As a result of dystrophin deficiency, patients with DMD experience a progressive loss of muscle fibre that eventually affects the respiratory muscles. The resulting respiratory failure is the most common cause of premature death in patients with DMD.
Respiratory muscles are progressively compromised in children with DMD, the expiratory muscles being the most commonly affected. Even short periods of physical inactivity can contribute to muscle weakness and reduced respiratory capacity. There is evidence that breathing exercises can improve respiratory function in patients with DMD.
Regular stretching is of enormous benefit for children with Duchenne muscular dystrophy. Performing a daily stretching routine is the most effective way to prevent loss of flexibility. When done correctly, it can prevent muscle contractures and deformities and ultimately improve physical ability and prolong independence.
This technique helps to free a body part from the resistance of friction while it is moving the part. It is suspended in a sling attached to a rope that is fix to an appropriate point above the body segment This is applicable in cases in which the patient not able to do the movement actively.
Can do passively, actively and actively with assistance This helps to increase blood circulation, maintain joint range of motion and also prevent developing muscle tightness and thereby prevent contracture.
Aerobic exercise helps to maintain overall fitness, especially cardiac and respiratory health. If muscles are intact and functioning, then resistance, or strengthening exercise helps to increase muscle mass.
It helps to
The recognition of abnormal postures is important as they ultimately interfere with activities of daily living, function and quality of life. The assessment and management of posture is thus one of the most important aspects of the medical and rehabilitative care of these patients. First aim is to diagnosis of postural defect, then start giving proper stretching and strengthening exercises as early as possible which helps to prevent further postural defects.
IFT, Ultrasound, Electrical Stimulation, FIR are some of the equipment used for treatment. It mainly helps in:
Exercising with a Group is motivating. It will even spark some friendly competition. It can be fun also.
Play therapy is a form of therapy primarily geared toward children. In this form of therapy, a therapist encourages a child to explore life events that may have an effect on current circumstances, in a manner and pace of the child’s choosing, primarily through play but also through language.
In the rehabilitation centre in Coimbatore, regular yoga sessions are being taught by a trained Yoga teacher, who is imparting this wonderful knowledge to the benefit of the children and families. Apart from regular physiotherapy, ‘Yoga’ is also imparted with the rehab management. Mainly because, yoga and its benefits are holistic and it addresses the respiratory health in an extra ordinary way. Pranayama, Kapalapathi and Bhastrika are very helpful to maintain good lung function.
We believe yoga will contribute towards good breathing practices and help in improvement of basic gait and respiratory function. We have specially planned exercises and yoga sessions for parents and children to enable them to cope better. Children are evaluated on a regular basis for their consistent effort and their performance is recorded.
We have started Virtual Reality in rehabilitation. With the growing accessibility of computer-assisted technology, one option for rehabilitation programs for individuals with Duchenne muscular dystrophy (DMD) is the use of virtual reality environments to enhance motor practice. There is a need to support individuals with Duchenne Muscular Dystrophy (DMD) to achieve optimal functionality in everyday life and with meaningful tasks and activities, throughout stages of the disease progression. Thus, technological developments have created an exciting opportunity for the use of affordable virtual reality (VR) systems with different kinds of interaction devices, providing an efficient and fun tool for enabling improvement in motor performance.
Integrated Child Development Scheme official (Anganwadi Teachers) were trained for early identification of symptoms as they are well equipped to cater to the children below 5 years.
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Molecular Diagnostics, Counseling, Care & Research Centre (MDCRC)
Located at: 7th floor, Royal Care Super Speciality Hospital,
1/520, L & T Bypass Road, Neelambur, Coimbatore – 641062
Ph. No: 9489053703, 9489053704
