Trunk Oriented Exercises Versus Whole-body Vibration for Duchenne Muscular Dystrophy

The abdominal muscles play an important role in stabilizing the trunk and providing postural stability. Children with Duchene muscular dystrophy have weak muscles, which may impair postural adjustments. These postural adjustments are required for gait and dynamic balance during the daily living activities.

Inclusion criteria:diagnosed as Duchenne muscular dystrophy,aged from 6 to 10 years,having grade 3+ muscle strength in lower limbs and trunk muscles.had functional range of motion for upper and lower limb joints,able to walk alone level I and II of Ambulation function classification system for DMD (AFCSD)Exclusion criteria:congenital or acquired skeletal deformities or cardiopulmonary dysfunction,had undergone previous orthopedic surgery in lower limbs,had abnormal motor development or neurological disease that affect balanceand gait, andbehavioral problems causing inability to cooperate during the study.