AI Article Synopsis
- The study investigates how children with Duchenne muscular dystrophy (DMD) develop compensatory movements while performing tasks like sitting down or climbing steps as they transition from being ambulatory to non-ambulatory.
- Researchers analyzed 80 videos of children to document these compensatory movements using a Functional Evaluation Scale over a year before they lose the ability to walk.
- Results revealed that climbing stairs involved more compensatory movements compared to sitting and standing, indicating that stair climbing becomes challenging for these children before they lose other mobility functions.
Article Abstract
Objective: During the transitional phase (ambulatory to non-ambulatory), synergies characterize the evolution of Duchenne muscular dystrophy (DMD). This study was performed to describe and quantify compensatory movements while sitting down on/rising from the floor and climbing up/down steps.
Method: Eighty videos (5 children × 4 assessments × 4 tasks) were recorded quarterly in the year prior to gait loss. Compensatory movements from the videos were registered based on the Functional Evaluation Scale for DMD.
Results: The most frequently observed compensatory movements were upper limb support on lower limbs/floor/handrail during all the tasks and lumbar hyperlordosis, trunk support on handrail, equinus foot, increased base of support, non-alternated descent, and pauses while climbing up/down steps.
Conclusion: Climbing up/down steps showed a higher number of compensatory movements than sitting down on/rising from the floor, which seemed to be lost before climbing up/down steps in ambulatory children with DMD.
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| http://dx.doi.org/10.1590/0004-282X20130196 | DOI Listing |
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