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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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 <.050) and higher fatigue (OR, 6.0–2.6; P <.05) were present in participants with disrupted participation. With regard to environmental factors, family support (OR, 3.6–2.5; P <.05) and public services (OR, 2.8–2.2; P <.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. Diet therapy and various other treatments (general aspects) ; Rehabilitation ; Social Environment ; Social Support</subject><ispartof>Archives of physical medicine and rehabilitation, 2008-07, Vol.89 (7), p.1246-1255</ispartof><rights>American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation</rights><rights>2008 American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation</rights><rights>2008 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c505t-1a544ae620f12aefa90d703c66da3b847c2e58591ffb825aa415b488e0fc91a93</citedby><cites>FETCH-LOGICAL-c505t-1a544ae620f12aefa90d703c66da3b847c2e58591ffb825aa415b488e0fc91a93</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.apmr.2007.10.049$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3536,27903,27904,45974</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=20501185$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18586127$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><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><title>Predictors of Disrupted Social Participation in Myotonic Dystrophy Type 1</title><title>Archives of physical medicine and rehabilitation</title><addtitle>Arch Phys Med Rehabil</addtitle><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 <.050) and higher fatigue (OR, 6.0–2.6; P <.05) were present in participants with disrupted participation. With regard to environmental factors, family support (OR, 3.6–2.5; P <.05) and public services (OR, 2.8–2.2; P <.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 <.050) and higher fatigue (OR, 6.0–2.6; P <.05) were present in participants with disrupted participation. With regard to environmental factors, family support (OR, 3.6–2.5; P <.05) and public services (OR, 2.8–2.2; P <.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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