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Burden of Limitations of Activities of Daily Living among Geriatric Nigerians with Musculoskeletal Disorders in a Resource-Limited Nigerian Primary Care Clinic in Eastern Nigeria

Received: 16 June 2013     Published: 10 July 2013
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Abstract

Background: Globally, there is emerging increase in the population of elderly. Despite the process of natural aging, elderly population in addition suffer musculoskeletal disorders (MSDs) which affect their activities of daily living (ADLs). Aim: The study was designed to determine the burden of limitations of activities of daily living among geriatric Nigerians with musculoskeletal disorders in a resource-limited Nigerian primary care clinic in Eastern Nigeria. Materials and Methods: A cross-sectional study carried out on 894 geriatric patients who were screened for MSDs and 130 of them who had diagnoses of MSDs were studied. Data was collected using a pretested, structured and interviewer administered questionnaire. Each ADL was scored on a four points Likert scale and assessed in the previous one month from the domains of physical, personal, domestic, instrumental and spiritual activities of daily living. Patients who scored 0 had no affectation of ADLs while those who scored 1-3 were variably affected. Results: The prevalence of MSDs was 14.5%. Three most common musculoskeletal disorders were low back pain (36.9%), osteoarthritis of weight bearing joints (30.0%) and spine curvature disorders (17.7%). Physical activity was most commonly affected (89.2%) and spiritual activity was least affected (8.5%). Conclusion: MSDs are common among geriatric Nigerians with the most common being low back pain. Physical ADL was predominantly affected while spiritual ADL was least affected. Strategies to improve ADLs should constitute targets for intervention during clinical encounter with geriatric patients with MSDs in primary care settings.

Published in American Journal of Health Research (Volume 1, Issue 1)
DOI 10.11648/j.ajhr.20130101.12
Page(s) 9-16
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2013. Published by Science Publishing Group

Keywords

Activities of Daily Living, Geriatrics, Musculoskeletal Disorders, Nigeria, Primary Care Clinic

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Cite This Article
  • APA Style

    Gabriel Uche Pascal Iloh, Abali Chuku, Odinakachukwu Japhet Dike, Obinna Peters Amafili, Blessing Chidinma Nnaji. (2013). Burden of Limitations of Activities of Daily Living among Geriatric Nigerians with Musculoskeletal Disorders in a Resource-Limited Nigerian Primary Care Clinic in Eastern Nigeria. American Journal of Health Research, 1(1), 9-16. https://doi.org/10.11648/j.ajhr.20130101.12

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    ACS Style

    Gabriel Uche Pascal Iloh; Abali Chuku; Odinakachukwu Japhet Dike; Obinna Peters Amafili; Blessing Chidinma Nnaji. Burden of Limitations of Activities of Daily Living among Geriatric Nigerians with Musculoskeletal Disorders in a Resource-Limited Nigerian Primary Care Clinic in Eastern Nigeria. Am. J. Health Res. 2013, 1(1), 9-16. doi: 10.11648/j.ajhr.20130101.12

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    AMA Style

    Gabriel Uche Pascal Iloh, Abali Chuku, Odinakachukwu Japhet Dike, Obinna Peters Amafili, Blessing Chidinma Nnaji. Burden of Limitations of Activities of Daily Living among Geriatric Nigerians with Musculoskeletal Disorders in a Resource-Limited Nigerian Primary Care Clinic in Eastern Nigeria. Am J Health Res. 2013;1(1):9-16. doi: 10.11648/j.ajhr.20130101.12

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  • @article{10.11648/j.ajhr.20130101.12,
      author = {Gabriel Uche Pascal Iloh and Abali Chuku and Odinakachukwu Japhet Dike and Obinna Peters Amafili and Blessing Chidinma Nnaji},
      title = {Burden of Limitations of Activities of Daily Living among Geriatric Nigerians with Musculoskeletal Disorders in a Resource-Limited Nigerian Primary Care Clinic in Eastern Nigeria},
      journal = {American Journal of Health Research},
      volume = {1},
      number = {1},
      pages = {9-16},
      doi = {10.11648/j.ajhr.20130101.12},
      url = {https://doi.org/10.11648/j.ajhr.20130101.12},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajhr.20130101.12},
      abstract = {Background: Globally, there is emerging increase in the population of elderly. Despite the process of natural aging, elderly population in addition suffer musculoskeletal disorders (MSDs) which affect their activities of daily living (ADLs). Aim: The study was designed to determine the burden of limitations of activities of daily living among geriatric Nigerians with musculoskeletal disorders in a resource-limited Nigerian primary care clinic in Eastern Nigeria. Materials and Methods: A cross-sectional study carried out on 894 geriatric patients who were screened for MSDs and 130 of them who had diagnoses of MSDs were studied.  Data was collected using a pretested, structured and interviewer administered questionnaire. Each ADL was scored on a four points Likert scale and assessed in the previous one month from the domains of physical, personal, domestic, instrumental and spiritual activities of daily living.  Patients who scored 0 had no affectation of ADLs while those who scored 1-3 were variably affected. Results: The prevalence of MSDs was 14.5%. Three most common musculoskeletal disorders were low back pain (36.9%), osteoarthritis of weight bearing joints (30.0%) and spine curvature disorders (17.7%). Physical activity was most commonly affected (89.2%) and spiritual activity was least affected (8.5%). Conclusion: MSDs are common among geriatric Nigerians with the most common being low back pain. Physical ADL was predominantly affected while spiritual ADL was least affected. Strategies to improve ADLs should constitute targets for intervention during clinical encounter with geriatric patients with MSDs in primary care settings.},
     year = {2013}
    }
    

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  • TY  - JOUR
    T1  - Burden of Limitations of Activities of Daily Living among Geriatric Nigerians with Musculoskeletal Disorders in a Resource-Limited Nigerian Primary Care Clinic in Eastern Nigeria
    AU  - Gabriel Uche Pascal Iloh
    AU  - Abali Chuku
    AU  - Odinakachukwu Japhet Dike
    AU  - Obinna Peters Amafili
    AU  - Blessing Chidinma Nnaji
    Y1  - 2013/07/10
    PY  - 2013
    N1  - https://doi.org/10.11648/j.ajhr.20130101.12
    DO  - 10.11648/j.ajhr.20130101.12
    T2  - American Journal of Health Research
    JF  - American Journal of Health Research
    JO  - American Journal of Health Research
    SP  - 9
    EP  - 16
    PB  - Science Publishing Group
    SN  - 2330-8796
    UR  - https://doi.org/10.11648/j.ajhr.20130101.12
    AB  - Background: Globally, there is emerging increase in the population of elderly. Despite the process of natural aging, elderly population in addition suffer musculoskeletal disorders (MSDs) which affect their activities of daily living (ADLs). Aim: The study was designed to determine the burden of limitations of activities of daily living among geriatric Nigerians with musculoskeletal disorders in a resource-limited Nigerian primary care clinic in Eastern Nigeria. Materials and Methods: A cross-sectional study carried out on 894 geriatric patients who were screened for MSDs and 130 of them who had diagnoses of MSDs were studied.  Data was collected using a pretested, structured and interviewer administered questionnaire. Each ADL was scored on a four points Likert scale and assessed in the previous one month from the domains of physical, personal, domestic, instrumental and spiritual activities of daily living.  Patients who scored 0 had no affectation of ADLs while those who scored 1-3 were variably affected. Results: The prevalence of MSDs was 14.5%. Three most common musculoskeletal disorders were low back pain (36.9%), osteoarthritis of weight bearing joints (30.0%) and spine curvature disorders (17.7%). Physical activity was most commonly affected (89.2%) and spiritual activity was least affected (8.5%). Conclusion: MSDs are common among geriatric Nigerians with the most common being low back pain. Physical ADL was predominantly affected while spiritual ADL was least affected. Strategies to improve ADLs should constitute targets for intervention during clinical encounter with geriatric patients with MSDs in primary care settings.
    VL  - 1
    IS  - 1
    ER  - 

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Author Information
  • Department of Family Medicine, Federal Medical Centre, Umuahia, Abia state, Nigeria

  • Department of Ophthalmology Federal Medical Centre, Umuahia, Abia state, Nigeria

  • Department of Family Medicine, Federal Medical Centre, Umuahia, Abia state, Nigeria

  • Department of Family Medicine, Federal Medical Centre, Umuahia, Abia state, Nigeria

  • Department of Family Medicine, Federal Medical Centre, Umuahia, Abia state, Nigeria

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