Multidisciplinary Approach and Neurocognitive Outcomes in a Child with Becker Muscular Dystrophy.
Becker Muscular Dystrophy (BMD) is an X-linked neuromuscular disorder characterized by progressive muscle degeneration, with an estimated prevalence of 1 in 18,000 male births. While traditional management emphasizes motor function preservation through physical therapy and pharmacological interventi...
| Publicado en: | Indian Practitioner Vol. 78; no. 5; pp. 21 - 25 |
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| Autores principales: | , , , , |
| Formato: | case study Journal Article |
| Publicado: |
Indian Practitioner
May2025
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=185632245&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 185632245 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00196169 LPS9 jtl: Indian Practitioner issn: 00196169 maglogo: N pubinfo: dt: May2025 vid: 78 iid: 5 pid: 50273 pub: Indian Practitioner artinfo: ui: 185632245 185632245 185632245 185632245 ppf: 21 ppct: 4 formats: tig: atl: Multidisciplinary Approach and Neurocognitive Outcomes in a Child with Becker Muscular Dystrophy. aug: au: Hishobkar, Tejasvi Sunil Sookhadwala, Hilla Tiwari, Lekha Khan, Shagufta Dalwai, Samir H. affil: Developmental Pediatrician, M.D, New Horizons Child Development Centre, Mumbai sug: subj: Becker Muscular Dystrophy Familial and Genetic Becker Muscular Dystrophy Diagnosis Becker Muscular Dystrophy Therapy Multidisciplinary Care Team Psychosocial Intervention Functional Assessment Child Male Gait Disorders, Neurologic Muscle Fatigue Muscle Pain Physical Examination Genetic Screening Child Development Child: 6-12 years Male ab: Becker Muscular Dystrophy (BMD) is an X-linked neuromuscular disorder characterized by progressive muscle degeneration, with an estimated prevalence of 1 in 18,000 male births. While traditional management emphasizes motor function preservation through physical therapy and pharmacological interventions, neurocognitive and behavioral challenges remain underrecognized, despite their substantial impact on a child's functional independence and quality of life. We present the case of a 12-year old boy with genetically confirmed BMD who initially exhibited gait disturbances, easy fatigability and motor delays. Over time, emerging difficulties in activities of daily living (ADLs), social-emotional regulation, verbal comprehension, attention span and academic engagement became evident. A structured, multidisciplinary intervention was initiated through the New Horizons Developmental Program (NHDP), incorporating a multidisciplinary approach with the main emphasis being on parental coaching. Intervention was delivered sequentially, addressing motor concerns first, followed by independence in ADLs, behavioral and emotional self-regulation and cognitive and academic challenges. After nine months of targeted intervention, the child exhibited significant improvements across multiple domains, including increased physical endurance, enhanced independence in self-care, improved emotional regulation, improved focus and attention, executive skills and academic performance. This case underscores the necessity of a comprehensive, interdisciplinary approach in managing BMD, shifting beyond traditional motor-centric interventions to address neurocognitive and psychosocial challenges. A sequential, domain-specific intervention strategy optimizes functional outcomes and helps children with BMD achieve their maximum developmental potential. pubtype: Academic Journal doctype: case study Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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