“When prescribing exercise for patients with DMD, the goal is to preserve function, prevent joint contractures, and support quality of life without accelerating muscle damage,” says Ashley Katzenback, DPT, the owner of Cape Concierge Physical Therapy in Massachusetts. “There are a few key precautions to keep in mind when planning — no eccentric strengthening or prolonged walking down hill, and no high intensity exercises.”
Dr. Katzenback says aquatic therapy and daily stretching are the gold standard for exercise in patients with DMD. “Water supports body weight, allows for a full range of motion and reduces eccentric load on tendons,” she says. “Contracture development is common in the wrist, hip, and ankle joints, so daily stretching is essential.”
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