Pattern of Musculoskeletal Affectation among Poliomyelitic Patients in Kano, Nigeria
Journal Title: Journal of Medical Science And clinical Research - Year 2014, Vol 2, Issue 8
Abstract
Background: Poliomyelitis is a contagious and infectious disease caused by the polio virus. The disease has been eradicated from developed countries but still remains one of the most crippling diseases affecting children in the third world countries particularly in Nigeria. The purpose of this study was to determine the pattern of musculoskeletal affectation among polio patients in Kano metropolis with the aim of providing data that will help enhance and/or develop new rehabilitation strategies in the management of post polio syndrome. Setting: All rehabilitation clinics in selected hospitals; NOHD, MMSH, MAWSH and AKTH in Kano. Participants: Fifty patients (22 males and 28 females) with specific musculoskeletal affectations ranging from mild muscular atrophy and limb shortening to severe fixed flexion deformities involving the hip, knee and ankle joints were assessed in the study. Materials: Standard clinical tools; the goniometer used to assess the range of motion and the tape rule to measure degree of atrophy and limb length discrepancy and a scale; Medical Research Council muscle grading scale (MRC) to assess the muscle power. Results: Data collected was analyzed descriptively and inferentially using the statistical package for the social sciences (SPSS 15.0). The study showed that gender had no significant effect on the pattern of musculoskeletal affectation at (χ2 =2.402, p≤0.05). The study showed Fixed Flexion Deformity (FFD) of either the hip, knee or ankle joints accounted for 37(74.0%), limb length discrepancy on the other hand accounted for 47(94.00%), atrophy of the thigh muscles 47(94.0%) and atrophy of the calf muscles 46 (92.0%) of the total. The muscle power varied in each muscle group assessed ranging from (0 – 3) in general. the participants ranging from a flicker of movement, to movement of the limb against resistance. Conclusion: Poliomyelitis is a disabling disease affecting both males and females with equal distribution, majority of patient presents with lower limb affectation. Fixed Flexion Deformity compromised range of movement mostly of the knee and ankle joints of participants while only a few had that of the hip joint
Authors and Affiliations
Bashir Bello
Keywords
Related Articles
- EP ID EP207368
- DOI -
- Views 53
- Downloads 0
Incontinentia Pigmenti with Spastic Cerebral Palsy: A Case Report
Incontinentia Pigmenti (IP) or Bloch-Sulzberger syndrome is an uncommon X-linked dominant disorder that affects mostly females and is usually lethal in males. It is associated with skin (100%), dental (90%), skeletal (40...
Incidence and Risk factors of Retinopathy of Prematurity in Tertiary Care Centre of Western India
Aim: This study is aimed to estimate the incidence of retinopathy of prematurity and to identify the risk factors which predispose to retinopathy of prematurity. Material & Methods: The present prospective study was cond...
Comparison of Efficacy of Ripasa Scoring System with Modified Alvarado Scoring System in Diagnosing Acute Appendicitis
Background: Acute appendicitis is one of the commonest surgical emergencies. Different scoring systems are postulated to arrive at a diagnosis. A new scoring system named RIPASA scoring system was developed to aid in the...
Extra Amniotic Saline Infusion in Cervical Ripening and Induction of Labour and Its Effect on Foeto Maternal Out Come
Background: There are various pharmacological and non-pharmacological methods available for ripening and induction of Labour. These methods can produce potential harm to the mother and fetus. Induction of labour can prod...
Study of prevalence of hepatitis C among replacement donors versus voluntary donors in Tertiary care Hospital
Introduction: Hepatitis C infection is a major global health problem, which could easily lead to chronic liver disease, cirrhosis and even hepatocellular carcinoma. The rapid global spread of HCV is believed to have occu...