Improving public health through the development of local scientific capacity and training in rehabilitation in LMICs: A proof-of-concept of collaborative efforts in Parakou, Benin

Bonnechère, Bruno; Kossi, Oyéné; Adoukonou, Thierry; Coninx, Karin; Spooren, Annemie; Feys, Peter

doi:10.3389/fpubh.2022.952727

Cited by 7 publications

(5 citation statements)

References 27 publications

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“…Currently, ∼200 physiotherapists work in Benin (Kossi, 2023), and only a few specialize in neurological rehabilitation (n = 14), including five specializing in the rehabilitation of children and young with cerebral palsy. It is therefore important to create more training programs for the specialization of not only physiotherapists but also other rehabilitation disciplines as their numbers are very poor in the country (Bonnechère et al, 2022a). For example, there are no occupational therapists in the country and only eight speech-language therapists, all working in Cotonou, the capital.…”

Section: Potential Solutionsmentioning

confidence: 99%

Commentary: Rehabilitation: a key service, yet highly underused, in the management of young patients with sickle cell disease after stroke in DR of Congo

Kossi

2024

Front. Stroke

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Section: Potential Solutionsmentioning

confidence: 99%

Commentary: Rehabilitation: a key service, yet highly underused, in the management of young patients with sickle cell disease after stroke in DR of Congo

Kossi

2024

Front. Stroke

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“…Therefore, the findings of this review may not be extrapolated to other countries (i.e., the specific organization of the care, health literacy, beliefs and cultural background, etc.). This highlights the need of conducting such research and implementing the findings in low- and middle-income countries, taking into account contextual realities [51]. Indeed, as exercise therapies may be of easy applicability and use (no special material needed), they could be easily contextually adapted and implemented in these countries.…”

Section: Discussionmentioning

confidence: 99%

Effects of supervised exercises on pain and disability in patients with hip or knee osteoarthritis: A systematic review and meta-analysis

Mapinduzi

Ndacayisaba

Mitchai

et al. 2023

Preprint

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Background: Hip and knee osteoarthritis are among the most prevalent and disabling conditions affecting mainly older adults, with a risk of undergoing a total hip or knee replacement for the end stage. Increasing recommendations of conservative treatments have been reported as the first-line strategy for the initial management of this condition. Objective: This review sought to investigate the effects of supervised exercises versus non-pharmacological conservative therapies to reduce pain and disability levels on patients with hip or knee osteoarthritis. Methods: Three databases (PubMed, Cochrane Library, and ScienceDirect) were systematically searched for randomized-controlled trials published between 01-01-2001 and 31-10-2022. PEDro scale was used to assess the methodological quality of the included studies. The PRISMA guidelines were applied for this review. Results: Twelve randomized-controlled trials of moderate-to-high quality were included in this review. The studies involved 1,049 participants with a mean age (SD) of 64 (6) years old. The duration of the intervention and follow-up varied from 2 weeks to 16 months. Supervised exercises for hip or knee osteoarthritis were significantly less effective in terms of pain reduction (SMD=-0.40 [95%CI 0.16, 0.65], p=0.001) compared to home-based exercises (active musculoskeletal therapies), but not in terms of disability reduction (SMD=-0.04[95%CI -0.43, 0.36], p=0.86). There was a non-significant difference of supervised exercises compared to passive musculoskeletal therapies in terms of disability (SMD=0.21[95%CI -0.09, 0.50], p=0.17), or pain reduction (SMD=-0.19; [95%CI -0.57, 0.19], p=0.33). Conclusion: Supervised exercises were found to be less effective in reducing pain, but not in disability reduction when compared to home-based exercises.

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“…Having motivated and trained personnel is crucial for the functioning of the system. This necessitates continuous investment in the remuneration and training of healthcare professional ( 60 ). To ensure the long-term sustainability of this project, contact and regular discussions with the local Ministry of Health are underway to integrate these services into the universal health coverage for these patients.…”

Section: Challenges and Opportunitiesmentioning

confidence: 99%

Empowering sickle cell disease care: the rise of TechnoRehabLab in Sub-Saharan Africa for enhanced patient's perspectives

Boma,

Ngoy,

Panda

et al. 2024

Front. Rehabil. Sci.

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Sickle-cell Disease (SCD) is a major public health problem in Africa, and there are significant obstacles to its comprehensive management, particularly in terms of access to appropriate healthcare. This calls for inventive approaches to improve patients' prospects. Among the major challenges to be met are the primary and secondary prevention of certain serious complications associated with the disease, such as neurocognitive, motor and respiratory functional disorders. This perspective argues for the rapid creation of specific, cost-effective, technology-supported rehabilitation centres to advance SCD care, identify patients at high risk of stroke and implement tailored rehabilitation strategies. The TechnoRehabLab in Lubumbashi illustrates this shift in thinking by using cutting-edge technologies such as virtual reality (VR), serious games and mobile health to create a comprehensive and easily accessible rehabilitation framework. Diagnostic tools used to perform functional assessment can be used to identify cognitive, balance and walking deficits respectively. Transcranial Doppler enables early detection of sickle cell cerebral vasculopathy, making it possible to provide early and appropriate treatment. VR technology and serious games enable effective rehabilitation and cognitive stimulation, which is particularly advantageous for remote or community-based rehabilitation. In the context of African countries where there is a glaring disparity in access to digital resources, the TechnoRehabLab serves as a tangible example, demonstrating the flexibility and accessibility of technology-assisted rehabilitation. This perspective is an urgent call to governments, non-governmental organisations and the international community to allocate resources to the replication and expansion of similar facilities across Africa.

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Improving public health through the development of local scientific capacity and training in rehabilitation in LMICs: A proof-of-concept of collaborative efforts in Parakou, Benin

Cited by 7 publications

References 27 publications

Commentary: Rehabilitation: a key service, yet highly underused, in the management of young patients with sickle cell disease after stroke in DR of Congo

Commentary: Rehabilitation: a key service, yet highly underused, in the management of young patients with sickle cell disease after stroke in DR of Congo

Effects of supervised exercises on pain and disability in patients with hip or knee osteoarthritis: A systematic review and meta-analysis

Empowering sickle cell disease care: the rise of TechnoRehabLab in Sub-Saharan Africa for enhanced patient's perspectives

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