MD

Question 1

Which parent carries the mutated gene for MD?

Answer 1

The mother carries it on her X gene

Question 2

What are the two most common forms of MD?

Answer 2

Duchenne and Becker

Question 3

Which gender is affected by Duchenne MD?

Answer 3

male

Question 4

What is the criteria for Duchenne MD?

Answer 4

genetic testingonsetrate of progressionhistorymuscle biopsyCreatine Kinase Levels

Question 5

What is seen in from birth to two years old in a child with Duchenne MD?

Answer 5

delayed ability to stand and ambulate

Question 6

what is seen in a child with Duchenne MD ages 2-3years

Answer 6

indepence in age-appropriate ADL’sEnlarged calvesdifficulty with floor standingwaddling gait

Question 7

what is seen in a child with Duchenne MD ages 4-6 years

Answer 7

Increased time needed to complete simple ADL’s (doffing/donning pullover shirts and elastic pants)Noted UE involvementIncreased use of adaptive techniquesFrequent falls, appears clumsy Difficulty climbing stairsGower’s sign

Question 8

what is seen in a child with Duchenne MD ages 7-10 years

Answer 8

Assistance required for all ADL’s (min to max)Increased awareness of diagnosisModerate loss in UE strength (2/5 to 3/5 muscle grade/fair to poor)Ambulation with increased lumbar lordosis (sticks out belly and retracts shoulders)Loss of ability to ambulateDevelopment of contracturesMax assistance for transfers

Question 9

what is seen in a child with Duchenne MD ages 11-16 years

Answer 9

Max-Total assist needed for ADLsSignificant loss of UE strengthRespiratory involvement (night-time breathing txt needed)Power wheelchair mobility indicatedIncreased contracture developmentTotal A for transfers

Question 10

what is seen in a child with Duchenne MD ages 16-21+ years

Answer 10

dependent for all ADLsDecreased respiratoryEventual death

Question 11

What is the age range of the early stage of DMD?

Answer 11

2-7 years

Question 12

What is the age range of the middle stage of DMD?

Answer 12

7-10 years

Question 13

What is the age range of the end stage of DMD?

Answer 13

10-18 years

Question 14

What are the focusses of OT intervention for early stage DMD?

Answer 14

maintain independence in play activitiesmaintain independence in age-appropriate ADL’sadaptive techniques

Question 15

What are the focusses of OT intervention for middle stage DMD?

Answer 15

Equipment managementMaintain independence in school-based activitiesmaintain independence in ADL’s adaptive techniques and positioning

Question 16

What are the focusses of OT intervention for end stage DMD?

Answer 16

equipment managementMaintain independence in school-based activitiesmaintain independence in ADL’s home visits