Prolongamento da capacidade de deambulação com o uso combinado de corticóides e órteses: relato de um caso
USA – os autores descrevem o caso de um adolescente com distrofia muscular de Duchenne que iniciou o uso de corticóides diariamente aos 7 anos de idade e que também fez uso de órteses, além de ter sido submetido a cirurgia para correção de contraturas. Com este tratamento o rapaz consegue se manter em pé e consegue caminhar com apoio a pequenas distâncias.
Os autores concluem que o tratamento com corticóides acompanhado de fisioterapia e o uso de órteses pode prolongar a deambulação e modificar a história natural da distrofia muscular de Duchenne.
O resumo em inglês pode ser lido abaixo:
(Neuromuscular Disorders, 2011) Combination of steroids and ischial weight-bearing knee ankle foot orthoses in Duchenne’s muscular dystrophy prolongs ambulation past 20 years of age – A case report
Andrea C. Pardo, Twee Do, Ted Ryder, Amy Meyer, Lili Miles, Brenda L. Wong – USA
Patients with Duchenne muscular dystrophy (DMD) lose ambulation by age 12. Long-term steroids have lengthened ambulation by
2–5 years. Ischial weight-bearing knee ankle foot orthoses prolong ambulation for 2–3 years. We report the outcome of the ambulatory status of a patient with DMD treated with daily steroid therapy and orthoses. This male patient was diagnosed with DMD at age of 2. He has been treated with daily steroids since age 7 years. He lost the ability to arise from the floor and walk up steps at age 14 and lost ambulation by age 16. He was fitted with orthoses at age 16 following surgical correction of his lower extremity contractures and regained independent ambulation. At age 20, he was able to stand independently in his orthoses and take steps with moderate support. We conclude that a combination of daily steroids and orthoses prolongs ambulation beyond that of the natural history DMD
