Literature DB >> 29381807

Facioscapulohumeral muscular dystrophy functional composite outcome measure.

Katy Eichinger1, Chad Heatwole1, Stanley Iyadurai2, Wendy King2, Lindsay Baker1, Susanne Heininger1, Amy Bartlett2, Nuran Dilek1, William B Martens1, Michael Mcdermott1,3, John T Kissel2, Rabi Tawil1, Jeffrey M Statland4.   

Abstract

INTRODUCTION: We developed an evaluator-administered functional facioscapulohumeral muscular dystrophy composite outcome measure (FSHD-COM) comprising patient-identified areas of functional burden for future clinical trials.
METHODS: We performed a prospective observational study of 41 patients with FSHD at 2 sites. The FSHD-COM includes functional assessment of the legs, shoulders and arms, trunk, hands, and balance/mobility. We determined the test-retest reliability and convergent validity compared to established FSHD disease metrics.
RESULTS: The FSHD-COM demonstrated excellent test-retest reliability (intraclass correlation coefficient [ICC] 0.96; subscale ICC range, 0.90-0.94). Cross-sectional associations between the FSHD-COM and disease duration, clinical severity, and strength were moderate to strong (Pearson correlation coefficient range |0.51-0.92|). DISCUSSION: The FSHD-COM is a disease-relevant, functional composite outcome measure suitable for future FSHD clinical trials that shows excellent test-retest reliability and cross-sectional associations to disease measures. Future directions include determining multisite reliability, sensitivity to change, and the minimal clinically important change in the FSHD-COM. Muscle Nerve, 2018.
© 2018 Wiley Periodicals, Inc.

Entities:  

Keywords:  composite measures; facioscapulohumeral muscular dystrophy; functional testing; muscular dystrophy; outcome measures

Year:  2018        PMID: 29381807      PMCID: PMC6066464          DOI: 10.1002/mus.26088

Source DB:  PubMed          Journal:  Muscle Nerve        ISSN: 0148-639X            Impact factor:   3.217


  38 in total

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