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GNE肌病成年门诊患者的力量和功能特征

Characterization of Strength and Function in Ambulatory Adults With GNE Myopathy.

作者信息

Argov Zohar, Bronstein Faye, Esposito Alicia, Feinsod-Meiri Yael, Florence Julaine M, Fowler Eileen, Greenberg Marcia B, Malkus Elizabeth C, Rebibo Odelia, Siener Catherine S, Caraco Yoseph, Kolodny Edwin H, Lau Heather A, Pestronk Alan, Shieh Perry, Skrinar Alison M, Mayhew Jill E

机构信息

*Department of Neurology, Hadassah University Medical Center, Jerusalem, Israel; †Physical Medicine and Rehabilitation Department, NYU Langone Medical Center-Rusk Institute, New York, NY; ‡Clinical Research Unit, Hadassah University Medical Center, Jerusalem, Israel; §Washington University School of Medicine, Neuromuscular Division, St. Louis, MO; ¶UCLA Department of Orthopaedic Surgery, Kameron Gait and Motion Analysis Laboratory, Los Angeles, CA; ‖NYU Division of Neurogenetics, New York, NY; **UCLA Department of Neurology, Los Angeles, CA; and ††Clinical Outcomes Research and Evaluation, Ultragenyx Pharmaceutical, Inc, Novato, CA.

出版信息

J Clin Neuromuscul Dis. 2017 Sep;19(1):19-26. doi: 10.1097/CND.0000000000000181.

DOI:10.1097/CND.0000000000000181
PMID:28827485
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5636058/
Abstract

OBJECTIVE

To characterize the pattern and extent of muscle weakness and impact on physical functioning in adults with GNEM.

METHODS

Strength and function were assessed in GNEM subjects (n = 47) using hand-held dynamometry, manual muscle testing, upper and lower extremity functional capacity tests, and the GNEM-Functional Activity Scale (GNEM-FAS).

RESULTS

Profound upper and lower muscle weakness was measured using hand-held dynamometry in a characteristic pattern, previously described. Functional tests and clinician-reported outcomes demonstrated the consequence of muscle weakness on physical functioning.

CONCLUSIONS

The characteristic pattern of upper and lower muscle weakness associated with GNEM and the resulting functional limitations can be reliably measured using these clinical outcome assessments of muscle strength and function.

摘要

目的

描述成年糖原贮积性肌病患者肌肉无力的模式、程度及其对身体功能的影响。

方法

使用手持测力计、徒手肌力测试、上下肢功能能力测试以及糖原贮积性肌病功能活动量表(GNEM-FAS)对糖原贮积性肌病患者(n = 47)的力量和功能进行评估。

结果

使用手持测力计按照先前描述的特征模式测量出上下肢严重肌肉无力。功能测试和临床医生报告的结果证明了肌肉无力对身体功能的影响。

结论

使用这些肌肉力量和功能的临床结局评估方法,可以可靠地测量与糖原贮积性肌病相关的上下肢肌肉无力的特征模式以及由此产生的功能限制。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/48c0/5636058/2f746aa3a198/jcnd-19-19-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/48c0/5636058/706b17518030/jcnd-19-19-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/48c0/5636058/2f746aa3a198/jcnd-19-19-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/48c0/5636058/706b17518030/jcnd-19-19-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/48c0/5636058/2f746aa3a198/jcnd-19-19-g004.jpg

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本文引用的文献

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2
GNE myopathy: new name and new mutation nomenclature.GNE肌病:新名称与新突变命名法
Neuromuscul Disord. 2014 May;24(5):387-9. doi: 10.1016/j.nmd.2014.03.004. Epub 2014 Mar 13.
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The 6-minute walk test and other endpoints in Duchenne muscular dystrophy: longitudinal natural history observations over 48 weeks from a multicenter study.
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J Neuromuscul Dis. 2021;8(2):225-234. doi: 10.3233/JND-200565.
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Limitations of 6-minute walk test reference values for spinal muscular atrophy.6 分钟步行试验参考值在脊髓性肌萎缩症中的局限性。
Muscle Nerve. 2020 Mar;61(3):375-382. doi: 10.1002/mus.26794. Epub 2020 Jan 16.
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6 分钟步行试验和杜氏肌营养不良症的其他终点:来自一项多中心研究的 48 周纵向自然史观察。
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