Long bone fractures treated by traditional bonesetters: a study of patients' behaviour

Solagberu, Babatunde A

doi:10.1258/0049475054036797

Cited by 37 publications

(44 citation statements)

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“…Many patients patronized the TBS for financial reasons. This fact is supported by previous studies.sss 2,9,13 Furthermore, 98(81%) of the population in this study were people in the informal sector of the economy who had to pay for health by "out of pocket" method and people who actually had no access to any income. Professionals working in the private sector who probably have access to company paid health services accounted for only 4(3.3%) patients.…”

Section: Discussionsupporting

confidence: 87%

“…This constant inability to make diagnosis and refer patients appropriately appears to be one of the important differences between the Nigerian bone setters and the Turkish\Chinese traditional medicine practitioners. 6 It is a measure of the very strong African belief and culture 2,4,8,9,11 that despite all the enumerated problems created in the health system and in the community by the bone setters, 28(23.1%) of the victims in this study still believe that the bone setters are good but only need some tutoring.…”

Section: Discussionmentioning

confidence: 86%

“…The influence of this group is important because of the existing social system in Africa where family and friends will normally contribute towards defraying the cost of treatment. In another study by Solagberu 9 in Ilorin, 74.9% of the studied population was urged to visit the TBS by this group of people. Nevertheless, the result of these studies further raises the fundamental issue of lack of confidence in modern orthopaedic practice by the general population.…”

Section: Discussionmentioning

confidence: 98%

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Complications of Treatment of Musculoskeletal Injuries by Bone Setters

Dada¹,

Giwa²,

Yinusa³

et al. 2009

West African Journal of Medicine

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BACKGROUND: Traditional bone setters (TBS) have existed for decades in Nigeria and other countries. Their treatment methods often lead to several complications, the most dangerous being extremity gangrene which usually leads to proximal amputation. OBJECTIVE: To apprise the Orthodox Practitioners of complications of musculoskeletal injuries treated by the bone setters, the factors that encourage patronage of TBS services and the outcome of the treatment of these complications by the orthodox practitioners. METHODS: This was a one-year prospective study involving one hundred and twenty-one consecutive patients presenting with complications related to treatment of their musculoskeletal injuries by bone setters. The following data were obtained using observer-administered questionnaires viz; demography, details of initial injury, reasons for patronage of TBS, nature of treatment, estimated cost of treatment and disability of patients at presentation. The outcome of orthodox treatment of these complications was assessed at six months using the following parameters -wound healing, bone union and use of prosthesis by the patients. RESULTS: One hundred and twenty-one patients with 155 musculoskeletal injuries and 168 complications of treatment by the TBS were seen; 75 (57%) were male and 52(43%) were female. The ages of the patients ranged from 6 weeks -72 years (mean 29.49 years). The common complications of TBS treatment were malunion and non-union which each accounted for 27 (16.1%) cases. The major reasons for TBS patronage was the perceived low cost of treatment in 47(27.9%) and pressure from family and friends in 36 (25%) patients. The cost of treatment of the TBS ranged from USD 18-380, whereas, at the Orthopaedic Hospital, it ranged from USD 34-98. At six months after orthodox surgery, 10(91%) of the patients who had amputation were yet to start using prosthesis, 3(23%) who had internal fixation failed to unite. CONCLUSION: The commonest reason for patronage was the believed cheapness of the TBS services. However, this study showed that orthodox treatment is actually cheaper in most cases. Despite all the complications associated with their treatment, majority of the people still have a strong belief in their capability. A suggested solution will be the incorporation of the TBS into the healthcare system so that they could be better trained and controlled. RÉSUMÉ CONTEXTE: Les os setters (TBS) existent depuis des décennies au Nigeria et dans d'autres pays. Leurs méthodes de traitement conduisent souvent à plusieurs complications, le plus dangereux étant extrémité gangrène qui conduit généralement à l'amputation proximale. OBJECTIF: Afin de sensibiliser les praticiens de l'Eglise orthodoxe de complications des blessures musculo-squelettiques traités par l'os setters, les facteurs qui encouragent les services de patronage de TBS et des résultats du traitement de ces complications par les orthodoxes pratiquants. MÉTHODES: Il s'agissait d'une année une étude prospective impliquant cent vingt et un patien...

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Section: Discussionsupporting

confidence: 87%

Section: Discussionmentioning

confidence: 86%

Section: Discussionmentioning

confidence: 98%

See 1 more Smart Citation

Complications of Treatment of Musculoskeletal Injuries by Bone Setters

Dada¹,

Giwa²,

Yinusa³

et al. 2009

West African Journal of Medicine

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“…Some of these patients go to traditional bone-setter's (TBS) home. TBS have an appeal to the citizenry in Nigeria for reasons bothering on cheap cost, alleged and false perception of faster healing and care [40] or weak personal decision making skills [41].…”

Section: Treatmentmentioning

confidence: 99%

An Update on Traumatic Joint Dislocations in Nigeria

Edomwonyi¹,

Enemudo²

2015

OJO

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Trauma has assumed a pre-eminent epidemic proportion in the hierarchy of diseases afflicting the growing populace in Nigeria. Research into traumatic dislocations is relatively small. Road traffic accident is the commonest cause of traumatic dislocation in Nigeria currently. Human factors and collapse of road infrastructures are the major reasons. Young, productive, adult males are still the most affected while the rarity among children is again highlighted. Careful and detailed evaluation of patients is advised as certain conditions can mask the presence of a dislocation. Lack of diagnostic and therapeutic facilities in most centres in Nigeria makes this difficult, with clinicians resorting to clinical evaluation only and probably supported by only plain X-rays in some cases. Most cases are amenable to closed surgical management. Identification of long term complications is a major challenge, because of the poor follow up culture of our patients. Good road design and maintenance, enforcement of road regulations, manpower development and improvements in diagnostic and therapeutic facilities in all centres will reduce the burden of traumatic dislocations on the populace.

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“…In Nigeria, the number of people living with disability is estimated at around 19 million (Lang and Upah, 2008). These people are mostly elderly, poor and marginalized, and they often present with high levels of musculoskeletal disorders and functional dependence (Solagberu, 2005;Amusat, 2009;Akindele, 2009;Abduraheem et al, 2012;Muirden, 1997). Musculoskeletal health problems in particular are among the leading causes of long-term disability.…”

Section: Introductionmentioning

confidence: 99%

Assessment of functional and musculoskeletal problems, and barriers to obtaining physiotherapy services among the elderly in a rural community in Kano State, Nigeria

Okafor¹,

Sumaila²,

Mohammed³

et al. 2016

Af Jrl. Phys Rehab Sci

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SUMMARYFunctional and musculoskeletal problems are a major cause of disability among the elderly in the rural areas.Unfortunately, rehabilitation services are presently inadequate for this population in many parts of the world.This study evaluated the pattern of musculoskeletal disorders, functional status and barriers to obtaining physiotherapy services among the elderly in a rural community in Kano, Nigeria. This cross sectional survey was carried out using a Hausa translated version of the modified Older AmericanResource and Services (OARS) multidimensional functional assessment questionnaire and other instruments to assess the pattern of functional and musculoskeletal problems and barriers to obtaining physiotherapy services. The questionnaires were administered to 384 elderly consenting individuals (aged 60 years and above) who were recruited using cluster sampling. The data obtained was analysed using SPSS version 16.0.The results from this study revealed that the majority of the participants were females (59.9%). The prevalence of musculoskeletal problems was significant (47%), mostly affecting the lower extremity joints and the spine. Generally, the participants were mostly independent in carrying out activities of daily living (ADL), such as feeding (92.5%), grooming (85.7%), money management (84.9%) and management of medication (83.9%). The results also showed that a few of the participants were dependent in bathing (10.2%), walking (9.9%) and dressing (9.9%). Furthermore, the majority (61.9%) of the participants who reported musculoskeletal problems had good ADL performance capacity rating. Almost all the participants (98%) reported that they have never heard of physiotherapy. Lastly, those with musculoskeletal problems reported that they mainly utilized traditional medicine or home remedies and their health-seeking behaviour was mainly determined by affordability (41.8%).It was concluded that there is a high prevalence of musculoskeletal problems among the participants of this study. Nevertheless, their level of function remained optimal. The study also identified lack of awareness, unavailability, affordability and accessibility as the major barriers to obtaining physiotherapy services among the participants.

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Long bone fractures treated by traditional bonesetters: a study of patients' behaviour

Cited by 37 publications

References 0 publications

Complications of Treatment of Musculoskeletal Injuries by Bone Setters

Complications of Treatment of Musculoskeletal Injuries by Bone Setters

An Update on Traumatic Joint Dislocations in Nigeria

Assessment of functional and musculoskeletal problems, and barriers to obtaining physiotherapy services among the elderly in a rural community in Kano State, Nigeria

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