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Flashcards in MD Deck (16):
1

Which parent carries the mutated gene for MD?

The mother carries it on her X gene

2

What are the two most common forms of MD?

Duchenne and Becker

3

Which gender is affected by Duchenne MD?

male

4

What is the criteria for Duchenne MD?

genetic testingonsetrate of progressionhistorymuscle biopsyCreatine Kinase Levels

5

What is seen in from birth to two years old in a child with Duchenne MD?

delayed ability to stand and ambulate

6

what is seen in a child with Duchenne MD ages 2-3years

indepence in age-appropriate ADL'sEnlarged calvesdifficulty with floor standingwaddling gait

7

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

8

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

9

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

10

what is seen in a child with Duchenne MD ages 16-21+ years

dependent for all ADLsDecreased respiratoryEventual death

11

What is the age range of the early stage of DMD?

2-7 years

12

What is the age range of the middle stage of DMD?

7-10 years

13

What is the age range of the end stage of DMD?

10-18 years

14

What are the focusses of OT intervention for early stage DMD?

maintain independence in play activitiesmaintain independence in age-appropriate ADL'sadaptive techniques

15

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

16

What are the focusses of OT intervention for end stage DMD?

equipment managementMaintain independence in school-based activitiesmaintain independence in ADL's home visits