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Leprosy Training Module for Medical Officers

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Paralysis in Hands & Feet ( Primary Disability )<br />

Aim : There are three main aims :<br />

1. Prevent setting in of contracture<br />

2. Decrease existing contracture<br />

3. Strengthen weak muscle<br />

Method : All the above aims can be achieved by doing exercises. There are two<br />

types of exercises :<br />

1. Active : In active exercise, patient uses his weak muscles to do the<br />

exercise. This will<br />

- prevent contracture and<br />

- strengthen the weak muscle.<br />

2. Passive : In passive exercise, patient is helped to move the paralysed<br />

the part. This will<br />

- prevent contracture but<br />

- cannot strengthen the weak muscle.<br />

Paralysis<br />

Aims to<br />

Hands<br />

&<br />

Feet<br />

Prevent setting in of contracture<br />

Decrease existing contracture<br />

Strengthen weak muscle<br />

Exercise<br />

Active<br />

Passive<br />

Direct use of<br />

weak muscle<br />

Movement of<br />

paralysed part<br />

using help<br />

76

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