), with the significance level set at p<0.05. Results: The study found a high prevalence of MSDs among respondents, with low back pain (80.5%), general body pain (80.7%), and joint pain (79.7%) being the most common. Key barriers to accessing physiotherapy included long waiting times (70.1%), distance to clinics (56.2%), and lack of awareness (53.4%). Major facilitators were affordability (81.3%), proximity of services (79.1%), and positive social testimonials (77.6%). Socio-demographic factors such as education and awareness significantly influenced service utilization, while income and marital status had less impact. Conclusion: Market women in Oredo LGA experience a high burden of MSDs, but their access to physiotherapy is hampered primarily by systemic and informational barriers. To improve utilization, community-based awareness campaigns, mobile clinics, and strategies enhancing affordability and proximity are recommended.

Background of the Study: University students frequently contend with
demanding academic schedules that can limit their opportunities for physical
activity and affect their overall physical fitness. A heavy academic load may
contribute to prolonged sedentary behaviour, increased mental fatigue, and the
development of long term health issues. Consequently, understanding the ways
in which academic pressures shape students’ physical activity patterns and
fitness levels is essential for fostering both well being and academic effectiveness within higher education settings.
Aim: This research examined the association between academic workload, physical activity, and physical fitness among undergraduate students at the University of Benin, Edo State, Nigeria. The specific objectives were to ascertain the extent of academic workload, determine the prevalence of physical activity, assess physical fitness status, and explore the interconnections among these factors in relation to gender and faculty differences.
Method: A descriptive cross sectional design was adopted for the study. Data were gathered from a representative sample of undergraduate students using validated self administered questionnaires to assess academic workload across four subscales (mental, physical, temporal, and performance) and to measure levels of physical activity. These were supplemented by standardised physical
fitness assessments. Descriptive statistics were employed to summarise
demographic and activity related data, while inferential techniques, including
Pearson’s correlation and independent t tests, were used to examine
relationships and differences between variables. The threshold for statistical
significance was established at p < 0.05.