Motor milestone assessment of infants with spinal muscular atrophy using the hammersmith infant neurological Exam-Part 2: Experience from a nusinersen clinical study.

Autor:	Bishop, Kathie M., Montes, Jacqueline, Finkel, Richard S.
Předmět:	NUCLEOTIDES CLINICAL trials COMPARATIVE studies DEVELOPMENTAL disabilities RESEARCH methodology MEDICAL cooperation MUSCULAR atrophy NEUROLOGIC examination RESEARCH RESEARCH evaluation WEIGHTS & measures EVALUATION research BODY movement RESEARCH bias DISEASE progression THERAPEUTICS
Zdroj:	Muscle & Nerve; Jan2018, Vol. 57 Issue 1, p142-146, 4p
Abstrakt:	Introduction: In this study we examined the feasibility of assessing motor milestone performance of infants with spinal muscular atrophy (SMA) using the Hammersmith Infant Neurological Exam-Part 2 (HINE-2) in a phase 2 study of nusinersen.Methods: Nineteen SMA infants were assessed using the HINE-2 at baseline (≤7 months of age), and periodically up to 39 months of age. We evaluated whether the HINE-2 was feasible, reliable, and sensitive to change.Results: Motor milestone assessments in SMA infants were feasible using the HINE-2. Baseline test-retest reliability was excellent (R = 0.987; P < 0.0001). SMA infants were extremely low functioning at baseline and the HINE-2 was able to detect changes over time in 16 of 19 infants within all 8 domains. HINE-2 improvements were correlated with changes in other neuromuscular outcome measures.Conclusion: Results support the use of the HINE-2 motor milestone assessment in clinical trials of SMA infants. Muscle Nerve 57: 143-146, 2017. [ABSTRACT FROM AUTHOR]
Databáze:	Complementary Index
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