Adamu Ahmad Rufa'i

BSc, MSc, PhD(in View)
Lecturer; Hon. PT
University of Maiduguri; Unive... · Physiotherapy

Publications

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    ABSTRACT: ABSTRACT This study investigated the prevalence, risk factors and impact of low back pain (LBP) among professional drivers in Nigeria. Two hundred male drivers aged 19-64 years were recruited in the study. Data regarding prevalence, individual risk factors and impact of LBP were obtained. The prevalence rate of LBP was 73.5% and LBP have affected the driving performance of up to 74% drivers. After adjustment for age LBP prevalence was associated with driving for >15 hours/day (odds ratio [OR]; 95% confidence interval [CI]): (0.04; 0.01,0.20); driving car (5.52; 1.55,19.64) and driving bus (10.49; 2.63,41.82). No association was found between LBP prevalence and years spent driving. The study found that high prevalence of LBP affected the performance of a substantial percentage of the participants.
    Archives of Environmental and Occupational Health 11/2013; · 1.19 Impact Factor
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    ABSTRACT: Background: Movement dysfunction may be expressed in terms of symptoms experienced in non-physiological postures, and head-down crooked kneeling (HDCK) is a posture frequently assumed by Muslims during prayer activities. The purpose of this study was to investigate the cardiovascular responses in the HDCK posture. Methods: Seventy healthy volunteers, comprising 35 males and 35 females, participated in the study. Cardiovascular parameters of blood pressure and pulse rate of the participants were measured in rested sitting position and then at one and three minutes into the HDCK posture. Two-way ANOVA was used to determine the differences between cardiovascular responses at rest and in the HDCK posture, and the Student t test was utilized to determine gender difference in cardiovascular responses at rest and at one and three minutes into the HDCK posture. Results: The study showed a significant decrease in systolic and diastolic blood pressures at one minute into the HDCK posture and an increase in pulse rate at one and three minutes into the HDCK posture, as compared to the resting values. Rate pressure product also rose at one minute into the HDCK posture, whereas pulse pressure increased at one and three minutes into the HDCK posture, as compared with the resting values. However, no significant change was observed in the mean arterial pressure values. Conclusion: The findings from this study suggest that no adverse cardiovascular event can be expected to occur for the normal duration of this posture during Muslim prayer activities.
    Iranian Journal of Medical Sciences 06/2013; 38(2 Suppl):174-9.
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    ABSTRACT: Aim : The objective of this study was to investigate Nigerian physiotherapy teachers ’ self-assessment on the attributes of effective clinical teaching and the importance attached to these attributes. Methodology: The McGill Clinical Teacher Evaluation including self-assessment and importance of the attributes of clinical teaching was used to survey 46 clinicians and academicians who teach physiotherapy in five of the seven physiotherapy programs in Nigeria. Descriptive and nonparametric statistics were used to analyze and interpret data. Results : Overall, the Nigerian teachers ’ self- and importance rating on McGill clinical teachers ’ attributes was high. The teachers rated themselves least on attributes related to challenging content from text and journals and encouraging student to take responsibility for their learning, while customizing clinical teaching to suit the students ’ level and occasionally challenging content from texts and journals were the least important attributes. Academic faculty gave higher importance ratings for displaying good judgment in decision making than clinical faculty, while a modest link was found between years of post-professional experience and self-perception as effective teacher. Conclusion : The attributes with lowest self-assessment and importance may indicate areas for future concentration particularly in the Nigerian academic community, including curriculum content and design of physiotherapy teachers training.
    European Journal of Physiotherapy. 01/2013;
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    ABSTRACT: Purpose: Physiotherapists from developing countries are attracted to developed countries, where health personnel are in high demand. We investigated Nigerian physiotherapists' desire to emigrate, explored the possible relationship between job satisfaction and emigration, and elucidated common reasons why physiotherapists emigrate to other countries. Methods: Nigerian physiotherapists (n=181) were surveyed using a three-part questionnaire. Part 1 elicited socio-demographic information; part 2 assessed satisfaction with work; and part 3 assessed the importance of some possible reasons that physiotherapists choose to emigrate. Results: Close to half of the physiotherapists surveyed have plans to emigrate, but no relationship exists between job satisfaction level and desire to emigrate. An overwhelming majority felt that better or more realistic remuneration was the most important reason for them to leave their country, whereas age and practice experience were inversely related to physiotherapists' desire to emigrate. Conclusion: Policies aimed at mediating "brain drain" should take age and experience into consideration and should be geared toward creating opportunities for career advancement and continuing education.
    Physiotherapy Canada 01/2012; 64(3):225-32. · 0.52 Impact Factor
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    ABSTRACT: Objective. Students’ perspectives on clinical teaching attributes can contribute to knowledge on teaching and learning in clinical education. The objective of the study was to report on Nigerian physiotherapy students’ perceptions of the clinical teaching skills of their teachers. Design and setting. A cross-sectional survey conducted in five physiotherapy training institutions in Nigeria. Subject. Physiotherapy students (N=203) in the clinical phase of their training participated in the study. Outcome measure. The validated 25-item McGill Clinical Teacher Evaluation (CTE) tool was used to rate the students’ perceptions of the attributes of their clinical teachers. Results. Overall the students rated their teachers high on the CTE scale; female rated their teachers higher than their male counterparts. Clinical teachers who are academicians and /or had doctoral degrees were rated higher than clinicians and /or those with bachelor degrees only. Students from two long established programmes not only rated their teachers higher, but were also more satisfied and positively challenged during clinical rotations than those from relatively new programmes. Conclusions. This study found that overall, Nigerian physiotherapy students rated the teaching attributes of their clinical teachers highly. The nature of the work appointment (academic or clinical) of their teachers, as well as highest level of academic qualification achieved, influenced student ratings of their teachers. Students found the clinical rotations offered by well-established programmes more challenging and satisfying.
    African Journal of Health Professionals Education. 01/2012; 4(1):4-9.
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    Dataset: Open Access
    Adamu Ahmad Rufa'i
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    ABSTRACT: Accurate assessment of physical activity is important in determining the risk for chronic diseases such as cardiovascular disease, stroke, type 2 diabetes, cancer and obesity. The absence of culturally relevant measures in indigenous languages could pose challenges to epidemiological studies on physical activity in developing countries. The purpose of this study was to translate and cross-culturally adapt the Short International Physical Activity Questionnaire (IPAQ-SF) to the Hausa language, and to evaluate the validity and reliability of the Hausa version of IPAQ-SF in Nigeria. The English IPAQ-SF was translated into the Hausa language, synthesized, back translated, and subsequently subjected to expert committee review and pre-testing. The final product (Hausa IPAQ-SF) was tested in a cross-sectional study for concurrent (correlation with the English version) and construct validity, and test-retest reliability in a sample of 102 apparently healthy adults. The Hausa IPAQ-SF has good concurrent validity with Spearman correlation coefficients (ρ) ranging from 0.78 for vigorous activity (Min Week-1) to 0.92 for total physical activity (Metabolic Equivalent of Task [MET]-Min Week-1), but poor construct validity, with cardiorespiratory fitness (ρ = 0.21, p = 0.01) and body mass index (ρ = 0.22, p = 0.04) significantly correlated with only moderate activity and sitting time (Min Week-1), respectively. Reliability was good for vigorous (ICC = 0.73, 95% C.I = 0.55-0.84) and total physical activity (ICC = 0.61, 95% C.I = 0.47-0.72), but fair for moderate activity (ICC = 0.33, 95% C.I = 0.12-0.51), and few meaningful differences were found in the gender and socioeconomic status specific analyses. The Hausa IPAQ-SF has acceptable concurrent validity and test-retest reliability for vigorous-intensity activity, walking, sitting and total physical activity, but demonstrated only fair construct validity for moderate and sitting activities. The Hausa IPAQ-SF can be used for physical activity measurements in Nigeria, but further construct validity testing with objective measures such as an accelerometer is needed.
    BMC Medical Research Methodology 11/2011; 11:156. · 2.21 Impact Factor
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    ABSTRACT: Kano is a metropolis and commercial centre in northern Nigeria; it is highly industrialized. Most of the population does factory work. Purpose. The survey was undertaken to identify the prevalence of musculoskeletal injuries (MSIs) and other related occupational hazards among factory workers in Kano Metropolis. Five hundred questionnaires were distributed to respondents recruited from tannery, steel rolling, textile and agrochemical factories at the 3 industrial estates of the metropolis. Only unskilled and manual labourers were considered. The respondents were selected using the nonprobability sample of convenience. Only 420 questionnaires were returned duly completed. Three hundred and fifty-three (84.05%) respondents were male and 67 (15.95%) were female. Their ages ranged between 21 and 58 years (M = 38.99 ± 1.01). Low back complaints had the highest prevalence (360, 85.71%), followed by upper limb injuries (171, 40.71%), shoulder complaints (156, 37.14%) and hip injuries (34, 8.10%). About 41% of the respondents reported 2 or more work-related MSIs. The study uncovered that a substantial percentage of factory workers had sustained MSIs. Body ache/discomfort in the low back region was the most common injury sustained among the subjects surveyed.
    International journal of occupational safety and ergonomics: JOSE 01/2011; 17(1):99-102. · 0.35 Impact Factor
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    ABSTRACT: Background: Postherpetic neuralgia is a neuralgia caused by the varicella zoster virus. Its natural history involves slow resolution of the pain syndrome. A subgroup of patients may develop severe, long-lasting pain that does not respond to medical therapy . It also accounts for 1 1-15% of all referrals to pain clinics but little is known about the quality of life of patients with this condition in our locality Nigeria. Method: Fifty three Post herpetic Neuralgia patients aged between 25 and 56 years (mean = 37.47±8.29 years) receiving antiretroviral therapy/treatment at the University of Maiduguri T eaching Hospital, Maiduguri, Nigeria participated in this study . The short-form 36 (SF-36) generic health-related Quality of Life questionnaire was used to assess the QoL. Spearman rank correlation procedure was used to evaluate the relationship of HRQoL outcomes with medical and socio-demographic factor. Result: Physical functioning), Role limitations due to physical health (LPH), Role limitations due to emotional problems(LEP), Social functioning(SF), General health perceptions(GH) scores were below average (35.59 ±19.85, 34.28±33.16, 33.70±23.26, 49.07±17.04, 4 4 . 0 9 ±9 . 7 2 r e s p e c t i v e l y ) wh i l e Emo t i o n a l we l l b e i n g / Me n t a l h e a l t h ( E M) w a s a b o v e a v e r a g e (50.13±1 1.56). An average (moderate) symptom scale score was Energy/Fatigue(EF) (51.32±12.87) while Bodily pain(BP) was severe (31.09±20.46). Age and sex had no significant influence on any of the functional and symptom scale scores as well as the overall QOL. Inverse relationship was observed between age and each of the LPH, LEP , SF , GH, overall QoL and the entire symptom scales. The overall QoL and each of the symptom scale scores were significantly related (P > 0.05). The functional scale score PF , RPH, REP , EM and GH were significantly related to overall QoL while SF was not significantly related (P> 0.01). Conclusion: This study has shown that the overall QoL of PHN in HIV positive patients undergoing adjuvant therapy is below average. The predictor factors of the overall QoL of this group of patients have been brought to light. These patients would require ways to improve the QoL, there is the need for health care provider to address the factors uncovered by this study . Four of the determinant factors (PF , LPP , BP and EF) are issues that fall within the corridor of physical therapy . Physical therapist should arise to address these significant aspects of the management this group of patients.
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    ABSTRACT: Breast cancer, the commonest malignancy in women, is now the most common cancer in Nigeria, but little is known about the quality of life (QOL) of Nigerian women breast cancer survivors and the predictive factors that may influence their QOL. Health-related QOL (HRQOL) was evaluated in 35 Nigerian women receiving radiotherapy for breast cancer at the University College Hospital, Ibadan by using the European Organization for Research and Treatment of Cancer (EORTC) quality of life questionnaire (QLQ - C30 version 3). Linear regression procedures were used to evaluate the association of HRQOL outcomes with medical and socio-demographic factors. Physical functioning (PF), Emotional functioning (EF) and Cognitive functioning (CF) scores were above average (76.9 +/- 20.6, 61.9 +/- 30.3 and 60.0 +/- 32.1 respectively) while Role functioning (RF) and Social functioning (SF) scores were below average (46.2 +/- 36.6 and 40.9 +/- 42.8 respectively). High symptom scale scores were recorded for fatigue, pain and financial difficulties (52.7 +/- 32.8, 59.1 +/- 34.4 and 71.4 +/- 38.8 respectively). Age had no significant influence on any of the functional and symptom scale scores as well as the overall QOL. The overall QOL was significantly related to PF, CF and SF. It was also significantly and inversely related to the scores of fatigue, nausea and vomitng, pain, insomnia and financial difficulty. The findings of this study provide important information on QOL and their correlates among Nigerian women undergoing radiotherapy for breast cancer and are helpful in developing treatment strategies accordingly.
    African journal of medicine and medical sciences 10/2007; 36(3):259-65.

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