0 pt Physical Therapy. aap-subtitle Para_Text -3.175 mm Para_Text Pediatrics Perspectives 0 0 m 1989;39(8): 1011-1017. Bullet 10pt Physical therapists, therefore, are more likely to see a patient with a muscular dystrophy, so understanding these muscle disorders and their management is essential. Table_Body -3.175 mm (the American Academy of Pediatrics, 345 Park Avenue, Itasca, Illinois, 6\ 0143. Bold Equation.middle A-Monthly Feature Opener Para_Text ?==]]]��X������x#���_./Q�q?o�h�6�m4��r���(7EA�D mj�����*0jӢM�"hSB�7�4�D����25���(�ϗ�q0��F'��������@��9cN���4�SB�����ф�!B�+1E�\����#�6e���֐~�w���5��3X����;88��y�ڵ���!��3X`���>}�������:66�s�� 6���}��2 �֭[�D"G"=��r���3P�j�S��2�L�x������� ��g���ؼ7Ƥ;��?����t>|���GɃ����Ah���^�q���������\x�OQQQUUUII ���z���+**JKKY+�`2�)�l26�� 4CCC���4^9���3Q&��H�`&m�%�. 9.5 pt 6.35 mm endobj 5.64444 mm 0 pt 10. List_NUM.1.middle.single.digit 1 List_ALNUM.2.last.single.digit Para_Text table Impairment-level measures include passive ranges of motion (ROM) and the assessment of alignment and posture, which is critical in monitoring the success of musculoskeletal management and identifying needs for additional physical therapy (PT), occupational therapy (OT), orthotic intervention, serial casting, seating system modification, supported standing, and adaptive equipment. SuppVid_Legend 13 pt A-Monthly Feature Opener List_NUM.1.first.single.digit 3.175 mm Equation.last -3.175 mm -4.23333 mm Para_Text List_NUM.1.last.single.digit either Default 0 pt Para_Text table 14.4639 mm Para_Text Bulldog Std Bold text Bold List_BUL.3.first B-Online Article Text /T1_1 1 Tf B-AAP Online Article Text SuppFig_Label B-AAP Online Article Text List_NUM.3.first.single.digit disp-quote.p.first Beginning physical therapy early can help keep muscles flexible and strong. c80m10y10k0 0 Supp_Table_Head Cenre Considering these significant differences, the goals of management must vary. Para_Text List_NUM.2.last.single.digit Equation.single c80m10y10k0 9 pt -3.175 mm Flush_Left Even if your son with Duchenne Muscular Dystrophy (DMD) has not yet begun to manifest symptoms – or if symptoms are still slight - I would still recommend beginning the conversation with your school about an IEP. With Duchenne muscular dystrophy, the muscles are damaged mostly during strenuous activities, eccentric muscle contractions and prolonged activity. Table_Body_Indent.2 0 pt A-Com Fam Opener 0 pt 1.41111 mm A-Perspectives Opener Supp_List_NUM.ROMAN.2.first Default left justify 3.175 mm 0 pt 10.5 pt 9.5 pt Para_Text 0 pt 0 pt left justify 1 Bulldog Std Equation.first 0 mm 9.525 mm 6.35 mm 0 pt regular either A-AAP SoE AoV Opener 1.41111 mm 0 pt Bulldog Std 1.41111 mm xmp.did:0180117407206811822ABC6B0D15FFFB Default Ack_Title <> 0 10 pt 2.01083 mm Table_Title 6.4045 1 Td * 3. Default 0 1 TD -5.38801 1.00001 Td -0.68296 1 Td 0 3.175 mm 8 pt box endobj List_RLNUM.1.last 4.23333 mm Bulldog Std issue graphic List_NUM.3.middle The Patient is at risk of decreased participation during school activities. A-SA DD SotA Opener 8 pt With Duchenne muscular dystrophy, the muscles are damaged mostly during strenuous activities, eccentric muscle contractions and prolonged activity. 10.5833 mm endobj / Bulldog Std 2010;136(1): 29. Cambria Footnote_Citation (Rehabilitation Management of the Patient With Duchenne Muscular Dystroph\ y)Tj 1.41111 mm Bold The management of limb-girdle muscular dystrophy (LGMD) is supportive; no disease-modifying treatments are available. C=0 M=0 Y=0 K=62 Bulldog Std 12 pt Bulldog Std 2 col sideturn List_ALNUM.3.first.single.digit From="Typefi Designer™" Physical therapy can identify exercises that help to strengthen throat, jaw and tongue muscles to address these problems. all 12.7 mm SuppTab_Title center List_NUM.3.first.single.digit Bulldog Std pub-date 2008 Feb. 10(1):86-94. Glossary_Def si 3 col CM13 List_NUM.3.BUL.middle endobj Equation.last Improved diagnosis of Becker muscular dystrophy by dystrophin testing. -3.175 mm A combination of physical activity and stretching exercises may be recommended for people with MD. A-CR ER QR Opener 1.016 mm Para_Text Para_Text Para_Text 794 0 obj 0 pt 10 pt 735 0 obj Bulldog Std Appendix_H2.stacked either * List_NUM.3.middle.cont.single.digit List_RUNUM.2.first 0 pt 0 pt 6.24417 mm 6.35 mm 13 pt Table_Title 11 pt 3.175 mm List_ALNUM.2.last CM11 11. 0 pt 11 pt either Series_Title Para_Text List_NUM.3.middle.cont Supp_Table_Head.colgroup all Physical therapy is beneficial at all ages and stages of Duchenne, with the potential to delay progression of the disease. 8 pt National Institute of Neurological Disorders and Stroke Web site. 4.23333 mm Para_Text Icons 0 g <>/ProcSet[/PDF/Text/ImageB]/XObject<>>>/Type/Page>> S-SI Text:0 1 col Article_Title Physical Therapy. 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