By L. Lehman, V. Simonet, P. Saunderson, P. Agbenorku

This handbook is to be used by means of medical professionals, nurses, rehabilitation experts, nationwide Buruli Ulcer regulate Programme managers and different medical examiners interested in the prevention of incapacity actions in Buruli ulcer. It presents up to date directions in line with the event and difficulties of dealing with Buruli ulcer within the box in addition to the on hand facts from different stipulations. it is going to be so much useful whether it is utilized in conjunction with a participatory approach to education to increase wisdom and abilities.

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Additional info for Buruli Ulcer: Prevention of Disability (POD)

Sample text

Without moving your wrist on the table, draw in a strip or piece of material by stretching and… 2. …flexing the fingers as far as possible, slowly. Squeezing an orange Using your unaffected hand, bend your fingers while applying firm pressure at the points indicated. Imagine you are squeezing an orange. Maintain the position for one minute, try to flex a bit more and hold the position again. Squeezing an orange (two people) The helper holds the fingers in the flexed position by pressing firmly at the points indicated.

To restore dorsal flexion of the ankle* (help the foot to point down): the person lies face down, with the knee bent. I avoid bending too far when moulding or the splint will be impossible to wear. I mould from the tip of the foot to the knee. checking : the top of the splint must not hinder the bend of the knee. the hand, whatever the problem: the person places his/her elbow on the table, if possible with the palm of the hand open and facing me. I keep the wrist slightly extended, with the fingers partly bent, taking care at the same time to keep the metacarpophalangeal joints well flexed, the thumb web well open, and the thumb opposed.

Hold the position for one minute, try to turn further and hold again. 39 PrOBleM 5 : Stretching the elbow antideformity position n I ask the person to keep the elbow stretched for as long as possible at all times. Cushions or clothes can be used to position the limb at night. n Elbow splint to be worn at night if mobility does not improve within two weeks despite daily exercises. using the arm in day-to-day activities I encourage people to use their arm in any dayto-day activity that makes them stretch the elbow.

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