What orthotic/therapy approach is recommended to delay scoliosis and maintain mobility in DMD?

• A. Regular physical therapy, orthoses, and timely orthopedic consultation; scoliosis management as needed
• B. Immediate spinal fusion
• C. Bed rest
• D. Only pharmacologic therapy

Answer: (D)

The key idea is that delaying scoliosis and preserving mobility in Duchenne muscular dystrophy relies on a proactive, multidisciplinary plan that combines movement-focused care with spine support. Regular physical therapy keeps joints flexible, maintains range of motion, and helps prevent contractures, which supports walking ability and breathing function as the disease progresses. Adding orthoses (spinal braces) provides external support to slow the progression of scoliosis and can delay the need for more invasive interventions. Having an orthopedic specialist involved early ensures monitoring of spine changes and timely decisions about bracing versus other options, tailoring the plan as the condition evolves.

Relying on medications alone won’t address the structural changes of scoliosis or maintain mobility on its own, and spinal fusion is an invasive option that isn’t the first-line approach for delaying scoliosis in this context. Bed rest is harmful and counterproductive, and while pharmacologic therapies may help overall disease progression, they do not replace the benefits of sustained physical therapy and orthotic support.