DUCHENNE DISTROPHY TRANSITION PHASE KINESITHERAPY AIMING TO PRESERVE JOINT MOBILITY AND PREVENT LOWER LIMBS JOINTS CONTRACTURES

Duchennova mišićna distrofija (DMD) je nasljedni neuromišićni poremećaj povezan s Xkromosomom zbog mutacije gena distrofina. Prijelazna faza u Duchenovoj mišićnoj distrofiji jest razdoblje značajnije mišićne slabosti i atrofija, s posljedičnim funkcionalnim oštećenjima, upadljivim prilagodbama u držanju tijela i sve izrazitijim poteškoćama hodanja. Obično se uočava skolioza, koja utječe na njihovo disanje i pogoršava se kako dječak prelazi u prijelaznu fazu bolesti. Fizioterapija i liječenje glukokortikosteroidima i dalje su glavni elementi liječenja DMD-a i trebali bi se provoditi cijelo vrijeme. U fizioterapijske intervencije prijelazne faze pripadaju kinezioterapija, tretman i prevencija kontraktura i respiratorna fizioterapija. Kinezioterapija je najkorisniji oblik fizioterapije bolesnika s neuromuskularnim bolestima. Trenutna rehabilitacija Duchennove mišićne distrofije usredotočena je na multidisciplinarni pristup liječenju simptoma i poboljšanju kvalitete života i funkcije. Konačni cilj izlječenja ili zaustavljanja progresije bolesti još uvijek nije postignut i smrtni ishod je neizbježan.Duchenne muscular dystrophy (DMD) is a hereditary neuromuscular disorder associated with the X-chromosome due to a mutation in the dystrophin gene. The transition phase in Duchenne muscular dystrophy is a period of significant muscle weakness and atrophy, with consequent functional impairments, conspicuous adjustments in posture, and increasingly pronounced difficulty in walking. Scoliosis is usually observed, which affects their breathing and worsens as the boy enters a transitional phase of the disease. Physiotherapy and glucocorticosteroid treatment remain the main elements of DMD treatment and should be carried out at all times. Transitionalphase physiotherapy interventions include kinesiotherapy, treatment and prevention of contractures, and respiratory physiotherapy. Kinesiotherapy is the most useful form of physiotherapy for patients with neuromuscular diseases. The ongoing rehabilitation of Duchenne muscular dystrophy focuses on a multidisciplinary approach to treating symptoms and improving quality of life and function. The ultimate goal of curing or stopping the progression of the disease has not yet been achieved and a fatal outcome is inevitable