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CC BY-NC-ND 4.0 · Arq Neuropsiquiatr 2017; 75(09): 625-630
DOI: 10.1590/0004-282X20170101
ARTICLES

How often should sitting and rising from a chair be evaluated in patients with Duchenne muscular dystrophy?

Com que frequência deve ser avaliada a atividade de sentar e levantar da cadeira em pacientes com distrofia muscular de Duchenne?
Michele Emy Hukuda
1   Universidade de São Paulo, Faculdade de Medicina, Laboratório de Fisioterapia e Comportamento, São Paulo SP, Brasil;
,
Fátima Aparecida Caromano
1   Universidade de São Paulo, Faculdade de Medicina, Laboratório de Fisioterapia e Comportamento, São Paulo SP, Brasil;
,
Renata Escorcio
1   Universidade de São Paulo, Faculdade de Medicina, Laboratório de Fisioterapia e Comportamento, São Paulo SP, Brasil;
,
Eduardo Vital de Carvalho
1   Universidade de São Paulo, Faculdade de Medicina, Laboratório de Fisioterapia e Comportamento, São Paulo SP, Brasil;
,
Silvana Maria Blascovi-Assis
2   Universidade Mackenzie, Faculdade de Fisioterapia, São Paulo SP, Brasil.
,
Mariana Callil Voos
1   Universidade de São Paulo, Faculdade de Medicina, Laboratório de Fisioterapia e Comportamento, São Paulo SP, Brasil;
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ABSTRACT

Objective To determine how often sitting/rising from a chair should be assessed in Duchenne muscular dystrophy (DMD) patients to avoid redundant/missing data.

Methods Sitting/rising from a chair was evaluated in 26 DMD children (5-12 yrs), in three-month intervals, over twelve months, with the Functional Evaluation Scale (domain sitting/rising from a chair). Scores were compared by effect sizes (ES) and standardized response means (SRM) (responsiveness analysis).

Results Sit-to-stand showed low-to-moderate responsiveness in three-month intervals (ES:0.23-0.32; SRM:0.36-0.68), moderate-to-high responsiveness in six-month intervals (ES:0.52-0.65; SRM:0.76-1.28), high responsiveness at nine-month (ES:0.84-0.91; SRM:1.26-1.64) and twelve-month intervals (ES:1.27; SRM:1.48). Stand-to-sit showed low responsiveness in three-month intervals (ES:0.26-0.49; SRM:0.37-0.42), moderate responsiveness in six-month intervals (ES:0.50-0.78; SRM:0.56-0.71), high responsiveness in nine-month (ES:0.94-1.00; SRM:0.84-1.02) and twelve-month intervals (ES:1.13; SRM:1.52).

Conclusion Six months or longer intervals for reassessment are indicated to evaluate sitting/standing from a chair in DMD patients.

RESUMO

Objetivo Determinar a frequência de avaliação do sentar e levantar da cadeira em pacientes com distrofia muscular de Duchenne (DMD), para evitar informações faltantes ou redundantes.

Métodos Sentar/ Levantar foram avaliados em 26 crianças com DMD (5-12 anos), em intervalos de três meses, durante doze meses, com a Escala de Avaliação Funcional (domínio sentar/ levantar da cadeira). Os tamanhos do efeito (TE) e as médias de resposta padronizada (MRP) foram usados na análise de responsividade.

Resultados Levantar da cadeira teve responsividade baixa a moderada em três meses (TE: 0,23-0,32; MRP: 0,36-0,68), moderada a alta em seis meses (TE: 0,52-0,65; MRP: 0,76-1,28), alta em nove e (TE: 0,84-0,91; MRP: 1,26-1,64) doze meses (TE: 1,27; MRP: 1,48). Sentar na cadeira teve responsividade baixa em três meses (TE: 0,26-0,49; MRP: 0,37-0,42), moderada em seis meses (TE: 0,50-0,78; MRP: 0,56-0,71), alta em nove (TE: 0,94-1,00; MRP: 0,84-1,02) e doze meses (TE: 1,13; MRP: 1,52).

Conclusão Os pacientes com DMD devem ser reavaliados com intervalos mínimos de seis meses entre avaliações de sentar/ levantar da cadeira.

muscular dystrophy, Duchenne - motor activity - task performance and analysis - outcome assessment (health care - physical examination
distrofia muscular de Duchenne - atividade motora - análise e desempenho de tarefas - avaliação de resultados (cuidados de saúde - exame físico


Publication History

Received: 15 May 2017

Accepted: 16 May 2017

Article published online:
05 September 2023

© 2023. Academia Brasileira de Neurologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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