Rodríguez Alicia Aurora, Amayra Imanol, García Irune, Angelini Corrado
Neuro-e-Motion Research Team, Faculty of Health Sciences, University of Deusto, Av. Universidades, 24, 48007 Bilbao, Spain.
Neuromuscular Laboratory, Department of Neurosciences, University of Padova, Campus Biomedico Pietro d'Abano, 35131 Padua, Italy.
Muscles. 2023 Jul 24;2(3):274-285. doi: 10.3390/muscles2030021.
The present study is the first research that analyzes the quality of life (QoL) of people affected by a dominant form of limb-girdle muscular dystrophy, specifically limb-girdle muscular dystrophy D2 (LGMD-D2). Additionally, clinical forms of the individual cases of the six affected patients are presented. This study also aims to explore the differences between patients' reports and caregivers' reports, and between LGMD-D2 and recessive forms of LGMD. The instruments used were as follows: sociodemographic data, GSGC, and INQoL instrument. The sample consisted of six people affected by LGMD-D2: three caregivers of three affected people, and three patients with recessive LGMD. They came from associations of affected people and a hospital in Padua. Those affected have multiple symptoms that lead to disability, which ultimately leads to dependence on the assistance. The present study shows that LGMD-D2 has a greater impact on activities of daily living, fatigue, muscle pain, and independence than other LGMD pathologies or other neuromuscular diseases. It also appears that age could influence QoL, and that muscle weakness is a very disabling symptom in this variant. In the current context of constantly developing research for new treatments, it is essential to analyze which aspects are most affected. Finally, caregivers can play an essential role in symptom reporting, as certain psychological adjustment mechanisms in the patient may be interfering with the objectivity of the report.
本研究是第一项分析受显性肢带型肌营养不良症(特别是肢带型肌营养不良症D2,LGMD-D2)影响人群生活质量(QoL)的研究。此外,还介绍了6例受影响患者个体病例的临床症状。本研究还旨在探讨患者报告与照料者报告之间以及LGMD-D2与隐性LGMD之间的差异。所使用的工具如下:社会人口学数据、GSGC和INQoL工具。样本包括6名受LGMD-D2影响的人:3名受影响者的照料者和3名隐性LGMD患者。他们来自帕多瓦的患者协会和一家医院。患者有多种导致残疾的症状,最终导致依赖他人的帮助。本研究表明,与其他LGMD病理或其他神经肌肉疾病相比,LGMD-D2对日常生活活动、疲劳、肌肉疼痛和独立性的影响更大。年龄似乎也会影响生活质量,而且在这种变体中肌肉无力是一种非常致残的症状。在当前不断开展新治疗研究的背景下,分析哪些方面受影响最大至关重要。最后,照料者在症状报告中可以发挥重要作用,因为患者的某些心理调节机制可能会干扰报告的客观性。