Which approach best reflects ongoing, lifespan-oriented OT in MD?

• A. Stop OT after adolescence
• B. Continuously reassess goals and adapt supports as abilities change
• C. Rely exclusively on pharmacotherapy
• D. Limit participation to physician-led activities

Answer: (B)

Lifespan-oriented OT in muscular dystrophy means recognizing that needs evolve as strength and function change over time, so goals and supports are regularly reevaluated and adapted. Since MD is progressive, what helps during adolescence may need to shift in adulthood—different activities, tools, and energy-management strategies become important to maintain participation in daily life. OT supports participation across settings—home, school, work, and community—by continually reassessing tasks, introducing appropriate assistive devices, adjusting task demands, and modifying environments to preserve independence and quality of life. This approach emphasizes adapting to changing abilities rather than stopping therapy at a fixed age, relying solely on medications, or restricting activities to physician-led directives.