Masters Degrees (Physiotherapy)

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Browsing Masters Degrees (Physiotherapy) by Author "Barnes, Roline"

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    Risk factors and shoulder dysfunction in elite male fast bowlers in South Africa
    (University of the Free State, 2020-08) Rafferty, Keagan; Barnes, Roline
    Cricket is one of the world’s most popular sports. Cricketers are playing exponentially more matches due to the rise of wealth and opportunity, leaving modern-day fast bowlers at greater risk of injury. The aim of this study was to determine the intrinsic and extrinsic risk factors for shoulder dysfunction among elite male fast bowlers, 18 years and older, in South Africa. This descriptive observational cross-sectional study utilised a non-randomised, convenience sampling method, recruiting 33 elite male South African fast bowlers as study participants. Data collection entailed a modified Kerlan-Jobe Orthopaedic Clinic (KJOC) Shoulder and Elbow questionnaire, which was completed by each participant and an assessment procedure including the measurement of shoulder range of motion and stability, which was conducted by the researcher to determine the intrinsic and extrinsic risk factors for shoulder dysfunction in the participants. Data collection took place at the cricket stadiums which hosted the Knights team during the 2018/2019 domestic cricket season. Twenty-three participants (69.7%) were included in the shoulder dysfunction group and ten participants (30.3%) into the non-shoulder dysfunction group after classification by the researcher. Classification into the two groups were based on information obtained from the questionnaire and assessment procedure and participants meeting the conceptual definition of shoulder dysfunction as stated for this study. Results suggest that 23 (78.3%) participants in the shoulder dysfunction group were playing at franchise level, whereas 7 (70%) participants in the non-shoulder dysfunction group played at a provincial level. A higher chronic (1350) and acute (1175) bowling workload value was found within the non-shoulder dysfunction group, compared to the chronic (900) and acute (320) bowling workload values of 900 and 320 in the shoulder dysfunction group. Fast bowlers should be screened by the team physiotherapist regularly for early detection of risk factors, particularly those playing at a higher level and who have completed more seasons. A greater understanding and awareness of the identified risk factors will improve current fast bowler injury prevention strategies, ultimately improving the quality of cricket.
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    Six week exercise and education programme for weight-bearing joint pain at primary health care facilities
    (University of the Free State, 2021-11) Malebo, Malebo Kopano; Barnes, Roline
    Background: Joint pain is a common cause of functional limitation and increased health expenditure among older people. The ageing population is increasing the prevalence of joint pain and the demand for care. Joint pain is prevalent globally, one in three individuals experience joint pain, and in South Africa, 24.48% of primary health care clinics patients experience joint pain. In adults over 65 years old in a rural context, 29.7% reported experiencing joint pain. Physiotherapists working in a primary health care context are required to treat many patients with joint pain in the absence of clear guidelines. In urban and peri-urban contexts, health education and exercise programmes have been shown to improve pain, quality of life and self-efficacy of individuals with joint pain. The study aimed to determine and compare the impact of six-week education and exercise intervention programme on female patients 50 - 70 years old living with weight-bearing joint pain for three months or longer in the Maluti-a-Phofung health sub-district receiving care at PHC Clinics. Method: A single-blind randomised controlled trial was conducted using convenience sampling. Following baseline measurement, participants were randomised into the intervention, workbook, and usual care groups. Data was collected using interviewer administered outcome measures and physical performance task battery. Demographic data was collected using a self-developed demographics questionnaire. Pain severity and pain interference data were collected using the brief pain Inventory short from. Self-efficacy data was collected using the chronic diseases self-efficacy scale. Quality of life data was collected using the EQ-5D-3L, and physical function data was collected using Physical Performance Task Battery. Data was collected at baseline and six weeks. A self-developed acceptability questionnaire to collect acceptability data for the intervention group was used at six weeks. Results: Forty-seven participants enrolled in the study with a median of three painful joints. The majority of the participants were obese and presented with hypertension. There was no statistically significant difference in the pain severity scores between the groups at baseline or six weeks. There was no statistically significant difference in the pain interference score at baseline, but there was a statistically significant change within the intervention group for pain severity (p=0.00) and workbook group for pain severity (p=0.02). There was a statistically significant change in the pain severity and pain inference score for the intervention and workbook group for change within groups. The was not statistically significant difference in self-efficacy at baseline but there was statistically significant improvement in self-efficacy for the intervention (p=0.02) group and workbook group (p=0.04) at six weeks. The was no statistically significant difference in quality of life at baseline but there was a statically significant change in the quality-of-life (p=0.00) VAS=90 IQR (85-9) perception in the intervention group. There was no statistically significant difference between groups in the physical performance task battery at baseline nor at six weeks but there was a statistically significant improvement in the physical performance task battery within the intervention and workbook groups. There was a statically significant change of the timed-six-minute walk test with an improvement of 66 meters in the intervention group. Conclusion: The impact of the intervention on the intervention group was to decrease pain severity and pain interference, improve quality of life, improve self-efficacy and to improve physical function. In the workbook group the programme improved pain severity and interference, improved self-efficacy, and improved physical function. The six-week intervention can be used to manage joint pain in primary health care clinics and the workbook group should be investigated further but provides a bases for the use of a short formats in remote primary health care clinics.
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    A study to identify the physiotherapy referral practices of South African medical practitioners in Bloemfontein for musculoskeletal patients
    (University of the Free State, 2017-07) Janse van Rensburg, Alida Maria; Barnes, Roline
    Background. The burden of Musculoskeletal disorders (MSD) are a great concern globally. To address this global problem effective MSD management including appropriate referrals to physiotherapist and other health professionals are essential. Limited knowledge regarding the practices of medical practitioners referrals for patients with MSD exist globally. An improved comprehension of medical practitioner referral practices to physiotherapy are essential because of the growing burden of MSD internationally and the impact on both the patient population and the South African health system. Aim. The aim of this study was to identify the physiotherapy referral practices that South African medical practitioners in Bloemfontein follow, for individuals living with MSD. Method. A mixed methods approach was utilised, implementing a semi structured questionnaire, designed with the assistance of an expert panel. The questionnaire was completed by 49 participants who were given a choice between completing the questions themselves, telephonically or in person. Interviews done telephonically and in person were recorded and open-ended questions were transcribed verbatim. The quantitative data was analysed with the assistance of the Department of Biostatistics at the University of the Free State. The qualitative data was analysed by the researcher. Results. Results showed that medical practitioner musculoskeletal referrals to physiotherapy vary and multifaceted factors have an influence on their referral practices. Medical practitioners tend to be unsure about the specific role physiotherapists play in the management of individuals living with MSD. Medical practitioners gained most of their knowledge regarding physiotherapy during their postgraduate experience. A need for improved relationships and communication between medical practitioners and physiotherapists were evident. Conclusions. All participating medical practitioners had an awareness regarding the physiotherapy profession and involvement in the management of individuals living with MSD. Medical practitioners regularly refer individuals suffering from MSD to physiotherapy, but their referral practices should be enhanced in terms of evidence based practice and the use of specialized physiotherapy services provided by physiotherapists. In order to decrease the burden of MSD awareness should be created and change should be advocated between all medical practitioners and physiotherapists and further research is necessary regarding referral practices of medical practitioners to all members of the inter professional medical team.
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    Symptoms and quality of running experienced by road runners after a hip or knee replacement
    (University of the Free State, 2016-12) Du Toit, Ninnette; Barnes, Roline
    English: Discussion The literature on the subject shows that return to running after a hip or knee replacement varies from 3.8% to 100%. The research regarding the symptoms patients experience when returning to running after a hip or knee replacement is limited while there is even less research regarding the quality of running when returning after a hip or knee replacement. The purpose of this study is to describe the symptoms and quality of running experienced by road runners after a hip or knee replacement. Several studies have found that the intensity of running and mileage decreased while the frequency and duration of training increased after a hip or knee replacement. Data capturing and analysis Completed questionnaires were printed by the researcher and the data collected was captured on an Excel spread sheet. The Excel sheet was coded according to the responses to ensure that one language and format of capturing was utilised. The data received from the biostatistician were interpreted by the researcher. Results were divided into categories according to the type of surgery received (hip or knee replacement), the BMI and the rehabilitation participants received. Since the data is mostly descriptive, results were presented by means of frequencies and percentages for categorical data, and medians and means for continuous data. Results During this study ten patients were questioned regarding their demographics, symptoms and quality of running after a hip or knee replacement with the use of a questionnaire. The results of this study indicated that running with a replacement is possible, but symptoms such as pain and stiffness are present during and after running. Fifty percent of the participants gave negative feedback regarding running with a hip or knee replacement. Runners experienced a higher intensity of pain while running when compared to walking, though the intensity of pain experienced was less when compared to before the replacement. The level of stiffness experienced was lower after the replacement. Conclusion Running may not be safe in the long term when taking the results in account and is accompanied with discomfort and pain.