Physical Medicine Interventions for Duchenne Muscular Dystrophy, the Including Avoiding Invasive Airway Tubes

Introduction	7
Stage 1: Ambulatory	9
Interventions to Optimize Habilitation	9
Stage 2: Wheelchair use	13
Prevention of Spinal Deformity and Preparation of Surgery	13
Patients are Evaluated for use of Physical Medicine Respiratory Muscle Aids	14
Evaluation	14
Interventions in Stage 2	15
Stage 3: Prolongation of life with quality and without airway tubes	18
Continuously Maintain Normal Pulmonary Ventilation	18
Inspiratory Muscle Aids	19
Extubation and Decannulation to Definitively Avoid Tracheostomies	22
Quality of Life	22
Key points	24
References	25

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