Flashcards in MD Deck (16):
Which parent carries the mutated gene for MD?
The mother carries it on her X gene
What are the two most common forms of MD?
Duchenne and Becker
Which gender is affected by Duchenne MD?
What is the criteria for Duchenne MD?
genetic testingonsetrate of progressionhistorymuscle biopsyCreatine Kinase Levels
What is seen in from birth to two years old in a child with Duchenne MD?
delayed ability to stand and ambulate
what is seen in a child with Duchenne MD ages 2-3years
indepence in age-appropriate ADL'sEnlarged calvesdifficulty with floor standingwaddling gait
what is seen in a child with Duchenne MD ages 4-6 years
Increased time needed to complete simple ADL’s (doffing/donning pullover shirts and elastic pants)Noted UE involvementIncreased use of adaptive techniquesFrequent falls, appears clumsy Difficulty climbing stairsGower’s sign
what is seen in a child with Duchenne MD ages 7-10 years
Assistance required for all ADL’s (min to max)Increased awareness of diagnosisModerate loss in UE strength (2/5 to 3/5 muscle grade/fair to poor)Ambulation with increased lumbar lordosis (sticks out belly and retracts shoulders)Loss of ability to ambulateDevelopment of contracturesMax assistance for transfers
what is seen in a child with Duchenne MD ages 11-16 years
Max-Total assist needed for ADLsSignificant loss of UE strengthRespiratory involvement (night-time breathing txt needed)Power wheelchair mobility indicatedIncreased contracture developmentTotal A for transfers
what is seen in a child with Duchenne MD ages 16-21+ years
dependent for all ADLsDecreased respiratoryEventual death
What is the age range of the early stage of DMD?
What is the age range of the middle stage of DMD?
What is the age range of the end stage of DMD?
What are the focusses of OT intervention for early stage DMD?
maintain independence in play activitiesmaintain independence in age-appropriate ADL'sadaptive techniques
What are the focusses of OT intervention for middle stage DMD?
Equipment managementMaintain independence in school-based activitiesmaintain independence in ADL's adaptive techniques and positioning