Pangilinan Percival H, Hornyak Joseph E
Department of Physical Medicine & Rehabilitation, University of Michigan Health System, Ann Arbor, MI, USA.
Handb Clin Neurol. 2013;110:471-81. doi: 10.1016/B978-0-444-52901-5.00040-X.
The muscular dystrophies (MD) are a heterogeneous group of inherited disorders characterized by findings on muscle biopsy. In general, they feature progressive muscle wasting and weakness. In addition to the musculoskeletal system, direct and indirect effects can be seen in a variety of organ systems. These issues create challenges in patients with MD for ambulation and mobility, self-care, pain, fatigue, and community involvement. Because of its progressive nature and wide variety of pathophysiological mechanisms, patients with MD require individualized rehabilitation care. This chapter reviews specific rehabilitation needs and treatment of patients with MD.
肌营养不良症（MD）是一组遗传性疾病的异质性群体，其特征在于肌肉活检的结果。一般来说，它们的特点是进行性肌肉萎缩和无力。除了肌肉骨骼系统外，在各种器官系统中都可以看到直接和间接的影响。这些问题给MD患者在行走和移动、自我护理、疼痛、疲劳以及社区参与方面带来了挑战。由于其进行性本质和多种病理生理机制，MD患者需要个性化的康复护理。本章回顾了MD患者的具体康复需求和治疗方法。
