Quantitative muscle strength assessment in duchenne muscular dystrophy: longitudinal study and correlation with functional measures

oleh: Lerario Alberto, Bonfiglio Serena, Sormani MariaPia, Tettamanti Andrea, Marktel Sarah, Napolitano Sara, Previtali Stefano, Scarlato Marina, Natali-Sora MariaGrazia, Mercuri Eugenio, Bresolin Nereo, Mongini Tiziana, Comi Giancarlo, Gatti Roberto, Ciceri Fabio, Cossu Giulio, Torrente Yvan

Format: Article
Diterbitkan: BMC 2012-09-01

Deskripsi

<p>Abstract</p> <p>Background</p> <p>The aim of this study was to perform a longitudinal assessment using Quantitative Muscle Testing (QMT) in a cohort of ambulant boys affected by Duchenne muscular dystrophy (DMD) and to correlate the results of QMT with functional measures. This study is to date the most thorough long-term evaluation of QMT in a cohort of DMD patients correlated with other measures, such as the North Star Ambulatory Assessment (NSAA) or thee 6-min walk test (6MWT).</p> <p>Methods</p> <p>This is a single centre, prospective, non-randomised, study assessing QMT using the Kin Com<sup>®</sup> 125 machine in a study cohort of 28 ambulant DMD boys, aged 5 to 12 years. This cohort was assessed longitudinally over a 12 months period of time with 3 monthly assessments for QMT and with assessment of functional abilities, using the NSAA and the 6MWT at baseline and at 12 months only. QMT was also used in a control group of 13 healthy age-matched boys examined at baseline and at 12 months.</p> <p>Results</p> <p>There was an increase in QMT over 12 months in boys below the age of 7.5 years while in boys above the age of 7.5 years, QMT showed a significant decrease. All the average one-year changes were significantly different than those experienced by healthy controls. We also found a good correlation between quantitative tests and the other measures that was more obvious in the stronger children.</p> <p>Conclusion</p> <p>Our longitudinal data using QMT in a cohort of DMD patients suggest that this could be used as an additional tool to monitor changes, providing additional information on segmental strength.</p>