02205nas a2200253 4500000000100000008004100001653003100042653001500073653002100088653001200109653002700121653002500148100001300173700001300186700001500199700001300214700001300227700001200240245007600252856008100328300001200409490000700421520152300428 2018 d10aActivities of Daily Living10aDisability10aDisabled Persons10aleprosy10aPeople with disability10aSocial Participation1 aVieira C1 aLobato M1 aFigueira M1 aAmaral M1 aVilela M1 aSilva E00aLife after leprosy treatment discharge: Physical and social limitations uhttp://www.ijl.org.in/2018/1%20CSCA%20Vieira%20et%20al%20(177-188)%20(1).pdf a177-1880 v903 a

This study has been carried out to verify the association between physical disability, activity limitation and social participation of people who had leprosy. This is an ecological analytical study, carried out from 2003 to 2014 in eleven cities belonging to the Epidemiological Surveillance Group of Taubaté-SP, Brazil. Individuals who had leprosy and were discharged after cure were evaluated through simplified neurological assessment, disability grade, activity limitation and social participation. Two hundred and ten people were assessed, with average age of 55.62 years. Among them, 72.86% individuals reported some health problem and the majority complained of pain. The prevalent operational classification for leprosy was multibacillary (70.48%). 156 individuals (75.29%) presented with physical disability, either in moderate or severe grade, and 60.48% had some level of activity limitation. The most frequent degree of social restriction (19.52%) was mild. There was strong correlation between social participation and activity limitation (r=0.5798; p<0.0001). To conclude, both physical disabilities as well as activity limitations were frequent in these persons. Activity limitation was significantly associated with multibacillary forms, physical disabilities, low educational level and pain. As for decreased social participation, the association was more evident among people who had family income less than three minimum wages, with visible physical damages and presence of severe pain.