Brazilian consensus on Duchenne muscular dystrophy. Part 2: rehabilitation and systemic care

Araujo, Anna Carla; Nardes, Flávia; Fortes, Clarisse Pereira Dias Drumond; Pereira, Jaqueline Almeida; Rebel, Marcos Ferreira; Dias, Claudia Mazza; Barbosa, Rita de Cassia G. A.; Lopes, Mauro V. R.; Langer, Ana Lúcia; Neves, Flavio Reis; Reis, Edna Fátima

doi:10.1590/0004-282x20180062

Cited by 24 publications

(34 citation statements)

References 58 publications

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“…On the other hand, Almeida (1998) reported that the cutoff point for literate elderly is 23/24, consistent with normative guides from the original version of the test (Folstein et al, 1975). The MMSE has been recommended by the Brazillian DMD Consensus as a means of assessing cognitive performance among individuals with DMD (Araujo et al, 2018) DMD Staging (Vignos Scale). We used the DMD Vignos Scale (Vignos et al, 1963) to characterize the level of functionality of participants with muscular dystrophies.…”

Section: Assessment Measuresmentioning

confidence: 99%

Motor Compensation Strategies for Reduced Upper Limb Function Among Individuals With Duchenne Muscular Dystrophy

et al. 2021

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The purpose of this longitudinal study was to identify and verify the compensatory motor strategies for upper limb functioning of individuals with Duchenne Muscular Dystrophy (DMD). We evaluated 32 patients diagnosed with DMD (aged 6-19 years) for cognitive and motor functioning using the Mini Mental State Examination (MMSE), Vignos Scale Jebsen Taylor Test (JTT) and Functional Skill Scale (FSS) at baseline testing and over retest intervals of six and 12 months. We used the MMSE to screen participants for capacity to engage in the research, and we analyzed absolute and percentile changes in the frequency distribution of motor strategies participants used on each JTT subtest. We also used analysis of variance with repeated measures and Bonferroni post-hoc testing of multiple comparisons to identify disease progression through FSS scores. We observed an increased frequency of compensatory motor strategies over six months. We recommend the associated use of the JTT and FSS to assess patients with DMD, since we observed worsened movement quality over a time interval of six months even while essential motor competence was maintained.

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Section: Assessment Measuresmentioning

confidence: 99%

Motor Compensation Strategies for Reduced Upper Limb Function Among Individuals With Duchenne Muscular Dystrophy

et al. 2021

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“…For the same reason, authors support the use of antibiotics in the presence of early pulmonary infection signs, like fever, hypoxemia, leukocytosis, high C-reactive protein levels, expectoration, or infiltrations on chest X-ray 16 . Brazilian consensus on Duchenne muscular dystrophy (2018) also emphasizes the need for an immunization regimen that includes 3 doses of Pneumococcal Conjugate Vaccine (Pn10 or Pn13), 1 dose of Pneumococcal Polysaccharide Vaccine (Pn23) and annual doses of Anti-Influenza Vaccine in children with DMD, particularly those using corticosteroids 17 .…”

Section: Discussionmentioning

confidence: 99%

Duchenne Muscular Dystrophy: a look at ventilatory disorders

Chara

Veras

Covaleski

et al. 2020

Preprint

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Duchenne Muscular Dystrophy is an X-linked inherited disorder and the most common fatal degenerative muscle disease in pediatric patients. Its first symptoms usually manifest at an early age, with weakness, psychomotor developmental delay, evolving to cardiac and ventilatory muscle impairment. The involvement of the pulmonary musculature is demonstrated by the frequent episodes of obstruction and aspirations, sleep-disordered breathing, and by the development of a chronic restrictive breathing pattern. Failure of respiratory mechanics is a major cause of mortality in Duchenne Muscular Dystrophy, and the beginning of lung function deterioration is not always accompanied by symptoms, which reinforces the need for serial evaluations for early initiation of a ventilatory support. The present article is thought to provide a synthesized overview of the assessment and management of Duchenne Muscular Dystrophy ventilatory disturbances.

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“…The cognitive aspect was assessed by applying the MMSE, which has been validated for the Brazilian population, 17 and was recommended by the Brazilian DMD Consensus to assess cognitive performance. 18 In our study, we set a minimum score of 10 points, this is the minimum grade for DMD patients to understand simple verbal commands. 16 The MMSE is a test designed to assess specific cognitive functions (temporal orientation, spatial orientation, memory, attention and calculation, three-word recall, language, and constructive visual capacity).…”

Section: Methodsmentioning

confidence: 99%

Responsiveness of Upper Limb Scales and Trunk Control for the Evolution of Patients With Duchenne Muscular Dystrophy

Maciel

Santos

Sá

2021

Rev. paul. pediatr.

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Objective: To verify the interval of responsiveness to the scales Segmental Assessment of Trunk Control (SATCo-BR), Performance of Upper Limbs (PUL), and Jebsen Taylor Test (JTT) in patients with Duchenne Muscular Dystrophy (DMD). Methods: We assessed patients with DMD aged 6 to 19 years old and with mini-mental (MMSE) score above 10 points. The assessments were performed individually, in a single session. The upper limb function was performed by PUL and JTT, and trunk control by SATCo-BR. Assessments were repeated six and 12 months after the initial assessment. The repeated-measures analysis of variance model and Bonferroni’s multiple comparison method were employed as post hoc analysis; when the ANOVA assumptions were not met, the Friedman test was applied. Results: The sample consisted of 28 patients evaluated in three moments (initial, and six and 12 months after the beginning). There was a time effect for the Upper Limb function performance in the total JTT, and for the subtests, except for subtests 1 and 6, which did not show a difference between the different moments. There was also a time effect for the score of total PUL, proximal PUL, intermediate PUL, and distal PUL. In the SATCo-BR, this effect was observed between the initial and 6 months, and between the initial and 12 months. Conclusions: The JTT, PUL, and SATCo-BR scales can detect changes over time, and they showed responsiveness to detect the evolution of the disease in the 6-month interval.

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Brazilian consensus on Duchenne muscular dystrophy. Part 2: rehabilitation and systemic care

Cited by 24 publications

References 58 publications

Motor Compensation Strategies for Reduced Upper Limb Function Among Individuals With Duchenne Muscular Dystrophy

Motor Compensation Strategies for Reduced Upper Limb Function Among Individuals With Duchenne Muscular Dystrophy

Duchenne Muscular Dystrophy: a look at ventilatory disorders

Responsiveness of Upper Limb Scales and Trunk Control for the Evolution of Patients With Duchenne Muscular Dystrophy

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