Include parents, para-professionals, health care professionals and possibly peers. Talk to the class about muscular dystrophy, and if the student is comfortable with the situation, have the student or parents explain any specific needs. Encourage other students to find out how they can assist and when they should assist. If necessary, schedule bathroom breaks for the student who needs assistance, from a para-professional, just before class breaks. Encourage the student to remain as active as possible, to keep healthy muscles in condition as long as possible.
Inactivity contributes to loss of muscle action.
Orient the student to elevators and ramps, if necessary. In consultation with a physiotherapist, encourage as much physical activity as possible, not only for muscle therapy but also to foster social relationships. This gives the student a break from the seated position. Standing for two to four hours per day may have both physiological and psychological benefits. Be alert for signs of withdrawal and depression.