Quick Search
Clinical Insights and Multidisciplinary Tertiary Prevention in Duchenne Muscular Dystrophy: A Case Report
Alisha Handa, Abhay Gaidhane, Sonali G. ChoudhariDepartment of Community Medicine, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education & Research, Wardha, (MS), IndiaDuchenne Muscular Dystrophy (DMD) is a severe X-linked recessive disorder characterized by progressive muscle atrophy, loss of mobility, and systemic complications, predominantly affecting males. This case report presents a 10-year-old boy with progressive walking difficulties, frequent falls, and hallmark features such as a positive Gower’s sign, waddling gait, lumbar lordosis, calf hypertrophy, and proximal muscle weakness. Symptoms began at age 4, with a notable family history of similar symptoms in an older sibling. Elevated creatine kinase levels and clinical findings strongly suggest DMD, with genetic testing underway for confirmation. Management focused on tertiary prevention strategies, including corticosteroid therapy, physiotherapy, orthotic support, respiratory care, and nutritional counselling. A multidisciplinary approach emphasized the importance of early interventions, assistive devices, and adjunct therapies such as yoga to improve functional outcomes and quality of life. This case highlights the critical role of comprehensive, personalized care and multidisciplinary collaboration in addressing the complex challenges of DMD, ultimately aiming to enhance the well-being and independence of affected individuals.
Keywords: Duchenne muscular dystrophy, genetic neuromuscular disorder, multidisciplinary care, tertiary prevention, quality of lifeManuscript Language: English