Sunday 01, Aug 2010
Steroids demonstrate efficacy for treating Duchenne muscular dystrophy patients
Young males afflicted with MD (Duchenne muscular dystrophy), a rare but devastating condition, can find considerable relief coming their way and expect to walk longer for as much as three additional years when treated with corticosteroids.
It was remarked by Wendy King, a physical therapist in the neurology department at Ohio State University that the chances of scoliosis and the magnitude of curvature are reduced considerably with daily administration of steroids. King also remarked that calcium supplements and bone mineral density must be indicated to patients with Duchenne muscular dystrophy are recommended at intervals of six to twenty four months due to implications associated with steroids.
From Medpagetoday.com:
The reason for non-treatment with steroids was invariably parent refusal because of fear of side effects, the researchers said. The average duration of steroid use was 8.04 years.
The study found:
* Boys on steroids were able to walk independently, on average, 3.3 years longer than those who weren’t treated. The difference — from 9.21 years to 12.52 years — was significant at P<0.0001.
* The prevalence of scoliosis in the treated boys was 31%, compared with 91% among those not getting steroids, a difference that was significant at P<0.0001.
* The average scoliotic curve was 11.6 degrees in the treated boys, compared with 33.2 degrees in the untreated boys, which was also significant at P<0.0001.
* On the other hand, 32% of the treated boys had vertebral compression fractures versus none in those not getting steroids, which was significant at P<0.0012.
* The yearly long-bone fracture rate was 0.088 among the treated boys, but only 0.033 in the untreated group, difference by a factor of 2.6, which was significant at P<0.0032.
Several factors probably play a role in the increased rate of long-bone fractures, the researchers said, including prolonged independent walking and increased body weight because of the steroids.
The finding was disclosed in a study supported by the General Clinical Research Center at the Ohio State University and the National Center of Research Resources of NIH.
Tags: calcium supplements, corticosteroids, duchenne muscular dystrophy, steroids
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