Caring for children with physical disabilities such as cerebral palsy can have an impact on the health of their caregivers. Records show a dearth of literature on the health impact of caring for children with cerebral palsy (CP) in Africa. This study compared the general health of caregivers of children with cerebral palsy (CGCP) with that of caregivers of age-matched children without cerebral palsy (CGNCP). The relationship between severities of motor disorder in children with CP and the general health of their caregivers was also investigated. Participants comprised 71 CGCP and 70 CGNCP in the Yoruba community of South-Western Nigeria. The General Health Questionnaire was administered to all participants and the severity of motor disorder was assessed in children with cerebral palsy using the Gross Motor Function Measure-66. Results showed significantly higher General Health Questionnaire scores in the caregivers of children with cerebral palsy than in the caregivers of age-matched children without cerebral palsy group (U=1237.5, P=0.00). No significant correlation was found between the Gross Motor Function Measure and General Health Questionnaire scores of the caregivers of children with cerebral palsy (rho=-0.104). Caring for children with cerebral palsy apparently had a negative impact on the health of their caregivers when compared with the health of caregivers of children without cerebral palsy. It seemed that severity of motor disorder in cerebral palsy had no direct bearing on the health status of caregivers.
Although QoL of stroke caregivers was fair across domains, the physical domain recorded the lowest mean scores. Older age, lack of formal education, unemployment and caring for stroke patients within the second year poststroke were associated with lower QoL scores. Information from this study may aid in identifying those caregivers who require support programmes and care the most.
The prominence of functional independence among the determinants of RTW implies that rehabilitation efforts and support programmes to optimize functional ability, especially within the first year after stroke, will greatly enhance RTW among Nigerian stroke survivors.
The effects of duration of a static stretching protocol (Intervention) on hamstrings tightness were evaluated. Sixty purposively sampled subjects with unilateral hamstring tightness that had no history of low back and lower extremity dysfunctions that necessitated medical intervention participated in the study. They we re randomly assigned into one of 5 intervention and one control groups. Groups a, b, c, d, e subjects had their hamstrings passively stretched for 120, 90, 60, 30, and 15 seconds respectively, while group f served as control. Th is intervention was carried out on alternate days for 6 consecutive weeks. Knee extension deficit (KED) was measured for all groups at baseline, weekly and 7 days post cessation of the intervention (carry-over). Data were analysed using one-way ANOVA and paired t-test at 0.05 alpha. A significant reduction (P<0.05) was observed in the KED of subjects in all the intervention groups across the 6 intervention weeks. There was no significant difference between the immediate post intervention and carry-over KED values (p>0.05). The study shows that statically stretching tight hamstrings for any duration between 15 and 120 seconds on alternate days for 6 weeks would significantly increase its flexibility. The effect was also sustained for up to 7 days post intervention.
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