SlideShare a Scribd company logo
Duchene’s Muscular Dystrophy
INTRODUCTION
• Duchene’s Muscular Dystrophy (DMD) is an
X linked neuromuscular disease characterised by
rapidly progressing muscle weakness and wasting,
(WHO, 2013).
• DMD is caused by an absence of dystrophin, that
affects primarily boys but in rare cases it can affect
girls.
• Most severe and most common among all types of
Muscular Dystrophy.
• Death usually occurs by age 20
Pathophysiology
• Defective dystrophin
Located on the cytoplasmic face of the plasma
membrane of muscle fibers, serves as a
component of a large, tightly associated
glycoprotein complex .
Provides mechanical reinforcement to the
sarcolemma and stabilizes the glycoprotein
complex, shielding it from degradation
Etiology
Clinical Manifestations
• Children with Duchenne Muscular Dystrophy are
often late walkers.
• Intellectual disabilities
• Learning difficulties
• Lose the ability to walk in ages 7 – 12
Clinical Manifestations
Early phase (<6yrs):
• Clumsy fall frequently
• Difficulty in jumping or running
• Enlarged calf muscles
• Contractures
Transitional Phase (ages 6-9):
• Trunk weakness (Gowers manouvre)
• Muscle weakness
PSEUDOHYPERTROPHY
GOWER’S MANOUVRE
Clinical Manifestations
Loss of ambulation (ages 10-
14):
• Most patients use wheelchair by
the age of 12
• Scoliosis
• Children walks on their toes or
the balls of their feet with a
slight waddling gait
Late stage (15+):
• Life threatening heart and
respiratory problems
Treatment
• Braces and splints – Used to prevent
deformity, promote support and
protection
• Physical Therapy – helpful to maintain
muscle strength and function
• Medications
- Corticosteroids Therapy
- Prednisone

More Related Content

What's hot

SPINAL MUSCULAR ATROPHY
SPINAL MUSCULAR ATROPHYSPINAL MUSCULAR ATROPHY
SPINAL MUSCULAR ATROPHY
Kannan Chinnasamy
 
Muscular dystrophy
Muscular dystrophyMuscular dystrophy
Muscular dystrophy
fitango
 
Muscular Dystrophy.ppt
Muscular Dystrophy.pptMuscular Dystrophy.ppt
Muscular Dystrophy.ppt
Shama
 
Muscular dystrophy
Muscular dystrophyMuscular dystrophy
Muscular dystrophy
drangelosmith
 
Dystonia: Causes, Types, Symptoms, and Treatments
Dystonia: Causes, Types, Symptoms, and TreatmentsDystonia: Causes, Types, Symptoms, and Treatments
Dystonia: Causes, Types, Symptoms, and Treatments
Lazoi Lifecare Private Limited
 
Duchenne muscular dystrophy
Duchenne muscular dystrophyDuchenne muscular dystrophy
Duchenne muscular dystrophy
Shyala Chand
 
Myopathies
MyopathiesMyopathies
Myopathies
Chandan N
 
Down syndrome ppt for UGs
Down syndrome ppt for UGsDown syndrome ppt for UGs
Down syndrome ppt for UGs
giridharkv
 
Dwarfism
DwarfismDwarfism
Muscular dystrophy
Muscular dystrophyMuscular dystrophy
Muscular dystrophy
Asir John Samuel
 
Tabes dorsalis
Tabes dorsalisTabes dorsalis
Tabes dorsalis
Keerthi Priya
 
Muscular Dystrophy : Duchenne and Becker's
Muscular Dystrophy : Duchenne and Becker'sMuscular Dystrophy : Duchenne and Becker's
Muscular Dystrophy : Duchenne and Becker's
The Medical Post
 
Turner syndrome
Turner syndromeTurner syndrome
Turner syndrome
Siti Nurul Afiqah Johari
 
Rickets
RicketsRickets
Rickets
orthoprince
 
Quadriplegia & Paraplegia
Quadriplegia & ParaplegiaQuadriplegia & Paraplegia
Quadriplegia & Paraplegia
zuni1412
 
Hereditary motor and sensory neuropathy
Hereditary motor and sensory neuropathyHereditary motor and sensory neuropathy
Hereditary motor and sensory neuropathy
Hazel Panabe
 
Muscular dystrophy presentation
Muscular dystrophy presentationMuscular dystrophy presentation
Muscular dystrophy presentation
kkbauer
 
Achondroplasia
AchondroplasiaAchondroplasia
Achondroplasia
Ashaq Al-Qahtani
 
Genetic & ;Development Disorders Down's syndrome.
Genetic & ;Development Disorders Down's syndrome.Genetic & ;Development Disorders Down's syndrome.
Genetic & ;Development Disorders Down's syndrome.
Muhammadasif909
 
Metabolic bone diseases
Metabolic bone diseasesMetabolic bone diseases
Metabolic bone diseases
Anubhav Verma
 

What's hot (20)

SPINAL MUSCULAR ATROPHY
SPINAL MUSCULAR ATROPHYSPINAL MUSCULAR ATROPHY
SPINAL MUSCULAR ATROPHY
 
Muscular dystrophy
Muscular dystrophyMuscular dystrophy
Muscular dystrophy
 
Muscular Dystrophy.ppt
Muscular Dystrophy.pptMuscular Dystrophy.ppt
Muscular Dystrophy.ppt
 
Muscular dystrophy
Muscular dystrophyMuscular dystrophy
Muscular dystrophy
 
Dystonia: Causes, Types, Symptoms, and Treatments
Dystonia: Causes, Types, Symptoms, and TreatmentsDystonia: Causes, Types, Symptoms, and Treatments
Dystonia: Causes, Types, Symptoms, and Treatments
 
Duchenne muscular dystrophy
Duchenne muscular dystrophyDuchenne muscular dystrophy
Duchenne muscular dystrophy
 
Myopathies
MyopathiesMyopathies
Myopathies
 
Down syndrome ppt for UGs
Down syndrome ppt for UGsDown syndrome ppt for UGs
Down syndrome ppt for UGs
 
Dwarfism
DwarfismDwarfism
Dwarfism
 
Muscular dystrophy
Muscular dystrophyMuscular dystrophy
Muscular dystrophy
 
Tabes dorsalis
Tabes dorsalisTabes dorsalis
Tabes dorsalis
 
Muscular Dystrophy : Duchenne and Becker's
Muscular Dystrophy : Duchenne and Becker'sMuscular Dystrophy : Duchenne and Becker's
Muscular Dystrophy : Duchenne and Becker's
 
Turner syndrome
Turner syndromeTurner syndrome
Turner syndrome
 
Rickets
RicketsRickets
Rickets
 
Quadriplegia & Paraplegia
Quadriplegia & ParaplegiaQuadriplegia & Paraplegia
Quadriplegia & Paraplegia
 
Hereditary motor and sensory neuropathy
Hereditary motor and sensory neuropathyHereditary motor and sensory neuropathy
Hereditary motor and sensory neuropathy
 
Muscular dystrophy presentation
Muscular dystrophy presentationMuscular dystrophy presentation
Muscular dystrophy presentation
 
Achondroplasia
AchondroplasiaAchondroplasia
Achondroplasia
 
Genetic & ;Development Disorders Down's syndrome.
Genetic & ;Development Disorders Down's syndrome.Genetic & ;Development Disorders Down's syndrome.
Genetic & ;Development Disorders Down's syndrome.
 
Metabolic bone diseases
Metabolic bone diseasesMetabolic bone diseases
Metabolic bone diseases
 

Similar to Duchene’s muscular dystrophy

Duchenne Muscular Dystrophy
Duchenne Muscular DystrophyDuchenne Muscular Dystrophy
Duchenne Muscular Dystrophy
Gary Noble
 
-MUSCULAR-DYSTROPHY- as a disease(focus on DEV BIO).pptx
-MUSCULAR-DYSTROPHY- as a disease(focus on DEV BIO).pptx-MUSCULAR-DYSTROPHY- as a disease(focus on DEV BIO).pptx
-MUSCULAR-DYSTROPHY- as a disease(focus on DEV BIO).pptx
kreigblitz9801
 
Gene therapy for muscular dystrophy
Gene therapy for muscular dystrophyGene therapy for muscular dystrophy
Gene therapy for muscular dystrophy
Mohamed Elasaly, PT, CKTP, MSc Biotech.
 
Duchenne Muscular Dystrophy
Duchenne Muscular DystrophyDuchenne Muscular Dystrophy
Duchenne Muscular Dystrophy
Veronica B
 
Muscular Dystrophies.pptx
Muscular Dystrophies.pptxMuscular Dystrophies.pptx
Muscular Dystrophies.pptx
RN Yogendra Mehta
 
Duchenne's Muscular Dystrophy and Gene Therapy
Duchenne's Muscular Dystrophy and Gene TherapyDuchenne's Muscular Dystrophy and Gene Therapy
Duchenne's Muscular Dystrophy and Gene Therapy
Hercolanium GDeath
 
Duchene muscular dystrophy
Duchene muscular dystrophyDuchene muscular dystrophy
Duchene muscular dystrophy
KshafMuzammil
 
musculardystrophy.pptx
musculardystrophy.pptxmusculardystrophy.pptx
musculardystrophy.pptx
Muhammad Adnan
 
Recent advances in the duchenne
Recent advances in the duchenneRecent advances in the duchenne
Recent advances in the duchenne
Shaweta Khosa
 
71252786117d6aa1344a0f53179ba910 (1).pdf
71252786117d6aa1344a0f53179ba910 (1).pdf71252786117d6aa1344a0f53179ba910 (1).pdf
71252786117d6aa1344a0f53179ba910 (1).pdf
SrajanKashyap2
 
dmd.pdf duchene muscular dystrophy pdf.
dmd.pdf duchene muscular dystrophy  pdf.dmd.pdf duchene muscular dystrophy  pdf.
dmd.pdf duchene muscular dystrophy pdf.
laibaansari9
 
Muscular dystrophy
Muscular dystrophyMuscular dystrophy
Muscular dystrophy
Shewta shetty
 
Muscular dystrophy
Muscular dystrophyMuscular dystrophy
Muscular dystrophy
Shewta shetty
 
muscular dystrophy
muscular dystrophymuscular dystrophy
muscular dystrophy
Sim Son
 
Muscular dystrophies
Muscular dystrophiesMuscular dystrophies
Muscular dystrophies
devendrasingh565
 
Muscular dystrophy
Muscular dystrophyMuscular dystrophy
Muscular dystrophy
Shoryu Nae
 
myopthies.pptx
myopthies.pptxmyopthies.pptx
myopthies.pptx
Mohamed Rizk Khodair
 
Muscular Dustropy
Muscular DustropyMuscular Dustropy
Muscular Dustropy
tamscott5
 
Muscular Dystrophies
Muscular DystrophiesMuscular Dystrophies
Muscular Dystrophies
government hospital
 
Muscular dystrophy
Muscular dystrophyMuscular dystrophy

Similar to Duchene’s muscular dystrophy (20)

Duchenne Muscular Dystrophy
Duchenne Muscular DystrophyDuchenne Muscular Dystrophy
Duchenne Muscular Dystrophy
 
-MUSCULAR-DYSTROPHY- as a disease(focus on DEV BIO).pptx
-MUSCULAR-DYSTROPHY- as a disease(focus on DEV BIO).pptx-MUSCULAR-DYSTROPHY- as a disease(focus on DEV BIO).pptx
-MUSCULAR-DYSTROPHY- as a disease(focus on DEV BIO).pptx
 
Gene therapy for muscular dystrophy
Gene therapy for muscular dystrophyGene therapy for muscular dystrophy
Gene therapy for muscular dystrophy
 
Duchenne Muscular Dystrophy
Duchenne Muscular DystrophyDuchenne Muscular Dystrophy
Duchenne Muscular Dystrophy
 
Muscular Dystrophies.pptx
Muscular Dystrophies.pptxMuscular Dystrophies.pptx
Muscular Dystrophies.pptx
 
Duchenne's Muscular Dystrophy and Gene Therapy
Duchenne's Muscular Dystrophy and Gene TherapyDuchenne's Muscular Dystrophy and Gene Therapy
Duchenne's Muscular Dystrophy and Gene Therapy
 
Duchene muscular dystrophy
Duchene muscular dystrophyDuchene muscular dystrophy
Duchene muscular dystrophy
 
musculardystrophy.pptx
musculardystrophy.pptxmusculardystrophy.pptx
musculardystrophy.pptx
 
Recent advances in the duchenne
Recent advances in the duchenneRecent advances in the duchenne
Recent advances in the duchenne
 
71252786117d6aa1344a0f53179ba910 (1).pdf
71252786117d6aa1344a0f53179ba910 (1).pdf71252786117d6aa1344a0f53179ba910 (1).pdf
71252786117d6aa1344a0f53179ba910 (1).pdf
 
dmd.pdf duchene muscular dystrophy pdf.
dmd.pdf duchene muscular dystrophy  pdf.dmd.pdf duchene muscular dystrophy  pdf.
dmd.pdf duchene muscular dystrophy pdf.
 
Muscular dystrophy
Muscular dystrophyMuscular dystrophy
Muscular dystrophy
 
Muscular dystrophy
Muscular dystrophyMuscular dystrophy
Muscular dystrophy
 
muscular dystrophy
muscular dystrophymuscular dystrophy
muscular dystrophy
 
Muscular dystrophies
Muscular dystrophiesMuscular dystrophies
Muscular dystrophies
 
Muscular dystrophy
Muscular dystrophyMuscular dystrophy
Muscular dystrophy
 
myopthies.pptx
myopthies.pptxmyopthies.pptx
myopthies.pptx
 
Muscular Dustropy
Muscular DustropyMuscular Dustropy
Muscular Dustropy
 
Muscular Dystrophies
Muscular DystrophiesMuscular Dystrophies
Muscular Dystrophies
 
Muscular dystrophy
Muscular dystrophyMuscular dystrophy
Muscular dystrophy
 

More from meekhole

Panoramic radiograph
Panoramic radiographPanoramic radiograph
Panoramic radiograph
meekhole
 
Perio surgery
Perio surgeryPerio surgery
Perio surgery
meekhole
 
Wave one gold
Wave one goldWave one gold
Wave one gold
meekhole
 
Occlusal stamp technique
Occlusal stamp techniqueOcclusal stamp technique
Occlusal stamp technique
meekhole
 
Labial bows
Labial bowsLabial bows
Labial bows
meekhole
 
Implant over-denture
Implant over-dentureImplant over-denture
Implant over-denture
meekhole
 
Methods of classifying fixed bridge
Methods of classifying fixed bridgeMethods of classifying fixed bridge
Methods of classifying fixed bridge
meekhole
 
Maxillary denture-landmarks
Maxillary denture-landmarksMaxillary denture-landmarks
Maxillary denture-landmarks
meekhole
 
Amyotrophic lateral sclerosis (als)
Amyotrophic lateral sclerosis (als)Amyotrophic lateral sclerosis (als)
Amyotrophic lateral sclerosis (als)
meekhole
 

More from meekhole (9)

Panoramic radiograph
Panoramic radiographPanoramic radiograph
Panoramic radiograph
 
Perio surgery
Perio surgeryPerio surgery
Perio surgery
 
Wave one gold
Wave one goldWave one gold
Wave one gold
 
Occlusal stamp technique
Occlusal stamp techniqueOcclusal stamp technique
Occlusal stamp technique
 
Labial bows
Labial bowsLabial bows
Labial bows
 
Implant over-denture
Implant over-dentureImplant over-denture
Implant over-denture
 
Methods of classifying fixed bridge
Methods of classifying fixed bridgeMethods of classifying fixed bridge
Methods of classifying fixed bridge
 
Maxillary denture-landmarks
Maxillary denture-landmarksMaxillary denture-landmarks
Maxillary denture-landmarks
 
Amyotrophic lateral sclerosis (als)
Amyotrophic lateral sclerosis (als)Amyotrophic lateral sclerosis (als)
Amyotrophic lateral sclerosis (als)
 

Recently uploaded

BBR 2024 Summer Sessions Interview Training
BBR  2024 Summer Sessions Interview TrainingBBR  2024 Summer Sessions Interview Training
BBR 2024 Summer Sessions Interview Training
Katrina Pritchard
 
Chapter 4 - Islamic Financial Institutions in Malaysia.pptx
Chapter 4 - Islamic Financial Institutions in Malaysia.pptxChapter 4 - Islamic Financial Institutions in Malaysia.pptx
Chapter 4 - Islamic Financial Institutions in Malaysia.pptx
Mohd Adib Abd Muin, Senior Lecturer at Universiti Utara Malaysia
 
How to Add Chatter in the odoo 17 ERP Module
How to Add Chatter in the odoo 17 ERP ModuleHow to Add Chatter in the odoo 17 ERP Module
How to Add Chatter in the odoo 17 ERP Module
Celine George
 
Exploiting Artificial Intelligence for Empowering Researchers and Faculty, In...
Exploiting Artificial Intelligence for Empowering Researchers and Faculty, In...Exploiting Artificial Intelligence for Empowering Researchers and Faculty, In...
Exploiting Artificial Intelligence for Empowering Researchers and Faculty, In...
Dr. Vinod Kumar Kanvaria
 
ANATOMY AND BIOMECHANICS OF HIP JOINT.pdf
ANATOMY AND BIOMECHANICS OF HIP JOINT.pdfANATOMY AND BIOMECHANICS OF HIP JOINT.pdf
ANATOMY AND BIOMECHANICS OF HIP JOINT.pdf
Priyankaranawat4
 
The History of Stoke Newington Street Names
The History of Stoke Newington Street NamesThe History of Stoke Newington Street Names
The History of Stoke Newington Street Names
History of Stoke Newington
 
Advanced Java[Extra Concepts, Not Difficult].docx
Advanced Java[Extra Concepts, Not Difficult].docxAdvanced Java[Extra Concepts, Not Difficult].docx
Advanced Java[Extra Concepts, Not Difficult].docx
adhitya5119
 
RPMS TEMPLATE FOR SCHOOL YEAR 2023-2024 FOR TEACHER 1 TO TEACHER 3
RPMS TEMPLATE FOR SCHOOL YEAR 2023-2024 FOR TEACHER 1 TO TEACHER 3RPMS TEMPLATE FOR SCHOOL YEAR 2023-2024 FOR TEACHER 1 TO TEACHER 3
RPMS TEMPLATE FOR SCHOOL YEAR 2023-2024 FOR TEACHER 1 TO TEACHER 3
IreneSebastianRueco1
 
Pride Month Slides 2024 David Douglas School District
Pride Month Slides 2024 David Douglas School DistrictPride Month Slides 2024 David Douglas School District
Pride Month Slides 2024 David Douglas School District
David Douglas School District
 
Digital Artifact 1 - 10VCD Environments Unit
Digital Artifact 1 - 10VCD Environments UnitDigital Artifact 1 - 10VCD Environments Unit
Digital Artifact 1 - 10VCD Environments Unit
chanes7
 
Pollock and Snow "DEIA in the Scholarly Landscape, Session One: Setting Expec...
Pollock and Snow "DEIA in the Scholarly Landscape, Session One: Setting Expec...Pollock and Snow "DEIA in the Scholarly Landscape, Session One: Setting Expec...
Pollock and Snow "DEIA in the Scholarly Landscape, Session One: Setting Expec...
National Information Standards Organization (NISO)
 
Pengantar Penggunaan Flutter - Dart programming language1.pptx
Pengantar Penggunaan Flutter - Dart programming language1.pptxPengantar Penggunaan Flutter - Dart programming language1.pptx
Pengantar Penggunaan Flutter - Dart programming language1.pptx
Fajar Baskoro
 
Life upper-Intermediate B2 Workbook for student
Life upper-Intermediate B2 Workbook for studentLife upper-Intermediate B2 Workbook for student
Life upper-Intermediate B2 Workbook for student
NgcHiNguyn25
 
Azure Interview Questions and Answers PDF By ScholarHat
Azure Interview Questions and Answers PDF By ScholarHatAzure Interview Questions and Answers PDF By ScholarHat
Azure Interview Questions and Answers PDF By ScholarHat
Scholarhat
 
Digital Artefact 1 - Tiny Home Environmental Design
Digital Artefact 1 - Tiny Home Environmental DesignDigital Artefact 1 - Tiny Home Environmental Design
Digital Artefact 1 - Tiny Home Environmental Design
amberjdewit93
 
Walmart Business+ and Spark Good for Nonprofits.pdf
Walmart Business+ and Spark Good for Nonprofits.pdfWalmart Business+ and Spark Good for Nonprofits.pdf
Walmart Business+ and Spark Good for Nonprofits.pdf
TechSoup
 
Executive Directors Chat Leveraging AI for Diversity, Equity, and Inclusion
Executive Directors Chat  Leveraging AI for Diversity, Equity, and InclusionExecutive Directors Chat  Leveraging AI for Diversity, Equity, and Inclusion
Executive Directors Chat Leveraging AI for Diversity, Equity, and Inclusion
TechSoup
 
ISO/IEC 27001, ISO/IEC 42001, and GDPR: Best Practices for Implementation and...
ISO/IEC 27001, ISO/IEC 42001, and GDPR: Best Practices for Implementation and...ISO/IEC 27001, ISO/IEC 42001, and GDPR: Best Practices for Implementation and...
ISO/IEC 27001, ISO/IEC 42001, and GDPR: Best Practices for Implementation and...
PECB
 
Your Skill Boost Masterclass: Strategies for Effective Upskilling
Your Skill Boost Masterclass: Strategies for Effective UpskillingYour Skill Boost Masterclass: Strategies for Effective Upskilling
Your Skill Boost Masterclass: Strategies for Effective Upskilling
Excellence Foundation for South Sudan
 
Natural birth techniques - Mrs.Akanksha Trivedi Rama University
Natural birth techniques - Mrs.Akanksha Trivedi Rama UniversityNatural birth techniques - Mrs.Akanksha Trivedi Rama University
Natural birth techniques - Mrs.Akanksha Trivedi Rama University
Akanksha trivedi rama nursing college kanpur.
 

Recently uploaded (20)

BBR 2024 Summer Sessions Interview Training
BBR  2024 Summer Sessions Interview TrainingBBR  2024 Summer Sessions Interview Training
BBR 2024 Summer Sessions Interview Training
 
Chapter 4 - Islamic Financial Institutions in Malaysia.pptx
Chapter 4 - Islamic Financial Institutions in Malaysia.pptxChapter 4 - Islamic Financial Institutions in Malaysia.pptx
Chapter 4 - Islamic Financial Institutions in Malaysia.pptx
 
How to Add Chatter in the odoo 17 ERP Module
How to Add Chatter in the odoo 17 ERP ModuleHow to Add Chatter in the odoo 17 ERP Module
How to Add Chatter in the odoo 17 ERP Module
 
Exploiting Artificial Intelligence for Empowering Researchers and Faculty, In...
Exploiting Artificial Intelligence for Empowering Researchers and Faculty, In...Exploiting Artificial Intelligence for Empowering Researchers and Faculty, In...
Exploiting Artificial Intelligence for Empowering Researchers and Faculty, In...
 
ANATOMY AND BIOMECHANICS OF HIP JOINT.pdf
ANATOMY AND BIOMECHANICS OF HIP JOINT.pdfANATOMY AND BIOMECHANICS OF HIP JOINT.pdf
ANATOMY AND BIOMECHANICS OF HIP JOINT.pdf
 
The History of Stoke Newington Street Names
The History of Stoke Newington Street NamesThe History of Stoke Newington Street Names
The History of Stoke Newington Street Names
 
Advanced Java[Extra Concepts, Not Difficult].docx
Advanced Java[Extra Concepts, Not Difficult].docxAdvanced Java[Extra Concepts, Not Difficult].docx
Advanced Java[Extra Concepts, Not Difficult].docx
 
RPMS TEMPLATE FOR SCHOOL YEAR 2023-2024 FOR TEACHER 1 TO TEACHER 3
RPMS TEMPLATE FOR SCHOOL YEAR 2023-2024 FOR TEACHER 1 TO TEACHER 3RPMS TEMPLATE FOR SCHOOL YEAR 2023-2024 FOR TEACHER 1 TO TEACHER 3
RPMS TEMPLATE FOR SCHOOL YEAR 2023-2024 FOR TEACHER 1 TO TEACHER 3
 
Pride Month Slides 2024 David Douglas School District
Pride Month Slides 2024 David Douglas School DistrictPride Month Slides 2024 David Douglas School District
Pride Month Slides 2024 David Douglas School District
 
Digital Artifact 1 - 10VCD Environments Unit
Digital Artifact 1 - 10VCD Environments UnitDigital Artifact 1 - 10VCD Environments Unit
Digital Artifact 1 - 10VCD Environments Unit
 
Pollock and Snow "DEIA in the Scholarly Landscape, Session One: Setting Expec...
Pollock and Snow "DEIA in the Scholarly Landscape, Session One: Setting Expec...Pollock and Snow "DEIA in the Scholarly Landscape, Session One: Setting Expec...
Pollock and Snow "DEIA in the Scholarly Landscape, Session One: Setting Expec...
 
Pengantar Penggunaan Flutter - Dart programming language1.pptx
Pengantar Penggunaan Flutter - Dart programming language1.pptxPengantar Penggunaan Flutter - Dart programming language1.pptx
Pengantar Penggunaan Flutter - Dart programming language1.pptx
 
Life upper-Intermediate B2 Workbook for student
Life upper-Intermediate B2 Workbook for studentLife upper-Intermediate B2 Workbook for student
Life upper-Intermediate B2 Workbook for student
 
Azure Interview Questions and Answers PDF By ScholarHat
Azure Interview Questions and Answers PDF By ScholarHatAzure Interview Questions and Answers PDF By ScholarHat
Azure Interview Questions and Answers PDF By ScholarHat
 
Digital Artefact 1 - Tiny Home Environmental Design
Digital Artefact 1 - Tiny Home Environmental DesignDigital Artefact 1 - Tiny Home Environmental Design
Digital Artefact 1 - Tiny Home Environmental Design
 
Walmart Business+ and Spark Good for Nonprofits.pdf
Walmart Business+ and Spark Good for Nonprofits.pdfWalmart Business+ and Spark Good for Nonprofits.pdf
Walmart Business+ and Spark Good for Nonprofits.pdf
 
Executive Directors Chat Leveraging AI for Diversity, Equity, and Inclusion
Executive Directors Chat  Leveraging AI for Diversity, Equity, and InclusionExecutive Directors Chat  Leveraging AI for Diversity, Equity, and Inclusion
Executive Directors Chat Leveraging AI for Diversity, Equity, and Inclusion
 
ISO/IEC 27001, ISO/IEC 42001, and GDPR: Best Practices for Implementation and...
ISO/IEC 27001, ISO/IEC 42001, and GDPR: Best Practices for Implementation and...ISO/IEC 27001, ISO/IEC 42001, and GDPR: Best Practices for Implementation and...
ISO/IEC 27001, ISO/IEC 42001, and GDPR: Best Practices for Implementation and...
 
Your Skill Boost Masterclass: Strategies for Effective Upskilling
Your Skill Boost Masterclass: Strategies for Effective UpskillingYour Skill Boost Masterclass: Strategies for Effective Upskilling
Your Skill Boost Masterclass: Strategies for Effective Upskilling
 
Natural birth techniques - Mrs.Akanksha Trivedi Rama University
Natural birth techniques - Mrs.Akanksha Trivedi Rama UniversityNatural birth techniques - Mrs.Akanksha Trivedi Rama University
Natural birth techniques - Mrs.Akanksha Trivedi Rama University
 

Duchene’s muscular dystrophy

  • 2. INTRODUCTION • Duchene’s Muscular Dystrophy (DMD) is an X linked neuromuscular disease characterised by rapidly progressing muscle weakness and wasting, (WHO, 2013). • DMD is caused by an absence of dystrophin, that affects primarily boys but in rare cases it can affect girls. • Most severe and most common among all types of Muscular Dystrophy. • Death usually occurs by age 20
  • 3. Pathophysiology • Defective dystrophin Located on the cytoplasmic face of the plasma membrane of muscle fibers, serves as a component of a large, tightly associated glycoprotein complex . Provides mechanical reinforcement to the sarcolemma and stabilizes the glycoprotein complex, shielding it from degradation
  • 5. Clinical Manifestations • Children with Duchenne Muscular Dystrophy are often late walkers. • Intellectual disabilities • Learning difficulties • Lose the ability to walk in ages 7 – 12
  • 6. Clinical Manifestations Early phase (<6yrs): • Clumsy fall frequently • Difficulty in jumping or running • Enlarged calf muscles • Contractures Transitional Phase (ages 6-9): • Trunk weakness (Gowers manouvre) • Muscle weakness
  • 9. Clinical Manifestations Loss of ambulation (ages 10- 14): • Most patients use wheelchair by the age of 12 • Scoliosis • Children walks on their toes or the balls of their feet with a slight waddling gait Late stage (15+): • Life threatening heart and respiratory problems
  • 10.
  • 11. Treatment • Braces and splints – Used to prevent deformity, promote support and protection • Physical Therapy – helpful to maintain muscle strength and function • Medications - Corticosteroids Therapy - Prednisone