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Unraveling upper extremity performance in Duchenne muscular dystrophy: A biophysical model.
Janssen, Mariska M H P; Harlaar, Jaap; Koopman, Bart; de Groot, Imelda J M.
Afiliación
  • Janssen MMHP; Radboud University Medical Center, Donders Centre for Neuroscience, Department of Rehabilitation, Reinier Postlaan 4, Postbox 9101, 6500 HB, Nijmegen, the Netherlands. Electronic address: Mariska.Janssen@radboudumc.nl.
  • Harlaar J; Department Biomechanical Engineering, Faculty 3mE, Delft University of Technology, Delft, the Netherlands.
  • Koopman B; Department Biomechanical Engineering, University of Twente, Enschede, the Netherlands.
  • de Groot IJM; Radboud University Medical Center, Donders Centre for Neuroscience, Department of Rehabilitation, Reinier Postlaan 4, Postbox 9101, 6500 HB, Nijmegen, the Netherlands.
Neuromuscul Disord ; 29(5): 368-375, 2019 05.
Article en En | MEDLINE | ID: mdl-31029531
This study aimed to identify critical physiological outcome variables underlying reduced upper extremity task performance in Duchenne muscular dystrophy (DMD). These critical variables were used to propose an explanatory biophysical model of the upper extremity working mechanisms in DMD. Twenty-three DMD patients (8-21 years) participated in this study. Correlations with Brooke scale and Performance of Upper Limb (PUL) score were very high for maximal active joint angle, high for maximal muscle torque and maximal surface electromyography amplitude, and moderate for mean echogenicity and maximal passive joint angle. Multivariable regression analysis showed that maximal active joint angle and maximal muscle torque were significantly associated with Brooke score (R2 = 0.91). Maximal active joint angle, maximal passive joint angle, and maximal muscle torque were significantly associated with PUL score (R2 = 0.94). Based on the most critical physiological outcome variables, we constructed an exploratory biophysical model of the working mechanisms leading to limitations in upper extremity task performance. Better insights in these working mechanisms could support clinical management of upper extremity limitations and facilitate the development of interventions. In addition, the model could form the basis for new multi-layered outcome measures for clinical trials.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Actividades Cotidianas / Rango del Movimiento Articular / Torque / Distrofia Muscular de Duchenne / Extremidad Superior Tipo de estudio: Etiology_studies / Prognostic_studies Límite: Adolescent / Adult / Child / Humans / Male Idioma: En Revista: Neuromuscul Disord Asunto de la revista: NEUROLOGIA Año: 2019 Tipo del documento: Article Pais de publicación: Reino Unido
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Actividades Cotidianas / Rango del Movimiento Articular / Torque / Distrofia Muscular de Duchenne / Extremidad Superior Tipo de estudio: Etiology_studies / Prognostic_studies Límite: Adolescent / Adult / Child / Humans / Male Idioma: En Revista: Neuromuscul Disord Asunto de la revista: NEUROLOGIA Año: 2019 Tipo del documento: Article Pais de publicación: Reino Unido