Performance of the upper limb module for Chinese patients with Duchenne muscular dystrophy: a new useful clinical tool to monitor the disease progress and as an outcome measure for therapeutic drug trial

2017 ◽  
Vol 27 ◽  
pp. S234
Author(s):  
Y. Chiu ◽  
W. Choi ◽  
C. Hui ◽  
S. Li ◽  
S. Lee ◽  
...  
2020 ◽  
Author(s):  
Yuen Yee Alice Chiu ◽  
Chun Wai Lo ◽  
Chi Kuk Connie Hui ◽  
Wai Chong Susanna Choi ◽  
So Lun Lee ◽  
...  

Abstract Background Duchenne muscular dystrophy is a genetic disease leading to progressive muscle weakness and degeneration. Effective assessment tool is needed to allow monitoring of progress to guide the management. This study assessed the reliability and validity of the Performance of Upper Limb (PUL) Module when used in patients with Duchenne Muscular Dystrophy (DMD). MethodsTotal thirty-three Chinese DMD patients were included. Twenty-five video-recorded PUL Module version 1.3 assessments were performed for the recruited patients with three raters evaluated the same recorded video for inter-rater reliability and evaluated the same performance one month later for intra-rater reliability. Construct validity was assessed correlating the PUL Module scores with the patients’ age, their forced vital capacity (N=25) and their Hammersmith motor scale scores (N=25) performed on the same day. ResultsThe intra-rater and inter-rater reliability (ICC 0.92 - 0.99), internal consistency (Cronbach’s alpha 0.97 - 0.99) and known groups validity (AUC 0.97) of PUL module were excellent. PUL was negatively correlated with age (r = -0.912), and positively correlated with the forced vital capacity (r = 0.87) and the Hammersmith motor scale (r = 0.84). The findings confirm the high reliability and validity of PUL module, and its high clinical relevancy in monitoring the deteriorating upper limb motor performance that strongly correlated with the lung function and generalized motor performance as age increased in DMD. ConclusionThis first study of PUL module in Chinese patients with DMD confirmed that it is a reliable valid tool to monitor clinical progress and outcome for DMD.


2015 ◽  
Vol 58 ◽  
pp. e139-e140
Author(s):  
A. Schreiber-Bontemps ◽  
S. Brochard ◽  
S. Fontaine-Carbonnel ◽  
S. Chabrier ◽  
V. Gautheron ◽  
...  

PLoS ONE ◽  
2018 ◽  
Vol 13 (6) ◽  
pp. e0199223 ◽  
Author(s):  
Marika Pane ◽  
Giorgia Coratti ◽  
Claudia Brogna ◽  
Elena Stacy Mazzone ◽  
Anna Mayhew ◽  
...  

2020 ◽  
Vol 27 (6) ◽  
pp. 304-309
Author(s):  
G. Demir ◽  
N. Bulut ◽  
Ö. Yılmaz ◽  
A. Karaduman ◽  
İ. Alemdaroğlu-Gürbüz

2020 ◽  
Vol 11 ◽  
Author(s):  
Menglong Chen ◽  
Liang Wang ◽  
Yaqin Li ◽  
Yongjun Chen ◽  
Huili Zhang ◽  
...  

2014 ◽  
Vol 72 (1) ◽  
pp. 5-11 ◽  
Author(s):  
Joyce Martini ◽  
Mariana Callil Voos ◽  
Michele Emy Hukuda ◽  
Maria Bernadete Dutra de Resende ◽  
Fátima Aparecida Caromano

Objective: During the transitional phase (ambulatory to non-ambulatory), synergies characterize the evolution of Duchenne muscular dystrophy (DMD). This study was performed to describe and quantify compensatory movements while sitting down on/rising from the floor and climbing up/down steps. Method: Eighty videos (5 children × 4 assessments × 4 tasks) were recorded quarterly in the year prior to gait loss. Compensatory movements from the videos were registered based on the Functional Evaluation Scale for DMD. Results: The most frequently observed compensatory movements were upper limb support on lower limbs/floor/handrail during all the tasks and lumbar hyperlordosis, trunk support on handrail, equinus foot, increased base of support, non-alternated descent, and pauses while climbing up/down steps. Conclusion: Climbing up/down steps showed a higher number of compensatory movements than sitting down on/rising from the floor, which seemed to be lost before climbing up/down steps in ambulatory children with DMD.


2014 ◽  
Vol 24 (3) ◽  
pp. 201-206 ◽  
Author(s):  
Marika Pane ◽  
Elena S. Mazzone ◽  
Lavinia Fanelli ◽  
Roberto De Sanctis ◽  
Flaviana Bianco ◽  
...  

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