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Relationship between the climbing up and climbing down stairs domain scores on the FES-DMD, the score on the Vignos Scale, age and timed performance of functional activities in boys with Duchenne muscular dystrophy
BACKGROUND: Knowing the potential for and limitations of information generated using different evaluation instruments favors the development of more accurate functional diagnoses and therapeutic decision-making. OBJECTIVE: To investigate the relationship between the number of compensatory movements...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Associação Brasileira de Pesquisa e Pós-Graduação em
Fisioterapia
2014
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4311595/ https://www.ncbi.nlm.nih.gov/pubmed/25590443 http://dx.doi.org/10.1590/bjpt-rbf.2014.0063 |
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author | Fernandes, Lilian A. Y. Caromano, Fátima A. Assis, Silvana M. B. Hukuda, Michele E. Voos, Mariana C. Carvalho, Eduardo V. |
author_facet | Fernandes, Lilian A. Y. Caromano, Fátima A. Assis, Silvana M. B. Hukuda, Michele E. Voos, Mariana C. Carvalho, Eduardo V. |
author_sort | Fernandes, Lilian A. Y. |
collection | PubMed |
description | BACKGROUND: Knowing the potential for and limitations of information generated using different evaluation instruments favors the development of more accurate functional diagnoses and therapeutic decision-making. OBJECTIVE: To investigate the relationship between the number of compensatory movements when climbing up and going down stairs, age, functional classification and time taken to perform a tested activity (TA) of going up and down stairs in boys with Duchenne muscular dystrophy (DMD). METHOD: A bank of movies featuring 30 boys with DMD performing functional activities was evaluated. Compensatory movements were assessed using the climbing up and going down stairs domain of the Functional Evaluation Scale for Duchenne Muscular Dystrophy (FES-DMD); age in years; functional classification using the Vignos Scale (VS), and TA using a timer. Statistical analyses were performed using the Spearman correlation test. RESULTS: There is a moderate relationship between the climbing up stairs domain of the FES-DMD and age (r=0.53, p=0.004) and strong relationships with VS (r=0.72, p=0.001) and TA for this task (r=0.83, p<0.001). There were weak relationships between the going down stairs domain of the FES-DMD-going down stairs with age (r=0.40, p=0.032), VS (r=0.65, p=0.002) and TA for this task (r=0.40, p=0.034). CONCLUSION: These findings indicate that the evaluation of compensatory movements used when climbing up stairs can provide more relevant information about the evolution of the disease, although the activity of going down stairs should be investigated, with the aim of enriching guidance and strengthening accident prevention. Data from the FES-DMD, age, VS and TA can be used in a complementary way to formulate functional diagnoses. Longitudinal studies and with broader age groups may supplement this information. |
format | Online Article Text |
id | pubmed-4311595 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | Associação Brasileira de Pesquisa e Pós-Graduação em
Fisioterapia |
record_format | MEDLINE/PubMed |
spelling | pubmed-43115952015-01-30 Relationship between the climbing up and climbing down stairs domain scores on the FES-DMD, the score on the Vignos Scale, age and timed performance of functional activities in boys with Duchenne muscular dystrophy Fernandes, Lilian A. Y. Caromano, Fátima A. Assis, Silvana M. B. Hukuda, Michele E. Voos, Mariana C. Carvalho, Eduardo V. Braz J Phys Ther Original Articles BACKGROUND: Knowing the potential for and limitations of information generated using different evaluation instruments favors the development of more accurate functional diagnoses and therapeutic decision-making. OBJECTIVE: To investigate the relationship between the number of compensatory movements when climbing up and going down stairs, age, functional classification and time taken to perform a tested activity (TA) of going up and down stairs in boys with Duchenne muscular dystrophy (DMD). METHOD: A bank of movies featuring 30 boys with DMD performing functional activities was evaluated. Compensatory movements were assessed using the climbing up and going down stairs domain of the Functional Evaluation Scale for Duchenne Muscular Dystrophy (FES-DMD); age in years; functional classification using the Vignos Scale (VS), and TA using a timer. Statistical analyses were performed using the Spearman correlation test. RESULTS: There is a moderate relationship between the climbing up stairs domain of the FES-DMD and age (r=0.53, p=0.004) and strong relationships with VS (r=0.72, p=0.001) and TA for this task (r=0.83, p<0.001). There were weak relationships between the going down stairs domain of the FES-DMD-going down stairs with age (r=0.40, p=0.032), VS (r=0.65, p=0.002) and TA for this task (r=0.40, p=0.034). CONCLUSION: These findings indicate that the evaluation of compensatory movements used when climbing up stairs can provide more relevant information about the evolution of the disease, although the activity of going down stairs should be investigated, with the aim of enriching guidance and strengthening accident prevention. Data from the FES-DMD, age, VS and TA can be used in a complementary way to formulate functional diagnoses. Longitudinal studies and with broader age groups may supplement this information. Associação Brasileira de Pesquisa e Pós-Graduação em Fisioterapia 2014 /pmc/articles/PMC4311595/ /pubmed/25590443 http://dx.doi.org/10.1590/bjpt-rbf.2014.0063 Text en http://creativecommons.org/licenses/by/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License, which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Articles Fernandes, Lilian A. Y. Caromano, Fátima A. Assis, Silvana M. B. Hukuda, Michele E. Voos, Mariana C. Carvalho, Eduardo V. Relationship between the climbing up and climbing down stairs domain scores on the FES-DMD, the score on the Vignos Scale, age and timed performance of functional activities in boys with Duchenne muscular dystrophy |
title | Relationship between the climbing up and climbing down stairs domain
scores on the FES-DMD, the score on the Vignos Scale, age and timed performance of
functional activities in boys with Duchenne muscular dystrophy |
title_full | Relationship between the climbing up and climbing down stairs domain
scores on the FES-DMD, the score on the Vignos Scale, age and timed performance of
functional activities in boys with Duchenne muscular dystrophy |
title_fullStr | Relationship between the climbing up and climbing down stairs domain
scores on the FES-DMD, the score on the Vignos Scale, age and timed performance of
functional activities in boys with Duchenne muscular dystrophy |
title_full_unstemmed | Relationship between the climbing up and climbing down stairs domain
scores on the FES-DMD, the score on the Vignos Scale, age and timed performance of
functional activities in boys with Duchenne muscular dystrophy |
title_short | Relationship between the climbing up and climbing down stairs domain
scores on the FES-DMD, the score on the Vignos Scale, age and timed performance of
functional activities in boys with Duchenne muscular dystrophy |
title_sort | relationship between the climbing up and climbing down stairs domain
scores on the fes-dmd, the score on the vignos scale, age and timed performance of
functional activities in boys with duchenne muscular dystrophy |
topic | Original Articles |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4311595/ https://www.ncbi.nlm.nih.gov/pubmed/25590443 http://dx.doi.org/10.1590/bjpt-rbf.2014.0063 |
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