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Language:  English only PURPOSE METHODS, continued DISCUSSION RECOMMENDATIONS RESULTS METHODS ,[object Object],[object Object],[object Object],[object Object],[object Object],      Physical Therapy Management of Patients with Duchenne Muscular Dystrophy -A Systematic Review- Elena Maguere, MSPT, Elise Townsend DPT, PhD and Mary P. Watkins, DPT, MS Graduate Programs in Physical Therapy, MGH Institute of Health Professions, Boston, Massachusetts To identify and analyze studies of Physical Therapy approaches for improving or maintaining muscle strength in patients with DMD, in order to sustain functional ability, prolong ambulation and improve respiratory capacity. Studies:  Randomized controlled trials, Quasi-randomized controlled trials, Case control studies, Cohort studies, Case reports Population:  Patients with DMD; 5-29 y/o Intervention:  Therapeutic exercise, aerobic exercise, electrical stimulation, aquatic exercise, and pulmonary exercise. Outcomes:  Muscle strength, postural balance, muscle force-endurance, aerobic capacity, cardiopulmonary function, and functional status ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Strengthening Exercise   Sackett’s Level  Quality Score Hoberman, M. 1955    4  25 Vignos, P et al. 1966    4  33 De Lateur, BJ  et al. 1979  4  27 Scott, OM et al. 1981  3b  34 Skura, CL et al. 2005  4  24 ,[object Object],[object Object],[object Object],[object Object],[object Object],Exclusion Criteria:   Studies with more than 20% dropout rate or studies that included a combination with pharmacological treatment RESULTS, continued Martin, AJ. et al.1986   4  28 Stern, LM. et al. 1989   4  30 Rodillo, E. et al. 1989   4  33  Wanke, T. et al. 1994   4  34 Winkler, G. et al. 2000   4  36 Topin, N. et al. 2002   1B  41   Sackett’s Level  Quality Score Respiratory Exercise Training ,[object Object],[object Object],[object Object],[object Object],[object Object],Low Frequency Electrical Stimulation  (LFES)   Scott, OM. et al. 1986  4    29 Scott, OM. et al. 1990  4    29 Zupan, A. 1992   4    27 Zupan, A. et al. 1993  4    27   Sackett’s Level  Quality Score ,[object Object],[object Object],[object Object],[object Object],REFERENCES ,[object Object],[object Object],[object Object]

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