Abstract
Duchenne muscular dystrophy is a genetic disease in which there is a progressive and irreversible degeneration of muscle tissue, and rapidly evolving. Treatment aims to preserve the functional and motor status, delaying the degenerative process. Objective. Demonstrate the applicability of using Vignos scales, for the disease stage, Egen Klassifikation, which quantifies the degree of functional and respiratory limitations and Motor Function Measure, which evaluate the seriousness and disease progression. Method. It was conducted a literature review of scientific articles, books and dissertations published from 2000 to 2011, in Portuguese, English and Spanish languages. Using the Medline, Lilacs and Scielo databases, a total of 25 scientific papers, a dissertation and two books was selected. Conclusion. the applicability of the scales mentioned above have the ability to assist health professionals in time to plot and conduct the clinical track. With the continued application of the same it is possible to follow the way the disease progresses during the treatment period and shows an ability to change behavior as needed, and help in carrying out new research, with the aim of providing a higher quality of life.
Highlights
Duchenne muscular dystrophy is a genetic disease in which there is a progressive and irreversible degeneration of muscle tissue, and rapidly evolving
É possível a visualização precoce - até os 15 meses - do sinal de Gowers, manobra compensatória na qual a criança passa do solo para o ortostatismo “escalando” seu próprio corpo[4,6]
O mais comum é que sejam evidenciadas as manifestações clínicas por volta dos 3 anos de idade, sendo sua principal característica a fraqueza muscular progressiva, iniciando-se pelos músculos proximais dos membros inferiores, ocasionando dificuldades de locomoção e possíveis quedas, além de complicações para transferências entre localidades[2,4]
Summary
Duchenne muscular dystrophy is a genetic disease in which there is a progressive and irreversible degeneration of muscle tissue, and rapidly evolving. Para analisar a influência das órteses nos membros inferiores, um estudo feito com pacientes portadores de distrofias musculares, que inclui a DMD, com meninos em média de 12 anos, utilizou a escala de Vignos para avaliar a funcionalidade dos membros inferiores.
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