TITLE:
Assessment of the 2 Conventional Physiotherapy Sessions Alone versus One Session Associated to Kabat’s Method in the Rehabilitation of Buruli Ulcer Patients (PUB), with Functional Limitations in the District Hospital of Akonolinga, Cameroon
AUTHORS:
Fred Dikongue Dikongue, Faustin Tsatedem Atemkeng, Joseph Fondop, Jean Hubert Donfack, Alain Djam, Nkomo Banga, Mbida Mpoame
KEYWORDS:
Buruli Ulcer, Functional Limitations, Physiotherapy, Kabat Technique
JOURNAL NAME:
Surgical Science,
Vol.14 No.6,
June
28,
2023
ABSTRACT: Buruli ulcer (BU) is a chronic, indolent necrotizing
disease of the skin and underlying tissues caused by Mycobacterium ulcerans,
which may result in functional disability. This disease is the third most
frequent infection after leprosy and tuberculosis caused by a mycobacterium. The main objective of this
study was to determine comparative effectiveness of conventional physiotherapy
alone to its association with Kabat’s method in the management of post-Buruli
ulcer functional limitations. This was an interventional randomized,
comparative and prospective study. It took place at the district hospital of
Akonolinga from the 12th June to 12th September 2016. The study was included, post-Buruli
ulcer patients who matched the eligibility criteria, were under treatment in
the physiotherapy unit, and who accepted to participate in our study. A
questionnaire on the socio-demographic profile of participants, the ulcer
localization, the limitation stage, previous medical history and functional
mobility assessment scale was administered to the subjects before and after the
intervention which lasted for twelve weeks. We had 2 groups: the case group
received association of Kabat technique to conventional physiotherapy and the
control group received conventional physiotherapy alone. We had 22 patients, 11
patients for the experimental group, 11 patients for the control group. The
mean age was 26.18 years, 54.5% of female participation, 68.2% of leg
localization, 59.1% patients with severe limitations of functional mobility,
and preference for traditional medication 95.5%. After evaluation of efficiency, we
concluded that there was no statistically significant difference between the two treatment protocols. Further studies with larger sample
size are recommended.