KINESITHERAPY APPROACH IN PATIENTS WITH DUCHENNE MUSCULAR DYSTROFY
People with Duchenne muscular dystrophy (DMD) need access to different types of rehabilitation throughout their lives. Most of it is provided by kinesitherapists, physiotherapists and ergotherapeutists, including rehabilitation specialists, orthoses, wheelchair providers, and other facilities. The care of orthopedic surgeons may be necessary. A major part of rehabilitation care is caring for muscle stretching and joint contractions. The purpose of stretching is to maintain the function and maintain a comfortable state. The stretch program will be tracked by the kinesitherapist but should be part of the family's daily routine. There are many factors in DMD that contribute to the propensity of joints to tighten or "contract". These include less elasticity of the muscle due to its limited use and position or due to disturbed balance of the muscles around a joint. It is important to maintain a good volume of movement and symmetry in the different joints. This helps to maintain the best possible function to prevent the development of fixed deformities and skin tension.
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