World Journal of Pharmaceutical
and Medical Research

( An ISO 9001:2015 Certified International Journal )

An International Peer Reviewed Journal for Pharmaceutical and Medical Research and Technology
An Official Publication of Society for Advance Healthcare Research (Reg. No. : 01/01/01/31674/16)
ISSN (O) : 2455-3301
ISSN (P) : 3051-2557
IMPACT FACTOR: 6.842

ICV : 78.6

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Abstract

THE EFFECT OF PHYSIOTHERAPY INTERVENTIONS ON NEUROREHABILITATION OUTCOMES AND QUALITY OF LIFE AMONG RESIDENTS OF MONTSERRADO COUNTY, LIBERIA

*Stephen S. Bonard, Dr. Stephen Monday, Hector Towah Gontee, Ruby S. Gibson, Sarah Jerome Holder

ABSTRACT

Background: Neurological conditions including stroke, traumatic brain injury, and spinal cord injury present a substantial burden in Liberia where physiotherapy services are undertapped. Neurorehabilitation by physiotherapy has been shown to improve functional ability and quality of life, but evidence from low-income settings is limited. This study assessed physiotherapy interventions and their relationship to neurorehabilitation outcomes and quality of life for individuals living in Montserrado County, Liberia. Methods: A cross-sectional survey of 672 individuals diagnosed with neurological impairments and receiving physiotherapy care was conducted. Data were obtained through a structured Likert-scaled questionnaire, which included questions on access/use of the services, appropriateness of the interventions, adherence/self-management, functional recovery, quality of life, satisfaction, barriers and safety. Descriptive statistics, chi-square test, and multivariate regression analyses were used to investigate associations between physiotherapy interventions and rehabilitation outcomes. Results: Of the 672 respondents 54.5% were female, 45.5% male, and most were aged 35–54. The most commonly reported conditions were stroke (42%) and traumatic brain injury (27%). The reported level of access to physiotherapy was moderate –61% of respondents attended 3 or more sessions in the past month. Respondents performed fairly well at sticking to a home exercise program (68% of respondents), and 72% indicated that their mobility and/or self-care was improved. Quality of life scores were significantly improved for people that accessed physiotherapy regularly (p<0.01). Key barriers identified were financial cost (46%) and transportation (38%). Regarding the therapeutic alliance respondents reported 81% with confidence in their physiotherapists. Conclusion: Our findings indicate physiotherapy interventions had an overall positive impact on functional recovery, participation, and quality of life for residents with neurological conditions within Montserrado County. However, an ongoing access barriers including affordability and transport will need to be addressed if we are to improve service delivery and long-term community-based rehabilitation.

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