Background and Objectives: Stroke is a leading cause of long-term disability globally. Successful recovery depends on reintegration to normal living (RNL); a synthesis of the drivers of RNL across global contexts remains incomplete. This study aimed to systematically map and synthesise evidence on the determinants, interventions, and outcome measures associated with adult stroke survivors’ RNL. Methods: Guided by the Arksey and O’Malley framework and PRISMA-ScR guidelines, a systematic search of five databases (PubMed, CINAHL, Health Source, Web of Science, and Scopus) was conducted for studies published between January 1995 and December 2024. Inclusion criteria focused on peer-reviewed primary research involving adult stroke survivors (≥18 years) exploring RNL determinants or interventions. Results: Fifty-five studies met the inclusion criteria (44 quantitative, 10 qualitative, and 1 mixed-method). Quantitative synthesis revealed that motor function and mobility were the most frequently identified significant predictors in 36% of quantitative studies. Psychosocial factors, including depression (14%) and social support (18%), were consistently linked to RNL outcomes. The RNL Index (RNLI) was the predominant measure, utilized by 57% of the included studies. Qualitative synthesis highlighted environmental barriers and the fear of falling as primary inhibitors of social participation. Effective interventions included occupational coaching, family-centred programs, and Telehealth-based self-management. Conclusion: Return to normal living is governed by a complex interplay of physical and environmental factors. While mobility is a primary driver, emotional health and social support are equally critical. Clinical implications: Rehabilitation should shift from impairment-based models to environment-specific strategies. Providers must prioritize gait threshold attainment, address post-stroke depression, and facilitate caregiver involvement to ensure sustainable community reintegration.

Objective: Diabetes education is a key component of type 2 diabetes mellitus (T2DM) management. However, evidence from Nigeria on the effectiveness of diabetes education remains limited. This study evaluated the impact of a structured education program on diabetes knowledge, glycemic control, and some metabolic parameters among adults with T2DM. Materials and Methods: This single-group interventional study consecutively recruited T2DM adults attending a tertiary diabetes clinic. The intervention was initially planned with a three months follow-up but was terminated at four weeks due to substantial loss to follow-up. Participants received three structured diabetes self-management education and support (DSMES) sessions at baseline (week 0), week 2 and week 4. Diabetes knowledge was assessed at baseline and at four weeks using the Michigan Brief Diabetes Knowledge Test. Sociodemographic and clinical data were obtained from structured proformas and medical records. Data were analyzed using descriptive and inferential statistics at P< 0.05. Results: A total of 118 participants were enrolled (mean age 58.25± 14.26 years; 63.3% female). At baseline, only 36% achieved good diabetes knowledge (≥ 65%); this increased significantly to 85% after the education program (P= 0.01). Significant improvements were also observed in fasting blood glucose (P= 0.01) and blood pressure (P= 0.04). Independent predictors of good diabetes knowledge included shorter disease duration (< 10 years), regular exercise, and better short-term glycemic control. Conclusion: Structured diabetes education significantly improved diabetes knowledge and short-term clinical outcomes. Incorporating structured education into routine diabetes care may help reduce the burden of T2DM in Nigeria.

Objective: Exclusive Breastfeeding (EBF) is a situation whereby children are given only breast milk in the first 6 months of their life without adding any other foods. This practice drastically reduces the child’s exposure to different illnesses and diseases. However, many studies have used the logistic model and the Chi-square test to identify associated factors of EBF without considering other similar models. Therefore, this study used the Probit model to identify associated factors of EBF in Northern Nigeria. Methods: Secondary data from the 2018 Nigeria Demographic and Health Survey (2018 NDHS) were analysed, where 8276 women of reproductive age who lived in Northern Nigeria were included in the study. The main outcome variable was whether the mothers practised EBF or not. The probit model was used to identify the factors associated with EBF, and p< 0.05 was considered statistically significant. Results: In the North-central, no formal education, primary and secondary education had 0.358, 0.485 and 0.387 decreases in z-score of practising EBF, respectively, compared to those with higher education (p< 0.05). All the variables were significantly associated with EBF in the North-east zone (p>0.05). However, the husband’s or partner’s education had a significant association with EBF in the North-west zone(p<0.05). Conclusion: The probit model identified the educational status of respondents and their husbands to be significantly associated with EBF. Therefore, the education of mothers and their husbands should be given unrelenting attention to increase EBF practices.

Introduction: This study aimed to determine if a relationship between average length of stay of patients diagnosed with diseases of the nervous system (ICD-10 code G) and of the circulatory system (ICD-10 code I) and their functional gains private sub-acute hospital in Gauteng exists.. Method: A retrospective chart review study of patients with diseases of the nervous system (ICD-10 code G) and patients with diseases of the circulatory system (ICD-10 code I) admitted in Gauteng, South Africa, from 2017-2021. Descriptive statistics of percentages, median and range were used to summarise the data while inferential statistics of Mann-Whitney U, Kruskal-Wallis and Spearman rank correlation were used to determine median differences and relationship between the variables during data analysis. Results: A total of 380 patient records were included in the study (n=380). The records with code “G” and “I” consisted of 24.7% and 75.3% respectively. The median length of stay (LOS) for code G and I were 29 (IQR 17-59.25) and 27 (IQR 14-42) days, respectively and the median differences were statistically significant (p=0.028). The median total functional outcomes achieved by patients with code G and I was 19 (IQR 3-30.25) and 22 (IQR of 9.75-35.25) respectively. The median differences were statistically significant (p=0.034). Conclusion: Patients with diseases of the circulatory system (ICD 10 code I) have shorter length of stay and better functional outcomes in comparison to diseases of the nervous system (ICD 10 code G) patients. There is a direct relationship between LOS and functional outcomes of patients with diseases of the circulatory system (ICD-10 code I) but this was not seen with patients with diseases of the nervous system (ICD-10 code G). Implications for practice • Early identification of rehabilitation potential and referral to a sub-acute hospital is of utmost importance considering that patients with diseases of the nervous system (ICD 10 code G) require a longer length of stay and generally achieve less functional outcomes. • Therapists and sub-acute hospitals should consider prioritising their resources with the aim of discharge preparation of patients with diseases of the nervous system (ICD 10 code G) earlier in the rehabilitation process. • Sub-acute hospital case managers could potentially consider admission of patients with diseases of the circulatory system (ICD 10 code I) in a certain wing of the hospital considering that they displayed better functional outcomes with a shorter length of stay. Hence more patients with the same ICD-10 code could potentially be admitted more frequently to assist more patients in goal achievement. • This does not imply that patients with diseases of the nervous system (ICD-10 code G) should receive less rehabilitation than patients with diseases of the circulatory system (ICD 10-code I), instead it is suggested that therapists and clinicians readjust their focus and plan their therapy programs to the expected functional outcomes.

Non-specific neck pain (NsNP) constitutes a significant global health burden, and finding effective treatment remains a challenge to physiotherapists. Neck stabilization exercises (NSE) have been documented to be effective in the management of NsNP; however, there is limited information on the comparative effectiveness of scapular stabilization exercises (ScSE) and NSE in the management of NsNP. The study aimed to compare the effectiveness of NSE and ScSE on pain intensity (PI) and neck disability (ND) of individuals with NsNP. The clinical trial involved 70 participants with NsNP recruited consecutively and randomized into three groups. Group (G) A (control group, n = 22) received physiotherapy usual care (PUC), Group B (NSEG, n = 23) received NSE plus PUC, and Group C (ScSEG, n = 22) received ScSE plus PUC. Treatment was administered thrice weekly for eight weeks. Pain intensity (PI) and neck disability (ND) were assessed at baseline, week 4, and week 8 of the study using the visual analog scale (VAS) and Neck Disability Index (NDI), respectively. Analysis was done using repeated measures ANOVA, Friedman ANOVA, Kruskal–Wallis, and Wilcoxon signed-rank test at p = 0.05. Participants in the three groups were comparable in age (PUCG = 52.97 ± 13.48 years, NSEG = 53.43 ± 10.72 years, and ScSEG = 52.86 ± 13.76 years). PI (PUCG = 6.36 ± 1.33, NSEG = 5.96 ± 1.71, and ScSEG = 6.18 ± 1.5; p = 0.67) and ND (PUCG = 34(25–48), NSEG = 32(18–44), and ScSEG = 36(23–51); p = 0.88) of the participants were also comparable at baseline. Within-group comparison of PI and ND of participants in the three groups across baseline, 4th and 8th weeks of the study revealed a significant reduction in PI and ND (p < 0.05). The mean reduction from baseline to 8th weeks for PI was 4.11, 2.54, and 1.36, while the median reduction for ND was 28, 26, and 12 across the three groups of NSEG, ScSEG, and PUCG, respectively. Between-groups comparison indicated significant differences in PI and ND at the 4th and 8th weeks of the study, with NSEG showing more reduction compared with ScSEG and PUCG (p ≤ 0.01). The study showed that while both NSE and ScSE interventions were effective, NSE provided a greater reduction in pain and disability for NsNP. PACTR, PACTR202304493866557, Registered on 28 April 2023, http://pactr.samrc.ac.za/ .

Objective:To assess the sexual functioning of Nigerians with T2DM in comparison to healthy controls. Design:Comparative descriptive cross-sectional survey. Setting:Olabisi Onabanjo University Teaching Hospital. Participants:A Consecutive sample of 210 adult Nigerians with T2DM and 121 without diabetes. Main outcome measures:Sexual functioning was assessed with the Changes in Sexual Functioning Questionnaire. Results:Participants with diabetes had a higher prevalence of SD than those without diabetes (76.2% vs 34.7%). This remained unchanged when stratified by gender and sexual response cycles. Increasing age and female gender were significantly associated with SD among participants with diabetes. A one-year increase in age has 1.09 odds of increased SD among participants with diabetes (OR = 1.09, CI = 1.05 - 1.13), while the female participants demonstrated higher SD when compared with males, irrespective of diabetes status, [with diabetes (80.7% vs 65%) and without diabetes (60% vs 20.6%)]. They were also three times as likely to have SD as their male counterparts (OR = 3.39, CI = 1.59-7.24, p = 0.002). Conclusion:People with diabetes reported lower sexual functioning compared with those without diabetes, with a more than double the prevalence. Females had a higher prevalence of SD than males, irrespective of diabetes status, associated with age among participants with diabetes. Funding:None declared.

Are occupational therapists competent to perform frailty assessments? This opinion piece asserts the argument for including frailty assessments as a routine component for baseline assessments, particularly in older individuals, or those who may be considered to be frail. Some regulatory bodies for occupational therapy, such as the Canadian Occupational Therapy Association have included frailty assessment and intervention as a core competency. Frailty is multidimensional and the risk increases with age. There are numerous risk factors that have been identified in the development of the frailty syndrome, including clinical, biological, lifestyle and sociodemographic factors. This paper offers some suggestions for the assessment of frailty, including questionnaires and informal methods. It is recommended that frailty education be included in the undergraduate curricula of occupational therapists in South Africa, and other undergraduate programmes in Africa. An overview of the advantages and disadvantages of standardised and unstandardised assessment tools should also be included as part of the programme. Frailty can be prevented with timely screening and interventions. It is concluded that frailty assessments should form part of the baseline assessment package of all aging individuals, and especially those who may have one or more or the risk factors. Implications for practice: Frailty is a clinical syndrome - particularly in older adults - that is associated with adverse health outcomes. It should be incorporated into occupational therapy practice as it impacts function directly. The authors argue that: Frailty adversely impacts on the ability of individuals to care for themselves and perform their daily occupations Frailty measures should form part of a baseline assessment, especially in older adults Frailty assessments need to be conducted in those who display one of more of the risk factors, which includes immobility, incontinence, delirium and an individual who has had one or more falls Frailty can be prevented by timely screening and focussed interventions.

Background: In Nigeria, there is a disparity among physiotherapists regarding therapeutic exercise as a core treatment for patients with knee osteoarthritis (OA). The attitudes and beliefs of physiotherapists could influence this.Objective: To investigate Nigerian physiotherapists’ knowledge, attitude, and utilisation of evidence-based therapeutic exercisesDesign: A mixed-method of cross-sectional survey and focus group discussion.Setting: Secondary and tertiary health institutions in NigeriaParticipants: Physiotherapists consecutively sampled from the selected institutions.Main outcome measures: Participants’ knowledge, attitude and utilisation of evidence-based therapeutic exercises for the management of knee OAResults: This study revealed that 81% of physiotherapists in Nigeria had a fair knowledge of evidence-based practice and the efficacy of therapeutic exercises in managing knee OA. Despite this fair knowledge, 95.3% had a poor attitude. The important emerging categories/themes are treatment preference, clinical experience, and strength of evidence.Conclusion: Physiotherapists in Nigeria have a fair knowledge of evidence-based therapeutic exercises in managing patients with knee OA, although there is a poor attitude and disparity between the use and current recommendations.

Abstract Background Illness perception may influence the coping behaviors of patients. There is a lack of tools to measure this construct among Yoruba speakers. Therefore, we translate, cross-culturally adapt and determine the reliability and the validity of the Yoruba version of the Brief Illness Perception Questionnaire (BIPQ-Y). Methods The translation and cross-cultural adaptation process was according to Beaton criteria. The psychometric testing of the BIPQ-Y was carried out among 28 consenting patients with low back pain attending a university teaching hospital, while only 10 of them participated in the reliability test. The convergent and discriminant validity of the BIPQ-Y was carried out using the Fear Avoidance Belief Questionnaire and Quadruple Visual Analogue scale. Confirmatory factor analysis was to assess construct validity. Results The mean age of the respondents was 47 ± 15.3 years. The concurrent validity of the BIPQ-Y was excellent (r = 0.996) for the total score of BIPQ-Y while the internal consistency was moderate (α = 0.52). The test–retest of BIPQ-Y yielded excellent results with item intra-class correlation coefficient (ICC) ranging between 0.833 and 0.973 and an overall ICC of 0.889. For the confirmatory analysis of the BIPQ-Y, the factor loading for the eight items ranged from − 0.071 to 0.799 and the composite reliability was good with a score of 0.68. Conclusion The BIPQ-Y demonstrated excellent psychometric properties that are satisfactory with standards, and it is recommended for assessing illness perceptions of patients with chronic low back pain among the Yoruba-speaking populations.

Abstract Background The STarT Musculoskeletal (MSK) tool is a validated tool used to stratify patients with musculoskeletal disorder, as a guide to applying intervention and prognosticating outcomes. Only few translations and cultural adaptations of it exist. The availability of the tool in local and indigenous languages may help improve comprehensibility and usage among patients. This study was aimed to translate and cross-culturally adapt the STarT MSK tool into the Yoruba language, and to determine its psychometric properties. Methods The first stage of this study involved translation of the English STarT MSK into the the Yoruba language following the Beaton criteria. A total of 55 respondents with low- back pain attending a University Teaching Hospital participated in the validity testing, while 25 patients responded in the reliability test of the tool. The Quadruple Visual Analogue Scale (QVAS) and the Fear Avoidance Belief Questionnaire (FABQ) were used for the convergent and the discriminant validity of the tool. Results The mean age of the respondents was 52.13 ± 13.21 years. The Yoruba version of the STarT MSK (STarT MSK–Y) had an acceptable concurrent validity (r = 0.993; p = 0.001). The discriminant validity of STarT MSK–Y with FABQ yielded correlation co-efficient scores of r = 0.287; p = 0.034 and r = 0.033; p = 0.810 for FABQ-Work and FABQ-physical activities. The result indicated that STarT MSK–Y had fair discriminant validity with FABQ-work and a weak correlation with the FABQ-physical activities. The convergent validity of STarT MSK–Y indicated significant correlations with all domains and global score of the QVAS (r = 0.727; p = 0.001). The test- retest reliability and internal consistency (Cronbach’s alpha = α) of the STarT MSK–Y yielded ICC = 1.00 and α = 0.97 for the global score of the items, respectively. The factor loading for five items were satisfactory ranging from 0.46 to 0.83. Conclusion The STarT MSK–Y has acceptable validity and reliability and can be used as a valid assessment tool among Yoruba- speaking patients with low back pain.

Abstract Background Being a parent of a child with a disability requiring many clinic visits is burdensome. Therefore, understanding the willingness-to-pay (WTP) for physiotherapy for children with disability is important to facilitating access to care and for policy-making. This study aimed to investigate patterns and correlates of parental WTP for physiotherapy. Methods A total of 65 parents of children with disability receiving physiotherapy as outpatients were recruited from selected tertiary hospitals in Nigeria. A WTP questionnaire, SF-12 health survey, and Physiotherapy Satisfaction Questionnaire were used to assess the WTP, health-related quality of life (HRQoL), and satisfaction with physiotherapy respectively. Descriptive statistics of mean, standard deviation, frequency, and percentages were used to summarize the data. Chi-square and regression analysis were also used to test the association and determinants of WTP from each of the socio-demographic factors, satisfaction with physiotherapy, and health-related quality of life, respectively. Results A majority (49.2%) of the respondents were in the 21–35 years age category. There was 30.8% “no WTP” for physiotherapy among parents of children with disability. A significant association was observed between socio-economic status and WTP for all treatment modalities (p < 0.05). The majority of the respondents had above-average levels of physical and mental health domain of SF-12. No significant association was observed between WTP and each satisfaction with physiotherapy and HRQoL (p > 0.05). Conclusion There was a high rate of ‘no WTP’ for physiotherapy among parents of children with disability. Level of satisfaction with physiotherapy and health-related quality of life was not significantly associated with parental WTP for physiotherapy.

Abstract Background Tele-physiotherapy, as pertinent to tele-rehabilitation, can facilitate health care continuity and needs to be accepted by both the health care providers and patients. Sufficient understanding of health information by the patient enhances his total participation in the management of his condition. In Nigeria, there is a dearth of published studies on the awareness and knowledge of patients on e-health and patient health education, particularly in tele-physiotherapy. Therefore, this study determined the knowledge, awareness, and perception of tele-physiotherapy among patients receiving physiotherapy in public hospitals in Ibadan, Nigeria. Methods The mixed-method study involved quantitative (cross-sectional) and phenomenological qualitative (focus-group discussion [FGD]). The participants for the study were patients receiving physiotherapy care from selected public hospitals in Ibadan, Nigeria. Their knowledge, awareness, and perception (KAP) of tele-physiotherapy were assessed using a standard questionnaire, while the KAP was further explored through FGD. Results Almost all the participants (150, 99.3%) lack KAP of tele-physiotherapy. They reported that they were not aware of the term “tele-physiotherapy”. Five themes were generated, which were categorized into subthemes that guided the discussion. The FGD participants were unaware of tele-physiotherapy but have fair knowledge and perception. They were able to identify challenges and facilitators to the implementation of tele-physiotherapy in Nigeria. Conclusion Patients receiving physiotherapy in public hospitals in Ibadan have inadequate knowledge and awareness of tele-physiotherapy but fair perception.

The optimal rehabilitation and quality of life of stroke survivors depend on several factors, including poor sleep quality. Therefore, this study was designed to assess the quality of sleep and the influence of socio-demographic and clinical characteristics on sleep quality among Nigerian stroke survivors. A cross-sectional study design was used to recruit Nigerian stroke survivors who underwent rehabilitation in outpatient physiotherapy clinics of selected hospitals. The Pittsburgh Sleep Quality Index was used to assess participants’ sleep quality. The data were subjected to descriptive and inferential statistics at p < 0.05. One hundred and fifty stroke survivors with a mean age of 57.7 ± 14.6 years and a disability level with modified ranking scale (mRS) scores 3.2 ± 0.8 participated in the study. More than half (50.7

Objective The rising prevalence of cardiovascular diseases (CVD) remains a global concern. In Nigeria, the current prevalence of CVD was 76.11% with its attendance burden. The CVD risk perception of individuals is a precursor to the desired lifestyle modification necessary for CVD prevention and management. This study assessed the CVD risk perception and sociodemographic determinants among rural and urban dwellers in southwest Nigeria. Methods The study employed a convergent parallel mixed-methods design involving concurrent data collection. The participants’ CVD risk perception was obtained using the Perception of Risk of Heart Disease Scale (quantitative data) and a validated focus group discussion (FGD) guide (qualitative data). Quantitative analysis was completed using descriptive statistics, Phi, Cramer’s V, and multivariate linear regression, while the FGD was thematically analysed. Results The quantitative study involved 1,493 participants (62.4% women) with a mean age of 46.90±15.65 years, while the FGD involved 53 participants (52.8% women) with a mean age of 50.10±13.5 years. Over a quarter (28%) of the participants had a poor CVD risk perception; the mean score was 44.40±8.07. Rural residents had a significantly poorer CVD risk perception than their urban counterparts (Mean difference = -3.16, p<0.001). Having tertiary education (β = 0.100, p < 0.001), living in urban areas (β = 0.174, p<0.001), and living in Lagos (β = 0.074, p = 0.013) and in Oyo, other than Ogun state (β = -0.156, p<0.001) significantly predicted having a good perception of CVD risk. FGD produced three themes: knowledge about CVD, CVD risk factors, and CVD prevention. Conclusion Participants had a fair understanding of the causes and prevention of CVD. Yet, a substantial portion underestimated their own risk of developing CVD, particularly rural dwellers and people with lower education. More public health education is required to improve the CVD risk perception in southwestern Nigeria.

Abstract Background Learning environment (LE) research has been given priority in higher education institutions globally because of its influence on learning processes and outcomes. Although studies reporting the perceptions of health science students about LE in Nigeria are available, none have compared the perceptions of students from different health professions. Therefore, this study aimed to assess final-year clinical students’ perceptions of their LE from four programs (dentistry, medicine, nursing, and physiotherapy) and compared their LE perceptions. Methods This study adopted a cross-sectional study design using a mixed method approach. The quantitative survey involved all the final-year clinical students at the University of Ibadan, and they completed the Dundee Ready Education Environment Measure (DREEM) questionnaire. The qualitative aspect involved 24 consenting students in four focus group discussions. Results A total of 214 out of 223 copies of the DREEM questionnaire were duly completed and returned, yielding 96.0% response rate. The participants’ mean age was 24 ± 2.3 years (ranged between 22 and 25 years, p = 0.001). The mean DREEM scores of the students from the four programs ranged between 119.68 ± 18.02 and 147.65 ± 15.89 out of a maximum of 200, interpreted as more positive than negative perceptions of LE. Physiotherapy students’ DREEM score was significantly higher than those of medical, dental, and nursing students (p < 0.001). The DREEM scores of other students did not differ significantly (p > 0.05). Dental and medical students had similar positive perceptions. The qualitative aspect revealed that the students had positive perceptions of their teachers’ knowledge base and self-acquisition of knowledge but negative perceptions of their teachers’ communication skills, infrastructural facilities, lecturer-student relationships, and hostel accommodations. Conclusion Although the survey indicated that these clinical students had more positive than negative perceptions of their learning environment, the qualitative aspect of the study revealed many challenges that the students were confronted with. The clinical students’ perception of their learning environment could be improved if the university authorities would address these challenges.

Poor glycemic control and sexual dysfunction have been shown to impair health-related quality of life (HRQoL) of individuals with diabetes. However, mediators underlying this relationship have not been evaluated. This study aimed/sought to assess the effect of fasting blood glucose (FBG) and peripheral arterial disease (PAD) on the relationship between sexual functioning (SeF) and HRQoL among Nigerians with type 2 diabetes mellitus (T2DM). This cross-sectional study consecutively recruited 210 participants diagnosed with T2DM. The recent FBG and lipid profiles were gleaned from the medical records of the participants. We assessed the ankle-brachial index by 8 MHz handheld vascular Doppler. Participants completed the Changes in Sexual Functioning Questionnaire and Short Form 12 (SF-12) questionnaire to assess SeF and HRQoL, respectively. Significant differences exist in HRQoL of participants with good and poor glycemic control (mean rank = 111.02 vs. 93.64, p = 0.035) but none between participants with and without PAD (mean rank = 101.39 vs. 107.60, p = 0.483). There was a significant correlation between SeF and HRQoL (r = 0.181, CI = 0.043–0.313, p = 0.008), and a significant negative correlation between HRQoL and FBG (r = -0.149, CI = -0.284 - -0.008, p = 0.033). There is a significant indirect effect of impact of SeF on HRQoL through FBG (b = -0.027, t = -0.899) and PAD (b = 0.034, t = 1.246). Furthermore, the direct effect of SeF on HRQoL in the presence of the mediators was also significant (b = 0.483, p = 0.001). This shows that PAD and FBG mediates the relationship between SeF and HRQoL. Good glycemic control and the absence of PAD mediate the relationship between SeF and HRQoL in Nigerians with T2DM. Not applicable.

Background The Lequesne Algofunctional Index of Knee Osteoarthritis (LAIKOA) is a widely used knee osteoarthritis (KOA) outcome measure and is recommended by many international authorities. It has been cross-culturally adapted to many languages, excluding indigenous Nigerian languages. The aim of this study was to cross-culturally adapt and validate the LAIKOA into Yoruba language. Methods This was a validation study. Yoruba LAIKOA was translated and culturally adapted from English version following Beaton’s guidelines (including cognitive debriefing). The Yoruba LAIKOA was psychometrically tested for test-retest reliability, standard error of measurements (SEM), smallest detectable change (SDC), internal consistency, and construct validity among 108 Yoruba-speaking patients with KOA recruited from selected hospitals in Ibadan, Nigeria. Participants completed the Yoruba and English versions of LAIKOA, and the Yoruba version of Ibadan Knee/Hip Osteoarthritis Outcome Measure (IKHOAM). Results The mean age of participants was 63.60 ± 11.77 years. Acceptable internal consistency was observed for the global index and function domain (α = 0.63–0.82) and good test-retest for items and domains (ICC = 0.81–0.995). Item-to-scale correlation was significant (r = 0.28–0.69). Its three domains demonstrated structural validity when subjected to confirmatory factor analysis (CFI = 0.99, TLI = 0.99, RMSEA = 0.02). Construct validity was supported by the correlation between Yoruba LAIKOA and IKHOAM (r = -0.39, p = 0.011). The overall scores and domain scores of the Yoruba and English versions of LAIKOA did not differ significantly. The Yoruba LAIKOA has no floor or ceiling effects. Conclusion The Yoruba LAIKOA is reliable and valid, and it is recommended for use in clinical settings in southwestern Nigeria and other Yoruba-speaking populations.