Development of Duchenne Video Assessment scorecards to evaluate ease of movement among those with Duchenne muscular dystrophy.

Autor: Contesse MG; Casimir, Kingston, Massachusetts, United States of America., Lowes LP; Nationwide Children's Hospital, Columbus, Ohio, United States of America., White MK; Quality Metric, Johnston, Rhode Island, United States of America., Dalle Pazze L; Charley's Fund, New York, New York, United States of America., McSherry C; Casimir, Kingston, Massachusetts, United States of America., Alfano LN; Nationwide Children's Hospital, Columbus, Ohio, United States of America., Iammarino M; Nationwide Children's Hospital, Columbus, Ohio, United States of America., Reash N; Casimir, Kingston, Massachusetts, United States of America., Bonarrigo K; Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, United States of America., Kiefer M; MGH Institute of Health Professions, Boston, Massachusetts, United States of America., Laubscher K; University of Iowa Hospitals & Clinics, Iowa City, Iowa, United States of America., McIntyre M; University of Utah, Salt Lake City, Utah, United States of America., Mockler S; University of Iowa Hospitals & Clinics, Iowa City, Iowa, United States of America., Nelson L; University of Texas Southwestern Medical Center, Dallas, Texas, United States of America., Vogel L; Seattle Children's Hospital, Seattle, Washington, United States of America., Leffler MG; Casimir, Kingston, Massachusetts, United States of America.
Jazyk: angličtina
Zdroj: PloS one [PLoS One] 2022 Apr 13; Vol. 17 (4), pp. e0266845. Date of Electronic Publication: 2022 Apr 13 (Print Publication: 2022).
DOI: 10.1371/journal.pone.0266845
Abstrakt: Background: Patients with Duchenne muscular dystrophy (DMD) adopt compensatory movement patterns as muscles weaken. The Duchenne Video Assessment (DVA) measures patient ease of movement through identification of compensatory movement patterns. The DVA directs caregivers to video record patients performing specific movement tasks at home using a secure mobile application, and DVA-certified physical therapists (PTs) score the videos using scorecards with prespecified compensatory movement criteria. The goal of this study was to develop and refine the DVA scorecards.
Methods: To develop the initial scorecards, 4 PTs collaboratively created compensatory movement lists for each task, and researchers structured the lists into scorecards. A 2-round modified Delphi process was used to gather expert opinion on the understandability, comprehensiveness, and clinical meaningfulness of the compensatory movements on the scorecards. Eight PTs who had evaluated ≥50 patients with DMD and participated in ≥10 DMD clinical trials were recruited for the panel. In Round 1, panelists evaluated compensatory movement criteria understandability via questionnaire and tested the scorecards. In Round 2, panelists participated in an in-person meeting to discuss areas of disagreement from Round 1 and reach consensus (≥75% agreement) on all revisions to the scorecards.
Results: During the Round 1 revisions to the scorecards, there were 67 changes (44%) to the wording of 153 original compensatory movement criteria and 3 criteria were removed. During the Round 2 revisions to the scorecards, there were 47 changes (31%) to the wording of 150 compensatory movement criteria, 20 criteria were added, and 30 criteria were removed. The panel reached 100% agreement on all changes made to scorecards during Round 2.
Conclusion: PTs with extensive experience evaluating patients with DMD confirmed that the compensatory movement criteria included in the DVA scorecards were understandable, comprehensive, and clinically meaningful.
Competing Interests: I have read the journal’s policy and the authors of the manuscript have the following competing interests: Marielle Contesse, Christine McSherry, and Mindy Leffler are all employed by Casimir LLC. Additionally, Christine McSherry and Mindy Leffler are 50/50 owners of Casimir LLC. Casimir LLC developed the Duchenne Video Assessment and uses it commercially. Their employment at Casimir did not interfere with the full and objective presentation of the research.
Databáze: MEDLINE
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