Compensatory movements during functional activities in ambulatory children with Duchenne muscular dystrophy

Joyce Martini, Mariana Callil Voos, Michele Emy Hukuda, Maria Bernadete Dutra de Resende, Fátima Aparecida Caromano
2014 Arquivos de Neuro-Psiquiatria  
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
more » ... nctional 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.
doi:10.1590/0004-282x20130196 pmid:24637975 fatcat:56wo74kz5neo3n47wz4wtyhcji