Leprosy Mailing List – August 12, 2014
Ref.: (LML) WHO disability grading and the term anaesthesia
From: Wim Brandsma, Hoevelaken, The Netherlands
Dear Pieter,
I like to respond to Dr Narishma Rao’s invitation: WHO disability grading and the term anaesthesia.
Indeed the term anaesthesia is cause for confusion and not officially defined. I would like to make reference to an article, the report of a consensus meeting on the neurologically impaired foot (Brandsma et al. Lepr Rev 2001;72:254-). In this article we propose to talk about loss of protective sensation (touch) which, depending on instrument used, is defined as follows: when on two or more locations on the foot (out of a maximum of ten sites, excluding the heel) the 10gm filament is not felt or if at any one site firm pressure with a ballpoint pen is not felt.
Above may need revision - therefore I would like to add this to the discussion. A more recent article discusses the WHO grading: A Delphi exercise to refine the WHO three-point Disability grading for leprosy, and to develop guidelines to promote greater accuracy and reliability of WHO disability recording (Cross etal, 2014:85:18) The consensus evolved around grade-2 issues. In hindsight, a possible omission that consensus was not asked for grade 1.
With kind regards,
Wim
Wim Brandsma, PT, PhD
Koolmeeslaan 18
3871 HG HOEVELAKEN/Netherlands
33-8447266
LML - S Deepak, B Naafs, S Noto and P Schreuder
LML blog link: http://leprosymailinglist.blogspot.it/
Contact: Dr Pieter Schreuder << editorlml@gmail.com
 | This email is free from viruses and malware because avast! Antivirus protection is active. |
No comments:
Post a Comment