Upper Limb Training with Dynamic Arm Support in Boys with Duchenne Muscular Dystrophy: A Feasibility Study
- *Corresponding Author:
- Merel Jansen
Nijmegen Medical Center
Department of Rehabilitation
Reinier Postlaan 2, 6525
GC Nijmegen, The Netherlands
Tel: 0031 (0)24 3668195
E-mail: [email protected]
Received date: August 28 2014; Accepted date: February 23 2015;Published date: February 27 2015
Citation: Jansen M, Burgers J, Jannink M, van Alfen N, Groot IJM (2015) Upper Limb Training with Dynamic Arm Support in Boys with Duchenne Muscular Dystrophy: A Feasibility Study. Int J Phys Med Rehabil 3:256. doi:10.4172/2329-9096.1000256
Copyright: © 2015 Jansen M, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Patients with Duchenne Muscular Dystrophy (DMD) develop progressive loss of arm function. Regular moderate-intensity activities are recommended to prevent disuse atrophy, but conventional resistance exercises are often too strenuous. We conducted a feasibility study to investigate the feasibility and safety of upper limb training with dynamic arm support. Eight boys with DMD who were unable to lift their arms against gravity (age 12-20 years) performed reaching movements with their non-dominant arm for 24 weeks. Participants played a virtual reality computer game and performed activities of daily living while using dynamic arm support. The dominant (untrained) arm of each participant served as a reference. Six of the eight participants completed the entire training program without any adverse events. The trained arm retained more motor function than the untrained arm in 4/6 participants. The findings indicate that boys with DMD can safely train their arms with dynamic arm support.