Lecture 1.4 DMD

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PT 581 Neuro PT Management Flashcards on Lecture 1.4 DMD, created by Mia Li on 01/28/2018.
Mia Li
Flashcards by Mia Li, updated more than 1 year ago
Mia Li
Created by Mia Li about 5 years ago
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Question Answer
Pattern of weakness in DMD is (distal _ proximal) Proximal is weaker
Muscle tone is (high/low) in muscular dystrophy. Low
T/F: Muscle generally atrophies in MD. T.
Which of the following is affected in MD? Sensation Sphincter Neither
What is a positive prognostic factor for MD? Ability to walk
List the postural abnormalities in patients with muscular dystrophy. 1. increased lumbar lordosis 2. scapular winging 3. contractures 4. increased BOS 5. scoliosis
Key interventions for children with muscular dystrophy are 1. promote efficient posture with bracing 2. night splints to prevent contracture 3. avoid high intensity resistance training and eccentrics 4. submaximal aerobic exercise until early non-ambulatory stage 5. promote efficient movement strategies in a functional context
Why are stretches so important in muscular dystrophy? it causes muscle to be replaced by connective tissue, which has decreased flexibility.
Recommended stretching dosage: 4 - 6 days per week
Recommended standing program dosage for children with MD at early non-ambulatory stages 60 min /day
What are some assistive devices a child with MD can use? 1. bike (adapted) 2. standers 3. light weight manual chairs 4. power mobility
Progressive stages of DMD 1. presymptomatic 2. early ambulatory 3. late ambulatory 4. early non-ambulatory 5. late non-ambulatory
Age range/ functional level for presymptomatic stage DMD before 4 y.o. Might show developmental delay, no gait disturbance
Age range/ functional level for early ambulatory stage DMD 4-5 y.o. Gower's sign, waddling gait, toe walking. Able to climb stairs.
Age range/ functional level for late ambulatory stage DMD 6-7 y.o. Labored gait, losing ability to climb stairs and rise from floor.
Age range/ functional level for early non-ambulatory stage DMD 8 - 9 y.o Maintains posture, might develop scoliosis, possible to propel self.
Age range/ functional level for late non-ambulatory stage DMD by 10 y.o. UE function and postural maintenance is increasingly limited.
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