Browsing by Author "Ababio, E."
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Item Metabolic Syndrome in Acute Stroke Survivors at Korle-Bu Teaching Hospital(University of Ghana, 2015-07) Ababio, E.; Antwi, D.A.; Antwi-Boasiako, C.; University of Ghana, College of Humanities, School of Social Sciences, Department of PsychologyBackground: The presence of metabolic syndrome (MetS) has been associated with an increased risk of stroke. The indicators of MetS that predispose individuals to stroke still persist after stroke. There is insufficient information on MetS in acute ischaemic and haemorrhagic stroke survivors at Korle-Bu Teaching Hospital. Aim: This study assessed metabolic syndrome in acute stroke survivors at Korle-Bu Teaching Hospital. Method: This was a cross-sectional study involving patients at the Medical ward, Stroke unit and Polyclinic of the Korle-Bu Teaching Hospital (KBTH) between October 2014 and April 2015. A total of 150 (73 males and 77 females) stroke survivors comprising 102 (68%) ischaemic stroke survivors and 48 (32%) haemorrhagic stroke survivors were sampled for the study. The National Cholesterol Education Programme Adult Treatment Panel III (NCEP ATP III) criterion was used for defining MetS. Results: The incidence of MetS among the study population was 60% using the NCEP ATP III criteria. Out of the 60% with MetS, the prevalence was significantly higher in ischaemic stroke patients compared to haemorrhagic stroke patients (43.3% vs 16.7%; p=0.0185). The prevalence of MetS was significantly higher in Ischaemic patients than Haemorrhagic stroke survivors (68% vs 32%; p=0.0005). The prevalence of MetS was higher in female stroke survivors compared to male stroke survivors but was not statistically significant (34.7% vs 25.3%; p=0.3398). The frequency of MetS was significantly higher in the age group of 50-60 years compared to others (p<0.05). High blood glucose, high blood pressure and high waist circumference (obesity) were the most prevalent MetS components (64%, 61% and58%) respectively. There were significant associations between high fasting blood glucose, high blood pressure and waist circumference with stroke (p=0.003, p=0.03, and p=0.02) respectively. Conclusion: Metabolic syndrome is high in acute stroke patients at Korle-Bu Teaching Hospital. There is high prevalence of metabolic syndrome in ischaemic stroke than haemorrhagic stroke. Female stroke patients have higher frequency of metabolic syndrome than males. Regular monitoring and treatment of components of metabolic syndrome should be considered a standard medical and rehabilitation care for stroke survivors.Item Pain, range of motion and activity level as correlates of dynamic balance among elderly people with musculoskeletal disorder(Ghana medical journal, 2014-12) Bello, A.I.; Ababio, E.; Antwi-Baffoe, S.; Seidu, M.A.; Adjei, D.N.BACKGROUND: Assessment of impairment and disability measures on dynamic balance status of elderly patients is well documented in the rehabilitation of neuromuscular disorders. Few studies however considered similar evaluation in musculoskeletal disorders.OBJECTIVE: To determine the influence of pain, hip range of motion and level of activity on dynamic balance among elderly people with hip osteoarthritis (OA).METHODS: Elderly patients with hip OA participated in the cross-sectional survey. The impairment measures were assessed using the visual analogue scale and double-arm universal goniometer whilst their levels of activity were assessed with the Barthel Index. Participants performed Turn-180 on two trials by taking steps clockwise and anti-clockwise round a sturdy arm chair. The total number of steps taken to complete each Turn- 180 was determined. Descriptive statistics were used to summarize data whilst Pearson moment correlation coefficient determined the correlations of the variables at 95% confidence interval.RESULTS: The study involved 87 participants comprising 40(46%) males and 47(54%) females. The age of the participants ranged from 60 to 74 years with a mean of 65.8±4.5 years. There was a positive and significant correlation (r=0.596; p<0.001) between the participants' pain and steps taken to complete Turn-180. The participants' hip flexibility and the level of activity were also significantly and inversely correlated with the performance of Turn-180.CONCLUSION: The dynamic balance of the sampled elderly patients was considerably influenced by pain, hip flexibility and level of activity, thereby putting premium on the assessment of the variables during musculoskeletal rehabilitation of elderly patients.