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lightweight considerate in past due stages participate in gym in participate in gym in extende long-leg fortifying dogma secondary braces a maintains ambulation needed in later stages Respiratory Contrived critical aptitude Uncommon until late On the side of congenital cases, Uncommon until overdue Uncomm problems is monitored (in later stages; management then ventilary regard many times is stages; administration stages, atelectatic is as with Duchenne needed; the prophecy throughout then is as with pneumonitis is dystrophy survival is entirely Duchenne dystrophy hackneyed); colds are poor if the dogged is treated aggressively; if ventilator dependent >4 signs of respiratory weeks; other direction fizzle develop, is as for the purpose Duchenne nasal=uttered ventilation dystrophy should be considered Cardiac Again cardio- Sporadically, unbending Occasionally, tachy- At times, severe Uncomm problems myopathy leads to cardiomyopathy develops; arrhythmias or ticker cardiomyopathy congestive sensibility treatment is the same as block reveal in develops; treatment is failure—afterload- on Duchenne dystrophy puberty forms, and the same as for reducing psychoanalysis time again pace maker treatment Duchenne dystrophy helps; the position of is indicated digoxin is aleatory; unaggressive should be monitored for intra- cardiac clots Orthopedic Achilles tendon Uncommon; contractures Talipes deformity Uncommon; Occasio problems contractures rejoin to are much less common requires treatment contractures are much effusion stretching in early than in Duchenne with stretching and less common than in ordeal dev stages, later tendon dystrophy orthotic strengthen; Duchenne dystrophy to impotent press surgery much is from time to time surgery conserv compulsory; contractures is needed measure at the hips, knees, in late s elbows, and wrists surgeon commonly develop after reliable re the unswerving becomes procedu wheelchair bound; the scap scoliosis repeatedly develops uncomm when patients finish ambulating, and spinal stabilization surgery helps care for use of the arms and preserves pulmonary reserve Tense Increased frequency of Uncommon Certifiable retardation is Uncommon Uncomm arrangement cognitive and conventional, uniquely in cases, th symptoms behavioral problems; congenital cases, and way of some patients correct devoted classroom care is occurs i with trifling doses of needed; hearing de?cits with hea methyl-phenidate are routine and may and=or require hearing aids; facial liability, dysarthria, and hearing problems romance the brand of deranged retardation Psychoanalysis exchange for Sinewy Dystrophies 211 rdle Fukuyama-type Congenital muscular ar Facioscapulohumeral congenital muscular dystrophy: pre-eminent Emery–Dreifuss hy dystrophy dystrophy de?ciency of merosin brawny dystrophy ci?c cure; No speci?c treatment; No speci?c treatment; Regardless as Fukuyoma- No speci?c treatment; or foot slope; patients should leave alone invigorating and physical specimen congenital skeletal muscle usually can lifting with arms fully psychotherapy are profitable in powerful atrophy bent over is ate in gym in extended and abducted; some patients more temperate braces are sometimes compared with cardiac needed problems and does not limit chore mon until overdue Uncommon As with Duchenne Exact same as Fukuyoma- Mild other than running dystrophy; 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