دورية أكاديمية

Functional assessment tools in children with Pompe disease: A pilot comparative study to identify suitable outcome measures for the standard of care

التفاصيل البيبلوغرافية
العنوان: Functional assessment tools in children with Pompe disease: A pilot comparative study to identify suitable outcome measures for the standard of care
المؤلفون: Ricci F., Brusa C., Rossi F., Rolle E., Placentino V., Berardinelli A., Pagliardini V., Porta F., Spada M., Mongini T.
المساهمون: Ricci F., Brusa C., Rossi F., Rolle E., Placentino V., Berardinelli A., Pagliardini V., Porta F., Spada M., Mongini T.
سنة النشر: 2018
المجموعة: Università degli studi di Torino: AperTo (Archivio Istituzionale ad Accesso Aperto)
مصطلحات موضوعية: Children, Cognitive evaluation, Emerging phenotype, Motor function, Outcome measure, Pompe disease, Child, Preschool, Cognition, Enzyme Replacement Therapy, Female, Glycogen Storage Disease Type II, Human, Infant, Male, Outcome Assessment, Health Care, Phenotype, Standard of Care, Disease Progression
الوصف: Background: Pompe disease (PD) is a rare condition caused by mutations in gene encoding for the enzyme alpha-glucosidase, resulting in an abnormal intracellular accumulation of glycogen. The disease clinical spectrum ranges from severe infantile forms to adult-onset forms with minor limitations. Since 2000 enzyme replacement therapy (ERT) is available and disease natural history has changed, with prolonged survival and evidence of myopathic features. Methods: In this study, we monitored disease progression up to three years in eight young patients with PD. Based on the literature data and the long term personal experience, we selected validated functional scales for neuromuscular disorders and compared the results to identify a simple and reliable protocol for the follow-up of children with PD. Moreover, we evaluated cognitive functions using developmental/cognitive tests. Results: Based on study results, we suggest that motor functions in children with PD could be better assessed by Chop Intend, MFM20 (Motor Function Measure Scale for Neuromuscular Diseases 20) and NSAA (North Star Ambulatory Assessment), according to age and functional level. Evaluation should be completed with ROM (Range Of Motion) measurement, MRC (Medical Research Council) evaluation and 6MWT (6 Minute Walk test) when possible. Conclusions: The proposed protocol seems to be reliable and should be done every six months, because of the progressive natural history of the disease, the rapid changes typical of developmental age and the need to document ERT effects. About cognitive functions, additional tests to classical intelligence scales (WISC, WPPSI) should be useful to better describe specific neuropsychological profile.
نوع الوثيقة: article in journal/newspaper
اللغة: English
العلاقة: info:eu-repo/semantics/altIdentifier/pmid/30166092; info:eu-repo/semantics/altIdentifier/wos/WOS:000455065100024; volume:22; issue:6; firstpage:1103; lastpage:1109; numberofpages:7; journal:EUROPEAN JOURNAL OF PAEDIATRIC NEUROLOGY; http://hdl.handle.net/2318/1786344Test; info:eu-repo/semantics/altIdentifier/scopus/2-s2.0-85052628127
DOI: 10.1016/j.ejpn.2018.08.001
الإتاحة: https://doi.org/10.1016/j.ejpn.2018.08.001Test
http://hdl.handle.net/2318/1786344Test
حقوق: info:eu-repo/semantics/closedAccess
رقم الانضمام: edsbas.E1FFE773
قاعدة البيانات: BASE