Should Foot Surgery Be Performed for Children With Duchenne Muscular Dystrophy?

Leitch, Khristinn Kellie; Raza, Naweed; Biggar, Doug; Stephen, Derek; Wright, James G.; Alman, Benjamin A.

doi:10.1097/00004694-200501000-00021

Cited by 7 publications

(2 citation statements)

References 5 publications

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“…Several authors have cautioned against isolated tendo achilles lengthening (TAL) while DMD patients are still ambulating independently. 53–51 Tendo achilles lengthening without simultaneous bracing above the knee can lead to loss of walking ability unless the quadriceps are grade 4- to 4 or better. Overcorrection (overlengthening) of the heel cord contracture in a patient with DMD may result in immediate loss of the ability to walk.…”

Section: Management Of Contracturesmentioning

confidence: 99%

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Prevention and Management of Limb Contractures in Neuromuscular Diseases

Skalsky

McDonald

2012

Physical Medicine and Rehabilitation Clinics of North America

130

101

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Synopsis Limb contractures are a common impairment in neuromuscular diseases (NMD). They contribute to increased disability due to decreased motor performance, mobility limitations, reduced functional range of motion, loss of function for activities of daily living (ADL), and increased pain. The pathogenesis of contractures is multifactorial. Myopathic conditions are associated with more severe limb contractures in comparison to neuropathic disorders. Although the evidence supporting the efficacy of multiple interventions to improve ROM in NMD in a sustained manner is lacking, there are generally accepted principles with regard to splinting, bracing, stretching, and surgery that help minimize the impact or disability from the contractures.

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Section: Management Of Contracturesmentioning

confidence: 99%

“…Although surgery may improve the ankle ROM and positioning of the foot on the wheelchair footrest in DMD after transitioning to fulltime wheelchair use, it does not usually impact shoe wear, pain, hypersensitivity, or self-perceived cosmesis in a significant manner. 53 …”

Section: Management Of Contracturesmentioning

confidence: 99%