Assessment of physical impairments in leprosy patients: a comparison between the world health organization (who) disability grade and the Eye-Hand-Foot Score

This cross-sectional study assessed the grade of physical impairments in 61 individuals with leprosy receiving multidrug therapy (MDT) under the Brazilian Unified Health System (SUS), and residing in Campina Grande, Paraíba State, Brazil. Impairments were assessed using the disability grade (DG) standardized by the WHO, and the EHF score (Eye-Hand-Foot sum of impairment scores). Impairments were detected in 25 (41%) of the subjects. A total of 14 (23%) patients scored DG 1, while 11 (18%) were assigned DG 2. The EHF score ranged from 1 to 10 points in the group of patients with physical impairments, with a mean score of 3.6 points. The majority of individuals with impairments were affected in at least two sites. We conclude that the EHF score showed overlapping impairments in the segments examined and may be more appropriate than the DG classification system for describing the degree of physical impairment of leprosy patients.

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Bibliographic Details
Main Authors: Raposo,Marcos Túlio, Caminha,Ana Virgínia de Queiroz, Heukelbach,Jorg, Sánchez-González,Miguel Ángel, Medeiros,Jovany Luis Alves de, Nemes,Maria Ines Battistella
Format: Digital revista
Language:English
Published: Instituto de Medicina Tropical de São Paulo 2011
Online Access:http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0036-46652011000200004
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