Prevention of Disability: Proposal for a Guidance Manual for Leprosy Patients

Study Overview
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Brief Summary
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Leprosy is an infectious disease of slow evolution, manifested primarily by signs and symptoms dermatoneurological with skin lesions and peripheral nerve, especially in the eyes, hands and feet. The prevention of disability is essential for the control of complications. Objective: To evaluate the physical and functional status of hands, feet and eyes, for the appearance and evolution of sensory and motor deficiencies and classification of disability (WHO) of a group of leprosy patients to compare and monitor the result treatment on the progression of neuropathy and recurrence of reactions. Methodology: We performed initial physical therapy evaluation and final, after 12 months. We conducted a clinical trial of a series of 26 cases evaluated with newly diagnosed leprosy, treated by standard medication. There were used methods of qualitative and quantitative. An illustrated manual of guidelines was especially developed for this study.

Detailed Description
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assessment methods of qualitative and quantitative: inspection of eyes, hands and foot, manual motor function, grip and pinch dynamometry,threshold test, SF 36 quality of life questionnaire. Intervention: illustrated guidelines, exercises, orthoses, orientation Goals: disability prevention

Official Title
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Proposal Evaluation and Intervention Through Prevention of Disability in Leprosy Patients

Conditions
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Leprosy, Disability Evaluation, Quality of Life

Intervention / Treatment
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* Other: exercise and orientation


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: The patients in this project were diagnosed and referred by the dermatology to do the physical-functional evaluation and physiotherapy. We selected patients aged 18 years and both sexes, even with comorbidities, since diagnosed and treated. In accepting to participate in the research, signed a consent form Exclusion Criteria: Those patients who refused to sign the consent form and those who did not attend the evaluations

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Prevention
Allocation: Non-Randomized
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: leprosy disability<br>intervention of a series of cases with leprosy that made treatment in a Clinical Hospital | Other: exercise and orientation<br>* guidances for prevention of disability in leprosy with focus on hands, eyes and feet.<br>* Other names: promotion of health;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| classification of disability for Leprosy(WHO) |  | 1 year | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| classification of disability for Leprosy(WHO), grip strength and threshold sensibility |  | after 1 year | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Leprosy, Disability Evaluation, Quality of Life, Sensation