Muscular Dystrophy treatment in Uttam Nagar

Muscular Dystrophy treatment in Uttam Nagar.  Muscular dystrophy is a group of genetic diseases with progressive
m/s weakness & degeneration of the skeletal Or voluntary m/s.

Age at onset & inheritance depends on the type of dystrophy.

Classification

• Duchenne type
• Becker
• Limb-girdle
• Facioscapulohumeral
• Emery- Dreyfus
• Oculopharyngeal
• Distal
• Myotonic dystrophy
• Ocular

Dmd is an x– linked recessive, genetic neuromuscular disease. Occur due to reduced or absent amount of protein called dystrophin in m/s.

Pathology

Absence or reduced amount of protein called dystrophin causing in progressive m/s degeneration results in loss independent ambulation by 13 years of age.
Males are more prone to have symptoms than women. Approx out of every 3600 male infant one have it.

1-5 years is the age of onset.

Clinical Features

• Motor milestones delay
• Hypotonia
• Delayed walking

Positive Gower’s sign ptnt need support from broad-based stance usually have their hands on their thighs.

• Pelvic girdle m/s weakness
• Lordotic posture
• Waddling gait
• Weakness in musculature
• Intellectual impairment
• Myalgia & m/s spasm

Death usually around 18 years of age cause of death would be a respiratory failure in sleep, aspiration& airways obstruction

Diagnosis

Lab finding –

Serum creatinine kinase level – increased in DMD.
Ecg can be performed for heart.
Emg for muscle situation… In DMD it shows distinctively myopathic with the decrease in amplitude & duration of compound action potential
Sensory n motor nerve conduction velocity can also help in determining the disorder lies in anterior horn cell and muscle .

• Muscle biopsy
• Dna testing can also be done .
• Assessment…
• Therapist check forM/s strength
• Rom
• Posture
• Functional abilities
• Adl performance

Gait

• Alignment & lung function M/s strength
• Medical research council (mrc scale) grading of 0-5
• Joint rom Goniometry is helpful for assessing rom
• Assessing of functional abilities
• Motor ability can be measured by Hammersmith score ( score 2,1 or 0)
• Vignos scale is used for assessing functional abilities in progressive neuromuscular conditions.
• Timed test.
• Used to measure physical performance.
• Measure time to get up from floor, walking speed.
• Pt management
• Essential for Maintainance of m/s function. The priority of the therapist would be to maintain symmetry as with progression asymmetric contractures can be formed.

Goals

To improve quality of life
To maintain patient abilities to perform ADL’s
Awareness about the severity of the disorder
Prevent disabling n deformity consequences of secondary problems

Treatment

• Passive stretching
• M/s need to bd stretched so that they can be prevented from developing contractures.
• Isometric exercises for m/s strengthening
• Active exercises
• Active trunk exercises
• Hydrotherapy
• Resisted exercises
  Should be performed carefully as they can accelerate m/s damage
• It should be prescribed.
• Motor skills training
• The patent should be trained for any skilled activity like riding a bike it will boost confidence.
• The therapist can ask ptnt to wear orthoses which can help in improving their quality of life
• Ankle foot orthoses
• Knee ankle foot orthoses
  Or another type
• Any special seating & head support
• For postural adaptation.

For respiratory difficulties

• Chest physiotherapy
• Breathing ex
• Spirometry
• Postural drainage
• Assisted coughing techniques
• All of these are proved quite helpful

Bone health was also checked along with m/s as it helps the patient in recovering better.

if you are facing Muscular Dystrophy and you are searching for Muscular Dystrophy treatment in Uttam Nagar

then Team DNPR will provide you with one of the best Physiotherapy treatments in Uttam Nagar. 

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