Online ISSN: 2515-8260

A Case report on impact of physiotherapy rehabilitation on partial claw hand secondary to borderline tuberculoid Hansen disease.

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Swapna Jawade1 , Sugat Jawade2


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.

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