The purpose of the study was to evaluate the effect of chest physiotherapy along with early mobility after abdominal surgery. The study was investigating the effect of chest physiotherapy along with early mobility and only chest physiotherapy after major abdominal surgeries on respiratory function, length of hospital stays, pain intensity, oxygen saturation level and status of functional independency (FIM). Methodology: This was a quasi-experimental study where sixty patients with Lower abdominal surgery conveniently selected from the post-operative unit of the tertiary level specialized hospitals in Dhaka and simple random sampling was used for differentiating the groups. Thirty patients in chest physiotherapy group (control) and thirty in chest physiotherapy along with early mobility group (Experimental). It was measured the respiratory function, length of hospital stays, pain intensity, oxygen saturation level and status of functional independence. Results: Regarding this study the mean age of the experimental group were 46.7 (±18.12) years and mean age of control group were 43.4 (±15.66) years. Mean length of hospital stay was 7.90 (± 2.078) days in experimental group and 11.50 (±3.75) in control group, and the p value was 0.0016 in experimental group and 0.019 in control group so it was proved that the chest physiotherapy along with early mobilization significantly reduce the duration of hospital stay and chest physiotherapy was also effective. However it was showed that post-operative day-05 experimental group treatment was significantly effective where the p value was ≤0.05 (p=0.0378). So it was absolute showed that the treatment of experimental group was much effective. Study was showed that the effect on improving functional independency level was significantly effective of experimental group of FIM score in all parameters and also in control group also but in comparison it was showed that the experimental group was more effective than control group. Conclusion: It was identified the significant effectiveness of chest physiotherapy (CPT) along with early mobility rather than only chest physiotherapy after abdominal surgeries. But both groups of participants were showed significant effectiveness. Participants in the CPT along with early mobility exercise after abdominal surgeries showed that it significantly reduces the duration of hospital stay and as well as increase the peripheral oxygen saturation level and also improved functional independence rather than the control group who got only chest physiotherapy.

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Introduction Persons with disabilities (PWDs) are among the most vulnerable communities to suffer the serious consequences of COVID-19, and accepting COVID-19 vaccination is one of the recommended health advisories for them. Unwillingness to receive vaccines is a concerning issue, especially in the countries of Southeast Asia. The study aims to find out the COVID-19 vaccination rate of persons with disabilities (PWDs) in Bangladesh, the rate of unwillingness or inaccessibility of vaccination for PWDs, and predict the possible reasons for unwillingness. Methods A descriptive cross-sectional survey of PWDs aged 12 years or more was conducted in 12 rehabilitation centers in Bangladesh between February 2022 and May 2022. A self-developed structured questionnaire on socio-demographic, disability, and health indicators, acceptance and accessibility of COVID-19 vaccines, and knowledge and attitude towards vaccination was used for the survey. The study has been conducted according to the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) guidelines for a cross-sectional survey. Results With a 69% response rate, 241 PWDs participated in the study. PWDs with a spinal cord injury were the major respondents (62.7%). A total of 186 (77.2%) PWDs had taken one or more doses of COVID-19 vaccines of three doses supplied, and 55 (22.8%) were unwilling to have a vaccination. All vaccine recipients reported good accessibility to vaccination booths. The predictive factors of unwillingness were spinal cord injury type of disability (OR .36, P<.01), people coming to the rehabilitation center from rural areas (OR .44, P<.01), poor knowledge of COVID-19 vaccination (OR .78, P<.01), and dependency on mobility (OR.24, P<.001). Conclusion More than one-fifth of the persons with disabilities aged between 12 and 80 years were unwilling to receive the COVID-19 vaccination despite the accessibility of information and availability of the COVID-19 vaccine, mainly due to poor knowledge and mobility issues.

Introduction: Health-related Quality of Life (HRQOL)refers to a set of characteristics that may have an effect on health because they are related with an increased risk of chronic diseases related to low levels of physical activity. HRQOL is especially appropriate to conditions that are continuing and disabling such as cerebral palsy (CP). This study aims to determine the quality of life of children with cerebral palsy.  Methods: Cross sectional prospective survey under a quantitative study design was conducted for six months. Data was collected from the outdoor and indoor Paediatric physiotherapy unit of the Centre for the Rehabilitation of the Paralysed (CRP), Bangladesh. 100 cerebral palsy children were taken as the sample based on eligibility criteria, LAQ-CP questionnaire was used to assesses the effect of disability in children with CP and their families.  Results: From the analysis, found that cerebral palsy most commonly limits the schooling of the cerebral palsy child. Also, it limits the ability of mobility, physical independence, and social integration. Besides it causes economic and clinical burden for the family members of the child with CP. Overall, the QOL severely affected 40% (n=40) cerebral palsy children, moderately 29% (n=29), mildly 20%(n=20) children. Only 11% (n=11) was found with good QOL in this study.  Conclusion: HRQOL is pointedly affected in most of the children suffering from cerebral palsy. Measurement of HRQOL should be include with other type of assessment, to specify the areas in which a patient is most suffering and help the expert in making suitable decisions for patient management. The present finding indicates that cerebral palsy has a negative impact on health status and quality of life of children with cerebral palsy, as reported by the respondent parent.