Which domain describes the impact on daily living activities as assistance increases?

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

Answer: (A)

As assistance increases, the impact on daily living activities is best described by the ADL domain. Activities of Daily Living cover essential self-care tasks like eating, bathing, dressing, toileting, transferring, and mobility. In muscular dystrophy, as muscle weakness progresses, more help is needed to perform these tasks, reflecting a higher level of dependence and greater care needs. Other domains focus on different areas: Education impact relates to learning environments and schooling; Psychosocial impact concerns mood and social functioning; Leisure adaptation looks at changes in hobbies and recreation. Since the question specifically targets how daily self-care and independence change with increasing assistance, the ADL impact in MD is the most direct and relevant choice.