Artilheiro M C, Sá C S C, Fávero F M, Caromano F A, Voos M C
Departamento de Fonoaudiologia, Fisioterapia e Terapia Ocupacional, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brasil.
Departamento de Ciências do Movimento Humano, Universidade Federal de São Paulo, Santos, SP, Brasil.
Braz J Med Biol Res. 2017 Jul 24;50(8):e6031. doi: 10.1590/1414-431X20176031.
This study aimed to investigate possible asymmetries and relationships between performance of dominant and non-dominant upper limbs (UL) in patients with Duchenne and Becker muscular dystrophies (DMD/BMD), to compare UL performance of patients and healthy subjects and to investigate the relationship between timed performance of UL and age, motor function and muscle strength in DMD/BMD patients. Sixteen patients with DMD and 3 with BMD were evaluated with Jebsen-Taylor Test (timed performance), Vignos scale and Dimension 3 of Motor Function Measure (motor function), and Medical Research Council scale (muscle strength) on a single session. ANOVA showed no asymmetry between dominant and non-dominant UL, except in the writing subtest, in patients and in healthy controls. There were relationships between dominant and non-dominant UL performances. Correlations between timed performance, motor function and muscle strength were found, but age was not correlated with these variables. These findings may reduce the assessment time, prevent fatigue and provide more accurate clinical reasoning involving UL in DMD/BMD treatment.
本研究旨在调查杜兴氏和贝克氏肌营养不良症（DMD/BMD）患者优势上肢和非优势上肢（UL）功能之间可能存在的不对称性及关系，比较患者与健康受试者的上肢功能，并研究DMD/BMD患者上肢定时功能与年龄、运动功能及肌肉力量之间的关系。对16例DMD患者和3例BMD患者进行了一次杰布森 - 泰勒测试（定时功能）、维格诺斯量表和运动功能测量的第3维度（运动功能）以及医学研究委员会量表（肌肉力量）评估。方差分析显示，除书写子测试外，患者和健康对照的优势上肢与非优势上肢之间不存在不对称性。优势上肢和非优势上肢功能之间存在关系。发现定时功能、运动功能和肌肉力量之间存在相关性，但年龄与这些变量无关。这些发现可能会减少评估时间、防止疲劳，并为DMD/BMD治疗中涉及上肢的临床推理提供更准确的依据。
