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The prevalence and rehabilitation needs of individuals with locomotor disability in Mitchell's Plain
Locomotor disability is a problem, reported prevalence ranging from 1% to 8.6%. Only a limited number of studies have been done in South Africa. They used different methodologies and definitions, thus leading to the variation in prevalence reported. A further factor influencing prevalence is that so...
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| Format: | Thesis |
| Language: | English |
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Department of Human Biology
2017
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| _version_ | 1867613268501069824 |
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| access_status_str | Open Access |
| author | Coetzee, Lizmory Tandeke Fehrsen |
| author2 | Boonzaier, David |
| author_browse | Boonzaier, David Coetzee, Lizmory Tandeke Fehrsen |
| author_facet | Boonzaier, David Coetzee, Lizmory Tandeke Fehrsen |
| author_sort | Coetzee, Lizmory Tandeke Fehrsen |
| collection | Thesis |
| description | Locomotor disability is a problem, reported prevalence ranging from 1% to 8.6%. Only a limited number of studies have been done in South Africa. They used different methodologies and definitions, thus leading to the variation in prevalence reported. A further factor influencing prevalence is that some locomotor disabilities are area-specific. This study aimed to determine the prevalence and rehabilitation needs of individuals with locomotor disability in Mitchell's Plain, for planning intervention strategies as part of this community based rehabilitation service. A cross sectional study design was employed. A stratified proportional cluster sampling technique was used to select 36 clusters resulting in a sample size of2424 people. Screening questions recommended by the WHO were used to identify people with impairments (Phase I). Further screening (Phase II), of those identified with impairments, using a questionnaire based on the ICIDH categories, identified people with disabilities. People with locomotor disabilities were grouped together and qualitative analysis through case studies was done on sub-groups where common themes manifested. 12.9% reported some form of impairment; 3.9% adults could be classified as having disabilities. Amongst adults with disabilities, 2.7% had locomotor disabilities. Consistent with the literature, disability increased with age, was more frequently reported amongst females, and was associated with lower socio-economic class. Multiple impairments were frequently reported, with the most common impairment being musculo-skeletal conditions. Use of health services occurred in the public sector with the local Day Hospital used as frequently as more distant tertiary hospitals. The study revealed the need for improved and accessible medical and rehabilitation services in the community. Their poor ability to integrate functionally and economically into the community, was reflected in the high proportion of people with mobility and occupational handicap categories. Low levels of education worsened the impact on occupational handicap. It was further evident that multiple impairments amongst the elderly lead to greater dependence of people with locomotor disability on their care-givers. Even though the need for assistive equipment was high, much of assistive equipment owned was not being used. A further handicapping factor for the disabled using assistive equipment was their environment which restricted the use of assistive equipment. High locomotor disability prevalence was confirmed in this study. Major unmet needs were identified in the handicap categories of physical mobility and economic self-sufficiency. Domiciliary based intervention was recommended as the most appropriate rehabilitative intervention for the severely physically disabled persons. |
| format | Thesis |
| id | oai:open.uct.ac.za:11427/25666 |
| institution | University of Cape Town (South Africa) |
| language | eng |
| last_indexed | 2026-06-10T12:33:26.520Z |
| license_str | Not specified — see source repository |
| provenance_str_mv | Harvested via OAI-PMH from UCTD — University of Cape Town Open Access Repository |
| publishDate | 2017 |
| publishDateRange | 2017 |
| publishDateSort | 2017 |
| publisher | Department of Human Biology |
| publisherStr | Department of Human Biology |
| record_format | dspace |
| source_str | UCTD — University of Cape Town Open Access Repository |
| spelling | oai:open.uct.ac.za:11427/25666 The prevalence and rehabilitation needs of individuals with locomotor disability in Mitchell's Plain Coetzee, Lizmory Tandeke Fehrsen Boonzaier, David Movement Disorders - Rehabilitation - South Africa~Physical therapy Locomotor disability is a problem, reported prevalence ranging from 1% to 8.6%. Only a limited number of studies have been done in South Africa. They used different methodologies and definitions, thus leading to the variation in prevalence reported. A further factor influencing prevalence is that some locomotor disabilities are area-specific. This study aimed to determine the prevalence and rehabilitation needs of individuals with locomotor disability in Mitchell's Plain, for planning intervention strategies as part of this community based rehabilitation service. A cross sectional study design was employed. A stratified proportional cluster sampling technique was used to select 36 clusters resulting in a sample size of2424 people. Screening questions recommended by the WHO were used to identify people with impairments (Phase I). Further screening (Phase II), of those identified with impairments, using a questionnaire based on the ICIDH categories, identified people with disabilities. People with locomotor disabilities were grouped together and qualitative analysis through case studies was done on sub-groups where common themes manifested. 12.9% reported some form of impairment; 3.9% adults could be classified as having disabilities. Amongst adults with disabilities, 2.7% had locomotor disabilities. Consistent with the literature, disability increased with age, was more frequently reported amongst females, and was associated with lower socio-economic class. Multiple impairments were frequently reported, with the most common impairment being musculo-skeletal conditions. Use of health services occurred in the public sector with the local Day Hospital used as frequently as more distant tertiary hospitals. The study revealed the need for improved and accessible medical and rehabilitation services in the community. Their poor ability to integrate functionally and economically into the community, was reflected in the high proportion of people with mobility and occupational handicap categories. Low levels of education worsened the impact on occupational handicap. It was further evident that multiple impairments amongst the elderly lead to greater dependence of people with locomotor disability on their care-givers. Even though the need for assistive equipment was high, much of assistive equipment owned was not being used. A further handicapping factor for the disabled using assistive equipment was their environment which restricted the use of assistive equipment. High locomotor disability prevalence was confirmed in this study. Major unmet needs were identified in the handicap categories of physical mobility and economic self-sufficiency. Domiciliary based intervention was recommended as the most appropriate rehabilitative intervention for the severely physically disabled persons. 2017-10-13T07:49:32Z 2017-10-13T07:49:32Z 1997 2017-07-13T13:08:18Z Master Thesis Masters MPhil http://hdl.handle.net/11427/25666 eng application/pdf Department of Human Biology Faculty of Health Sciences University of Cape Town |
| spellingShingle | Movement Disorders - Rehabilitation - South Africa~Physical therapy Coetzee, Lizmory Tandeke Fehrsen The prevalence and rehabilitation needs of individuals with locomotor disability in Mitchell's Plain |
| thesis_degree_str | Master's |
| title | The prevalence and rehabilitation needs of individuals with locomotor disability in Mitchell's Plain |
| title_full | The prevalence and rehabilitation needs of individuals with locomotor disability in Mitchell's Plain |
| title_fullStr | The prevalence and rehabilitation needs of individuals with locomotor disability in Mitchell's Plain |
| title_full_unstemmed | The prevalence and rehabilitation needs of individuals with locomotor disability in Mitchell's Plain |
| title_short | The prevalence and rehabilitation needs of individuals with locomotor disability in Mitchell's Plain |
| title_sort | prevalence and rehabilitation needs of individuals with locomotor disability in mitchell s plain |
| topic | Movement Disorders - Rehabilitation - South Africa~Physical therapy |
| url | http://hdl.handle.net/11427/25666 |
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