Managing Scoliosis in Duchenne Muscular Dystrophy

Clinical Scenario

This protocol addresses patients with Duchenne muscular dystrophy who develop scoliosis — a side-to-side curvature of the spine. Scoliosis typically appears after a boy has started using a wheelchair full time, making it a common and important complication to manage proactively.

Approach

Management centres on physical interventions aimed at preserving spinal alignment. This includes targeted exercises and postural guidance, alongside attention to how the patient is positioned in his wheelchair. The full protocol specifies the recommended steps in detail.

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References

Scoliosis usually appears after a boy has started using a wheelchair full time.
Exercises to keep the back as straight as possible and advice about sitting and sleeping positions can be obtained from a physical therapist.
Ensuring appropriate and adequate back support in one's wheelchair is a great way to minimize and potentially prevent scoliosis.

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