TY - JOUR KW - Foot Deformities, Acquired KW - Foot Diseases KW - Humans KW - Leper Colonies KW - leprosy KW - Mobile Health Units KW - Patient Care Team KW - Patient Education as Topic KW - Senegal KW - Shoes KW - Skin Ulcer AU - Hirzel C AU - Millan J AU - Boucher P AU - Naudin J C AU - Diouf B AB -

AIMS: to prevent the appearance of plantar ulcerations and then mutilations, by going in the field in order to: make suitable footwear, educate the patients, train the paramedical staff. Means: 1 fitted lorry, 1 physiotherapist, 1 shoemaker, and 1 educator.

RESULTS: In one year, 206 patients have been provided with shoes and followed up. Advice have been taken exactly in the leper villages in which the attendance rate is of 98%; this rate varies between 47 to 70% in the all-purpose dispensaries. Paramedical workers of all-purpose Health Centers did not take great interest in this action. After 6-12 months under observation: 84% of good results for the feet without deformity or slightly deformed; 51% for the deformed feet. The results are quite satisfactory for the feet without plantar ulcer at the beginning, and that whatever the food deformity stage. But for the feet wounded by plantar ulcer at the beginning, 33% of recovery have been reported after wearing these shoes.

BT - Acta leprologica C1 - http://www.ncbi.nlm.nih.gov/pubmed/3526797?dopt=Abstract DA - 1986 Jan-Mar IS - 1 J2 - Acta Leprol LA - fre N2 -

AIMS: to prevent the appearance of plantar ulcerations and then mutilations, by going in the field in order to: make suitable footwear, educate the patients, train the paramedical staff. Means: 1 fitted lorry, 1 physiotherapist, 1 shoemaker, and 1 educator.

RESULTS: In one year, 206 patients have been provided with shoes and followed up. Advice have been taken exactly in the leper villages in which the attendance rate is of 98%; this rate varies between 47 to 70% in the all-purpose dispensaries. Paramedical workers of all-purpose Health Centers did not take great interest in this action. After 6-12 months under observation: 84% of good results for the feet without deformity or slightly deformed; 51% for the deformed feet. The results are quite satisfactory for the feet without plantar ulcer at the beginning, and that whatever the food deformity stage. But for the feet wounded by plantar ulcer at the beginning, 33% of recovery have been reported after wearing these shoes.

PY - 1986 SP - 79 EP - 92 T2 - Acta leprologica TI - [Prevention of perforating plantar ulcers: trial directed by a mobile team]. VL - 4 SN - 0001-5938 ER -