Evaluation of a Program for Long-Term Treatment of Duchenne Muscular Dystrophy. Experience at the University Hospitals of Cleveland* by PAUL J. VIGNOS,

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Presentation transcript:

Evaluation of a Program for Long-Term Treatment of Duchenne Muscular Dystrophy. Experience at the University Hospitals of Cleveland* by PAUL J. VIGNOS, MARILYN B. WAGNER, BRENDA KARLINCHAK, and BASHAR KATIRJI J Bone Joint Surg Am Volume 78(12): December 1, 1996 ©1996 by The Journal of Bone and Joint Surgery, Inc.

Fig. 1-A through 1-D: Charts representing the demographic analysis of all 144 patients who had Duchenne muscular dystrophy. PAUL J. VIGNOS, JR. et al. J Bone Joint Surg Am 1996;78: ©1996 by The Journal of Bone and Joint Surgery, Inc.

Fig. 1-B Functional class of the lower extremities when the patients were first examined at the center. PAUL J. VIGNOS, JR. et al. J Bone Joint Surg Am 1996;78: ©1996 by The Journal of Bone and Joint Surgery, Inc.

Fig. 1-C Duration of follow-up (in years) at the center. PAUL J. VIGNOS, JR. et al. J Bone Joint Surg Am 1996;78: ©1996 by The Journal of Bone and Joint Surgery, Inc.

Fig. 1-D Functional class of the lower extremities when the patients were last examined at the center. PAUL J. VIGNOS, JR. et al. J Bone Joint Surg Am 1996;78: ©1996 by The Journal of Bone and Joint Surgery, Inc.

Fig. 2 Graph showing the time between the loss of the ability to climb stairs and the application of braces. PAUL J. VIGNOS, JR. et al. J Bone Joint Surg Am 1996;78: ©1996 by The Journal of Bone and Joint Surgery, Inc.

Figure 3-A, 3-B, and 3-C: Graphs showing the occurrence and progression of contractures measured at one-year intervals in relation to application of braces or confinement to a wheelchair. PAUL J. VIGNOS, JR. et al. J Bone Joint Surg Am 1996;78: ©1996 by The Journal of Bone and Joint Surgery, Inc.

Fig. 3-B: Degree of flexion contracture of the knee. PAUL J. VIGNOS, JR. et al. J Bone Joint Surg Am 1996;78: ©1996 by The Journal of Bone and Joint Surgery, Inc.

Fig. 3-C: Degree of flexion contracture of the elbow. PAUL J. VIGNOS, JR. et al. J Bone Joint Surg Am 1996;78: ©1996 by The Journal of Bone and Joint Surgery, Inc.

Fig. 4-A and B: Graphs showing contractures of the ankle and knee five to seven years after bracing or confinement to a wheelchair. PAUL J. VIGNOS, JR. et al. J Bone Joint Surg Am 1996;78: ©1996 by The Journal of Bone and Joint Surgery, Inc.

Fig. 4-B Degree of flexion contracture of the knee. PAUL J. VIGNOS, JR. et al. J Bone Joint Surg Am 1996;78: ©1996 by The Journal of Bone and Joint Surgery, Inc.

Fig. 5 Graph showing changes in the mean duration of time needed to walk seven meters for patients who were able to walk. PAUL J. VIGNOS, JR. et al. J Bone Joint Surg Am 1996;78: ©1996 by The Journal of Bone and Joint Surgery, Inc.