MSc In Rehabilitation Science

Level of Community Reintegration among Stroke Survivors treated from a Specialized Rehabilitation Center living in Bangladesh; a cross sectional study

Sun, 18 May 2025 00:00:00 GMT

Level of Community Reintegration among Stroke Survivors treated from a Specialized Rehabilitation Center living in Bangladesh; a cross sectional study Chowdhury, Zihad Background: The research purpose was to explore the level of stroke survivors’ reintegration into the community in Bangladesh. The objectives were: to assess the socio demographic status, determine levels of social integration, home integration, productivity in activities, and to explore inter-relationships between social integration, home integration, and productivity. Methods: Quantitative cross-sectional design was used. Data was collected from approximately 300 stroke survivors discharged from CRP-Savar and CRP-Mirpur. Structured questionnaire and CIQ were employed in the form of interview. Descriptive statistics were reported means, frequency, and percentage. Inferential statistics were reported using Spearman Correlation, Kruskal-Wallis H, and Chi-square test. SPSS (version 26.0), Google form, Microsoft Excel were used to analyze the data. Results: Results revealed that 64.5% were male and 35.5% were female stroke survivors. Most of the stroke survivors were from 61 – 64 years age group, and they stayed in the rural areas (38.9%). The level of community reintegration was reported to be moderate with the mean CIQ score of 13.4 ± 4.5. The moderate level was also reported in social integration (4.9 ± 2.1) and home integration (5.3 ± 2.3). The level of productive activity was reported low (3.2 ± 1.7). The age groups (p<0.05), income (p<0.05), education level (p<0.05), and occupational status (p<0.05) were reported to be statistically significant. The residential area (p>0.05) was reported to be non-significant. The strong positive relationship was seen between social integration and home integration (r=0.58, p<0.05), home integration and productive activity (r=0.28, p<0.05), and social integration and productivity (r=0.53, p<0.05). The most strongly associated variable with total CIQ score was with social integration (r=0.89, p<0.05). Conclusion: The study emphasizes the need for community based rehabilitative interventions targeting the distinct requirements of stroke survivors from the displaced population. Enhancing networks, accessibility, and meaningful participation can maximize the benefits of reintegration. Longitudinal and mixed-methods research studies should be employed in the future to better understand the experiences and long-term needs of the vulnerable population. Keywords: Bangladesh, Community Integration Questionnaire, Community Reintegration, CRP, Low-and-Middle-Income Country, Rehabilitation, Stroke A thesis is submitted to the SSARC Regional Interprofessional Master’s Program in Rehabilitation Science of Centre for the Rehabilitation of the Paralysed (CRP) in conformity with the requirements for the Degree of M.Sc. in Rehabilitation Science, Bangladesh Health Professions Institute, Faculty of Medicine, the University of Dhaka, Bangladesh.

Assessment of workplace ergonomics and its impact on musculoskeletal disorders among office workers in the selected corporate office in Dhaka

Sun, 18 May 2025 00:00:00 GMT

Assessment of workplace ergonomics and its impact on musculoskeletal disorders among office workers in the selected corporate office in Dhaka Shilpy, Rokshana Akhter Background: Musculoskeletal disorders (MSDs) are one of the most common health problems at work across the world. They are especially bad for office workers because they have to stay in the same position for extended periods of time, do the same movements over and again, and don't follow proper ergonomic procedures. Methods: This cross-sectional study looks at the prevalence, risk factors, and ergonomic variables that cause MSDs among workers at the Walton Corporate Office in Bangladesh. Using a standardized questionnaire based on the Nordic Musculoskeletal Questionnaire (NMQ) and the Rapid Office Strain Assessment (ROSA), data were gathered from office workers in different departments. Results: The results show that MSDs are very frequent, with the neck, lower back, and shoulders being the areas that are most often afflicted. Statistical study shows that demographic characteristics including ergonomics, kind of job, and length of employment are strongly linked to the development of MSDs. Women and people over 40 were more likely to say they had musculoskeletal problems. Also, bad design of the desk, long hours at work, and not moving about during the day were also key issues. Conclusion: The study's results are in line with what other studies have found throughout the world, which shows that there is an urgent need for ergonomic changes in office settings. The results suggest that the business should make ergonomic modifications, promote health education, and create proactive occupational health measures to lower the number of MSD cases and improve employee health. Key words: workplace ergonomics, musculoskeletal disorders, office workers A thesis is submitted to the SSARC Regional Interprofessional Master’s Program in Rehabilitation Science of Centre for the Rehabilitation of the Paralysed (CRP) in conformity with the requirements for the Degree of M.Sc. in Rehabilitation Science, Bangladesh Health Professions Institute, Faculty of Medicine, the University of Dhaka, Bangladesh.

Level of physical activity among people with multimorbidity in selected health facilities of Nepal

Sun, 18 May 2025 00:00:00 GMT

Level of physical activity among people with multimorbidity in selected health facilities of Nepal Shrestha, Renu Level of physical activity among people with multimorbidity in selected health facilities of Nepal Background: The prevalence of NCD is increasing; death and disability resulting from it is huge. With the increase in risk factors, habitual or environmental, the occurrence of more than one morbidity is starting to be a norm. Being physically active is one of the inevitable way of preventing, maintaining and reducing adverse effects from NCDs. Assessing physical activity level in multimorbidity can give a picture of its status and assessment of perception can how people are perceiving physical activity. Methods: A cross-sectional study with purposive convenience sampling was done. 195 people with multimorbidity aged 20-69 were interviewed using a questionnaire with demographics, GPAQ, and a self-made questionnaire for perception. Data analysis was done using SPSS. Frequencies were generated for demographic variables, according to level of physical activity and perception. The median physical activity was calculated for domains of GPAQ across demographic variables and for perception. Non parametric tests were done and spearman correlation for inferential statistics. Results: The number of morbidities ranged from 2-4 in one person, 4 was present in 4 female participants. 95% participants met the WHO criteria for physical activity. Median total physical activity was 3120 MET-minutes and median sedentary time per day was 2 hours. Significance between subgroups was evident in age (p=0.039) and ethnicity (p=0.00) only. Perception was good but people lacked behavioral change. Although professional support was present, it correlated negatively with physical activity(=-0.032;p=0.001). Conclusion: Like the other researches done in Nepal, this study showed a majority of participants had enough physical activity. Specific focus of physical activity and exercises, habitual change from a younger age, multidisciplinary care procedures may help to address proper plan for multimorbidity care. Keywords: multimorbidity, Nepal, perception, physical activity A thesis is submitted to the SSARC Regional Interprofessional Master’s Program in Rehabilitation Science of Centre for the Rehabilitation of the Paralysed (CRP) in conformity with the requirements for the Degree of M.Sc. in Rehabilitation Science, Bangladesh Health Professions Institute, Faculty of Medicine, the University of Dhaka, Bangladesh.

Pattern of Musculoskeletal conditions among security guards working in Narayanganj city.

Sun, 18 May 2025 00:00:00 GMT

Pattern of Musculoskeletal conditions among security guards working in Narayanganj city. Hasan, Nakibul Background: Musculoskeletal disorders (MSDs) are a prevalent occupational health issue among physically active workers, including security guards, due to prolonged standing, repetitive tasks, and poor ergonomic conditions. These conditions negatively affect quality of life, productivity, and health outcomes. Objective: The study aimed to assess the pattern of musculoskeletal conditions among security guards working in Narayanganj city, Bangladesh, and to examine associations with demographic and occupational factors such as age, BMI, and working hours. Methods: A cross-sectional study was conducted with 200 security guards using structured socio-demographic questionnaires and the standardized Nordic Musculoskeletal Questionnaire. Data were analyzed using SPSS 25.0 to determine the pattern of musculoskeletal pain and its association with variables such as age, BMI, and working hours. Results: Around 176(88%) out of 200 participants had some type of musculoskeletal pain in last 12 months. The most common musculoskeletal complaints reported in the last 12 months included lower back pain (24.5%), knee pain (16%), ankle pain (13%), neck pain (9.5%), and shoulder pain (9%). Age was significantly associated with lower back pain (p=0.012), knee pain (p=0.001), and ankle pain (p=0.000), while BMI and working hours showed no significant correlation with MSDs. Most participants were male (89%), aged 25–45 years (57%), and worked more than 8 hours daily (89.5%). Conclusion: The study highlights a significant burden of MSDs among security guards in Narayanganj, particularly in the lower back, knees, and ankles. These findings underscore the need for ergonomic interventions, education, and physiotherapy support to prevent and manage MSDs in this occupational group. Further research with larger sample sizes is recommended to generalize findings nationwide. Keywords: Musculoskeletal Disorders (MSDs), Security Guards, Occupational Health, Nordic Musculoskeletal Questionnaire, Age-related Pain, Narayanganj city. A thesis is submitted to the SSARC Regional Interprofessional Master’s Program in Rehabilitation Science of Centre for the Rehabilitation of the Paralysed (CRP) in conformity with the requirements for the Degree of M.Sc. in Rehabilitation Science, Bangladesh Health Professions Institute, Faculty of Medicine, the University of Dhaka, Bangladesh.