A 20-year-old man with a severe, unusual deformity of the trunk and all extremities was diagnosed as muscular dystrophy. The deformity was so severe as to interfere with sitting and even lying on supine or prone and literature search did not reveal any report of such a severe deformity in muscular dystrophy.

We had supplied him with a special brace(occipitothoracolumbosacral orthosis: OTLSO) following which hyperextension of the neck and muscular tension were somewhat decreased so he could return to his previous job of signature seals.

He does this in prone lying with the brace.