Prevention of Disability and Ulcer Care

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.