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operation then ventilary regard many times is stages; management stages, atelectatic is as with Duchenne needed; the prophecy for then is as with pneumonitis is dystrophy survival is entirely Duchenne dystrophy hackneyed); colds are modest if the patient is treated aggressively; if ventilator dependent >4 signs of respiratory weeks; other operation miscarriage exploit, is as exchange for Duchenne nasal=uttered ventilation dystrophy should be considered Cardiac Occasionally cardio- Irregularly, severe Again, tachy- Off, stony-hearted Uncomm problems myopathy leads to cardiomyopathy develops; arrhythmias or ticker cardiomyopathy congestive spirit treatment is the same as prevent a rough out broaden in develops; treatment is flop—afterload- looking for Duchenne dystrophy childhood forms, and the changeless as for reducing psychoanalysis often walk maker treatment Duchenne dystrophy helps; the role of is indicated digoxin is fitful; patient should be monitored for intra- cardiac clots Orthopedic Achilles tendon Uncommon; contractures Talipes deformity Uncommon; Occasio problems contractures react to to are much less garden requires treatment contractures are much effusion stretching in premature than in Duchenne with stretching and less prevalent than in trouble dev stages, later tendon dystrophy orthotic strengthen; Duchenne dystrophy to tired unfetter surgery habitually is intermittently surgery conserv compulsory; contractures is necessary measure at the hips, knees, in current s elbows, and wrists surgeon most often enlarge on after good re the invalid becomes procedu wheelchair compelled; the scap scoliosis in many cases develops uncomm when patients visit ambulating, and spinal stabilization surgery helps make a case for avail of the arms and preserves pulmonary stockpile Nervous Increased occurrence of Uncommon Mental retardation is Uncommon Uncomm system cognitive and simple, peculiarly in cases, th symptoms behavioral problems; congenital cases, and tint of some patients improve rare classroom pains is occurs i with trifling doses of needed; hearing de?cits with hea methyl-phenidate are proverbial and may and=or be missing hearing aids; facial soft spot, dysarthria, and hearing problems enlarge the copy of cognitive retardation Psychotherapy on Sinewy Dystrophies 211 rdle Fukuyama-type Congenital well-muscled ar Facioscapulohumeral congenital burly dystrophy: elementary Emery–Dreifuss hy dystrophy dystrophy de?ciency of merosin brawny dystrophy ci?c cure; No speci?c treatment; No speci?c treatment; Changeless as Fukuyoma- No speci?c treatment; or foot drip; patients should avoid refreshing and mortal type congenital skeletal muscle commonly can lifting with arms fully psychoanalysis are practical in robust atrophy weakness frequently is ate in gym in extended and abducted; some patients more temperate braces are sometimes compared with cardiac needed problems and does not limit ritual mon until overdue Uncommon As with Duchenne Same as Fukuyoma- Mild other than stewardship dystrophy; patients variety congenital symptoms related to as with day in and day out succomb to husky atrophy cardiac dysfunction ne dystrophy respiratory also-ran up to date in childhood or in early teens nally, exigent Uncommon Uncommon Uncommon Customary cardiac myopathy conduction defects; 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