(LML) WHO disability grading and the term anaesthesia

Leprosy Mailing List – August 12,  2014 

Ref.:    (LML) WHO disability grading and the term anaesthesia

From:  Wim Theuvenet, Apeldoorn,The Netherlands

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Dear Pieter,

 

 

Thank to Prof. Rao for his valuable comments! Indeed the WHO disability grading for hands and feet seems rather outdated and therefore in need of redefinition!

 

A new definition could perhaps be ?:

 

Grade 0: No loss of protective sensation; sensation as measured with the SW monofilament is at least 3.61+, 

               No loss of intrinsic nor loss of extrinsic motor function, thus with a VMT grade 5

               No visible deformity or damage due to neuropathy

 

Grade 1: Loss of protective sensation; sensation as measured with the SW monofilament is less than 3.61+, 

               Loss of intrinsic and/or loss of extrinsic motor function, thus with a VMT grade less than 5

               No visible deformity or damage due to neuropathy

 

Grade 2: Visible deformity or damage due to neuropathy.

 

 

Am looking forward to hearing your, as well the comments of the other LML members,

 

with best regards,

 

Wim Theuvenet

 

Willem J.Theuvenet, M.D., Ph.D

Plastic, Reconstructive, Esthetic and Hand Surgeon (FESSH),

Regional Hospitals of Apeldoorn, Deventer and Zutphen, The Netherlands,

Consultant for TLMI and the NLR

 

 

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LML - S Deepak, B Naafs, S Noto and P Schreuder

LML blog link: http://leprosymailinglist.blogspot.it/

Contact: Dr Pieter Schreuder << editorlml@gmail.com

 

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