Continuous monitoring and quantification of multiple parameters of daily physical activity in ambulatory Duchenne muscular dystrophy patients

Jeannet, P.Y.; Aminian, Kamiar; Bloetzer, Clemens; Najafi, Bijan; Paraschiv-Ionescu, Anisoara

doi:10.1016/j.ejpn.2010.07.002

Cited by 55 publications

(56 citation statements)

References 19 publications

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“…The resting percentage found in our study was comparable to the resting percentage in ambulatory normally weighted children with Down's-, William's-and Prader-Willi syndrome (Nordstrom et al 2013) and patients with CP, when both patient groups were stratified based on their walking abilities (Gorter et al 2012). Five young ambulatory boys (4-6 years) with Duchenne Muscular Dystrophy (DMD) (Jeannet et al 2011), who were significantly younger than our study subjects, spent much less time resting, but had comparable levels of dynamic activity when compared to our ambulatory patients. In contrast to most previous studies, we also included nonambulatory patients in our study.…”

Section: Discussionsupporting

confidence: 70%

“…Daily physical activity in a home situation can be measured by using 3D accelerometry (Bjornson 2005;McDonald et al 2005;Capio et al 2010;Clanchy et al 2011a, b;Jeannet et al 2011;Koene et al 2013a). Many commercially available activity monitors that are based on accelerometry measure only general domains of movement, such as the total amount of body activity, step count and position.…”

Section: Introductionmentioning

confidence: 99%

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Domains of Daily Physical Activity in Children with Mitochondrial Disease: A 3D Accelerometry Approach

et al. 2017

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Section: Discussionsupporting

confidence: 70%

Section: Introductionmentioning

confidence: 99%

Domains of Daily Physical Activity in Children with Mitochondrial Disease: A 3D Accelerometry Approach

et al. 2017

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“…Studies on scales for patients with neuromuscular di seases emphasize muscle strength, but postulate that there is no direct relationship between strength and functional per formance 10,17,19,20 . However, Doglio et al reported that some motor strategies may be adopted to compensate for muscle weakness and postpone wheelchair dependency 21 .…”

Section: Discussionmentioning

confidence: 99%

Compensatory movements during functional activities in ambulatory children with Duchenne muscular dystrophy

Martini

Voos

Hukuda

et al. 2014

Arq. Neuro-Psiquiatr.

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Objective: During the transitional phase (ambulatory to non-ambulatory), synergies characterize the evolution of Duchenne muscular dystrophy (DMD). This study was performed to describe and quantify compensatory movements while sitting down on/rising from the floor and climbing up/down steps. Method: Eighty videos (5 children × 4 assessments × 4 tasks) were recorded quarterly in the year prior to gait loss. Compensatory movements from the videos were registered based on the Functional Evaluation Scale for DMD. Results: The most frequently observed compensatory movements were upper limb support on lower limbs/floor/handrail during all the tasks and lumbar hyperlordosis, trunk support on handrail, equinus foot, increased base of support, non-alternated descent, and pauses while climbing up/down steps. Conclusion: Climbing up/down steps showed a higher number of compensatory movements than sitting down on/rising from the floor, which seemed to be lost before climbing up/down steps in ambulatory children with DMD.Keywords: Duchenne muscular dystrophy, evaluation, scales. RESUMOObjetivo: Durante a fase de transição (deambulador -não-deambulador), sinergias musculares caracterizam a evolução da distrofia muscular de Duchenne (DMD). Este estudo visou descrever e quantificar os movimentos compensatórios durante o sentar/levantar do solo, subir/descer degraus. Oitenta vídeos (5 crianças × 4 avaliações × 4 tarefas) foram gravados trimestralmente durante o ano que antecedeu a perda da marcha. Método: Os movimentos compensatórios dos vídeos foram registrados utilizando a Escala de Avaliação Funcional para DMD. Resultados: Os movimentos compensatórios mais frequentemente observados foram apoio de membros superiores nos membros inferiores/solo/corrimão durante todas as tarefas funcionais e hiperlordose lombar, apoio de tronco no corrimão, pés equinos, aumento da base de suporte, descida não alternada e pausas ao subir/descer degraus. Subir/descer degraus apresentou um número maior de movimentos compensatórios do que sentar/levantar do solo. Conclusão: Sentar/levantar do solo foram habilidades perdidas antes de subir/descer degraus em crianças com DMD.Palavras-chave: distrofia muscular de Duchenne, avaliação, escalas.

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“…Simple accelerometry is useful for activity monitoring in stroke survivors [12] . Combining accelerometers and gyroscopes can classify activities at least into broad categories of standing, sitting, lying, and walking [23,58] . Gait and balance can be monitored using accelerometry sensors on the pelvis [63] or inertial sensors and force sensors in the shoes [34,35] .…”

Section: Promising Technical Developments Sensors and Monitoringmentioning

confidence: 99%

How to gain evidence in neurorehabilitation: a personal view

Luft

2012

Biomedizinische Technik/Biomedical Engineering

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Abstract:Neurorehabilitation is an emerging field driven by developments in neuroscience and biomedical engineering. Most patients that require neurorehabilitation have had a stroke, but other diseases of the brain, spinal cord, or nerves can also be alleviated. Modern therapies in neurorehabilitation focus on reducing impairment and improving function in daily life. As compared with acute care medicine, the clinical evidence for most neurorehabilitative treatments (modern or conventional) is sparse. Clinical trials support constraint-induced movement therapy for the arm and aerobic treadmill training for walking, both high-intensity interventions requiring therapist time (i.e., cost) and patient motivation. Promising approaches for the future include robotic training, telerehabilitation at the patient ' s home, and supportive therapies that promote motivation and compliance. It is argued that a better understanding of the neuroscience of recovery together with results from small-scale and well-focused clinical experiments are necessary to design optimal interventions for specific target groups of patients.

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Continuous monitoring and quantification of multiple parameters of daily physical activity in ambulatory Duchenne muscular dystrophy patients

Cited by 55 publications

References 19 publications

Domains of Daily Physical Activity in Children with Mitochondrial Disease: A 3D Accelerometry Approach

Domains of Daily Physical Activity in Children with Mitochondrial Disease: A 3D Accelerometry Approach

Compensatory movements during functional activities in ambulatory children with Duchenne muscular dystrophy

How to gain evidence in neurorehabilitation: a personal view

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