A randomized comparative study of two methods for controlling Tendo Achilles contracture in Duchenne muscular dystrophy
| Autor: | Birgit F. Steffensen, Anna-Karin Kroksmark, Ida Fløytrup, Sylvia A. Hyde, Betty Salling, Sara Glent, Mogens Erlandsen, Ulla Werlauff |
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| Rok vydání: | 2000 |
| Předmět: |
Male
medicine.medical_specialty Contracture Duchenne muscular dystrophy Passive stretching Achilles Tendon medicine Humans Prospective Studies Muscular dystrophy Range of Motion Articular Prospective cohort study Child Genetics (clinical) Muscle contracture business.industry medicine.disease Surgery Muscular Dystrophy Duchenne Splints Treatment Outcome Neurology Child Preschool Pediatrics Perinatology and Child Health Disease Progression Neurology (clinical) medicine.symptom Range of motion business |
| Zdroj: | Neuromuscular disorders : NMD. 10(4-5) |
| ISSN: | 0960-8966 |
| Popis: | A 30-month prospective randomized study of 27 Scandinavian boys with confirmed diagnosis of Duchenne muscular dystrophy was done to compare the effect of passive stretching combined with the use of night splints (group A) or passive stretching (group B) on the evolution of Tendo Achilles contractures. Assessments were based on the methodology of Scott et al. (Muscle Nerve 1982;5:291-301)Analysis of the pattern and mechanism of dropout was done to eliminate bias between the two groups. Logistic regression showed that Tendo Achilles contracture was the most important variable (P=0.0020) for dropout. Methods of statistical analysis for longitudinal data avoiding induced serial correlations were used in the analysis. The expected annual change in Tendo Achilles contracture was found to be 23% less in group A than in group B after equalization for total muscle strength (%MRC). |
| Databáze: | OpenAIRE |
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