Foot impairments and limitations in walking activities in people affected by leprosy

J Rehabil Med. 2011 Jan;43(1):32-8. doi: 10.2340/16501977-0625.

Abstract

Objective: To explore the relationships between perceived limitations in walking-related daily activities, walking ability (capacity), and the amount of daily walking (performance) in persons affected by leprosy and to identify their determinants.

Design: A cross-sectional study.

Subjects: Thirty-nine persons affected by leprosy.

Methods: Perceived limitations were assessed with the World Health Organization Disability Schedule II, domain "getting around". Walking capacity was assessed as covered distance in 6 min. Walking performance was recorded as mean strides/day with the Stepwatch(TM) 3 Activity Monitor. Potential determinants were sensory function, foot deformities, joint mobility, ankle muscle strength and co-morbidity.

Results: Perceived limitations in walking-related activities were significantly correlated with walking capacity (r = -0.47; p < 0.01) but not with walking performance, although walking capacity significantly correlated with walking performance (r = 0.38; p < 0.05). Various foot impairments independently contributed to reduced walking capacity and, to a lower degree, to perceived limitations in activities and performance.

Conclusion: People affected by leprosy perceive limitations in walking-related activities that are determined by a reduced walking ability and the severity of foot impairments. Since perceived limitations in walking-related activities were not related to walking performance, perceived limitations are apparently weighted against the individual's needs.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Activities of Daily Living
  • Adult
  • Aged
  • Ankle Joint / physiopathology
  • Cross-Sectional Studies
  • Female
  • Foot / physiopathology*
  • Foot Deformities, Acquired / physiopathology
  • Humans
  • Leprosy / complications
  • Leprosy / physiopathology*
  • Leprosy / rehabilitation
  • Male
  • Middle Aged
  • Mononeuropathies / etiology
  • Mononeuropathies / physiopathology
  • Muscle Strength / physiology
  • Self Report
  • Social Participation
  • Walking / physiology*