Analysis of motor and respiratory function in Duchenne muscular dystrophy patients

•Duchenne muscular dystrophy patients presented motor and respiratory deterioration.•Non-ambulatory condition was associated with worse motor function measure and spirometry.•Deterioration of motor and respiratory function showed correlation between each other.•The assessments should be performed on...

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Veröffentlicht in:Respiratory physiology & neurobiology 2019-04, Vol.262, p.1-11
Hauptverfasser: Luiz, Lívia Cocato, Marson, Fernando Augusto Lima, Bresciani Almeida, Celize Cruz, Toro, Adyléia Aparecida Dalbo Contrera, Nucci, Anamarli, Ribeiro, José Dirceu
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container_title Respiratory physiology & neurobiology
container_volume 262
creator Luiz, Lívia Cocato
Marson, Fernando Augusto Lima
Bresciani Almeida, Celize Cruz
Toro, Adyléia Aparecida Dalbo Contrera
Nucci, Anamarli
Ribeiro, José Dirceu
description •Duchenne muscular dystrophy patients presented motor and respiratory deterioration.•Non-ambulatory condition was associated with worse motor function measure and spirometry.•Deterioration of motor and respiratory function showed correlation between each other.•The assessments should be performed on a routine basis. Duchenne muscular dystrophy(DMD) shows motor and respiratory impairment. 19 DMD patients (DMDG) (nine ambulatory and 10 non-ambulatory) were evaluated through motor function measure (MFM), 6-minute walk test (6MWT), respiratory muscle strength, cough peak flow, spirometry and volumetric capnography (VCap) tools. Control group that performed spirometry and VCap (CG1-n = 17) were different from those that performed the 6MWT (CG2-n = 8). The follow tools were assessed (p 
doi_str_mv 10.1016/j.resp.2019.01.009
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Duchenne muscular dystrophy(DMD) shows motor and respiratory impairment. 19 DMD patients (DMDG) (nine ambulatory and 10 non-ambulatory) were evaluated through motor function measure (MFM), 6-minute walk test (6MWT), respiratory muscle strength, cough peak flow, spirometry and volumetric capnography (VCap) tools. Control group that performed spirometry and VCap (CG1-n = 17) were different from those that performed the 6MWT (CG2-n = 8). The follow tools were assessed (p &lt; 0.05): (i) MFM: Ambulatory patients showed higher values than non-ambulatory patients; (ii) 6MWT: DMDG walked a shorter distance and showed higher respiratory rate at rest and heart rate (HR) at rest than CG2; (iii) Spirometry: DMDG and non-ambulatory patients had minor values achieved in spirometry when compared with CG1 and ambulatory patients, respectively; (iv) VCap: DMDG when compared with CG1 showed: (&lt;11 years-old) lower values in VCap parameters; (&gt;11 years-old): higher HR and lower slope 2. There was correlation between spirometry, mainly for zFEV1/FVC, and MFM. DMDG showed motor (MFM/6MWT) and respiratory (spirometry/VCap) deterioration when compared with CG. 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There was correlation between spirometry, mainly for zFEV1/FVC, and MFM. DMDG showed motor (MFM/6MWT) and respiratory (spirometry/VCap) deterioration when compared with CG. 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neurobiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Luiz, Lívia Cocato</au><au>Marson, Fernando Augusto Lima</au><au>Bresciani Almeida, Celize Cruz</au><au>Toro, Adyléia Aparecida Dalbo Contrera</au><au>Nucci, Anamarli</au><au>Ribeiro, José Dirceu</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Analysis of motor and respiratory function in Duchenne muscular dystrophy patients</atitle><jtitle>Respiratory physiology &amp; neurobiology</jtitle><addtitle>Respir Physiol Neurobiol</addtitle><date>2019-04</date><risdate>2019</risdate><volume>262</volume><spage>1</spage><epage>11</epage><pages>1-11</pages><issn>1569-9048</issn><eissn>1878-1519</eissn><abstract>•Duchenne muscular dystrophy patients presented motor and respiratory deterioration.•Non-ambulatory condition was associated with worse motor function measure and spirometry.•Deterioration of motor and respiratory function showed correlation between each other.•The assessments should be performed on a routine basis. Duchenne muscular dystrophy(DMD) shows motor and respiratory impairment. 19 DMD patients (DMDG) (nine ambulatory and 10 non-ambulatory) were evaluated through motor function measure (MFM), 6-minute walk test (6MWT), respiratory muscle strength, cough peak flow, spirometry and volumetric capnography (VCap) tools. Control group that performed spirometry and VCap (CG1-n = 17) were different from those that performed the 6MWT (CG2-n = 8). The follow tools were assessed (p &lt; 0.05): (i) MFM: Ambulatory patients showed higher values than non-ambulatory patients; (ii) 6MWT: DMDG walked a shorter distance and showed higher respiratory rate at rest and heart rate (HR) at rest than CG2; (iii) Spirometry: DMDG and non-ambulatory patients had minor values achieved in spirometry when compared with CG1 and ambulatory patients, respectively; (iv) VCap: DMDG when compared with CG1 showed: (&lt;11 years-old) lower values in VCap parameters; (&gt;11 years-old): higher HR and lower slope 2. There was correlation between spirometry, mainly for zFEV1/FVC, and MFM. DMDG showed motor (MFM/6MWT) and respiratory (spirometry/VCap) deterioration when compared with CG. Non-ambulatory condition was associated with worse MFM and spirometry.</abstract><cop>Netherlands</cop><pub>Elsevier B.V</pub><pmid>30660861</pmid><doi>10.1016/j.resp.2019.01.009</doi><tpages>11</tpages><orcidid>https://orcid.org/0000-0003-4955-4234</orcidid></addata></record>
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subjects Adolescent
Child
Cross-Sectional Studies
Disease Progression
Duchenne
Genetic disease
Heart Rate
Humans
Lung function
Male
Motor Activity
Motor Disorders - etiology
Motor Disorders - physiopathology
motor skills
Muscle Strength
Muscular dystrophy
Muscular Dystrophy, Duchenne - physiopathology
Respiration
Respiration Disorders - etiology
Respiration Disorders - physiopathology
Respiratory Muscles - physiopathology
Spirometry
Walking - physiology
title Analysis of motor and respiratory function in Duchenne muscular dystrophy patients
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