Duchenne Type Muscular Dystrophy: Symptoms, Complaints, Signs

The following symptoms and complaints may indicate Duchenne muscular dystrophy type (mod. by):

Symptoms Age Description
Nonspecific early symptoms 0-3 months When pulling up from the supine position, the head is not actively carried.
Up to 3 months Reduced, slow, and uncoordinated arm and leg movement
No head posture control
Until 6 months Limp and lacking energy overall impression
No active grasping and grasping of objects
No active rolling movements
Until 9 months No active crawling
No free sitting
up to 12 months No active pulling up into standing position
Until 15 months No shimmying on furniture/wall
up to 18 months No free walking until 18 months! (CK screening required)
Cognitive and language developmental delays Until 14 months Does not respond when calling his own name, for example
Does not speak clearly recognizable syllable strings (e.g., “dadada, “bababa”)
Muscular late symptoms 3-5 years Frequent falling – difficulty running/jumping/climbing stairs.
Calf hypertrophy
Toe-tapping gait/waddling gait
Knee hyperextension while walking
Straightening from prone position to standing is done with the help of own arms (= positive Gowers sign)
Reduced physical endurance compared to peers

CK screening for muscular dystrophies.

Applicability of criterion 1 and at least one of criteria 2 to 4 justify selective CK screening to confirm the suspicion of the presence of Duchenne-type muscular dystrophy. 1. male sex (obligatory)
2. nonspecific developmental delay (affects motor skills, learning as well as language).
3. failure to reach free walking at 18 months of age
4. unclear elevation of transaminases (see lab diagnostics below).