Effectiveness of assistive devices on activity of daily living (ADL) and quality of life (QoL) in children with post-polio paralysis
Keywords:
Post-Polio Paralysis, ADLs, QoL, Rehabilitation Centres, Assistive Devices, WHO, KAFO, AFO, FO, SUNNASAbstract
Objective: To assess the effectiveness of assistive devices to enhancethe activity of daily living (ADL) and quality (QoL) of life in post-polio paralyzed childrenvisitingthe rehabilitation centre of Peshawar, Pakistan. Methodology: It was an interventional study, before and after using the AT, carried out in the PIPOS rehabilitation centre, Peshawar, from 2021 January to July.A total of 246 children of age 10-15 years were recruited.Both the genders, male(159) and female (87) with post-polio paralysis, were included.Before the intervention, verbal consent was taken from all these children, semi-structured questionnaire was developed to see the effect of the assistive device usage before and after 6 months to check the quality of ADL and QoL.The SUNNAAS index for ADL and WHO-BREFindex for quality of life (QoL) were used. The analysis was done on STATA version 14.0. Results: Male 95 and female 65 children participated in our study. The meandifference was -8.658 was analyzedfor the SUNNAS index of ADL, and the mean of -22.479 and SD 6.350 for the WHO index of QoL were analyzed at a 95% confidence interval. Two paired t-test was significant, with a value of 0.000 P-value for both the indices.
Downloads
References
Borg J, Lindström A, Larsson S. Assistive technology in developing countries: a review from the perspective of the Convention on the Rights of Persons with Disabilities. ProsthetOrthot Int. 2011 Mar;35(1):20-9. doi: 10.1177/0309364610389351. PMID: 21515886..
Borg J, Lindström A, Larsson S. Assistive technology in developing countries: a review from the perspective of the Convention on the Rights of Persons with Disabilities. ProsthetOrthot Int. 2011 Mar;35(1):20-9. doi: 10.1177/0309364610389351. PMID: 21515886..
Daan J. J. Bregman, Vincent De Groot, Peter Van Diggele, Hubert Meulman, Han Houdijk& Jaap Harlaar (2010) Polypropylene ankle foot orthoses to overcome drop-foot gait in central neurological patients: A mechanical and functional evaluation, Prosthetics and Orthotics International, 34:3, 293-304, DOI: 10.3109/03093646.2010.495969
Desideri L. Good practices in assistive technology service delivery for children: a commentary on van Niekerk et al. study. DisabilRehabil Assist Technol [Internet]. 2019;14(8):760–1. Available from: http://dx.doi.org/10.1080/17483107.2019.1649476
dos Santos RF, Sewo Sampaio PY, Carvalho Sampaio RA, Luis Gutierrez G, de Almeida MA. Assistive technology and its relationship to the quality of life of people with disabilities. Journal of Occupational Therapy of University of São Paulo/Revista de TerapiaOcupacional da Universidade de São Paulo. 2017 Jan 1;28(1).
du Toit R, Keeffe J, Jackson J, Bell D, Minto H, Hoare P. A global public health perspective: Facilitating access to assistive technology: Facilitating access to assistive technology. Optom Vis Sci [Internet]. 2018;95(9):883–8. Available from: http://dx.doi.org/10.1097/OPX.0000000000001272
Edemekong PF, Bomgaars DL, Sukumaran S, Levy SB. Activities of daily living. In: StatPearls [Internet]. StatPearls Publishing; 2022.
Eriksson M, Jylli L, Villard L, Kroksmark AK, Bartonek Å. Health-related quality of life and orthosis use in a Swedish population with arthrogryposis. Prosthetics and Orthotics International. 2018 Aug;42(4):402-9.
Fayzullaeva, H. D. (2020). Educational environment influence on the pre-school children’s social cognition development. International Journal of Social Sciences and Humanities, 4(2), 13–20. https://doi.org/10.29332/ijssh.v4n2.401
Fernando H. F. Botelho (2021) Childhood and Assistive Technology: Growing with opportunity, developing with technology, Assistive Technology, 33:sup1, 87-93, DOI: 10.1080/10400435.2021.1971330
Ganesh GS, Marwah D, Punyal S, Gupta S. Physical activity and quality of life predictors among university students with polio in India: A cross-sectional study. J Clin Transl Res [Internet]. 2020;6(3):71–80. Available from: http://dx.doi.org/10.18053/jctres.06.202003.001
Ganesh GS, Marwah D, Punyal S, Gupta S. Physical activity and quality of life predictors among university students with polio in India: A cross-sectional study. Journal of Clinical and Translational Research. 2020 Sep 5;6(3):71.
Gupta A, Srivastava A, Taly AB, Murali T. Single-stage multilevel soft-tissue surgery in the lower limbs with spastic cerebral palsy: Experience from a rehabilitation unit. Indian journal of orthopedics. 2008 Oct;42(4):448.
Gupta A, Srivastava A, Taly AB, Murali T. Single-stage multilevel soft-tissue surgery in the lower limbs with spastic cerebral palsy: Experience from a rehabilitation unit. Indian journal of orthopedics. 2008 Oct;42(4):448.
Hiroshi Mano, Satoko Noguchi, Sayaka Fujiwara & Nobuhiko Haga (2021) Relationship between degree of disability, usefulness of assistive devices, and daily use duration: an investigation in children with congenital upper limb deficiencies who use upper limb prostheses, AssistiveTechnology, DOI: 10.1080/10400435.2021.1970652
Hiroshi Mano, Satoko Noguchi, Sayaka Fujiwara & Nobuhiko Haga (2021) Relationship between degree of disability, usefulness of assistive devices, and daily use duration: an investigation in children with congenital upper limb deficiencies who use upper limb prostheses, AssistiveTechnology, DOI: 10.1080/10400435.2021.1970652
Hong CS, Palmer K. Occupational therapy and physiotherapy for children with disabilities. J Fam Health Care. 2003;13(2):38–40.
https://aspe.hhs.gov/basic-report/measuring-activities-daily-living-comparisons-across-national-surveys (accessed 19 May 2019).
https://www.medicinenet.com/polio_facts/article.htm#what_is_the_treatment_for_polio (accessed 12 May 2019).
https://www.ncbi.nlm.nih.gov/pubmed/20022835 (accessed 19 May 2019).
Jamali-Phiri M, Ebuenyi ID, Smith EM, Kafumba JA, MacLachlan M, Munthali A. Socio-demographic factors influencing the use of Assistive Technology among children with disabilities in Malawi. Int J Environ Res Public Health [Internet]. 2021;18(6):3062. Available from: http://dx.doi.org/10.3390/ijerph18063062
Karin van Niekerk, Shakila Dada & Kerstin Tönsing (2019) Influences on selection of assistive technology for young children in South Africa: perspectives from rehabilitation professionals, Disability and Rehabilitation, 41:8, 912-925, DOI: 10.1080/09638288.2017.1416500
Karin van Niekerk, Shakila Dada & Kerstin Tönsing (2019) Influences on selection of assistive technology for young children in South Africa: perspectives from rehabilitation professionals, Disability and Rehabilitation, 41:8, 912-925, DOI: 10.1080/09638288.2017.1416500
Khasnabis C, Motsch KH, Achu K, Al Jubah K, Brodtkorb S, Chervin P, Coleridge P, Davies M, Deepak S, Eklindh K, Goerdt A. Community-based rehabilitation: CBR guidelines
Malibary, H., Zagzoog, M.M., Banjari, M.A. et al. Quality of Life (QoL) among medical students in Saudi Arabia: a study using the WHOQOL-BREF instrument. BMC Med Educ 19, 344 (2019). https://doi.org/10.1186/s12909-019-1775-8
Mushtaq A, Mehmood S, Rehman MA, Younas A, Rehman MS, Malik MF, Hyder MZ. Polio in Pakistan: Social constraints and travel implications. Travel medicine and infectious disease. 2015 Sep 1;13(5):360-6.
N Niekerk K, Dada S, Tönsing K. Influences on selection of assistive technology for young children in South Africa: perspectives from rehabilitation professionals. DisabilRehabil [Internet]. 2019;41(8):912–25. Available from: http://dx.doi.org/10.1080/09638288.2017.1416500
Ostensjø S, Carlberg EB, Vøllestad NK. The use and impact of assistive devices and other environmental modifications on everyday activities and care in young children with cerebral palsy. DisabilRehabil [Internet]. 2005;27(14):849–61. Available from: http://dx.doi.org/10.1080/09638280400018619
Pal R. Satisfaction Level of the Primary Caregiver of Children using Lower Limb Orthotic Device and Services at a Selected Rehabilitation Centre's in Dhaka (Doctoral dissertation, Bangladesh Health Professions Institute, Faculty of Medicine, the University of Dhaka, Bangladesh.).
Patrick D. Orthotics. In: Geriatric Rehabilitation Manual. Elsevier; 2007. p. 465–7.
Polio [Internet]. Cleveland Clinic. [cited 2022 Mar 1]. Available from: https://my.clevelandclinic.org/health/diseases/15655-polio
Poliomyelitis. Arch Neurol Psychiatry [Internet]. 1933 [cited 2022 Mar 1];30(1):244. Available from: https://www.who.int/news-room/fact-sheets/detail/poliomyelitis
Power, M., Bullinger, M., Harper, A., & The World Health Organization Quality of Life Group. (1999). The World Health Organization WHOQOL-100: Tests of the universality of quality of life in 15 different cultural groups worldwide. Health Psychology, 18(5), 495–505. https://doi.org/10.1037/0278-6133.18.5.495
Ramstrand N, Maddock A, Johansson M, Felixon L. The lived experience of people who require prostheses or orthoses in the Kingdom of Cambodia: A qualitative study. Disability and Health Journal. 2021 Jul 1;14(3):101071.
Sjödahl Hammarlund C, Lexell J, Brogårdh C. Growing up with a disability following paralytic poliomyelitis: experiences from persons with late effects of polio. DisabilRehabil [Internet]. 2021;43(7):960–6. Available from: http://dx.doi.org/10.1080/09638288.2019.1647296
Sofija, G., & Ivan, T. (2018). Quality of life in children with disabilities placed in foster families. International Journal of Health & Medical Sciences, 1(1), 18-27. https://doi.org/10.31295/ijhms.v1n1.35
Sulaiman, S.K., Aldersey, H.M., DePaul, VG et al. selection of a quality of life instrument for polio survivors in Northwest Nigeria. Health Qual Life Outcomes 18, 309 (2020). https://doi.org/10.1186/s12955-020-01552-4
Suryasa, I. W., Rodríguez-Gámez, M., & Koldoris, T. (2022). Post-pandemic health and its sustainability: Educational situation. International Journal of Health Sciences, 6(1), i-v. https://doi.org/10.53730/ijhs.v6n1.5949
Vahedi S. World Health Organization Quality-of-Life Scale (WHOQOL-BREF): analyses of their item response theory properties based on the graded responses model. Iranian journal of psychiatry. 2010;5(4):140.
Vardeberg K, Kolsrud M, Laberg T. Sunnaas index of ADL. World Federation of Occupational Therapists Bulletin. 1991 Jan 1;24(1):30-5
Vardeberg K, Kolsrud M, Laberg T. Sunnaas index of ADL. World Federation of Occupational Therapists Bulletin. 1991 Jan 1;24(1):30-5.
WHO quality of life-BREF (WHOQOL-BREF) [Internet]. Shirley Ryan AbilityLab. [cited 2022 Apr 29]. Available from: https://www.sralab.org/rehabilitation-measures/who-quality-life-bref-whoqol-bref
Published
How to Cite
Issue
Section
Copyright (c) 2022 International journal of health sciences

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Articles published in the International Journal of Health Sciences (IJHS) are available under Creative Commons Attribution Non-Commercial No Derivatives Licence (CC BY-NC-ND 4.0). Authors retain copyright in their work and grant IJHS right of first publication under CC BY-NC-ND 4.0. Users have the right to read, download, copy, distribute, print, search, or link to the full texts of articles in this journal, and to use them for any other lawful purpose.
Articles published in IJHS can be copied, communicated and shared in their published form for non-commercial purposes provided full attribution is given to the author and the journal. Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in this journal.
This copyright notice applies to articles published in IJHS volumes 4 onwards. Please read about the copyright notices for previous volumes under Journal History.








