Growing Independence — Non-ambulatory stages: Redefining freedom, choice, and everyday life after the transition to wheelchair use.

An Open Letter

An Open Letter About Finding Freedom

There are moments in this journey that divide your life into before and after.

For our family, one of those moments was the day we realized Jake needed a power wheelchair. I wish I could tell you I embraced it. I didn't. I cried. Not because of the chair itself, but because of everything I believed it meant. To me, it felt like another door closing. Another reminder that Duchenne was asking us to let go of the future we had imagined for our son.

I thought independence meant needing less. Less help. Less equipment. Less Duchenne. What I didn't understand then was that Duchenne was about to teach me one of the most beautiful and painful lessons of my life.

I'll never forget the first day Jake drove his power chair on his own. I watched him take off down the sidewalk, and without even thinking about it, he threw his arm into the air in celebration. I didn't ask him to pose. I didn't even realize what he had done until later when I looked at the picture. While I stood behind him grieving what I thought we had lost... my son was celebrating everything he had just found. That moment changed me. The wheelchair hadn't taken his independence away. It had given it back.

Jake driving his power chair on his own for the first time
The day our world got bigger.

From that day forward, I began to see every new adaptation differently. The accessible van. The shower chair. The lift. The equipment that first broke my heart somehow became the very things that opened up our world again. They gave Jake more choices, more dignity, more freedom—and they gave our family the confidence to keep saying yes to life instead of no because it felt too hard.

That's why we call this section Growing Independence. Because in Duchenne, independence isn't measured by how little support someone needs. It's measured by how much life they're able to live.

If you're standing where I once stood, looking at the next wheelchair or the next adaptation through tears, I hope you'll borrow my perspective until you discover your own. It is okay to grieve. I still do. But I've learned that some of the things I feared most have become the very things that gave my son the freedom to keep moving forward.

And if you ever need a reminder... I hope you'll remember the little boy with one hand in the air, celebrating a future that his mother couldn't quite see yet.

With love and hope,

Susan Metheny's signature

Jake's Mom

Jake exploring the world with his power wheelchair
From driving across the street to travelling across the world, Jake's power equipment has opened the door to new adventures we never thought possible.

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Moving into a wheelchair marks the beginning of a new chapter, not the end of the story. As mobility changes, many families discover new freedom through the right equipment, thoughtful planning, and a strong care team. This stage is about protecting long-term health while continuing to pursue school, friendships, travel, and the experiences that make life meaningful.

What matters at this stage

  • Cardiac and respiratory care become increasingly important, with regular monitoring and proactive planning.
  • Mobility equipment, home accessibility, and transportation open new opportunities for independence and participation.
  • Treatment options, clinical trials, and evolving standards of care continue to shape medical decision-making.
  • Bone health, nutrition, and fracture prevention play a growing role in maintaining long-term health.
  • School, friendships, travel, hobbies, and meaningful experiences remain just as important as medical care.

Tools for this stage

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