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rehabilitation outcomes (9). However, there must be a change in lifestyle to include regular exercise in order to reap its benefits and ensure adherence (7). The extent to which patients adhere to HEPs is considered to be partly responsible for the success of many physiotherapy programmes (10;11). Adherence to prescribed exercises has been associated with improved treatment outcomes of physical performance and functional ability (12). In contrast, patients who do not adhere to HEPs have exhibited reduced positive outcomes (13). Furthermore, nonadherence has been reported as a reason for physiotherapists to unnecessarily alter treatment programmes by believing that they are ineffective (13;14). Research reveals that patients' HEP adherence rates are not as high as many physiotherapists would have preferred

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Pregnancy and postpartum periods have been associated with physical changes, mental health problems, including stress, anxiety, depression and psychosis as well as changes in women's quality of life (QOL). 11-13 Some ABSTRACT Background: Antenatal exercise (ANE) has been reported to improve postpartum health outcomes in women. However, postpartum health related outcomes of ANE have been inconsistent in previous studies and have not been studied in a Nigerian population. This study assessed the influence of ANE on postpartum health-related quality of life (HRQOL) of Nigerian women. Methods: 350 purposively selected women participated in this cohort study. During the last two pregnancy trimesters, participants completed a questionnaire assessing ANE practice/pattern while the Short Form (SF-36) questionnaire was used to assess HRQOL during postpartum. Data were analyzed using descriptive and inferential statistics with alpha level set at 0.05. Results: Majority (82.9%) of the women practiced ANE. Women who did not exercise showed significantly (p = 0.001) higher general health scores than those who did not. Women who exercised for <30 mins also showed significantly (p = 0.040) higher general health scores, as compared to those who exercised for ≥30 mins. HRQOL was negatively correlated with each of practice and duration of ANE. Conclusions: It was concluded that ANE practice and patterns did not improve postpartum HRQOL. Improved education and supervision of ANE is recommended for improved postpartum health outcomes.

Background: Deficiency in musculoskeletal imaging (MI) education will pose a great challenge to physiotherapists in clinical decision making in this era of first-contact physiotherapy practices in many developed and developing countries. This study evaluated the nature and the level of MI training received by physiotherapists who graduate from Nigerian universities. Methods: An online version of the previously validated Physiotherapist Musculoskeletal Imaging Profiling Questionnaire (PMIPQ) was administered to all eligible physiotherapists identified through the database of the Medical Rehabilitation Therapist Board of Nigeria. Data were obtained on demographics, nature, and level of training on MI procedures using the PMIPQ. Logistic regression, Friedman's analysis of variance (ANOVA) and Kruskal-Wallis tests were used for the statistical analysis of collected data. Results: The results (n = 400) showed that only 10.0% of the respondents had a stand-alone entry-level course in MI, 92.8% did not have any MI placement during their clinical internship, and 67.3% had never attended a MI workshop. There was a significant difference in the level of training received across MI procedures [χ 2 (15) = 1285.899; p = 0.001]. However, there was no significant difference in the level of MI training across institutions of entry-level programme (p = 0.36). The study participants with transitional Doctor of Physiotherapy education were better trained in MI than their counterparts with a bachelor's degree only (p = 0.047).