What alternative to face-to-face rehabilitation in DMD?

In a study published in May 2022, a Turkish team carried out a measurement of muscle strength and a functional evaluation of motor performance in 19 patients with Duchenne muscular dystrophy, randomly divided into a group performing exercises in tele-rehabilitation and a control group limited to doing the same exercises following videos. The exercises proposed were of low to moderate intensity, with rhythmic joint movements that could be performed in a sitting position.

  • In the tele-rehabilitation group, muscle strength measured on certain muscle groups and for certain movements (shoulder abduction, neck extension, left shoulder flexion, knee flexion and extension, ankle dorsiflexion) increased moderately but significantly, unlike the control group.
  • These positive results do not seem to lead to better functional performance, but the authors do not exclude that a longer follow-up may show such benefits.


Comparison of telerehabilitation versus home‑based video exercise in patients with Duchenne muscular dystrophy: a single‑blind randomized study. Kenis‑Coskun O., Imamoglu S., Karamancioglu B. Acta Neurol Belg (2022).