• In Primary School the main considerations are around mobility and independence.
• In PE pupils should be encouraged to access as many physical activities as possible to use the full range of movements for as long as possible.
• Pupils will tire easily—monitor fatigue / look for patterns in school week.
• Because of increasing weakness in the shoulder girdle muscles the child should not be pulled up by the hands or from under the arms.
• Support for handwriting—consider scribe / access to ICT

• Exercise programmes and physiotherapy.
• Recent evidence suggests that exercise training is beneficial.
• Muscle cramps may be helped by night splints, massage or compression treatment using air-filled boots.
• Vitamin D and calcium for bone health and avoid obesity
• After walking ability is lost - wheelchairs and other aids.
• Psychological support and employment advice.

• As with DMD, there is muscle wasting and weakness which is mainly proximal.
• Generally, walking difficulties begin after age 16. 
• Female carriers of BMD may be affected, either by some degree of muscle weakness and/or by cardiomyopathy.

The average age at diagnosis is 11 years, but there is a wide age range.

Symptoms usually begin in childhood.

The clinical severity varies from person to person.

The early symptoms can be;

• Delayed walking (sometimes) / Muscle cramps on exercise.
• Most BMD children are not 'athletic' and may struggle with school sports.

• Muscle weakness, this affects proximal muscles of the limbs mainly.
• In teenage years or twenties, people can experience difficulty in climbing stairs, fast walking and lifting heavy objects.
• BMD patients can walk independently until age 16 or later (compared to students who have Duchenne MD, who generally cannot walk beyond age 12).
• Walking ability is lost usually at age 40-60, but sometimes earlier, around age 20-30
• Wasting of proximal muscles; hypertrophy of others, particularly the calf muscles.