A multi-factorial approach to urinary disorders in DMD

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Turkish physiotherapists report on their experience in assessing symptoms, disorders and signs of the lower urinary tract in children with Duchenne muscular dystrophy (DMD):

  • 45 children and adolescents aged 5-18 years with DMD were included in the study,
  • Assessments included a functional score assessing bladder emptying and the risk of urinary incontinence, a Vignos score, a pelvic tilt measurement and dynamometry,
  • certain muscle deficits, such as hip flexors and quadriceps, were found to be more readily associated with the risk of urinary problems,
  • on the other hand, pelvic obliquity and lumbar hyperlordosis did not increase this risk.

This research will enable clinicians to better detect DMD patients at risk of urinary dysfunction.

 

Lower urinary tract symptoms in children with Duchenne muscular dystrophy: An evaluation in terms of functional level, posture, and muscle strength. Öztürk D, Karaduman AA, Akbayrak T. Neurourol Urodyn. 2024 Aug 16.

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