01345nas a2200205 4500000000100000008004100001260001700042653002300059653001100082653001200093653001000105653002100115653002200136100001400158245007000172300001000242490000700252520086600259022001401125 1992 d c1992 Jul-Aug10aHospitals, Special10aHumans10aleprosy10aNepal10aOrthotic Devices10aProsthesis Design1 aMeanley S00aRehabilitation engineering and leprosy in Nepal: a personal view. a165-90 v163 a

Green Pastures Hospital is a specialist leprosy hospital in Pokhara, Nepal. As part of its service it offers a range of appliances aimed to assist in the rehabilitation of patients. This paper outlines the different orthoses and prostheses made at the Orthopaedic Appliances Centre in the hospital, their various indications and some of the benefits and problems associated with their use. Specific reference is made to the requirements related to local conditions and customs. The terrain, communications, facilities and materials available in Nepal make the work of the few rehabilitation engineers in the country somewhat different from that of those in the West. Some of these differences are described, drawing out contrasts in technical requirements of appliances and in organizational structures in the field of rehabilitation in the UK and Nepal.

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