Assessment of functional limitations caused by Mycobacterium ulcerans infection:: towards a Buruli Ulcer Functional Limitation Score

被引:35
作者
Ellen, DE
Stienstra, Y
Teelken, MA
Dijkstra, PU
van der Graaf, WTA
van der Werf, TS
机构
[1] Univ Groningen Hosp, Dept Internal Med, NL-9700 RB Groningen, Netherlands
[2] Univ Groningen Hosp, Dept Rehabil, NL-9700 RB Groningen, Netherlands
关键词
rehabilitation; functional limitations; Buruli ulcer; Mycobacterium ulcerans;
D O I
10.1046/j.1365-3156.2003.00976.x
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
The purpose of this study of treated Buruli ulcer patients in Ghana was to identify and assess late sequelae of treated Buruli ulcer using a goniometer, and to develop a scoring system for functional limitations. Of 78 patients, 58% (n = 45) had a reduction in the range of motion of one or more joints: 30% (n = 23) had one or more functional limitations of the leg and 21% (n = 16) of the arm; 49% (n = 38) had a functional limitation. Of all patients with affected knees, the predicted average extent of limitation was 63%. In patients with affected ankles, limitation was 78% on average; in those with elbow involvement, this was 76% on average, and in wrists involved, 65%. All of the hands involved were markedly restricted. We propose a simplified and functional scoring system that should be tested for validation in a second patient sample, and, if properly validated and adjusted, can be used in future intervention trials.
引用
收藏
页码:90 / 96
页数:7
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