Beneficial effects of ankle–foot orthosis daytime use on the gait of Duchenne muscular dystrophy patients

Souza, Mariana Angélica de; Leonardi-Figueiredo, Marisa Maia; Baptista, Cyntia de Jesus Alves de Rogean; Aldaves, Robson Devanir; Mattiello-Sverzut, Ana Cláudia

doi:10.1016/j.clinbiomech.2016.04.005

Cited by 15 publications

(4 citation statements)

References 21 publications

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“…Interventions provided by physical therapists, occupational therapists, speech-language pathologists, and orthotists, alongside new technologies, will optimise musculoskeletal management and function. 128 …”

Section: Discussionmentioning

confidence: 99%

Diagnosis and management of Duchenne muscular dystrophy, part 1: diagnosis, and neuromuscular, rehabilitation, endocrine, and gastrointestinal and nutritional management

Birnkrant

Bushby

Bann

et al. 2018

The Lancet Neurology

812

960

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Since the publication of the Duchenne muscular dystrophy (DMD) care considerations in 2010, multidisciplinary care of this severe, progressive neuromuscular disease has evolved. In conjunction with improved patient survival, a shift to more anticipatory diagnostic and therapeutic strategies has occurred, with a renewed focus on patient quality of life. In 2014, a steering committee of experts from a wide range of disciplines was established to update the 2010 DMD care considerations, with the goal of improving patient care. The new care considerations aim to address the needs of patients with prolonged survival, to provide guidance on advances in assessments and interventions, and to consider the implications of emerging genetic and molecular therapies for DMD. The committee identified 11 topics to be included in the update, eight of which were addressed in the original care considerations. The three new topics are primary care and emergency management, endocrine management, and transitions of care across the lifespan. In part 1 of this three-part update, we present care considerations for diagnosis of DMD and neuromuscular, rehabilitation, endocrine (growth, puberty, and adrenal insufficiency), and gastrointestinal (including nutrition and dysphagia) management.

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Section: Discussionmentioning

confidence: 99%

Diagnosis and management of Duchenne muscular dystrophy, part 1: diagnosis, and neuromuscular, rehabilitation, endocrine, and gastrointestinal and nutritional management

Birnkrant

Bushby

Bann

et al. 2018

The Lancet Neurology

812

960

View full text Add to dashboard Cite

show abstract

“…Hyde et al [19] demonstrated that patients undergoing passive stretching combined with the use of nighttime splints demonstrated 23% less annual change in APF contracture angles than did the patients managed with stretching only. Others [20] performed a longitudinal analysis that suggested early and continuous use of daytime articulated AFOs promoted positive changes in the kinematic parameters of gait when used before the functional deficit became too advanced, alleviating the increase in pelvic tilt and decrease in hip extension angles during the stance phase of gait. Standing devices might also be considered for use, with or without AFO application, because they allow maintenance of an upright position and provide leg joint stretching [21].…”

Section: Discussionmentioning

confidence: 99%

Lower extremity joint contracture according to ambulatory status in children with Duchenne muscular dystrophy

Choi

Chun²,

Kim

et al. 2018

BMC Musculoskelet Disord

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BackgroundLower extremity joint contractures have negative effects on gait in children with Duchenne muscular dystrophy (DMD). Thus, contracture prevention is essential for maintaining a patient’s functional ability and an acceptable quality of life. This study investigated hip flexion (HF), knee flexion (KF), and ankle joint plantar flexion (APF) contractures among male patients with DMD, based on the patients’ ambulatory status. Differences in major joint contractures, based on passive stretching exercise participation, were also investigated.MethodsA total of 128 boys with DMD, followed at the DMD clinic of a tertiary care hospital, were included in this cross-sectional study. The passive ranges-of-motion of the hip, knee, and ankle joints were measured, in the sagittal plane, using a goniometer. The Vignos Scale was used to grade ambulatory function. Boys with DMD who performed stretching exercises for more than 5 min/session, > 3 sessions/week, were classified into the stretching group.ResultsThe HF (23.5o), KF (43.5o), and APF (34.5o) contracture angles in the non-ambulatory group were more severe than those in the ambulatory group. APF contractures (41 patients, 52.6%) were more frequently observed early, even within the ambulatory period, than were hip (8 patients, 10.3%), and knee joint (17 patients, 21.8%) contractures. Passive stretching exercises > 3 sessions/week were not associated with the degree of lower extremity joint contractures in the ambulatory or non-ambulatory group.ConclusionHF, KF, and APF contractures are more common and severe when there is deterioration of ambulatory function. Stretching exercises alone are unlikely to prevent lower extremity joint contractures.

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“…In clinical practice, the interpretation of the data obtained by threedimensional analysis allows the quantification of the functional limitations related with the disease, guiding decisions such as surgical interventions and / or indication of orthoses. Souza et al (2016), for example, found that an ankle foot orthosis (AFO) improved the kinematic and kinetics parameters of the gait of patients with DMD recommending them for aiding gait in these individuals (De Souza et al, 2016).…”

Section: Introductionmentioning

confidence: 99%

The use of the gait profile score and gait variable score in individuals with Duchenne Muscular Dystrophy

Souza

Cezarani

Lizzi

et al. 2020

Journal of Biomechanics

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Beneficial effects of ankle–foot orthosis daytime use on the gait of Duchenne muscular dystrophy patients

Cited by 15 publications

References 21 publications

Diagnosis and management of Duchenne muscular dystrophy, part 1: diagnosis, and neuromuscular, rehabilitation, endocrine, and gastrointestinal and nutritional management

Diagnosis and management of Duchenne muscular dystrophy, part 1: diagnosis, and neuromuscular, rehabilitation, endocrine, and gastrointestinal and nutritional management

Lower extremity joint contracture according to ambulatory status in children with Duchenne muscular dystrophy

The use of the gait profile score and gait variable score in individuals with Duchenne Muscular Dystrophy

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