1. R. SNEKAVALLI ROLL NO - 73 DISABILITY AND ITS MANAGEMENT

3. THREE TIER CONSEQUENCES OF LEPROSY IMPAIRMENT DISABILITY HANDICAP

7. THREE KINDS OF DEFORMITIES LOCAL LEPROSY RELATED PATHOLOGY COMMON IN FACE DAMAGE TO MOTOR NERVES COMMON IN HAND DAMAGE TO SENSORY NERVES AND LOSS OF SENSIBILITY COMMON IN FEET DEFORMITY SPECIFIC PARALYTIC ANAESTHETIC

25. FOOT DROP

28. ABSORPTION OF TOES

32. INTERVENTIONS FIRST LEVEL - Primary, secondary & psychological impairment Anti-leprosy treatment, health education, supportive social action SECOND LEVEL – Reversible disability preventive measures Early recognition and treatment THIRD LEVEL – Permanent irreversible disabilities Physiotherapy, corrective measures, provision of appliances FOURTH LEVEL – Disability & handicap Rehabilitation measures

35. LEVEL 1 LEVEL 3 LEVEL 2

36. LEVEL 1 LEVEL 2 LEVEL 3 OFTEN PREVENTABLE WITH MEDICAL TREATMENT OF LEPROSY BEFORE THERE IS NERVE DAMAGE OFTEN PREVENTABLE WITH PROTECTIVE EYE AND SKIN CARE AND EXERCISE TO KEEP FULL MOVEMENT OF JOINTS OFTEN PREVENTABLE WITH CAREFUL EARLY TREATMENT OF SORES, BURNS AND INFECTIONS

37. A Person with leprosy gets a blister It does not hurt. So keeps walking until blister bursts - infected Still without pain - infection gets deeper and attacks the bone Bone is destroyed - foot becomes more and more deformed.

56. PREVENTION OF CONTRACTURES AND DEFORMITIES

57. EYE

59. SPLINTAGE FOOT DROP SPLINT COMMON PERONEAL NERVE INVOLVEMENT KNUCKLE BENDER SPLINT ULNAR NERVE PALSY COCK-UP SPLINT RADIAL NERVE PALSY SPLINT USED NERVE INJURED

60. COCK - UP SPLINT

61. KNUCKLE BENDER SPLINT

62. FOOT DROP SPLINT