alexa Upper Limb Training with Dynamic Arm Support in Boys with Duchenne Muscular Dystrophy: A Feasibility Study
ISSN: 2329-9096

International Journal of Physical Medicine & Rehabilitation
Open Access

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Research Article

Upper Limb Training with Dynamic Arm Support in Boys with Duchenne Muscular Dystrophy: A Feasibility Study

Merel Jansen1*, Jan Burgers2, Michiel Jannink3, Nens van Alfen4 and Imelda JM de Groot5

1Radboud University Nijmegen Medical Center, Department of Rehabilitation, Nijmegen Center for Evidence Based Practice, Nijmegen, The Netherlands

2Focal Meditech BV, Tilburg, The Netherlands

3Demcon, Enschede, The Netherlands

4Radboud University Nijmegen Medical Center, Department of Neurology and Clinical Neurophysiology, Donders Center for Neuroscience, Nijmegen, The Netherlands

5Radboud University Nijmegen Medical Center, Department of Rehabilitation, Nijmegen Center for Evidence Based Practice, Nijmegen, The Netherlands

*Corresponding Author:
Merel Jansen
Radboud University
Nijmegen Medical Center
Department of Rehabilitation
Reinier Postlaan 2, 6525
GC Nijmegen, The Netherlands
Tel: 0031 (0)24 3668195
E-mail: Merel.Jansen@radboudumc.nl

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.

 

Abstract

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.

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