Abstract
This chapter deals with the etiology of disability in leprosy. The different dimensions of disability are introduced using the WHO International Classification of Functioning, Disability, and Health (ICF) framework. The major cause for disability is nerve function impairment (NFI). Nerve function assessment is briefly discussed, namely voluntary muscle testing and sensory testing with monofilaments. Distinction is made between primary and secondary impairments resulting from NFI. Simple exercises can prevent and overcome joint contractures as an often avoidable result of NFI. A major complication of loss of protective sensation are plantar ulcers. Basic principles regarding prevention of plantar ulcers and care for ulcers are presented.
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- 1.
For more information on the ICF, the classification itself, educational tools, Power Point presentations, etc., see the WHO website: www.who.int/classifications/icf/en.
References
WHO: International Classification of Functioning, Disability and Health (2001) Geneva (see WHO website)
de Win MM, Theuvenet WJ, Roche PW et al (2002) The paper grip test for screening intrinsic muscle paralysis in the foot in leprosy patients. Int J Lepr Mycobact Dis 70:16–24
Brakel van WH (2004) Peripheral nerve function assessment. In: Schwarz R, Brandsma JW (eds) Surgical Reconstruction and Rehabilitation in Leprosy and other Neuropathies. EKTA, Kathmandu (can be downloaded from ILEP website) ILEP: www.Ilep.org.uk, AIFO: www.aifo.it/English/resources/online
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ILEP: www.Ilep.org.uk
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© 2012 Springer-Verlag Italia
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Brandsma, J.W., Cross, H. (2012). Prevention of Disability and Ulcer Care. In: Nunzi, E., Massone, C. (eds) Leprosy. Springer, Milano. https://doi.org/10.1007/978-88-470-2376-5_31
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DOI: https://doi.org/10.1007/978-88-470-2376-5_31
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