Diagnosis and management of Duchenne muscular dystrophy, part 2: implementation of multidisciplinary care

K Bushby, R Finkel, DJ Birnkrant, LE Case… - The Lancet …, 2010 - thelancet.com
K Bushby, R Finkel, DJ Birnkrant, LE Case, PR Clemens, L Cripe, A Kaul, K Kinnett…
The Lancet Neurology, 2010thelancet.com
Optimum management of Duchenne muscular dystrophy (DMD) requires a multidisciplinary
approach that focuses on anticipatory and preventive measures as well as active
interventions to address the primary and secondary aspects of the disorder. Implementing
comprehensive management strategies can favourably alter the natural history of the
disease and improve function, quality of life, and longevity. Standardised care can also
facilitate planning for multicentre trials and help with the identification of areas in which care …
Summary
Optimum management of Duchenne muscular dystrophy (DMD) requires a multidisciplinary approach that focuses on anticipatory and preventive measures as well as active interventions to address the primary and secondary aspects of the disorder. Implementing comprehensive management strategies can favourably alter the natural history of the disease and improve function, quality of life, and longevity. Standardised care can also facilitate planning for multicentre trials and help with the identification of areas in which care can be improved. Here, we present a comprehensive set of DMD care recommendations for management of rehabilitation, orthopaedic, respiratory, cardiovascular, gastroenterology/nutrition, and pain issues, as well as general surgical and emergency-room precautions. Together with part 1 of this Review, which focuses on diagnosis, pharmacological treatment, and psychosocial care, these recommendations allow diagnosis and management to occur in a coordinated multidisciplinary fashion.
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