Abstract

Abstract: Background: Hansen’s disease known as leprosy originated by Mycobacterium
leprae is a chronic infectious disease. It hampers mostly skin and peripheral nerves.Claw hand
is secondary impairment following Hansen’s disease specially those not gone under
physiotherapy treatment. .Primary goal of physiotherapy rehabilitation is to reverse the
functional impairment caused by Hansen’s disease and customize lifestyle modification to
restore functional day to day activities. In this case report presented that modified
physiotherapy rehabilitation of partial Ulnar clawing following borderline tuberculoid
Hansen’s disease have very important role in regaining range of motion
(ROM) ,sensation ,muscle strength and improve hand grasp. Case Presentation: A 30 year old
female reported to Dermatologist with the complaints of light coloured lesion over her right
arm, loss of sensation of lesion and tingling numbness over right hand since 7 months and
was diagnosed as a borderline tuberculoid Hansen’s disease with partial Ulnar clawing of
right hand. Then she was referred to physiotherapy for the rehabilitation after one month of
multidrug therapy with the complaints of loss of sensation, weakness in attempting grasp with
difficulty in doing functional activities. Patient was on lumbrical blocking splint to stretch the
impaired fingers and regain range of motion. In physiotherapy rehabilitation, TENS, motor
point electrical stimulation, Maitland’s mobilization, mirror therapy with sensory re-education
and strengthening exercises was given for 6 weeks, 5 days per week. Conclusion: In this case
used modified physiotherapy rehabilitation for partial Ulnar clawing following borderline
tuberculoid Hansen’s disease aid in early regain of sensation, ROM and hand muscle strength
and restore functional grasp