Nishizawa Hitomi, Nakamura Akinori
Department of Medicine, Faculty of Health Sciences, Shinshu University: 3-1-1 Asahi, Matsumoto-shi, Nagano 390-8621, Japan.
Department of Neurology, NHO Matsumoto Medical Center, Japan.
J Phys Ther Sci. 2024 Nov;36(11):699-702. doi: 10.1589/jpts.36.699. Epub 2024 Nov 1.
[Purpose] This study aimed to assess the motor function status of ambulatory patients with Duchenne muscular dystrophy in 2020, which included a 3-month period of behavioral restriction due to the coronavirus disease of 2019 (COVID-19) pandemic, in comparison to the previous 2 years. [Participants and Methods] A retrospective analysis was conducted on 12 patients (children with mean age: 9.58 ± 3.43 years in 2020). Parameters such as lower leg maximum circumference, 10-m running time, rising-from-the-floor time, ankle joint range-of-motion, 6-min walk distance, and North Star Ambulatory Assessment score were evaluated. [Results] Significant increases in the maximum right thigh circumference and prolonged 10-m running time were observed in 2020. Interestingly, an unexpected improvement in ankle dorsiflexion angle was noted in both ankles. No other statistically significant differences were observed among the assessed time points. [Conclusion] These findings highlight the critical importance of continuous exercise and rehabilitation for ambulatory children with Duchenne muscular dystrophy, emphasizing the potential of rehabilitation to mitigate and restore the transient motor function deterioration observed during periods of behavioral restrictions.
[目的] 本研究旨在评估2020年杜氏肌营养不良症非卧床患者的运动功能状况,该年包括因2019冠状病毒病(COVID-19)大流行而导致行为受限的3个月期间,并与前两年进行比较。[参与者与方法] 对12例患者(2020年平均年龄为9.58±3.43岁的儿童)进行回顾性分析。评估了小腿最大周长、10米跑步时间、从地面起身时间、踝关节活动范围、6分钟步行距离和北极星动态评估得分等参数。[结果] 2020年观察到右大腿最大周长显著增加,10米跑步时间延长。有趣的是,双踝的背屈角度意外改善。在评估的时间点之间未观察到其他统计学上的显著差异。[结论] 这些发现突出了持续运动和康复对杜氏肌营养不良症非卧床儿童的至关重要性,强调了康复在减轻和恢复行为受限期间观察到的短暂运动功能恶化方面的潜力。