Combination of steroids and ischial weight-bearing knee ankle foot orthoses in Duchenne's muscular dystrophy prolongs ambulation past 20years of age - A case report

Andrea C. Pardo*, Twee Do, Ted Ryder, Amy Meyer, Lili Miles, Brenda L. Wong

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

6 Scopus citations

Abstract

Patients with Duchenne muscular dystrophy (DMD) lose ambulation by age 12. Long-term steroids have lengthened ambulation by 2-5. years. Ischial weight-bearing knee ankle foot orthoses prolong ambulation for 2-3. years. We report the outcome of the ambulatory status of a patient with DMD treated with daily steroid therapy and orthoses. This male patient was diagnosed with DMD at age of 2. He has been treated with daily steroids since age 7 years. He lost the ability to arise from the floor and walk up steps at age 14 and lost ambulation by age 16. He was fitted with orthoses at age 16 following surgical correction of his lower extremity contractures and regained independent ambulation. At age 20, he was able to stand independently in his orthoses and take steps with moderate support. We conclude that a combination of daily steroids and orthoses prolongs ambulation beyond that of the natural history DMD.

Original languageEnglish (US)
Pages (from-to)800-802
Number of pages3
JournalNeuromuscular Disorders
Volume21
Issue number11
DOIs
StatePublished - Nov 1 2011

Keywords

  • Ambulation
  • Duchenne's muscular dystrophy (DMD)
  • Ischial weight-bearing knee ankle foot orthoses
  • Long-term steroid treatment

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Neurology
  • Clinical Neurology
  • Genetics(clinical)

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