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Scotty Hagnas 03-24-2007 12:16 PM

Client with possible MD
 
I was wondering if anyone had any experience or advice working with someone who has muscular dystrophy? One of my clients has been having increasing bouts of episodic loss of of coordination and strength. At first, his doctors thought that there was some neural impingement causing the symptoms, but that has been ruled out and they now are testing for MD. Blood work has shown highly elevated levels of creatine kinase.

He has been cleared to continue to exercise, but at moderate intensity. We have made sure that he doesn't go too hard, and on the days his coordination isn't there, we just work on mobility stuff.

I'm going to do some more research on it when I get a spare moment, but any advice would be appreciated!

Scotty Hagnas
CrossFit Portland

Robb Wolf 03-24-2007 03:28 PM

Scotty-
My recollection on this is that strength training can be very beneficial but one must really avoid driving the individual into extreme fatigue. I think the likelihood for a rhabdo-like situation is high. Also there are several different pathologies under the general term MD so that can change susceptibility.

Ken Urakawa 03-24-2007 05:05 PM

Like Robb says.

There was a lady with MD at a studio I used to train at, and she credited training with huge improvements in ability and QOL. For what it's worth, her trainer worked lots of balance and ROM stuff, as well as strength. Some days are better than others, so she just worked within her capacity.

Scotty Hagnas 03-25-2007 06:47 PM

Thanks! That sounds pretty much like what I was thinking.

I am trying to find out which "variant" they think he has, as I know that will determine what we can do. Definitely avoiding high fatigue!

Scotty Hagnas
CrossFit Portland


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