PHYSCI 121 Lecture Notes - Lecture 28: Physical Therapy, Neurology, Contracture
Document Summary
Physical therapies and outcomes for dmd patients part 1. Joint areas are usually the weaker parts of the body when it comes to dmd patients. Case study: 8 year old boy that had muscle improvement but mental issues. Placed on steroid care because it helps and has fewer side effects. Followed by a physical therapist (pt) monthly: original diagnosis: developmental delay. Focus on increasing activity, strength, and motor skills: pt suspected dmd and referred to neurologist at 5 yr and ucla dmd research study at. 6 yr: diagnosed and followed in clinic. Initially provided a walker with forearm rests at school: allows strong arms to compensate for weak legs, restricts trunk and ankle compensations for weakness, discontinued after dmd diagnosis. Therapy, splinting, equipment: parent instructed in regular stretching program, child refused night splints, helps maintain ankle range of motion, abnormal foot and ankle posture/contracture.
