“A CASE STUDY OF LEPROSY”

A Project Report Submitted to

Faculty of Medical Science

Department of Physiotherapy

Integral Institute of Medical Science & Research

Integral University, Lucknow

In partial fulfillment of the requirement

For the award of degree of

BACHELOR OF PHYSIOTHERPY
APRIL 2018

Guided by

DR. AMMAR FAISAL KHAN

Submitted by

RAVINDRA KUMAR TIWARI

SMITA SINGH

POOJA SINGH

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 CERTIFICATE (GUIDE)

I hereby recommend that the project prepared by RAVINDRA KUMAR TIWARI, SMITA
SINGH, and POOJA SINGH entitled “ A Case study on LEPROSY ” is an original work
done by them & accepted in partial fulfillment of the requirements for the degree of Bachelor Of
Physiotherapy.

-------------------------------------
Dr. AMMAR FAISAL KHAN

M.P.Th (CARDIO- PULMONARY)

Assistant Professor,

Department of P.M.R (Physiotherapy)

Integral University, Lucknow.

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 CERTIFICATE ( EXTERNAL EXAMINER)

I hereby recommend that the project prepared by RAVINDRA KUMAR TIWARI , SMITA
SINGH and POOJA SINGH entitled “A Case study on leprosy” is an original work done by
them and & accepted in partial fulfillment of the requirements for the degree of Bachelor of
Physiotherapy.

………………………

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 CERTIFICATE (HOD)

I hereby recommend that the project prepared by RAVINDRA KUMAR TIWARI , SMITA
SINGH and POOJA SINGH entitled “A Case study on leprosy” is an original work done by
them and being approved by me & accepted in partial fulfillment of the requirements for the
degree of Bachelor of Physiotherapy.

-----------------------------------
Dr. ASHFAUQE KHAN (PT)

M.P.Th (Orthopedics)

H.O.D , DEPARTMENT OF PHYSIOTHERAPY

INTEGRAL UNIVERSITY, LUCKNOW.

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 CERTIFICATE (STUDENT)

I hereby recommend that the project prepared by RAVINDRA KUMAR TIWARI , SMITA
SINGH and POOJA SINGH entitled “A Case study on leprosy” is an original work done by
them and being approved by me & accepted in partial fulfillment of the requirements for the
degree of Bachelor of Physiotherapy.

RAVINDRA KUMAR TIWARI

SMITA SINGH

POOJA SINGH

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 ACKNOWLEDGEMENT

We express my deep and sincere gratitude to our guide, Dr. Dr. AMMAR FAISAL KHAN
M.P.Th (CARDIO- PULMONARY), Assistant Professor, Department of P.M.R (Physiotherapy)
Integral University,. for his valuable guidance, precious advice and constant encouragement and
for providing us with the opportunity and atmosphere to let us complete the project.

We would like to thank, Dr. Ashfaque Khan, H.O.D Department of physiotherapy, Faculty of
medical sciences, Integral University

We would like to thank, Dr. A. Raheem , assistant professor orthopedic Department of

physiotherapy, Faculty of medical sciences, Integral University.

We would like to thank, Dr. Neeraj maurya, assitent professor neurology Department of
physiotherapy, Faculty of medical sciences, Integral University.

We would like to thank, Dr. Swapnil ramtake, assitent professor sports Department of
physiotherapy, Faculty of medical sciences, Integral University.

We would like to thank, Dr. A. M. H. Inam , assitent professor sports Department of

physiotherapy, Faculty of medical sciences, Integral University.

We would like to thank, Dr. Mohd javed iqbal, assitent professor Department of
physiotherapy, Faculty of medical sciences, Integral University.

We would also like to thank, my friends and parents, brother, for their constants encouragement
help and emotional support.

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 DEDICATION

MY Teachers

For grooming a professional out of us

AND

Our family for encouraging us

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 TABLE OF CONTENTS
CHAPTER 1
1. Inroduction ……………………………………………………………1
2. History…………………………………………………………………3-4
3. Taxonomy………………………………………………...................... 5
4. Pathology………………………………………………………………6-8
5. Machanism of leprosy transmission…………………………………9-10
6. Immunopathology……………………………………………………..11-12
7. Bacteria resides in……………………………………………………13-14
8. Classification…………………………………………………………15-16
9. Daignosis leprosy……………………………………………………17-22
10.Patient management…………………………………………………23-32
11.What is not leprosy……………………………………………………….33
12.How to manage complication……………………………………………34
13.Physiotherpy management………………………………………………38
CHAPTER 2
Case study…………………………………………………………………39
CHAPTER 3
Appendix…………………………………………………………………44.
Consult form……………………………………………………………47
Conclusion……………………………………………………………..…48

CHAPTER 4
Reference………………………………………………………49-50

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LIST OF FIGURE
Page no.
Figure no. 1.1 M. Laprea…………………………………….………………4
Figure no. 1.2 G.H.A. hansen…………………………………………………4
Figure no. 1.3 skin layer………………………………………………………14
Figure no. 1.4 peripherl nerve………………………………………………..14
Figure no. 1.5 asemetric monolateral lesion…………………………………15
Figure no. 1.6 asemetric bilateral lesion……………………………………..19
Figure no. 1.7 semetric bilateral lesion………………………………………19
Figure no. 1.8 deformity ……………………………………………………...22
Figure no. 1.9 PB doses of druge …………………………………………….26
Figure no. 1.10 MB doses of druge …………………………………………….27
Figure no. 1.11 median& ulner nerve deformity……………………………...29
Figure no. 1,12 median ulner nerve bilateraldamege…………………………30
Figure no. 1.13 radial ulner nerve deformity………………………………….31
Figure no. 1.14 comman peronial nerve deformity……………………………32
Figure no. 1.15 posterior tibial nerve &planter ulcer…………………………32
Figure no. 1.16 complication…………………………………………………….34

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