EVALUATION OF PHYSIOTHERAPY EFFECTS USING SPECIFIC TESTS IN DUCHENNE MUSCULAR DYSTROPHY – A CASE STUDY

Abstract

Currently, patients with Duchenne muscular dystrophy manage to reach the fourth or fifth decade of life due to advances in the management of different specialties that are involved through evaluations and anticipatory therapies based on a type of suitable approach for identifying specific medical complications as early as possible. The progressive decrease in muscular strength that affects the cardiovascular, respiratory and musculoskeletal systems needs to be constantly managed. The purpose of this case study is to observe to what extent physiotherapy contributes to the modification of North Star Ambulatory Assessment (NSSA), NM-Score and Vignos Scale in a 27-year-old patient with Duchenne muscular dystrophy. NSAA is used to monitor disease progression and treatment effects but also to measure various motor skills. The NM-Score classifies functional abilities into three main motor domains. The Vignos Scale measures lower limb function. The scores obtained in the initial assessment were 11/34, 2/4, 1/4, 1/4 and 3/10, and the functional recovery treatment was carried out over a period of 6 months. Specific, non-specific and complex physiotherapy methods were used with the main objectives of improving joint range of motion, gait and balance, reducing muscle contractures, increasing endurance and promoting independence in carrying out daily activities. The final assessment showed improvements in all scores, so the objectives were accomplished. Along with the other medical specialties that help dystrophic patients improve their quality of life, physiotherapy plays an important role because movement is the key to a healthy and long life.