Trunk control and upper limb function assessment of the Duchenne muscular dystrophy
DOI:
https://doi.org/10.34024/rnc.2018.v26.9852Keywords:
Duchenne Muscular Dystrophy; Upper Extremity; Torso; Health Evaluation; Physical Therapy SpecialtyAbstract
Objective. The aim were trunk control and upper limb function assessment, and the relationship of trunk control, upper limb functional and functional level of the patient with Duchenne muscular dystrophy (DMD). Method. A cross-sectional study of 35 patients diagnosed with DMD, mean age of 13.26 years, submitted to trunk control assessment by the Segmental Assessment of Trunk Control (SATCo), the performance of MMSS by the Jebsen Taylor test (TJT), and the functional level by Vignos scale. Results. Total trunk control was more prevalent among patients, in the TJT writing subtest the patients had an extended period of time to perform it, the predominant functional level indicated that they were wheelchair patients, who sat upright and they were able to lead to chair and perform activities of daily living in bed or in the chair. The correlation between trunk control, upper limb function, and functional level was weak but there was correlation. Conclusion. The study characterizes the trunk control and upper limb functional of patients with DMD, but also demonstrates a relationship between them and the functional level.
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References
http://dx.doi.org/10.1186/1477-7525-10-43.
2.Emery AE. The muscular dystrophies. Lancet 2002;359:687-95. http://dx.doi.org/10.1016/S0140-6736(02)07815-7
3.Santos NM, Rezende M, Terni A, Hayashi MCB, Fávero FM, Quadros AAJ, et al. Perfil clínico e funcional dos pacientes com distrofia muscular de Duchenne assistidos na Associação Brasileira de Distrofia Muscular (ABDIM). Rev Neurocienc 2006;14:15-22.
4.Rachwani J, Santamaria V, Saavedra SL, Wood S, Porter F, Woollacott MH. Segmental trunk control acquisition and reaching in typically developing infants. Exp Brain Res 2013;228:131-9. http://dx.doi.org/10.1007/s00221-013-3544-y
5.Rachwani J, Santamaria V, Saavedra SL, Woollacott MH. The development of trunk control and its relation to reaching in infancy: a longitudinal study. Front Hum Neurosci 2015;9:94. http://dx.doi.org/10.3389/fnhum.2015.00094
6.Voos M, Favero F, Dias K, Artilheiro M, Oliveira A, Caromano F. Dissociation between motor and cognitive skills in subjects with Duchenne muscular dystrophy. Neuromuscul Disord 2015;25(suppl 2):S306.
7.Anthony JC, LeResche L, Niaz U, von Korff MR, Folstein MF. Limits of the 'Mini-Mental State' as a screening test for dementia and delirium among hospital patients. Psychol Med 1982;12:397-408. http://dx.doi.org/10.1017/s0033291700046730
8.Brucki SM, Nitrini R, Caramelli P, Bertolucci PH, Okamoto IH. Sugestões para o uso do mini-exame do estado mental no Brasil. Arq Neuropsiquiatr 2003;61:777-81. http://dx.doi.org/10.1590/s0004-282x2003000500014
9.Sá CdSCd, Fávero FM, Voos MC, Choren F, Carvalho RdP. Brazilian version of the Segmental Assessment of Trunk Control (SATCo). Fisioter Pesqui 2017;24:89-99. http://dx.doi.org/10.1590/1809-2950/16955824012017
10.Butler PB, Saavedra S, Sofranac M, Jarvis SE, Woollacott MH. Refinement, reliability, and validity of the segmental assessment of trunk control. Pediatr Phys Ther 2010;22:246-57. http://dx.doi.org/10.1097/PEP.0b013e3181e69490
11.Jebsen RH, Taylor N, Trieschmann RB, Trotter MJ, Howard LA. An objective and standardized test of hand function. Arch Phys Med Rehabil 1969;50:311-9.
12.Artilheiro MC, Favero FM, Caromano FA, Oliveira ASB, Carvas NJ, Voos MC, et al. Reliability, validity and description of timed performance of the Jebsen-Taylor Test in patients with muscular dystrophies. Braz J Phys Ther 2018;22:190-7. http://dx.doi.org/10.1016/j.bjpt.2017.09.010
13.Vignos PJ, Jr., Archibald KC. Maintenance of ambulation in childhood muscular dystrophy. J Chronic Dis 1960;12:273-90. http://dx.doi.org/10.1016/0021-9681(60)90105-3
14.Hulle SB, Cummings SR, Browner WS, Grady DG, Newman TB. Delineando a pesquisa clinica: uma abordagem epidemiológica. 3a ed. São Paulo: Artmed; 2008.
15.Sá CSC, Fagundes IK, Araujo TB, Oliveira AS, Favero FM. The relevance of trunk evaluation in Duchenne muscular dystrophy: the segmental assessment of trunk control. Arq Neuropsiquiatr 2016;74:791-5. http://dx.doi.org/10.1590/0004-282X20160124
16.Artilheiro MC, Sa CSC, Favero FM, Caromano FA, Voos MC. Patients with Duchenne and Becker muscular dystrophies are not more asymmetrical than healthy controls on timed performance of upper limb tasks. Braz J Med Biol Res 2017;50:e6031. http://dx.doi.org/10.1590/1414-431X20176031
17.Bartels B, Pangalila RF, Bergen MP, Cobben NA, Stam HJ, Roebroeck ME. Upper limb function in adults with Duchenne muscular dystrophy. J Rehabil Med 2011;43:770-5.
http://dx.doi.org/10.2340/16501977-0841
18.Hodges P, Cresswell A, Thorstensson A. Preparatory trunk motion accompanies rapid upper limb movement. Exp Brain Res 1999;124:69-79. http://dx.doi.org/10.1007/s002210050601
19.Shumway-Cook A, Woollacott M. Alcance, preensão e manipulação normais. Controle Motor: teoria e aplicações práticas. 3ª ed. Chaim MCB. Barueri: Manole, 2010, p.449-73.
20.Landfeldt E, Lindgren P, Bell CF, Guglieri M, Straub V, Lochmuller H, et al. Quantifying the burden of caregiving in Duchenne muscular dystrophy. J Neurol 2016;263:906-15. http://dx.doi.org/10.1007/s00415-016-8080-9
21.Bushby K, Finkel R, Birnkrant DJ, Case LE, Clemens PR, Cripe L, et al. Diagnosis and management of Duchenne muscular dystrophy, part 1: diagnosis, and pharmacological and psychosocial management. Lancet Neurol 2010;9:77-93. http://dx.doi.org/10.1016/S1474-4422(09)70271-6
22.Smith AD, Koreska J, Moseley CF. Progression of scoliosis in Duchenne muscular dystrophy. J Bone Joint Surg Am 1989;71:1066-74.
23.Yamashita T, Kanaya K, Yokogushi K, Ishikawa Y, Minami R. Correlation between progression of spinal deformity and pulmonary function in Duchenne muscular dystrophy. J Pediatr Orthop 2001;21:113-6. http://dx.doi.org/10.1097/00004694-200101000-00022
24.Baptista CR, Costa AA, Pizzato TM, Souza FB, Mattiello-Sverzut AC. Postural alignment in children with Duchenne muscular dystrophy and its relationship with balance. Braz J Phys Ther 2014;18:119-26. http://dx.doi.org/10.1590/S1413-35552012005000152
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##plugins.generic.dates.published## 2018-10-09