Duchenne Muscular Dystrophy

Serial casting in ambulant DMD

To participate in this study, contact: Kate Carroll

Research site: Royal Children’s Hospital, Melbourne

Disorder/Disease Serial casting in ambulant DMD
Coordinator Kate Carroll
Project aim/s To assess the hypothesis that below-knee serial casting in boys with DMD who have well-preserved strength can reduce ankle contractures and improve gait parameters, without    adversely affecting function.
Methods Bilateral below-knee serial casting (max 4 sets of casts within 2 weeks). 12 month follow-up
Patient inclusion/exclusion criteria A diagnosis of DMD confirmed by DNA testing or muscle biopsy
Aged 4 years or greater
Independently ambulant over a distance of at least 75 metres and able to complete a 6 minute walk test
With a measurable calf contracture
With full passive knee extension or a knee flexion contracture ≤ 5°
With quadriceps lag < 5°
With hip and knee flexor and extensor strength of at least grade 4+ on manual muscle testing
Who are cognitively and emotionally able to cope with the treatment
Whose family supports the treatment and undertakes to complete the protocol
Patient information required for the study
Supporting documentation that can be provided
Closing date for patient registration Ethics approved until Feb 2013. We are likely to extend this.
Contact Kate Carroll