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Stroke Disability and Physiotherapy Interventions: A Quantitative Evaluation of Physiotherapy Treatment Approaches in Zambia Muatle Mpemba; Hstings Kachingwe Shula; Brian Chanda Chiluba
Indonesian Journal of Disability Studies Vol. 7 No. 1 (2020)
Publisher : The Center for Disability Studies and Services Brawijaya University

As a result of physical disability after stroke, most of the patients need physiotherapy. Due to different backgrounds, knowledge, clinical experiences, personal preferences, and continually developing clinical practices, physiotherapists use different methods to treat their stroke patients. This study was designed to determine physiotherapists' perspective on the physiotherapy interventions for stroke patients at the University Teaching Hospital and Levy Mwanawasa University Teaching Hospital in Lusaka. This was a cross-sectional study. Data was collected through a standardized questionnaire with modifications to fit the scope of the study. A total of 36 participants consisting of 23 Physiotherapists and 13 physiotherapy Technologists was considered. The data obtained was analyzed by using descriptive analysis and chi-square test was used to test the association. The results showed that PNF/Brumstrom (92%) was the most taught approach among the respondents in their professional education. The preferred treatment approaches in stroke rehabilitation which are used by Physiotherapists and physiotherapy Technologists are repetitive functional task practice (72%), motor learning (69%) and PNF/Brumstrom (67%). There is need to incorporate the newer physiotherapy treatment approaches into the physiotherapy practice as the scope of practice that reflects the latest evidence base improves the provision of services and contributes to better and cost-effective physiotherapy interventions for stroke patients.

Assessment of Non Communicable Diseases Awareness Among Pupils with hearing impairment at Munali High School in Lusaka, Zambia Irwin Kabinje Mawani; Brian Chanda Chiluba
Indonesian Journal of Disability Studies Vol. 7 No. 1 (2020)
Publisher : The Center for Disability Studies and Services Brawijaya University

Among the neglected population in NCD awareness is the population of people with hearing impairment or deaf. Little effort is made to ensure that people are deaf are covered in these NCDs awareness programs. Hence this study aimed at assessing the NCDs awareness among people who are deaf in Zambia, particularly assessing the knowledge of NCDs risk factors, diagnosis and treatment. The study utilized a phenomenological study type with were 10 participants who were purposively sampled. 5 males and 5 females were chosen, 2 from Grade ten, 4 from Grade eleven and 4 from Grade twelve. These were chosen because of their ability to adequately read and understand English language. The study highlighted that among the many factors, the major factors were identified as; lack of communication between the health personnel and the deaf person (pupil), attitude (stigma) of the health personnel towards the person who are deaf (pupil), lack of health education in the school curriculum and lack of specific information on NCDs. Other identified factors were lack of regular health campaign within the school premises, lack of health materials on NCDs and poor organization of physical education.some issues such as lack of communication between the health personnel and them, the attitude of the health personnel, lack of health education in the school curriculum and lack of specific information on NCDs were found to be the major cause of low awareness among the target

Factors Influencing Adherence to Physiotherapy Appointments for Children with Cerebral Palsy at Chilenje Hospital in Zambia: A Mother's Perspective (2017-2018) Dorcas Foto; Geoffrey Moyo; Brian Chanda Chiluba
Indonesian Journal of Disability Studies Vol. 8 No. 1 (2021)
Publisher : The Center for Disability Studies and Services Brawijaya University

Adherence to treatment appointments by mothers of children with Cerebral Palsy is one of the factors affected in rehabilitation of a child with Cerebral Palsy, and this is cardinal to ensure effective rehabilitation outcomes for the child. Hence this study aimed to explore the factors influencing poor adherence to physiotherapy appointments by mothers of children with Cerebral Palsy at Chilenje Hospital, in Lusaka. A qualitative case study design utilising a phenomenological approach was conducted with a sample of 12 mothers of children with Cerebral palsy from Chilenje Hospital, Lusaka. Convenient sampling was utilized where mothers who were non-adhering were also purposefully selected into the study to better understand the factors affecting adherence to physiotherapy. The factors that contributed to caregivers defaulting scheduled therapy included economic constraints like unemployment and low education level, caregiver related factors such as marital challenges, and service centered factors such as challenges with the diagnosis of Cerebral Palsy and negative clinician attitudes. Majority of the caregivers admitted that they were motivated to attend therapy by observable improvements in their children. A combination of psychosocial, economic, child centered and service centered factors contributed to caregivers defaulting scheduled therapy. Interventions that may potentially improve caregiver attendance to scheduled therapy include community outreach services, efficient rehabilitation service provision at the hospitals, and facilitation of income generating programmes for mothers and caregivers.

Stroke Disability and Physiotherapy Interventions: A Quantitative Evaluation of Physiotherapy Treatment Approaches in Zambia Muatle Mpemba; Hstings Kachingwe Shula; Brian Chanda Chiluba
Indonesian Journal of Disability Studies Vol. 7 No. 1 (2020)
Publisher : The Center for Disability Studies and Services Brawijaya University

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (837.583 KB)

As a result of physical disability after stroke, most of the patients need physiotherapy. Due to different backgrounds, knowledge, clinical experiences, personal preferences, and continually developing clinical practices, physiotherapists use different methods to treat their stroke patients. This study was designed to determine physiotherapists' perspective on the physiotherapy interventions for stroke patients at the University Teaching Hospital and Levy Mwanawasa University Teaching Hospital in Lusaka. This was a cross-sectional study. Data was collected through a standardized questionnaire with modifications to fit the scope of the study. A total of 36 participants consisting of 23 Physiotherapists and 13 physiotherapy Technologists was considered. The data obtained was analyzed by using descriptive analysis and chi-square test was used to test the association. The results showed that PNF/Brumstrom (92%) was the most taught approach among the respondents in their professional education. The preferred treatment approaches in stroke rehabilitation which are used by Physiotherapists and physiotherapy Technologists are repetitive functional task practice (72%), motor learning (69%) and PNF/Brumstrom (67%). There is need to incorporate the newer physiotherapy treatment approaches into the physiotherapy practice as the scope of practice that reflects the latest evidence base improves the provision of services and contributes to better and cost-effective physiotherapy interventions for stroke patients.

Assessment of Non Communicable Diseases Awareness Among Pupils with hearing impairment at Munali High School in Lusaka, Zambia Irwin Kabinje Mawani; Brian Chanda Chiluba
Indonesian Journal of Disability Studies Vol. 7 No. 1 (2020)
Publisher : The Center for Disability Studies and Services Brawijaya University

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (510.161 KB)

Among the neglected population in NCD awareness is the population of people with hearing impairment or deaf. Little effort is made to ensure that people are deaf are covered in these NCDs awareness programs. Hence this study aimed at assessing the NCDs awareness among people who are deaf in Zambia, particularly assessing the knowledge of NCDs risk factors, diagnosis and treatment. The study utilized a phenomenological study type with were 10 participants who were purposively sampled. 5 males and 5 females were chosen, 2 from Grade ten, 4 from Grade eleven and 4 from Grade twelve. These were chosen because of their ability to adequately read and understand English language. The study highlighted that among the many factors, the major factors were identified as; lack of communication between the health personnel and the deaf person (pupil), attitude (stigma) of the health personnel towards the person who are deaf (pupil), lack of health education in the school curriculum and lack of specific information on NCDs. Other identified factors were lack of regular health campaign within the school premises, lack of health materials on NCDs and poor organization of physical education.some issues such as lack of communication between the health personnel and them, the attitude of the health personnel, lack of health education in the school curriculum and lack of specific information on NCDs were found to be the major cause of low awareness among the target

Factors Influencing Adherence to Physiotherapy Appointments for Children with Cerebral Palsy at Chilenje Hospital in Zambia: A Mother's Perspective (2017-2018) Dorcas Foto; Geoffrey Moyo; Brian Chanda Chiluba
Indonesian Journal of Disability Studies Vol. 8 No. 1 (2021)
Publisher : The Center for Disability Studies and Services Brawijaya University

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (222.49 KB)

Adherence to treatment appointments by mothers of children with Cerebral Palsy is one of the factors affected in rehabilitation of a child with Cerebral Palsy, and this is cardinal to ensure effective rehabilitation outcomes for the child. Hence this study aimed to explore the factors influencing poor adherence to physiotherapy appointments by mothers of children with Cerebral Palsy at Chilenje Hospital, in Lusaka. A qualitative case study design utilising a phenomenological approach was conducted with a sample of 12 mothers of children with Cerebral palsy from Chilenje Hospital, Lusaka. Convenient sampling was utilized where mothers who were non-adhering were also purposefully selected into the study to better understand the factors affecting adherence to physiotherapy. The factors that contributed to caregivers defaulting scheduled therapy included economic constraints like unemployment and low education level, caregiver related factors such as marital challenges, and service centered factors such as challenges with the diagnosis of Cerebral Palsy and negative clinician attitudes. Majority of the caregivers admitted that they were motivated to attend therapy by observable improvements in their children. A combination of psychosocial, economic, child centered and service centered factors contributed to caregivers defaulting scheduled therapy. Interventions that may potentially improve caregiver attendance to scheduled therapy include community outreach services, efficient rehabilitation service provision at the hospitals, and facilitation of income generating programmes for mothers and caregivers.

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