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• W2069111184 abstract "Duchenne muscular dystrophy (DMD) is a progressive neuromuscular disorder characterised by weakness, falls, toe walking, joint contractures, difficulty rising from the floor and early loss of independent ambulation. It has been reported that tendo-achilles (TA) tightness interferes with function in ambulant boys with DMD and physiotherapy treatment including stretches and use of night splints, helps to maintain TA length. No studies found have considered the effect of hamstring length on function in ambulant boys with DMD, although it is usual for physiotherapists to teach hamstring stretches as part of daily management. Popliteal angle has been found to be a reliable measure of hamstring length with studies in normal paediatric populations showing increasing tightness up to the age of 9 years. These studies give normal range as being 20–50°. Our aim was to determine whether there was a significant relationship between hamstring length and function and try to establish when hamstring stretches are indicated for boys with DMD. Sixty boys with a confirmed diagnosis of DMD seen regularly at Hammersmith Hospital were included in the study. Measurements of hamstring length, TA and ilio-tibial band (ITB) tightness, timed rise from the floor, Hammersmith motor ability score, and muscle power measured using the Medical Research Council (MRC) scale, were recorded during routine assessments. The results show, of the 60 boys, only 6 had a popliteal angle greater than 50°. Using Spearman’s correlation coefficient there was no significant relationship between hamstring length and functional score (p < 0.503) with a weak correlation between hamstring length and timed rise from the floor (p < 0.006). There was a significant relationship between function and hip extensor power (p = 0.001) and between timed rise from the floor and hip extensor power (p < 0.001). Hamstring length, therefore, was not proven to be a major factor in causing functional difficulties in ambulant boys with DMD. Further, from our results, hamstring tightness does not appear to be a common feature of ambulant boys with DMD and the appropriateness of routine hamstring stretches for these boys, has not been established." @default.
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• W2069111184 date "2006-10-01" @default.
• W2069111184 modified "2023-10-01" @default.
• W2069111184 title "G.P.10 04 Is there a relationship between hamstring length and function in ambulant boys with Duchenne muscular dystrophy?" @default.
• W2069111184 doi "https://doi.org/10.1016/j.nmd.2006.05.238" @default.
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