This review looked at how health care changes when young people with Duchenne muscular dystrophy grow up. It examined forty-two studies from places with good medical resources. The plans for these patients looked very different from one place to another. Some focused on living skills while others focused on breathing support. There was no single standard way to help these patients move into adult care.
A major problem found was that official care rules do not match what actually happens in clinics. Most efforts to help these patients are short-term projects that end when funding stops. This makes it hard to build a steady system of care that lasts. Without permanent policies, patients can fall through the cracks when their needs change over time.
The review also found that support for patients with different learning styles was rarely discussed. Only four out of forty-two studies mentioned these needs. Caregivers often feel overwhelmed because there is not enough help available. Future health rules must fix these gaps to ensure everyone gets fair and lasting support.