REHABILITATION IN DUCHENNE MUSCULAR DISTROPHY - CASE STUDY
REHABILITATION IN DUCHENNE MUSCULAR DISTROPHY - CASE STUDY

Summary/Abstract: Duchenne muscular dystrophy is a progressive neuromuscular disease that mainly affects boys. Symptoms begin around the age of four and worsen rapidly.Typically, muscle function is lost first in the upper extremities and pelvis, followed by the upper extremities. By age 12, boys are already losing the ability to walk, and end up in wheelchairs with difficulty performing daily activities (dressing, running, climbing stairs, descending).The child also has accompanying heart, respiratory, gastrointestinal, and psychosocial problems, as well as a high risk of fractures. The disease is usually genetic, and is linked to a mutation in the dystrophin gene, which is important for maintaining the cell membrane of muscle fibers. There is no permanent cure for this disease. But with the help of orthoses, physical therapy, corrective surgery, and most importantly, kinesitherapy procedures, which are the primary part of rehabilitation in a patient with Duchenne. This specialist paper will elaborate on rehabilitation, achieving self-care in basic functions, achieving maximum functionality in each patient, in order to help reduce pain, reduce symptoms, prevent disease progression, and achieve maximum volume of movement. It will also elaborate on a case study, specifically for R.Z. His rehabilitation will be discussed in detail, from his discovery of the diagnosis to his fourth year.

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