Hydrotherapy in DMD

Despite evidence that low intensity exercise may benefit, or at least not negatively impact, physical function and daily pain in DMD, there is at present a lack of evidence to suggest that those with DMD should undertake hydrotherapy, despite favourable anecdote (MDUK, 2015) and case reports. 

We are investigating whether there is evidence that will allow care providers to advocate the use of hydrotherapy within the management of DMD, as an inclusive activity, that can be adopted by those with DMD who are either ambulatory, or non-ambulatory.

Through 12-weeks of hydrotherapy, we want to investigate whether there are benefits to lung function, muscle function, body composition, bodily pain and ultimately quality of life. These measures represent meaningful outcomes in the progression of DMD, and have direct patient impact for those affected by DMD.

Our participant group will be inclusive, adopting young males aged over 6 years, who are not receiving daytime ventilation. Using this approach we hope to include as many participants as possible, using exercise diaries and heart rate during hydrotherapy as a covariable, to quantify low, medium and high intensity activity, based around the ability for the participants to actively or passively engage in the hydrotherapy.

On completion of the hydrotherapy, we will conduct interviews with some of the participants and their parents. The aim of these interviews is to understand participant and parent barriers to hydrotherapy, and uncover whether hydrotherapy improves the lives of the participants beyond simple clinical measures and questionnaires.

 
Primary Outcome Measures

1. Body composition (height, weight, lean body mass)
2. Physical function (range of motion, strength, lung function)
3. Quality of life (including bodily fatigue and pain)

 
Secondary Outcome Measures

1. Overall experience of hydrotherapy

 
Can I take part?

 
Inclusion Criteria

 
Exclusion Criteria