By L. Lehman, V. Simonet, P. Saunderson, P. Agbenorku
This handbook is to be used via medical professionals, nurses, rehabilitation experts, nationwide Buruli Ulcer regulate Programme managers and different medical experts all for the prevention of incapacity actions in Buruli ulcer. It presents updated directions in response to the adventure and difficulties of handling Buruli ulcer within the box in addition to the to be had proof from different stipulations. will probably be such a lot useful whether it is utilized in conjunction with a participatory approach to education to advance wisdom and talents.
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Additional info for Buruli Ulcer: Prevention of Disability (POD)
43 PrOBleM 9 : Flexing the knee antideformity position While seated, I ask the person to draw his/her leg back towards the chair. ExErcisEs to bE donE 3 timEs a day for a fEw minutEs using the leg in day-to-day activities the sole of the shoe Standing upright, lift up your foot as high as you can, as if you were looking at the sole of your shoe. Release when tired, then repeat trying to lift higher. I encourage the person to use his/her leg as normally as possible. the invisible chair Bend your knees as much as you can keeping your heels on the ground, as if you were going to sit down.
ExErcisEs to bE donE 3 timEs a day for a fEw minutEs the bottle With the tips of your toes resting on a full bottle, roll the bottle forward as far as you can. Maintain contact between your toes and the bottle for as long as possible Release when tired and then repeat, trying to push the bottle further Prayer position Sit on your heels with a small pile of clothes under the ankle. Every day, try to reduce the height of the pile of clothes. Try to point your foot down when you walk unfolding the ankle (two people) The helper places one hand on the ankle and the other around the instep, pushing towards the ground.
For frightened children, fear is sometimes hard to distinguish from pain, so I have to be patient. I should win their confidence before deciding whether they are in pain or just frightened. I keep an eye on the person during mobilization and I adapt the tension to his/her reactions. Pain is a sign that mobilization is applying too much tension to the tissues (pulling too hard), is not being done correctly (failure to mobilize along the physiological axis of the joint) or there is some other problem, for example an infection.