Abstract:
UNLABELLED:PURPOSE. Malawi is a very poor country with a current population of 12 million people and very few orthopaedic surgeons or physiotherapists. An estimated 1125 babies are born per year with club foot. If these feet are not corrected early, then severe deformity can develop, requiring complex surgery. A task force was established to address this problem using locally available resources. METHODS:A nationwide early manipulation programme was set up using the Ponseti technique, and a club foot clinic established in each of Malawi's 25 health districts. One year later the clinics were reviewed. RESULTS:Twenty out of the 25 clinics originally established were still active, and over one year had seen a total of 342 patients. Adequate records existed for 307 patients, of whom 193 were male and 114 female (ratio 1.7:1). A total of 175 patients had bilateral club foot and 132 were unilateral (ratio 1.3:1) giving a total of 482 club feet; 327 of the 482 feet were corrected to a plantigrade position. Most clinics had problems with supply of materials. Many patients failed to attend the full course of treatment. CONCLUSIONS:Overall the establishment of a nationwide club foot treatment programme was of benefit to a large number of children with club feet and their families. In a poor country with many demands on health funding many challenges remain. The supply of plaster of Paris and splints was inadequate, clinic staff felt isolated, and patient compliance was limited by many factors which need further research.
journal_name
Disabil Rehabiljournal_title
Disability and rehabilitationauthors
Lavy CB,Mannion SJ,Mkandawire NC,Tindall A,Steinlechner C,Chimangeni S,Chipofya Edoi
10.1080/09638280701240169subject
Has Abstractpub_date
2007-06-15 00:00:00pages
857-62issue
11-12eissn
0963-8288issn
1464-5165pii
779664582journal_volume
29pub_type
杂志文章abstract:PURPOSE:To explore how patients experience the process and personal impact of deriving outcomes from a rheumatological rehabilitation program. METHODS:Semi-structured interviews were conducted with 23 patients with inflammatory rheumatic diseases approximately 2 months after a 4-week hospital based multidisciplinary r...
journal_title:Disability and rehabilitation
pub_type: 杂志文章
doi:10.3109/09638288.2011.626485
更新日期:2012-01-01 00:00:00
abstract::This article deals with the development of a basis for data collection and statistics on disability in France. After having recalled the first attempts to establish statistics on disability, highlighting the lack of a reliable conceptual basis, its shows how ICIDH spread out from the geriatrics research field to the d...
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更新日期:2018-06-01 00:00:00
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journal_title:Disability and rehabilitation
pub_type: 杂志文章
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journal_title:Disability and rehabilitation
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journal_title:Disability and rehabilitation
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journal_title:Disability and rehabilitation
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journal_title:Disability and rehabilitation
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更新日期:2004-01-07 00:00:00
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journal_title:Disability and rehabilitation
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abstract::Aim: Neuropsychological normative data for Latin America have been recently published, and for Colombia, in particular, but longitudinal neuropsychological outcomes after stroke have not yet been examined in this global region. The purpose of the current study was to compare functioning of individuals with stroke in C...
journal_title:Disability and rehabilitation
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journal_title:Disability and rehabilitation
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journal_title:Disability and rehabilitation
pub_type: 杂志文章,多中心研究
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journal_title:Disability and rehabilitation
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journal_title:Disability and rehabilitation
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journal_title:Disability and rehabilitation
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journal_title:Disability and rehabilitation
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更新日期:2011-01-01 00:00:00
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更新日期:1996-02-01 00:00:00
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journal_title:Disability and rehabilitation
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更新日期:2013-07-01 00:00:00
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journal_title:Disability and rehabilitation
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更新日期:2015-01-01 00:00:00
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