physical disability

ASSESSMENT OF PHYSICAL DISABILITY AND THEIR DETERMINANTS AMONG STROKE SURVIVORS, SPINAL CORD AND TRAUMATIC BRAIN INJURED PATIENTS.

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Abstract
Background: Physical disabilities resulting from stroke, spinal cord injury (SCI), and traumatic brain injury (TBI) pose significant challenges to affected individuals, yet comparative assessments of these conditions remain limited in Nigeria. Understanding the determinants of disability in these populations is crucial for developing targeted rehabilitation strategies. Aims: This study aimed to compare the level of physical disability and its determinants among stroke survivors, SCI patients, and TBI patients, providing insights into their unique rehabilitation needs. Methods: A cross-sectional study was conducted involving 60 participants (20 per group). Data on demographic and health variables were collected using structured questionnaires and validated tools, including the WHO Disability Assessment Schedule (WHODAS 2.0), Berg Balance Scale (BBS), and Mini-Mental State Examination (MMSE). One-way ANOVA was used to identify significant differences among groups. Results: The mean age of participants was 56.27 ± 10.70 years, with a mean condition duration of 5.60 ± 6.85 years the average score for the general health status (GS) was 32.05 ± 9.0. The WHO Disability Assessment Schedule (WHODAS) had a mean score of 21.65 ± 13.6. WHODAS scores suggested moderate disability across groups, with SCI patients showing higher scores, although not statistically significant (p = 0.053). Cognitive function remained preserved across all groups, as evidenced by high MMSE scores (mean: 29.97). the mean PHQ score was 5.70. ±4.3, the mean for PSS was 18.95 ±6.3, the mean BBS was 28.62 ±24.27. Conclusion: SCI patients exhibit greater impairments in balance and mobility compared to stroke and TBI patients.
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PROBLEMS OF THE EDUCATION OF THE PHYSICALLY CHALLENGED IN NIGERIA.A CASE STUDY OF OREDO LOCAL GOVERNMENT AREA OF EDO STATE

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The subject matter of this research work is the problems of the education of the physically challenged in Nigeria. A case study of Oredo Local Government Area of Edo State. The total population of this study was two hundred and sixty-seven (267) persons, using a simple random sampling technique, the numbers of respondents became one hundred (100). Four research questions were formulated to guide the study, from which the questionnaire was designed. From the analyzed data, it showed that the problems of educating the physically challenged students in schools include; Unequipped teachers, lack school facilities, attitude of non-disabled students towards physically handicapped student. That the identify the conditions for educating physically challenged students include; facilities like braille reading materials, measurement kits for the visually impaired, hearing aids for hearing impaired. That the instructional resources provided for the education of the physically challenged include; Accessible Instructional Materials (AIM), National Instructional Materials Access Centre (“NIMAC”), it was revealed that there are specialized teachers, equipped classrooms, and facilities.That government should ensure that the classroom is arranged in such a manner that the physically challenged child can move above the classroom with minimum stress, extra time should be given to students to enable them conclude assigned functions and for carrying out assignments and tests
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