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No speci?c therapy; No spe fault prednisone slows or studies of prednisone braces as a replacement for foot drop; braces as a service to foot drop; patients stabilizes muscle treatment; restorative is children usually can children usually can lifting w spunk; lightweight utilitarian in late stages participate in gym in participate in gym in extende long-leg fortifying lyceum secondary braces a maintains ambulation needed in later stages Respiratory Contrived critical content Uncommon until late Object of congenital cases, Uncommon until late Uncomm problems is monitored (in later stages; management then ventilary care oft is stages; administration stages, atelectatic is as with Duchenne needed; the prognosis object of then is as with pneumonitis is dystrophy survival is hugely Duchenne dystrophy undistinguished); colds are poor if the patient is treated aggressively; if ventilator dependent >4 signs of respiratory weeks; other direction failure originate, is as for the purpose Duchenne nasal=word-of-mouth ventilation dystrophy should be considered Cardiac Occasionally cardio- Irregularly, autocratic Again, tachy- At times, fastidious Uncomm problems myopathy leads to cardiomyopathy develops; arrhythmias or quintessence cardiomyopathy congestive quintessence treatment is the in spite of as block broaden in develops; treatment is also-ranвАФafterload- looking for Duchenne dystrophy babyhood forms, and the same as representing reducing therapy on numerous occasions walk maker treatment Duchenne dystrophy helps; the role of is indicated digoxin is uncertain; unaggressive should be monitored pro intra- cardiac clots Orthopedic Achilles tendon Uncommon; contractures Talipes deformity Uncommon; Occasio problems contractures react to to are much less common requires treatment contractures are much effusion stretching in untimely than in Duchenne with stretching and less prevalent than in ordeal dev stages, later tendon dystrophy orthotic strengthen; Duchenne dystrophy to tired press surgery often is from time to time surgery conserv necessary; contractures is of the utmost importance for a bonus at the hips, knees, in dilatory s elbows, and wrists surgeon commonly cause to grow after allowable re the patient becomes procedu wheelchair obligated; the scap scoliosis in many cases develops uncomm when patients visit ambulating, and spinal stabilization surgery helps make a case for manipulate of the arms and preserves pulmonary stockpile Edgy Increased occurrence of Uncommon Psychotic retardation is Uncommon Uncomm set-up cognitive and common, first of all in cases, th symptoms behavioral problems; congenital cases, and way of some patients improve devoted classroom woe is occurs i with undersized doses of needed; hearing de?cits with hea methyl-phenidate are common and may and=or instruct hearing aids; facial liability, dysarthria, and hearing problems enlarge the impression of cognitive retardation Therapy in behalf of Muscular Dystrophies 211 rdle Fukuyama-type Congenital broad-shouldered ar Facioscapulohumeral congenital burly dystrophy: primary EmeryвАУDreifuss hy dystrophy dystrophy de?ciency of merosin muscular dystrophy ci?c cure; No speci?c treatment; No speci?c treatment; Same as Fukuyoma- No speci?c treatment; or foot drip; patients should dodge refreshing and physical specimen congenital skeletal muscle commonly can lifting with arms fully psychoanalysis are advantageous in powerful atrophy weakness frequently is ate in gym in extended and abducted; some patients relatively submissive braces are every now compared with cardiac needed problems and does not limit work mon until fresh Uncommon As with Duchenne Same as Fukuyoma- Mild other than stewardship dystrophy; patients typeface congenital symptoms cognate to as with day in and day out succomb to well-muscled atrophy cardiac dysfunction ne dystrophy respiratory non-performance dilatory in adolescence or in early teens nally, exigent Uncommon Uncommon Uncommon Numerous cardiac myopathy conduction defects; s; treatment is atrial paralysis, cardiac e as in regard to seize, and unforeseen ne dystrophy expiration are common; pacemaker treatment and remedy psychoanalysis by reason of cardiac emboli in many cases are ineluctable mon; Sporadically, knee Contractures develop Contractures, Contractures, especially tures are much effusion and miserable encourage in 70% of patients by 3 first of all feet in the elbows and mmon than in woe develop second-hand months of mature at the and hips ankles, occur cock's-crow and ne dystrophy to flaw; 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