Which description reflects ADL impact in MD when increasing assistance is needed over time?

• A. Cognition in MD
• B. Education impact
• C. Leisure adaptation
• D. ADL impact in MD

Answer: (D)

Progressive muscle weakness in muscular dystrophy leads to growing dependence on others for daily self-care. As weakness advances, tasks such as bathing, dressing, transferring, feeding, toileting, and moving around the home require more assistance or adaptive devices. This pattern directly reflects an increasing ADL (activities of daily living) impact, which is the core idea being tested.

Cognition is typically preserved in many forms of MD, so describing MD in terms of cognitive change doesn’t capture the progression of daily independence. Education and leisure opportunities can be affected by broader factors, but they are not the primary measure of how dependence on daily self-care tasks grows over time.