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Oyewole OO1, Thanni LOA2, Adebanjo AA2
1Olabisi Onabanjo University Teaching Hospital, Physiotherapy, Sagamu, Nigeria, 2Olabisi Onabanjo University Teaching Hospital, Orthopaedics and Traumatology, Sagamu, Nigeria
Background: Trauma to the long bones of the body resulting into fracture impact negatively on the finance, function, emotion and quality of life of the sufferers. The attitude towards fracture associated disability may influence the outcomes. The disability-perception or disability-acceptance of fracture survivors and its influence on their well-being is not well documented. Ascertaining the effect of disability-perception and disability-acceptance on fracture survivors will help during rehabilitation for better functioning.
Purpose: This study assessed Post Fracture Disability (PFD), Attitude Towards Disability (ATD) and its influence on the Health Related Quality of Life (HRQoL) among people who sustained long bones fracture.
Methods: Cross-sectional of people who sustained lower or upper limb fracture was recruited from out-patient clinics of a tertiary hospital. They were assessed for PFD, ATD and HRQoL with World Health Organization Disability Assessment Schedule (WHODAS 2.0), Attitudes Toward Disabled Persons Form A (ATDP-A) and SF-12 scale respectively.
Results: Seventy-two participants, aged 42.5±17.1 years participated in the study and 87.5% (63) sustained lower limb fracture while others sustained upper limb fracture. About 64% (46) were males. Majority of the participants (97.2%) reported PFD with mean disability scores of 35.4±20.2. Seventy-five percent of the participants reported their disability to be severe while 22.2% reported mild or moderate disability. Only 2.8% reported no disability. Most participants (68%) demonstrated positive ATD with the mean ATD scores of 99.8±20.8. The overall HRQoL was fair with mean scores of 53.8±15.4. Whether the participants hold positive or negative ATD did not affect their HRQoL (P=0.883). This observation remained the same when stratified by domains of HRQoL. However, the severity of PFD affected the HRQoL of the participants (P=0.002). As the severity of disability increases, the HRQoL of the participants decreases (r = -0.547; P=0.0001). Physical functioning (P=0.0001), Role limitation due to physical functioning (P=0.01), Social functioning (P=0.001) and Pain (P=0.03) domains were the most affected HRQoL.
Conclusion(s): Most participants are positive about their disability which may suggest self-acceptance. However, their physical and social functioning and role limitation due to physical functioning of HRQoL were affected by the disability.
Implications: Following incidence of fracture, there is great disability reported which substantially impacted HRQoL negatively. Efforts should be directed at reducing it during rehabilitation. Reinforcing the positive attitude held among fracture survivors towards their disability will help in good outcomes.
Keywords: Post fracture disability, Attitude towards disability, Health related quality of life
Funding acknowledgements: Self funded.
Thanks to Dr Odole AC of University of Ibadan, Nigeria for review of the abstract.
Purpose: This study assessed Post Fracture Disability (PFD), Attitude Towards Disability (ATD) and its influence on the Health Related Quality of Life (HRQoL) among people who sustained long bones fracture.
Methods: Cross-sectional of people who sustained lower or upper limb fracture was recruited from out-patient clinics of a tertiary hospital. They were assessed for PFD, ATD and HRQoL with World Health Organization Disability Assessment Schedule (WHODAS 2.0), Attitudes Toward Disabled Persons Form A (ATDP-A) and SF-12 scale respectively.
Results: Seventy-two participants, aged 42.5±17.1 years participated in the study and 87.5% (63) sustained lower limb fracture while others sustained upper limb fracture. About 64% (46) were males. Majority of the participants (97.2%) reported PFD with mean disability scores of 35.4±20.2. Seventy-five percent of the participants reported their disability to be severe while 22.2% reported mild or moderate disability. Only 2.8% reported no disability. Most participants (68%) demonstrated positive ATD with the mean ATD scores of 99.8±20.8. The overall HRQoL was fair with mean scores of 53.8±15.4. Whether the participants hold positive or negative ATD did not affect their HRQoL (P=0.883). This observation remained the same when stratified by domains of HRQoL. However, the severity of PFD affected the HRQoL of the participants (P=0.002). As the severity of disability increases, the HRQoL of the participants decreases (r = -0.547; P=0.0001). Physical functioning (P=0.0001), Role limitation due to physical functioning (P=0.01), Social functioning (P=0.001) and Pain (P=0.03) domains were the most affected HRQoL.
Conclusion(s): Most participants are positive about their disability which may suggest self-acceptance. However, their physical and social functioning and role limitation due to physical functioning of HRQoL were affected by the disability.
Implications: Following incidence of fracture, there is great disability reported which substantially impacted HRQoL negatively. Efforts should be directed at reducing it during rehabilitation. Reinforcing the positive attitude held among fracture survivors towards their disability will help in good outcomes.
Keywords: Post fracture disability, Attitude towards disability, Health related quality of life
Funding acknowledgements: Self funded.
Thanks to Dr Odole AC of University of Ibadan, Nigeria for review of the abstract.
Topic: Orthopaedics; Musculoskeletal
Ethics approval required: Yes
Institution: Olabisi Onabanjo University Teaching Hospital, Sagamu, Nigeria.
Ethics committee: OOUTH Health Research Ethics Committee
Ethics number: OOUTH/HREC/40/2016
All authors, affiliations and abstracts have been published as submitted.
