DISABILITIES IN CHILDREN WITH DUCHENNE MUSCULAR DYSTROPHY: A PROFILE
K. P. Sivaraman Nair, Anisya Vasanth, M Gourie-Devi, Arun B. Taly, S Rao, N Gayathri, T Murali
Proper assessment of disabilities is essential for rehabilitation of patients with Duchenne muscular dystrophy. The aim of this study was to identify and quantify the disabilities in children with Duchenne muscular dystrophy and correlate them with impairment. Thirty-one patients with Duchenne muscular dystrophy of age four years and above were studied. The motor functions were evaluated using total motor score, upper and lower extremity function grades and timed function tests. Disability was quantified with Barthel index. The mean scores of motor scales were: total motor score -52 - 7.8, total functional grade -4.4 - 1.9 and timed function score -12.5 - 5.8. Barthel index scores ranged from 45-95 with a mean of 70.8 - 12.7. Motor scales correlated with each other and with Barthel index. Thirty children had disabilities in multiple spheres of life, which were significantly influenced by the motor power. Barthel index was useful in identifying and quantifying specific areas of disabilities in these children. Evaluation of disabilities using specific measures may be crucial for planning comprehensive management.
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