Combination of steroids and ischial weight-bearing knee ankle foot orthoses in Duchenne's muscular dystrophy prolongs ambulation past 20 years of age - A case report

被引：7

作者：

Pardo, Andrea C. ^{[1
]}

Do, Twee ^{[2
]}

Ryder, Ted ^{[3
]}

Meyer, Amy ^{[5
]}

Miles, Lili ^{[4
]}

Wong, Brenda L. ^{[1
]}

机构：

[1] Cincinnati Childrens Hosp Med Ctr, Dept Pediat Neurol, Cincinnati, OH USA

[2] Cincinnati Childrens Hosp Med Ctr, Dept Orthoped Surg, Cincinnati, OH USA

[3] Cincinnati Childrens Hosp Med Ctr, Dept Phys Med & Rehabil, Cincinnati, OH USA

[4] Cincinnati Childrens Hosp Med Ctr, Dept Pathol, Cincinnati, OH USA

[5] Cincinnati Childrens Hosp Med Ctr, Dept Occupat & Phys Therapy, Cincinnati, OH USA

来源：

NEUROMUSCULAR DISORDERS | 2011年 / 21卷 / 11期

关键词：

Duchenne's muscular dystrophy (DMD); Ischial weight-bearing knee ankle foot orthoses; Ambulation; Long-term steroid treatment; WALKING;

D O I：

10.1016/j.nmd.2011.06.006

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Patients with Duchenne muscular dystrophy (DMD) lose ambulation by age 12. Long-term steroids have lengthened ambulation by 2-5 years. Ischial weight-bearing knee ankle foot orthoses prolong ambulation for 2-3 years. We report the outcome of the ambulatory status of a patient with DMD treated with daily steroid therapy and orthoses. This male patient was diagnosed with DMD at age of 2. He has been treated with daily steroids since age 7 years. He lost the ability to arise from the floor and walk up steps at age 14 and lost ambulation by age 16. He was fitted with orthoses at age 16 following surgical correction of his lower extremity contractures and regained independent ambulation. At age 20, he was able to stand independently in his orthoses and take steps with moderate support. We conclude that a combination of daily steroids and orthoses prolongs ambulation beyond that of the natural history DMD. (C) 2011 Elsevier B.V. All rights reserved.

引用

页码：800 / 802

页数：3