02609nas a2200361   4500000000100000008004100001260001300042653003100055653001000086653000900096653002800105653002600133653002100159653001100180653001100191653001200202653000900214653001600223653001600239653002200255653002600277100001100303700001200314700001700326700001300343700001300356245010900369856006800478300001100546490000700557520166900564022001402233       2010                            d  c2010 Jun10aActivities of Daily Living10aAdult10aAged10aCross-Sectional Studies10aDisability Evaluation10aDisabled Persons10aFemale10aHumans10aleprosy10aMale10aMiddle Aged10aNetherlands10aPersonal Autonomy10aSocioeconomic Factors1 aSlim F1 aSchie C1 aKeukenkamp R1 aFaber WR1 aNollet F00aEffects of impairments on activities and participation in people affected by leprosy in The Netherlands.  uhttp://jrm.medicaljournals.se/article/pdf/10.2340/16501977-0569  a536-430 v423 a<p><b>OBJECTIVE: </b>To assess the prevalence of impairments and evaluate the relationships between impairments, activity limitations and participation restrictions in people affected by leprosy living in The Netherlands.</p><p><b>DESIGN: </b>A cross-sectional study.</p><p><b>SUBJECTS: </b>Eighty-two people affected by leprosy living in The Netherlands.</p><p><b>METHODS: </b>A postal questionnaire was performed. Impairments were inventoried with the Total Impairment Score. Activity limitations were assessed with the World Health Organization Disability Schedule II (WHODAS-II) and participation restrictions with the Impact on Participation and Autonomy (IPA) questionnaire.</p><p><b>RESULTS: </b>A high prevalence of impairments was found (83%), mostly in hands and feet. Activity limitations were substantial, and highest for the WHODAS-II domains "household/work" and "getting around". The severity of impairments correlated significantly with activity limitations. Eye and foot impairments independently contributed to the domains "household/work" and "getting around", explaining 34% and 40% of variance. Poor or very poor participation (IPA) was reported by 13-32% of persons, mostly in the "autonomy outdoors" and "family role" domains. These domains were associated with activity limitations and hand impairments</p><p><b>CONCLUSIONS: </b>People affected by leprosy in The Netherlands encounter limitations in activities and participation restrictions, which are related to the severity of impairments. The high prevalence of disability suggests rehabilitation care should be considered for a substantial proportion of people affected by leprosy.</p>  a1651-2081