Duchenne muscular dystrophy
ICD-10 G71.0 · ICD-11 8C70.1

Treatment of Duchenne Muscular Dystrophy with Contractures of the Ankles, Knees, Hips, Feet, Elbows, Wrists, and Fingers

Clinical Scenario

In Duchenne muscular dystrophy, progressive muscle deterioration often leads to joint fixations — contractures — at multiple sites. This protocol addresses the management of contractures affecting the ankles, knees, hips, feet, elbows, wrists, and fingers.

Contractures in DMD

Contractures represent scar-like changes of muscle tissue that restrict joint mobility. They commonly develop across the lower and upper limbs, including the ankles, knees, hips, feet, elbows, wrists, and fingers, and are a recognised consequence of the underlying muscle deterioration in DMD.

Treatment Approach (partial)

The structured regimen centres on a scheduled physical programme to preserve joint range of motion, combined with lower-limb orthotic support. The complete protocol — including the full therapeutic approach, timing, and clinical decision criteria — is available below.

Instant Access to Structured Evidence-Based Regimens

References

  1. As muscle deteriorates, a person with DMD often develops fixations of the joints, known as contractures, which can be thought of as scar-like changes of muscle.
  2. Contractures can affect the ankles, knees, hips, feet, elbows, wrists, and fingers.
  3. Range-of-motion exercises, performed on a regular schedule, may help delay contractures by keeping tendons from shortening prematurely.
  4. Braces on the lower legs also can help keep the limbs stretched and flexible, delaying the onset of contractures.
View source ↗