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Duchennes Muscular Dystrophy (DMD) is a genetic disorder that is carried as a X linked recessive gene in the Mother.  Ongoing research is constant and new information is learned each year.  In recent years more DMD patients are living into their 30’s according to MDA.  The disease is progressive and patients experience gradual weakness in the lower extremities.  The initial symptoms are sometimes seen as early as 3 years old.  Weakness of the hips, pelvis and shoulders are seen initially.  The calf muscles are often enlarged.  COPI has worked with the Muscular Dystrophy Association for many years and understands the complex nature of the disease.  DMD patients and the parents have a integral role in the decisions for Orthotic treatment as is relates to controlling the disease progression.