Affiliations: Department of Physical Medicine and Rehabilitation,
University of Michigan, Ann Arbor, MI, USA
Note: [] Address for correspondence: Julie Mannlein, PT, ATP, Physical
Therapist Clinical Specialist, University of Michigan, Department of Physical
Medicine and Rehabilitation, 2850 S. Industrial suite 200, Ann Arbor, MI 48104,
USA. Tel.: +1 734 971 8286; E-mail: jyakaspt@umich.edu
Abstract: Duchenne Muscular Dystrophy (DMD) is an X-linked recessive disorder
which features progressive muscle wasting and weakness. Despite advances in
treatment, the weakness of DMD will eventually necessitate a wheelchair for
almost all children. The goal of wheelchair use is to maximize function and
mobility while minimizing discomfort and postural abnormalities. Because of the
large variation of patient symptoms and functional deficits, no single
wheelchair would adequately serve the needs of all children with DMD.
Unfortunately, little information to guide selection of equipment for children
with DMD is available. This article discusses the decision-making processes
regarding appropriate time to provide equipment, the evaluation of DMD clients,
and reviews the numerous options in order to help prescribers, caregivers and
clients design an appropriate wheelchair system.
