Ankle-Foot Orthosis in Duchenne Muscular Dystrophy: A 4 year Experience in a Multidisciplinary Neuromuscular Disorders Clinic

Gupta, Anupam; Nalini, Atchayaram; Arya, Shanti Prakash; Vengalil, Seena; Khanna, Meeka; Krishnan, Rashmi; Taly, Arun B.

doi:10.1007/s12098-016-2251-7

Cited by 5 publications

(1 citation statement)

References 31 publications

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“…Integrating these technologies into rehabilitation protocols can improve functional independence, facilitate participation in daily activities, and enhance overall quality of life. However, ensuring equitable access to these technologies and addressing financial barriers remains a critical concern [19,20].…”

Section: Discussionmentioning

confidence: 99%

Effect of Dynamic Neuromuscular Stabilization and Rehabilitation Strategies in Six Year Child with Duchenne Muscular Dystrophy: A Case Study

Chitlange,

Hullumani V,

Sasun

et al. 2024

Preprint

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The clinical features of increasing muscle weakening are shared by a diverse set of illnesses known as muscular dystrophies. In early childhood, males with Duchenne muscular dystrophy (DMD) exhibit proximal muscle weakening and calf enlargement, making it the most frequent X-linked disease of muscular dystrophy in children. Development of motor skills is typically delayed, and wheelchair confinement eventually leads to early death from heart or lung problems. In terms of function, ambulation, quality of life, and life expectancy, treatment approaches like corticosteroid therapy and intermittent positive pressure breathing have improved. This is a case report of a 6-year-old kid who had early ambulatory stage Duchenne Muscular Dystrophy and complained to the neuro-physiotherapy department about frequent falls, walking difficulties, and dyspnea when walking. Other grievances included being unable to get off the ground and having trouble ascending stairs. He had physiotherapy and dynamic neuromuscular stabilization for his complaints. The main goals of treatment were educating the family, respiratory training, preventing ankle plantar flexors, maintaining strength, balance and gait training.

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Section: Discussionmentioning

confidence: 99%

Effect of Dynamic Neuromuscular Stabilization and Rehabilitation Strategies in Six Year Child with Duchenne Muscular Dystrophy: A Case Study

Chitlange,

Hullumani V,

Sasun

et al. 2024

Preprint

View full text Add to dashboard Cite

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Family Involvement and at-Home Physical Therapy on Duchenne Muscular Dystrophy: A Randomized Controlled Trial

Hernández-Sánchez,

Parra-Sánchez,

Montolio

et al. 2024

Pediatric Neurology

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Ankle-foot orthosis in patients with Duchenne muscular dystrophy: a retrospective study

Rebel,

Landgraf,

Sztajnbok

et al. 2024

Fisioter. mov.

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Introduction: Duchenne muscular dystrophy (DMD) is a recessive genetic disease linked to the X chromosome, leading to progressive muscle tissue loss. Initially, there is difficulty getting up from the floor and an increased frequency of falls. Maintaining ambulation as long as possible is essential, and the use of ankle-foot orthosis (AFO) has been investigated as an ally in this process. Objective: To verify the prescription and use of an AFO for ambulant boys with DMD. Methods: Information was collected using the medical records of 181 patients with DMD from the Neuropediatric Service of the Instituto de Puericultura e Pediatria Martagão Gesteira of the Universidade Federal do Rio de Janeiro. Variables used were: age at the first medical appointment, age at first symptoms, age at loss of independent gait, time between the first symptoms and loss of gait, prescription of orthosis, time of use, and surgical intervention in the lower limbs. Results: The orthosis was prescribed for 63.5% of patients and used by 38.1%. The range of orthosis time was 2 to 4 years (62.3%). The night sleep period was the most prescribed for orthosis use, with 67.2%. Patients who used the orthosis for a longer time were older at gait loss. However, the children who arrived earlier for the first appointment had a higher frequency of orthosis prescriptions and later loss of gait. Conclusion: The use of AFO can help maintain ambulation for longer in boys with DMD.

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Ankle-Foot Orthosis in Duchenne Muscular Dystrophy: A 4 year Experience in a Multidisciplinary Neuromuscular Disorders Clinic

Cited by 5 publications

References 31 publications

Effect of Dynamic Neuromuscular Stabilization and Rehabilitation Strategies in Six Year Child with Duchenne Muscular Dystrophy: A Case Study

Effect of Dynamic Neuromuscular Stabilization and Rehabilitation Strategies in Six Year Child with Duchenne Muscular Dystrophy: A Case Study

Family Involvement and at-Home Physical Therapy on Duchenne Muscular Dystrophy: A Randomized Controlled Trial

Ankle-foot orthosis in patients with Duchenne muscular dystrophy: a retrospective study

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