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Integrating Traditional Bone-Setting and Orthopaedic Medicine Practices in the Management of Fractures in Nigeria: Community-Based Rehabilitation Model in Perspective

Authors:

Fidelis Terhemen Iyor ,

Benue State University Teaching Hospital, Makurdi, Benue state, NG
About Fidelis Terhemen

Fidelis Terhemen Iyor is currently a Deputy Director and Head of Physiotherapy at Benue State University Teaching Hospital, Makurdi in Nigeria. He holds a Master’s degree in Physiotherapy from University of Ibadan and a Fellowship of the National Postgraduate Physiotherapy College of Nigeria in Community Physiotherapy. He has extensive experience in prevention and management of disabilities in leprosy. He also worked as a National Physiotherapist providing technical support and supervision for the physical disability component of all the CBM supported CBR projects in Nigeria. His current interest is management of clubfoot using the Ponseti method and is the coordinator of the clubfoot project at Benue State University Teaching Hospital.

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Ajediran Idowu Bello

School of Biomedical and Allied Health Sciences, College of Health Sciences, University of Ghana, GH
About Ajediran Idowu

Ajediran Bello is an Associate Professor of Musculoskeletal Physiotherapy at the Department of Physiotherapy, College of Health Sciences, University of Ghana. He had his clinical experience in the management of people with disability within the realm of physiotherapy. His work focuses on the generation of data in support of the best care for people with musculoskeletal dysfunctions. He has been involved in training and mentoring of young physiotherapists for over a decade.

 

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Abstract

Despite the documented advancements in orthodox medicine, traditional bonesetters (TBS) continue to be well patronised for the management of musculoskeletal injuries in low- and middle-income countries such as Nigeria. However, the practice of traditional bone-setting is often marred by the lack of trust and belief among orthodox healthcare practitioners on the one hand, and the serious post-fracture complications associated with this practice, on the other. The identified downsides have resulted in the stakeholders’ call for the integration of TBS into the national orthodox healthcare services in Nigeria. Despite efforts toward the integration, implementation and realisation remain unfulfilled. One identified potential missing link is the lack of a community-oriented pathway such as the community-based rehabilitation (CBR) model in the previous efforts.

 

This brief review aims to elucidate the concept of CBR in relation to the proposed integration process. It highlights the need for integration, the notions of the CBR model as well as the conceptual framework for CBR. CBR has been showcased as a globally accepted model which encompasses pragmatic strategies or policies for community managers and stakeholders in a wide range of areas for people in need of essential services. It can be a suitable model for integrative management of fracture cases.

How to Cite: Iyor, F.T. and Bello, A.I., 2022. Integrating Traditional Bone-Setting and Orthopaedic Medicine Practices in the Management of Fractures in Nigeria: Community-Based Rehabilitation Model in Perspective. Disability, CBR & Inclusive Development, 33(2), pp.129–141. DOI: http://doi.org/10.47985/dcidj.588
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Published on 05 Aug 2022.
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