Guidelines for Therapists Working with Adults with Duchenne Muscular Dystrophy (DMD)

What is the main objective of respiratory physiotherapeutic interventions for adults with DMD?

• To improve lung function, prevent respiratory complications, and enhance overall quality of life.
• To improve hearing, prevent joint pain, and enhance cognitive function.
• To improve vision, prevent dental issues, and enhance muscle strength.
• To decrease heart rate, prevent skin infections, and enhance flexibility.

What are the recommendations for a stretching program for individuals with DMD?

• Skip stretching altogether to avoid muscle strain
• Personalized stretching program focusing on flexibility, preventing contractures, and avoiding overstretching weak muscles.

• Perform high-intensity stretching exercises

• Use online videos as the sole source for creating a stretching program

What are some examples of accessible leisure activities recommended for individuals with disabilities?

• Inaccessible hiking trails
• Regular sports without accommodations
• Movie screenings without friendly features

• Adaptive sports, accessible hiking trails

What has led to previously unidentified complications associated with swallowing in DMD patients?

• Genetic mutations in the digestive system
• Increased saliva production
• Improved muscle strength in the throat
• Muscle weakening in the throat and esophagus

What is the key role of the community or rehabilitation physiotherapist in managing adults with DMD?

• Monitoring, assessing, and offering treatments and support

• Providing medication

• Performing surgeries

Why is it important for individuals with DMD to implement a daily stretching routine?

• To preserve joint range of movement, provide relief from stiffness, and maintain posture

• To induce pain and discomfort

• To avoid stretching altogether

What is the primary goal of wheelchair provision for individuals with DMD?

• To help alleviate dependency and maintain good postural alignment

• To restrict mobility

• To limit independence

Why is it essential for individuals with DMD to engage in regular physical activity?

• To maintain muscle strength, cardiovascular health, and overall well-being

• To induce fatigue and weakness

• To avoid any form of exercise