Aplicabilidade do instrumento “Screening of Activity Limitation and Safety Awareness” em idosos com hanseníase

Nogueira, Paula Sacha Frota; Barbosa, Rachel Gabriel Bastos; Almeida, Paulo César de; Florêncio, Caroline Mary Gurgel Dias; Marques, Marília Braga; Teles, Liana Mara Rocha

doi:10.1590/2177-9465-ean-2019-0251

Cited by 4 publications

(5 citation statements)

References 14 publications

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“…According to a previous study by Nogueira in Fortaleza, most of elderly people with leprosy can still do basic daily tasks such as opening bottles with screw caps, cooking, carrying heavy objects, and walking uneven ground. [53] Stigma and prejudice associated with leprosy can lead to societal exclusion even in the absence of visible lesions or impairments. [50] Several factors such as self-stigmatization, activity limitations, family-related issues, poverty, low education levels, inadequate rehabilitation services that includes community-based rehabilitation programs and community ignorance about the disease and its transmission can affect societal participation restriction.…”

Section: Resultsmentioning

confidence: 99%

The International Classification of Functioning, Disability and Health to map leprosy-related disability in rural and remote areas in Indonesia

Wahyuni,

Nelfidayani,

Harini

et al. 2023

Preprint

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The International Classification of Function, Disability and Health (ICF - WHO, 2001) recognizes several dimensions of disability, such as body structure and function (and impairment thereof), activity (and activity restrictions) and participation (and participation restriction) and their interactions with contextual factor (personal and environmental). In this study, we map and analyse the relationship between the components of ICF in leprosy patients from two rural areas in Indonesia: Lewoleba (East Nusa Tenggara) and Likupang (North Minahasa). This study was a part of a community outreach program by the KATAMATAKU team from Universitas Indonesia. The body structure was graded using the WHO hand and feet disability grade and the number of enlarged nerves, whilst the body function was measured by the Jebsen Taylor Hand Function Test (JTT) and Timed-up and Go (TUG). Activity limitation and participation restriction were measured using the Screening Activity Limitation Safety Awareness (SALSA) Scale and Participation Scale (P-scale), respectively. There were 177 leprosy patients from the two regions and 150 patients with complete data were included in the analysis. We found 82% subjects with multibacillary leprosy, 10.67% subjects with grade 2 WHO hand disability, and 9.33% subjects with grade 2 WHO foot disability. Assessment using SALSA Scale showed 29.33% of subjects with limitation activity and 11.33% with participation restriction. Age was shown to have positive correlations with SALSA, JTT, and TUG. Inter-dimensional analysis showed that the SALSA scale had significant positive correlations with the number of nerve enlargement, P-scale, JTT, and TUG. SALSA scores of grade 2 WHO hand and foot disability were also significantly higher than grade 1 and 0. Participation scale also had a positive correlation with JTT but not TUG. Hand disability seemed to affect societal participation whilst foot did not. We used the ICF to describe and analyse dimensions of leprosy-related disability in Indonesia.

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Section: Resultsmentioning

confidence: 99%

The International Classification of Functioning, Disability and Health to map leprosy-related disability in rural and remote areas in Indonesia

Wahyuni,

Nelfidayani,

Harini

et al. 2023

Preprint

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“…Functional limitations and societal restrictions are impacted by many factors. According to a previous study by Nogueira in Fortaleza, most elderly people with leprosy can still do basic daily tasks such as opening bottles with screw caps, cooking, carrying heavy objects, and walking on uneven ground [61]. Stigma and prejudice associated with leprosy can lead to societal exclusion even in the absence of visible lesions or impairments [58].…”

Section: Discussionmentioning

confidence: 99%

The International Classification of Functioning, Disability and Health to map leprosy-related disability in rural and remote areas in Indonesia

Wahyuni,

Nelfidayani,

Harini

et al. 2024

PLoS Negl Trop Dis

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The International Classification of Function, Disability, and Health (ICF—WHO, 2001) recognizes several dimensions of disability, such as body structure and function (and impairment thereof), activity (and activity restrictions) and participation (and participation restriction) and their interactions with contextual factor (personal and environmental). In this study, we map and analyse the relationship between the components of ICF in leprosy patients from two rural areas in Indonesia: Lewoleba (East Nusa Tenggara) and Likupang (North Minahasa). This study was part of a community outreach program by the KATAMATAKU team from Universitas Indonesia. The body structure was graded using the WHO hand and feet disability grade and the number of enlarged nerves, while the body function was measured by the Jebsen Taylor Hand Function Test (JTT) and Timed-up and Go (TUG). Activity limitation and participation restriction were measured using the Screening Activity Limitation Safety Awareness (SALSA) Scale and Participation Scale (P-scale), respectively. There were 177 leprosy patients from the two regions and 150 patients with complete data were included in the analysis. We found 82% (95% CI: 75.08%-87.32%) of subjects with multibacillary leprosy, 10.67% (95% CI: 6.67%-16.62%) of subjects with grade 2 WHO hand disability, and 9.33% (95% CI: 5.64%-15.06%) of subjects with grade 2 WHO foot disability. Assessment using the SALSA Scale showed 29.33% of subjects with limitation activity and 11.33% with participation restriction. Age was shown to have positive correlations with SALSA, JTT, and TUG. Inter-dimensional analysis showed that the SALSA scale had significant positive correlations with the number of nerve enlargements, P-scale, JTT, and TUG. SALSA scores of grade 2 WHO hand and foot disability were also significantly higher than grades 1 and 0. The participation scale also had a positive correlation with JTT but not TUG. Hand disability seemed to affect societal participation while foot did not. We used the ICF to describe and analyse dimensions of leprosy-related disability in Indonesia.

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“…The ADL were verified with the Katz Index (KI) (17) and with the Screening of Activity Limitation and Safety Awareness (SALSA) (18) . The KI assesses its subject's independence in basic ADL such as bathing, clothing, hygiene, transfers, sphincter control, and during feeding.…”

Section: Methodological Proceduresmentioning

confidence: 99%

Activity limitations in leprosy and their association to cognition and neuropsychiatric symptoms

et al. 2021

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Objectives: to analyze activity limitations in patients with leprosy and their association to cognition and neuropsychiatric symptoms. Methods: this cross-sectional design study included sixty patients with multibacillary leprosy assisted at a reference center. Participants were divided according to their physical disability and submitted to instruments assessing daily activities (basic and instrumental), cognitive functions, and neuropsychiatric symptoms. The order of the instruments was random to avoid any interference of test sequence on the results. Results: fifty-five percent of the participants presented physical disabilities. All patients were independent in performing basic activities but sixty-six percent presented difficulties in performing instrumental activities. Cognitive decline and neuropsychiatric symptoms were seen in advanced stages of the disease, but they were more associated to patient age than to leprosy. Conclusions: leprosy patients presented physical disabilities and difficulties in performing instrumental daily activities. Cognitive decline and neuropsychiatric symptoms were more associated to aging than to leprosy itself.

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Aplicabilidade do instrumento “Screening of Activity Limitation and Safety Awareness” em idosos com hanseníase

Cited by 4 publications

References 14 publications

The International Classification of Functioning, Disability and Health to map leprosy-related disability in rural and remote areas in Indonesia

The International Classification of Functioning, Disability and Health to map leprosy-related disability in rural and remote areas in Indonesia

The International Classification of Functioning, Disability and Health to map leprosy-related disability in rural and remote areas in Indonesia

Activity limitations in leprosy and their association to cognition and neuropsychiatric symptoms

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