Leprosy is an infectious disease, granulomatous, of slow progress, caused by Mycobacterium Leprae. The bacillus affects mainly peripheral nerves, causing face, hands and feet lesions, which can generate severe physical disabilities which contribute for installation of disabling and deforming patterns. The lesion of claw hand type is a sequel which can be observed in patients with lesions at the level of the upper limbs being very incapacitating, hindering the performance of activities of daily living of these individuals and consequently damaging quality of life and personal satisfaction. These lesions generate repercussions in the individual's context of life contributing to installation of alterations in psychoemotionall aspects, in addition of the stigma inherent to disease. The occupational therapy intervention using low cost assistive technology to assistance of activities of daily living in patients with claw hand objectives minimization of functional deficits presented while using functional adaptations used in performance of their daily activities as food, personal hygiene and clothing. The intervention was performed by applying an assessment protocol in occupational therapy known as the Canadian Occupational Performance Measure (COPM) which measures the degree of performance and satisfaction of the patient to perform activities of daily living. The protocol was applied initially with patients collecting data about performance of activities of daily living without the use of assistive technology resources. The application protocol was based on the definition of five problems common to all participants revealed very low levels of performance and satisfaction obtained during the performance of activities evaluated. Subsequently was performed the process of prescription, preparation and training of adaptations developed for each patient, adding to a total of one hundred twenty appliances (120) developed. Again applied the same protocol with the same patients addressing the same problems after conducting a training period of functional adaptations developed, comparing the data collected in the first and second COPM. Comparing the initial data presented, the data collected in the second evaluation of COPM showed a significantly increased level of patient's performance and satisfaction in addition to functional gain. It was concluded with this research that the proposed occupational therapy intervention using low cost assistive technology equipments (adaptations) is feasible, have satisfactory results and favor a great social reach due to cost reduction of developed devices.
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