Nangliya Radha, Sasun Anam R, Samal Snehal
Department of Neurophysiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.
Cureus. 2024 Mar 17;16(3):e56315. doi: 10.7759/cureus.56315. eCollection 2024 Mar.
This case report provides insights into the physiotherapy management of a 12-year-old male with Duchenne muscular dystrophy (DMD). DMD is a devastating genetic disorder characterized by progressive muscle degeneration and weakness. Skeletal muscle degeneration is induced by a genetic disorder. It is a common X-linked condition that causes hypertrophy of the calves and proximal muscular weakness in children. It frequently results in early mortality, wheelchair confinement, and delays in motor development. Physiotherapy interventions aim to optimize functional abilities and quality of life in individuals with DMD. This case report highlights the effectiveness of physiotherapy in managing DMD progression. This study presents a case exhibiting notable clinical symptoms, highlighting the urgency for advanced treatments to combat this debilitating disease. Outcome measures such as body mass index, spirometry, manual muscle testing, and the World Health Organization Quality-of-Life scale are used to report patient progress. The treatment plan was carried out for six weeks, five times a week. Physiotherapy strategies include diet management, stretching and splinting techniques, and pulmonary training. While current treatments focus on symptom management, ongoing research holds promise for the development of more effective therapies to improve outcomes and quality of life for affected individuals. Multidisciplinary care, including neurophysiotherapy rehabilitation, plays a crucial role in managing the symptoms and complications of DMD, emphasizing the importance of comprehensive support for patients and their families. At the end of our rehabilitation, the patient showed significant improvement in the outcome measures.
本病例报告深入探讨了一名12岁杜氏肌营养不良症（DMD）男性患者的物理治疗管理。DMD是一种毁灭性的遗传性疾病，其特征为进行性肌肉退化和无力。骨骼肌退化由遗传疾病引发。它是一种常见的X连锁病症，会导致儿童小腿肥大和近端肌肉无力。它常常导致早期死亡、轮椅依赖以及运动发育迟缓。物理治疗干预旨在优化DMD患者的功能能力和生活质量。本病例报告强调了物理治疗在控制DMD进展方面的有效性。本研究呈现了一个具有显著临床症状的病例，凸显了对抗这种使人衰弱疾病的先进治疗的紧迫性。诸如体重指数、肺活量测定、徒手肌力测试以及世界卫生组织生活质量量表等结果指标被用于报告患者的进展情况。治疗计划持续了六周，每周进行五次。物理治疗策略包括饮食管理、拉伸和夹板固定技术以及肺部训练。虽然目前的治疗侧重于症状管理，但正在进行的研究有望开发出更有效的疗法，以改善受影响个体的治疗效果和生活质量。多学科护理，包括神经物理治疗康复，在管理DMD的症状和并发症方面发挥着关键作用，强调了为患者及其家庭提供全面支持的重要性。在我们的康复治疗结束时，患者在各项结果指标上都有了显著改善。
