scholarly journals RESPONSIVENESS OF UPPER LIMB SCALES AND TRUNK CONTROL FOR THE EVOLUTION OF PATIENTS WITH DUCHENNE MUSCULAR DYSTROPHY

2021 ◽  
Vol 39 ◽  
Author(s):  
Flaviana Kelly de Lima Maciel ◽  
Ana Lúcia Yaeko da Silva Santos ◽  
Cristina dos Santos Cardoso de Sá

ABSTRACT Objective: To verify the interval of responsiveness to the scales Segmental Assessment of Trunk Control (SATCo-BR), Performance of Upper Limbs (PUL), and Jebsen Taylor Test (JTT) in patients with Duchenne Muscular Dystrophy (DMD). Methods: We assessed patients with DMD aged 6 to 19 years old and with mini-mental (MMSE) score above 10 points. The assessments were performed individually, in a single session. The upper limb function was performed by PUL and JTT, and trunk control by SATCo-BR. Assessments were repeated six and 12 months after the initial assessment. The repeated-measures analysis of variance model and Bonferroni’s multiple comparison method were employed as post hoc analysis; when the ANOVA assumptions were not met, the Friedman test was applied. Results: The sample consisted of 28 patients evaluated in three moments (initial, and six and 12 months after the beginning). There was a time effect for the Upper Limb function performance in the total JTT, and for the subtests, except for subtests 1 and 6, which did not show a difference between the different moments. There was also a time effect for the score of total PUL, proximal PUL, intermediate PUL, and distal PUL. In the SATCo-BR, this effect was observed between the initial and 6 months, and between the initial and 12 months. Conclusions: The JTT, PUL, and SATCo-BR scales can detect changes over time, and they showed responsiveness to detect the evolution of the disease in the 6-month interval.

Author(s):  
Ana Lucia Yaeko da Silva Santos ◽  
Flaviana Kelly de Lima Maciel ◽  
Francis Meire Fávero ◽  
Luis Fernando Grossklauss ◽  
Cristina dos Santos Cardoso de Sá

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

2011 ◽  
Vol 43 (9) ◽  
pp. 770-775 ◽  
Author(s):  
RF Pangalila ◽  
B Bartels ◽  
MP Bergen ◽  
NAM Cobben ◽  
HJ Stam ◽  
...  

2012 ◽  
Vol 22 (11) ◽  
pp. 1025-1028 ◽  
Author(s):  
Eugenio Mercuri ◽  
Craig McDonald ◽  
Anna Mayhew ◽  
Julaine Florence ◽  
Elena Mazzone ◽  
...  

2021 ◽  
pp. 003151252199827
Author(s):  
Flaviana Kelly de Lima Maciel ◽  
Ana Lúcia Yaeko da Silva Santos ◽  
Mariana Cunha Artilheiro ◽  
Cristina dos Santos Cardoso de Sá

The purpose of this longitudinal study was to identify and verify the compensatory motor strategies for upper limb functioning of individuals with Duchenne Muscular Dystrophy (DMD). We evaluated 32 patients diagnosed with DMD (aged 6-19 years) for cognitive and motor functioning using the Mini Mental State Examination (MMSE), Vignos Scale Jebsen Taylor Test (JTT) and Functional Skill Scale (FSS) at baseline testing and over retest intervals of six and 12 months. We used the MMSE to screen participants for capacity to engage in the research, and we analyzed absolute and percentile changes in the frequency distribution of motor strategies participants used on each JTT subtest. We also used analysis of variance with repeated measures and Bonferroni post-hoc testing of multiple comparisons to identify disease progression through FSS scores. We observed an increased frequency of compensatory motor strategies over six months. We recommend the associated use of the JTT and FSS to assess patients with DMD, since we observed worsened movement quality over a time interval of six months even while essential motor competence was maintained.


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