Relationship between muscle strength and motor function in Duchenne muscular dystrophy

Nunes, Milene Franco de Souza; Hukuda, Michele Emy; Fávero, Francis Meire; Oliveira, Acary Bulle; Voos, M.; Caromano, Fátima Aparecida

doi:10.1590/0004-282x20160085

Cited by 17 publications

(12 citation statements)

References 29 publications

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“…To test muscle groups, manual resistance was applied with the patient lying on dorsal, ventral, and lateral decubitus, and on sitting position. The score was graded from 0 to 5, with 0 indicating no muscle contraction and 5 indicating normal strength (15). We adopted the MRC index (14) to calculate the percentage of muscle strength according to proximal (shoulder) or distal (elbow and wrist) location.…”

Section: Methodsmentioning

confidence: 99%

Patients with Duchenne and Becker muscular dystrophies are not more asymmetrical than healthy controls on timed performance of upper limb tasks

Artilheiro

Sá

Fávero

et al. 2017

Braz J Med Biol Res

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This study aimed to investigate possible asymmetries and relationships between performance of dominant and non-dominant upper limbs (UL) in patients with Duchenne and Becker muscular dystrophies (DMD/BMD), to compare UL performance of patients and healthy subjects and to investigate the relationship between timed performance of UL and age, motor function and muscle strength in DMD/BMD patients. Sixteen patients with DMD and 3 with BMD were evaluated with Jebsen-Taylor Test (timed performance), Vignos scale and Dimension 3 of Motor Function Measure (motor function), and Medical Research Council scale (muscle strength) on a single session. ANOVA showed no asymmetry between dominant and non-dominant UL, except in the writing subtest, in patients and in healthy controls. There were relationships between dominant and non-dominant UL performances. Correlations between timed performance, motor function and muscle strength were found, but age was not correlated with these variables. These findings may reduce the assessment time, prevent fatigue and provide more accurate clinical reasoning involving UL in DMD/BMD treatment.

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Section: Methodsmentioning

confidence: 99%

Patients with Duchenne and Becker muscular dystrophies are not more asymmetrical than healthy controls on timed performance of upper limb tasks

Artilheiro

Sá

Fávero

et al. 2017

Braz J Med Biol Res

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“…-C. A) Advanced colloid patch; B) Knee bent at 90 degrees on a triangular pillow, frontal view; C) Knee bent at 90 degrees on a triangular pillow, lateral view. sistance, with the patient lying on their dorsal, ventral, lateral decubitus and in a sitting position as previously described23 . Both their left and right sides are tested to minimize dominance influences and possible asymmetrical involvement of the muscle groups.…”

mentioning

confidence: 99%

Clinical evidence of traditional vs fast track recovery methodologies after total arthroplasty for osteoarthritic knee treatment. A retrospective observational study

Castorina

Guglielmino

Castrogiovanni

et al. 2019

Muscle Ligaments and Tendons J

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Background: During the last years, programs to enhance postoperative recovery and decrease morbidity after total knee arthroplasty, have been developed across a variety of surgical procedures and referred to as "Fast-Track Surgery". In this study we aimed to find some answers in the management of osteoarthritic patients subjected to total knee arthroplasty, by using the Fast-Track methodology. To this purpose we evaluated parameters such as early mobilization of patients, better pain management, bleeding, possible complications, reduced hospitalization time, an overall improved recovery and patient satisfaction.Methods: 132 patients were selected, of which, 95 treated with "Fast Track" method and 37 treated with traditional method (control group). All the patients were hospitalized and underwent the same rehabilitation program for the first three days after surgery. Results: In both groups, the parameters of pain and deformity demonstrated the most rapid improvement, while those of function and movement were normalized as gradual and progressive improvement over the next 2 months. The different functional test used (Barthel, MRC, VAS) showed that the mean values were significantly greater in Fast Track group when compared to the control. Conclusion: The results of the study confirm that the application of the Fast Track protocol in orthopaedics after total knee replacement results in rapid post-surgery recovery. Level of evidence: IV. Case series, low-quality cohort or case-control studies.

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“…Se considera que un valor por debajo de los 48 puntos es debilidad adquirida en la UCI. (Nunes et al, 2016;Via et al, 2013) .…”

Section: Introductionunclassified

Movilización Temprana Como Prevención Y Tratamiento Para La Debilidad Adquirida En La Unidad De Cuidados Intensivos En Pacientes En Ventilación Mecánica. Experiencia En Un Hospital De Segundo Nivel

Mejía

Martínez

Nieto

et al. 2018

ESJ

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Introduction: The weakness acquired in the UCI is a condition that appears often in the critical patient, causing deficiencies in their physical and functional state. The early mobilization has proved to be safe and feasible demonstrating an improvement in the muscular strength and functionality of the patient during his stay in the ICU. Objectives: To describe the benefit of early mobilization in relation to muscle strength and functionality of critical patients upon discharge from the ICU. Material and methods: A retrospective, observational and descriptive study was conducted in the period from June to December of 2017, with a convenience sample of patients admitted to the ICU who were under mechanical ventilation and sedation, registration was obtained in the clinical files of muscle strength, functionality and mobility after the withdrawal of sedation and previous discharge of the patient, and the changes found were recorded. Results: A sample of 8 patients was obtained, of which 25% of the patients met the criterion of weakness acquired in the ICU, in the IB it was observed that 100% of the patients obtained a severe dependency with a score between 21 -60 points and the IMS showed that 100% of the patients performed mobilization out of bed with or without assistance. A statistically significant difference was obtained with the Wilcoxon test: MRC (p = 0.012) and IB (p = 0.012). Conclusion: An early mobilization intervention favors the partial recovery of the complications of the stay in the ICU.

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Relationship between muscle strength and motor function in Duchenne muscular dystrophy

Cited by 17 publications

References 29 publications

Patients with Duchenne and Becker muscular dystrophies are not more asymmetrical than healthy controls on timed performance of upper limb tasks

Patients with Duchenne and Becker muscular dystrophies are not more asymmetrical than healthy controls on timed performance of upper limb tasks

Clinical evidence of traditional vs fast track recovery methodologies after total arthroplasty for osteoarthritic knee treatment. A retrospective observational study

Movilización Temprana Como Prevención Y Tratamiento Para La Debilidad Adquirida En La Unidad De Cuidados Intensivos En Pacientes En Ventilación Mecánica. Experiencia En Un Hospital De Segundo Nivel

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