Literature DB >> 21829124

Serial casting for the management of ankle contracture in Duchenne muscular dystrophy.

Allan M Glanzman1, Jean M Flickinger, Kripa H Dholakia, Carsten G Bönnemann, Richard S Finkel.   

Abstract

PURPOSE: To evaluate the effect of serial casting in boys with Duchenne muscular dystrophy.
METHODS: Chart review of 9 patients with Duchenne muscular dystrophy, mean age 8.9 (±2.1) years.
RESULTS: Initial dorsiflexion -6.2° and -5.2° right and left, respectively. The mean improvement was 12° and 11.6° on the right and left (knee extended) and 7.7° and 8.7° on the right and left (knee flexed) or 2.7° and 3.9° per cast, respectively. Times to run 10 m, climb 4 steps, and get off the floor were unchanged. Correlations between range-of-motion change/cast and age were r = -0.86 right and r = -0.84 left. Three patients had delayed onset foot pain; one child had redness with symptom resolution in all cases.
CONCLUSIONS: Improvement in range of motion with the application of serial casting was found with no loss of function or speed despite the period of immobilization.

Entities:  

Mesh:

Year:  2011        PMID: 21829124      PMCID: PMC5210185          DOI: 10.1097/PEP.0b013e318227c4e3

Source DB:  PubMed          Journal:  Pediatr Phys Ther        ISSN: 0898-5669            Impact factor:   3.049


  29 in total

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