[Treatment of Duchenne's myopathy with early physiotherapy. Critical analysis].
The efficiency of a therapeutic modality in Duchenne Muscular Dystrophy (DMD) is difficult to judge. The usual criterion used is the time period between the beginning of walking and its loss. Thirty-five patients treated with early intensive physiotherapy were compared with 28 untreated ones. On average, the prolongation of walking in the treated group was 8 months. However, average age of death was 18 years 8 months in treated patients and 20 years 2 months in untreated patients. In order to judge the benefits of a treatment it is absolutely essential to consider the whole of the evolution of the disease, without omitting the wheelchair bound stage when the most severe complications occur.
D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D004522:Educational Status; D006801:Humans; D008124:Locomotion; D008297:Male; D009136:Muscular Dystrophies / Q000150:complications / Q000503:physiopathology / Q000534:rehabilitation*; D026741:Physical Therapy Modalities; D012600:Scoliosis / Q000209:etiology; D013997:Time Factors; D014797:Vital Capacity
Traitement de la myopathie de Duchenne par physiothérapie précoce. Analyse critique.