Predictors of Disrupted Social Participation in Myotonic Dystrophy Type 1

Abstract Gagnon C, Mathieu J, Jean S, Laberge L, Perron M, Veillette S, Richer L, Noreau L. Predictors of disrupted social participation in myotonic dystrophy type 1. Objective To identify personal and environmental predictors of the most disrupted participation domains in people with myotonic dystr...

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Veröffentlicht in:Archives of physical medicine and rehabilitation 2008-07, Vol.89 (7), p.1246-1255
Hauptverfasser: Gagnon, Cynthia, PhD, OT, Mathieu, Jean, MD, MSc, FRCP(C), Jean, Stéphane, PhD, MA, Laberge, Luc, PhD, Perron, Michel, PhD, Veillette, Suzanne, PhD, Richer, Louis, PhD, Noreau, Luc, PhD
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container_issue 7
container_start_page 1246
container_title Archives of physical medicine and rehabilitation
container_volume 89
creator Gagnon, Cynthia, PhD, OT
Mathieu, Jean, MD, MSc, FRCP(C)
Jean, Stéphane, PhD, MA
Laberge, Luc, PhD
Perron, Michel, PhD
Veillette, Suzanne, PhD
Richer, Louis, PhD
Noreau, Luc, PhD
description Abstract Gagnon C, Mathieu J, Jean S, Laberge L, Perron M, Veillette S, Richer L, Noreau L. Predictors of disrupted social participation in myotonic dystrophy type 1. Objective To identify personal and environmental predictors of the most disrupted participation domains in people with myotonic dystrophy type 1 (DM1). Design Cross-sectional study. Setting Outpatient neuromuscular clinic. Participants Adults (n=200; 121 women), age 18 years or older (mean age, 47y), with a confirmed diagnosis of DM1 were selected from the registry of a neuromuscular clinic (N=416). Fifty-two participants had the mild phenotype and 148 the adult phenotype. Interventions Not applicable. Main Outcome Measures Social participation in mobility, housing, employment, and recreation was assessed with the Life Habits Measure. Disrupted participation was based on whether help was needed in performing most life habits because of incapacities or environmental barriers. Environmental factors were assessed by using the Measure of the Quality of the Environment. Personal factors were assessed with standardized instruments including the Berg Balance Scale, the Krupp Fatigue Severity Scale, and manual muscle testing. Results A large proportion of participants (45%–61%) reported disrupted participation in all 4 domains. Lower-extremity strength (odd ratios [OR], 15.0–5.5; P
doi_str_mv 10.1016/j.apmr.2007.10.049
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Predictors of disrupted social participation in myotonic dystrophy type 1. Objective To identify personal and environmental predictors of the most disrupted participation domains in people with myotonic dystrophy type 1 (DM1). Design Cross-sectional study. Setting Outpatient neuromuscular clinic. Participants Adults (n=200; 121 women), age 18 years or older (mean age, 47y), with a confirmed diagnosis of DM1 were selected from the registry of a neuromuscular clinic (N=416). Fifty-two participants had the mild phenotype and 148 the adult phenotype. Interventions Not applicable. Main Outcome Measures Social participation in mobility, housing, employment, and recreation was assessed with the Life Habits Measure. Disrupted participation was based on whether help was needed in performing most life habits because of incapacities or environmental barriers. Environmental factors were assessed by using the Measure of the Quality of the Environment. Personal factors were assessed with standardized instruments including the Berg Balance Scale, the Krupp Fatigue Severity Scale, and manual muscle testing. Results A large proportion of participants (45%–61%) reported disrupted participation in all 4 domains. Lower-extremity strength (odd ratios [OR], 15.0–5.5; P &lt;.050) and higher fatigue (OR, 6.0–2.6; P &lt;.05) were present in participants with disrupted participation. With regard to environmental factors, family support (OR, 3.6–2.5; P &lt;.05) and public services (OR, 2.8–2.2; P &lt;.05) were perceived as barriers for participants with disrupted participation in most domains. Conclusions This study identified personal and environmental factors that may influence the trajectory toward disrupted participation in individuals with DM1. Fatigue, strength, family support, and public services were found to be independent predictors of disrupted participation.</description><identifier>ISSN: 0003-9993</identifier><identifier>EISSN: 1532-821X</identifier><identifier>DOI: 10.1016/j.apmr.2007.10.049</identifier><identifier>PMID: 18586127</identifier><identifier>CODEN: APMHAI</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Activities of Daily Living ; Adult ; Biological and medical sciences ; Cross-Sectional Studies ; Diseases of striated muscles. Neuromuscular diseases ; Diseases of the osteoarticular system ; Employment ; Environment ; Female ; Health Status Indicators ; Housing ; Humans ; Interpersonal Relations ; Life Style ; Male ; Medical sciences ; Middle Aged ; Miscellaneous ; Myotonic Dystrophy - rehabilitation ; Neurology ; Personal Satisfaction ; Physical Medicine and Rehabilitation ; Quality of Life ; Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. 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Predictors of disrupted social participation in myotonic dystrophy type 1. Objective To identify personal and environmental predictors of the most disrupted participation domains in people with myotonic dystrophy type 1 (DM1). Design Cross-sectional study. Setting Outpatient neuromuscular clinic. Participants Adults (n=200; 121 women), age 18 years or older (mean age, 47y), with a confirmed diagnosis of DM1 were selected from the registry of a neuromuscular clinic (N=416). Fifty-two participants had the mild phenotype and 148 the adult phenotype. Interventions Not applicable. Main Outcome Measures Social participation in mobility, housing, employment, and recreation was assessed with the Life Habits Measure. Disrupted participation was based on whether help was needed in performing most life habits because of incapacities or environmental barriers. Environmental factors were assessed by using the Measure of the Quality of the Environment. Personal factors were assessed with standardized instruments including the Berg Balance Scale, the Krupp Fatigue Severity Scale, and manual muscle testing. Results A large proportion of participants (45%–61%) reported disrupted participation in all 4 domains. Lower-extremity strength (odd ratios [OR], 15.0–5.5; P &lt;.050) and higher fatigue (OR, 6.0–2.6; P &lt;.05) were present in participants with disrupted participation. With regard to environmental factors, family support (OR, 3.6–2.5; P &lt;.05) and public services (OR, 2.8–2.2; P &lt;.05) were perceived as barriers for participants with disrupted participation in most domains. Conclusions This study identified personal and environmental factors that may influence the trajectory toward disrupted participation in individuals with DM1. Fatigue, strength, family support, and public services were found to be independent predictors of disrupted participation.</description><subject>Activities of Daily Living</subject><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Cross-Sectional Studies</subject><subject>Diseases of striated muscles. Neuromuscular diseases</subject><subject>Diseases of the osteoarticular system</subject><subject>Employment</subject><subject>Environment</subject><subject>Female</subject><subject>Health Status Indicators</subject><subject>Housing</subject><subject>Humans</subject><subject>Interpersonal Relations</subject><subject>Life Style</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Miscellaneous</subject><subject>Myotonic Dystrophy - rehabilitation</subject><subject>Neurology</subject><subject>Personal Satisfaction</subject><subject>Physical Medicine and Rehabilitation</subject><subject>Quality of Life</subject><subject>Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)</subject><subject>Rehabilitation</subject><subject>Social Environment</subject><subject>Social Support</subject><issn>0003-9993</issn><issn>1532-821X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kU1r3DAQhkVpabZJ_0APxZf25s2MbHllKIWS9COQkkBSyE3MymOqrddyJLvgf1-ZXVroIadBw_POiGeEeIOwRsDqfLemYR_WEmCTGmso62dihaqQuZb48FysAKDI67ouTsSrGHfpWakCX4oT1EpXKDcrcXUbuHF29CFmvs0uXQzTMHKT3XnrqMtuKYzOuoFG5_vM9dn32Y--dza7nOMY_PBzzu7ngTM8Ey9a6iK_PtZT8ePL5_uLb_n1zderi0_XuVWgxhxJlSVxJaFFSdxSDc0GCltVDRVbXW6sZKVVjW271VIRlai2pdYMra2R6uJUvD_MHYJ_nDiOZu-i5a6jnv0UTVXLqkLUCZQH0AYfY-DWDMHtKcwGwSwCzc4sAs0icOklgSn09jh92u65-Rc5GkvAuyNA0VLXBuqti385CQrScpW4DweOk4vfjoOJ1nFvk-3AdjSNd0__4-N_cdu5pJ26Xzxz3Pkp9MmyQROlAXO3nHq5NGgAicVD8QcThqNx</recordid><startdate>20080701</startdate><enddate>20080701</enddate><creator>Gagnon, Cynthia, PhD, OT</creator><creator>Mathieu, Jean, MD, MSc, FRCP(C)</creator><creator>Jean, Stéphane, PhD, MA</creator><creator>Laberge, Luc, PhD</creator><creator>Perron, Michel, PhD</creator><creator>Veillette, Suzanne, PhD</creator><creator>Richer, Louis, PhD</creator><creator>Noreau, Luc, PhD</creator><general>Elsevier Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20080701</creationdate><title>Predictors of Disrupted Social Participation in Myotonic Dystrophy Type 1</title><author>Gagnon, Cynthia, PhD, OT ; Mathieu, Jean, MD, MSc, FRCP(C) ; Jean, Stéphane, PhD, MA ; Laberge, Luc, PhD ; Perron, Michel, PhD ; Veillette, Suzanne, PhD ; Richer, Louis, PhD ; Noreau, Luc, PhD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c505t-1a544ae620f12aefa90d703c66da3b847c2e58591ffb825aa415b488e0fc91a93</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2008</creationdate><topic>Activities of Daily Living</topic><topic>Adult</topic><topic>Biological and medical sciences</topic><topic>Cross-Sectional Studies</topic><topic>Diseases of striated muscles. Neuromuscular diseases</topic><topic>Diseases of the osteoarticular system</topic><topic>Employment</topic><topic>Environment</topic><topic>Female</topic><topic>Health Status Indicators</topic><topic>Housing</topic><topic>Humans</topic><topic>Interpersonal Relations</topic><topic>Life Style</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Miscellaneous</topic><topic>Myotonic Dystrophy - rehabilitation</topic><topic>Neurology</topic><topic>Personal Satisfaction</topic><topic>Physical Medicine and Rehabilitation</topic><topic>Quality of Life</topic><topic>Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)</topic><topic>Rehabilitation</topic><topic>Social Environment</topic><topic>Social Support</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Gagnon, Cynthia, PhD, OT</creatorcontrib><creatorcontrib>Mathieu, Jean, MD, MSc, FRCP(C)</creatorcontrib><creatorcontrib>Jean, Stéphane, PhD, MA</creatorcontrib><creatorcontrib>Laberge, Luc, PhD</creatorcontrib><creatorcontrib>Perron, Michel, PhD</creatorcontrib><creatorcontrib>Veillette, Suzanne, PhD</creatorcontrib><creatorcontrib>Richer, Louis, PhD</creatorcontrib><creatorcontrib>Noreau, Luc, PhD</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Archives of physical medicine and rehabilitation</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Gagnon, Cynthia, PhD, OT</au><au>Mathieu, Jean, MD, MSc, FRCP(C)</au><au>Jean, Stéphane, PhD, MA</au><au>Laberge, Luc, PhD</au><au>Perron, Michel, PhD</au><au>Veillette, Suzanne, PhD</au><au>Richer, Louis, PhD</au><au>Noreau, Luc, PhD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Predictors of Disrupted Social Participation in Myotonic Dystrophy Type 1</atitle><jtitle>Archives of physical medicine and rehabilitation</jtitle><addtitle>Arch Phys Med Rehabil</addtitle><date>2008-07-01</date><risdate>2008</risdate><volume>89</volume><issue>7</issue><spage>1246</spage><epage>1255</epage><pages>1246-1255</pages><issn>0003-9993</issn><eissn>1532-821X</eissn><coden>APMHAI</coden><abstract>Abstract Gagnon C, Mathieu J, Jean S, Laberge L, Perron M, Veillette S, Richer L, Noreau L. Predictors of disrupted social participation in myotonic dystrophy type 1. Objective To identify personal and environmental predictors of the most disrupted participation domains in people with myotonic dystrophy type 1 (DM1). Design Cross-sectional study. Setting Outpatient neuromuscular clinic. Participants Adults (n=200; 121 women), age 18 years or older (mean age, 47y), with a confirmed diagnosis of DM1 were selected from the registry of a neuromuscular clinic (N=416). Fifty-two participants had the mild phenotype and 148 the adult phenotype. Interventions Not applicable. Main Outcome Measures Social participation in mobility, housing, employment, and recreation was assessed with the Life Habits Measure. Disrupted participation was based on whether help was needed in performing most life habits because of incapacities or environmental barriers. Environmental factors were assessed by using the Measure of the Quality of the Environment. Personal factors were assessed with standardized instruments including the Berg Balance Scale, the Krupp Fatigue Severity Scale, and manual muscle testing. Results A large proportion of participants (45%–61%) reported disrupted participation in all 4 domains. Lower-extremity strength (odd ratios [OR], 15.0–5.5; P &lt;.050) and higher fatigue (OR, 6.0–2.6; P &lt;.05) were present in participants with disrupted participation. With regard to environmental factors, family support (OR, 3.6–2.5; P &lt;.05) and public services (OR, 2.8–2.2; P &lt;.05) were perceived as barriers for participants with disrupted participation in most domains. Conclusions This study identified personal and environmental factors that may influence the trajectory toward disrupted participation in individuals with DM1. Fatigue, strength, family support, and public services were found to be independent predictors of disrupted participation.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>18586127</pmid><doi>10.1016/j.apmr.2007.10.049</doi><tpages>10</tpages></addata></record>
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subjects Activities of Daily Living
Adult
Biological and medical sciences
Cross-Sectional Studies
Diseases of striated muscles. Neuromuscular diseases
Diseases of the osteoarticular system
Employment
Environment
Female
Health Status Indicators
Housing
Humans
Interpersonal Relations
Life Style
Male
Medical sciences
Middle Aged
Miscellaneous
Myotonic Dystrophy - rehabilitation
Neurology
Personal Satisfaction
Physical Medicine and Rehabilitation
Quality of Life
Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)
Rehabilitation
Social Environment
Social Support
title Predictors of Disrupted Social Participation in Myotonic Dystrophy Type 1
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