How often should sitting and rising from a chair be evaluated in patients with Duchenne muscular dystrophy?
| Autor: | Renata Escorcio, Silvana Maria Blascovi-Assis, Fátima Aparecida Caromano, Eduardo Vital de Carvalho, Mariana Callil Voos, Michele Emy Hukuda |
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| Rok vydání: | 2017 |
| Předmět: |
Male
musculoskeletal diseases 030506 rehabilitation medicine.medical_specialty task performance and analysis Duchenne muscular dystrophy Movement Posture Neuropsychological Tests outcome assessment (health care physical examination Sitting exame físico lcsh:RC321-571 03 medical and health sciences 0302 clinical medicine medicine AVALIAÇÃO DE RESULTADOS (CUIDADOS DE SAÚDE) Humans atividade motora In patient Longitudinal Studies Child Physical Examination lcsh:Neurosciences. Biological psychiatry. Neuropsychiatry muscular dystrophy Duchenne Physical Therapy Modalities Functional evaluation motor activity business.industry distrofia muscular de Duchenne análise e desempenho de tarefas medicine.disease Muscular Dystrophy Duchenne Neurology Child Preschool Physical therapy Female Neurology (clinical) 0305 other medical science business human activities avaliação de resultados (cuidados de saúde 030217 neurology & neurosurgery |
| Zdroj: | Repositório Institucional da USP (Biblioteca Digital da Produção Intelectual) Universidade de São Paulo (USP) instacron:USP Arquivos de Neuro-Psiquiatria, Vol 75, Iss 9, Pp 625-630 Arquivos de Neuro-Psiquiatria v.75 n.9 2017 Arquivos de neuro-psiquiatria Academia Brasileira de Neurologia instacron:ABNEURO |
| Popis: | Objective To determine how often sitting/rising from a chair should be assessed in Duchenne muscular dystrophy (DMD) patients to avoid redundant/missing data. Methods Sitting/rising from a chair was evaluated in 26 DMD children (5-12 yrs), in three-month intervals, over twelve months, with the Functional Evaluation Scale (domain sitting/rising from a chair). Scores were compared by effect sizes (ES) and standardized response means (SRM) (responsiveness analysis). Results Sit-to-stand showed low-to-moderate responsiveness in three-month intervals (ES:0.23-0.32; SRM:0.36-0.68), moderate-to-high responsiveness in six-month intervals (ES:0.52-0.65; SRM:0.76-1.28), high responsiveness at nine-month (ES:0.84-0.91; SRM:1.26-1.64) and twelve-month intervals (ES:1.27; SRM:1.48). Stand-to-sit showed low responsiveness in three-month intervals (ES:0.26-0.49; SRM:0.37-0.42), moderate responsiveness in six-month intervals (ES:0.50-0.78; SRM:0.56-0.71), high responsiveness in nine-month (ES:0.94-1.00; SRM:0.84-1.02) and twelve-month intervals (ES:1.13; SRM:1.52). Conclusion Six months or longer intervals for reassessment are indicated to evaluate sitting/standing from a chair in DMD patients. |
| Databáze: | OpenAIRE |
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