Rehabilitation of the muscular dystrophies
- Handb Clin Neurol. 2013;110:471-81. doi: 10.1016/B978-0-444-52901-5.00040-X.
- 1. Department of Physical Medicine & Rehabilitation, University of Michigan Health System, Ann Arbor, MI, USA. [email protected]
The muscular dystrophies (MD) are a heterogeneous group of inherited disorders characterized by findings on muscle biopsy. In general, they feature progressive muscle wasting and weakness. In addition to the musculoskeletal system, direct and indirect effects can be seen in a variety of organ systems. These issues create challenges in patients with MD for ambulation and mobility, self-care, Pain, fatigue, and community involvement. Because of its progressive nature and wide variety of pathophysiological mechanisms, patients with MD require individualized rehabilitation care. This chapter reviews specific rehabilitation needs and treatment of patients with MD.