ACTIVE ASSISTED MOVEMENT DALAM MENJAGA KEMAMPUAN FUNGSIONAL PADA KONDISI DUCHENNE MUSCULAR DYSTROPHY

M. Faqih, Wahyu Tri Sudaryanto, Salma Muazzaroh
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Abstract

Background: Duchenne muscular dystrophy which is a recessive x-linked disorder that often affects males. Duchenne muscular dystrophy is caused by mutations in the dystrophin gene at the Xp21 locus so that dystrophin protein is not produced or dystrophin deficiency and structural abnormalities occur. Dystrophinopathies are X-linked recessive disorders affecting 1 in 5,000 to 1 in 6,000 live male births. The prevalence of DMD is less than 10 cases per 100,000 males. Objective: Physiotherapy management in this case aims to determine the benefits of providing physiotherapy interventions in the form of active assisted and passive movement and stretching in patients with Duchenne muscular dystrophy. Methods: This case report was conducted at PLDPI Surakarta by taking patients with Duchenne muscular dystrophy cases by providing physiotherapy modalities in the form of active assisted and passive movement and stretching for 3 physiotherapy sessions. Furthermore, measurements were taken with the GMFM and XOTR Scale in the first to third physiotherapy. Results: From the physiotherapy management given, it was found that functional ability and muscle strength remained unchanged and did not develop. Conclusion: Physiotherapy management in this case report is proven to be able to maintain functional ability and muscle strength in patients with Duchenne muscular dystrophy.
背景:杜氏肌营养不良症是一种常影响男性的隐性x连锁疾病。杜氏肌营养不良症是由Xp21位点的肌营养不良蛋白基因突变引起的,因此不产生肌营养不良蛋白或发生肌营养不良蛋白缺乏和结构异常。肌营养不良症是一种x连锁的隐性疾病,每5000到6000名活产男性中就有1人患有这种疾病。DMD的患病率为每10万名男性中不到10例。目的:本病例的物理治疗管理旨在确定为杜氏肌营养不良患者提供主动辅助和被动运动和拉伸形式的物理治疗干预的益处。方法:本病例报告在Surakarta PLDPI对杜氏肌营养不良患者进行了3次物理治疗,提供了主动辅助和被动运动和拉伸的物理治疗方式。此外,在第一至第三次物理治疗中使用GMFM和XOTR量表进行测量。结果:从给予的物理治疗管理中发现,功能能力和肌肉力量保持不变,没有发展。结论:本病例报告中的物理治疗管理能够维持杜氏肌营养不良患者的功能能力和肌肉力量。
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