학술논문
Validity of the Functional Classification of the Upper Extremities for Duchenne Muscular Dystrophy.
Document Type
Academic Journal
Author
Miyazaki Y; Department of Rehabilitation Medicine, National Center Hospital, National Center of Neurology and Psychiatry, Tokyo, Japan.; Department of Rehabilitation Medicine, Keio University School of Medicine, Tokyo, Japan.; Hara T; Department of Rehabilitation Medicine, National Center Hospital, National Center of Neurology and Psychiatry, Tokyo, Japan.; Department of Rehabilitation Medicine, The Jikei University School of Medicine, Tokyo, Japan.; Hagiwara K; Department of Rehabilitation Medicine, National Center Hospital, National Center of Neurology and Psychiatry, Tokyo, Japan.; Department of Rehabilitation Medicine, Keio University School of Medicine, Tokyo, Japan.; Nakamura T; Department of Rehabilitation Medicine, National Center Hospital, National Center of Neurology and Psychiatry, Tokyo, Japan.; Department of Rehabilitation Medicine, Keio University School of Medicine, Tokyo, Japan.; Kamimura A; Department of Rehabilitation Medicine, National Center Hospital, National Center of Neurology and Psychiatry, Tokyo, Japan.; Takeshita E; Department of Child Neurology, National Center Hospital, National Center of Neurology and Psychiatry, Tokyo, Japan.; Komaki H; Department of Child Neurology, National Center Hospital, National Center of Neurology and Psychiatry, Tokyo, Japan.; Translational Medical Center, National Center of Neurology and Psychiatry, Tokyo, Japan.; Mizuno K; Department of Rehabilitation Medicine, Tokai University School of Medicine, Hiratsuka, Japan.; Tsuji T; Department of Rehabilitation Medicine, Keio University School of Medicine, Tokyo, Japan.; Abo M; Department of Rehabilitation Medicine, The Jikei University School of Medicine, Tokyo, Japan.
Source
Publisher: The Japanese Association of Rehabilitation Medicine Country of Publication: Japan NLM ID: 101707740 Publication Model: eCollection Cited Medium: Internet ISSN: 2432-1354 (Electronic) Linking ISSN: 24321354 NLM ISO Abbreviation: Prog Rehabil Med Subsets: PubMed not MEDLINE
Subject
Language
English
Abstract
Objectives: Some upper-limb function assessments can evaluate treatments in the non-ambulatory stage of Duchenne muscular dystrophy (DMD). The Functional Classification of the Upper Extremities (FCUE) was developed for DMD in Japan. The FCUE is easier to use than the Performance of Upper Limb (PUL) and is more detailed than the Brooke Upper Extremity Scale. This study aimed to determine the concurrent validity of FCUE with other methods of assessment for DMD.
Methods: This retrospective study reviewed the medical records of 39 boys with DMD from the National Center of Neurology and Psychiatry to evaluate the concurrent validity of the FCUE and PUL using non-parametric Spearman rank correlation (ρ). We also determined the concurrent validity of the Brooke Upper Extremity Scale and PUL for comparison.
Results: The ρ value between the FCUE and PUL was -0.914 (P<0.001). The FCUE showed robust concurrent validity with the PUL. That correlation between the FCUE and Brooke Upper Extremity Scale gave a ρ value of -0.854 (P<0.001).
Conclusions: The FCUE had a higher concurrent validity with the PUL than with the Brooke Upper Extremity Scale. The FCUE is considered a valid assessment tool of upper-limb function in boys with DMD. Selecting the best assessment method depends on the severity of the patient's condition and a balance between assessment accuracy and evaluation time.
Competing Interests: CONFLICTS OF INTEREST: KM has received annual payments from the General Insurance Association of Japan. HK has received research grants from Chugai Pharmaceutical and Taiho Pharmaceutical. ET has received research grants from Daiichi Sankyo, Nippon Shinyaku, Taiho Pharmaceutical, and Takeda Pharmaceutical. HK has received lecture fees from Chugai Pharmaceutical, Nippon Shinyaku, Biogen Japan, Novartis, and Pfizer. The remaining authors declare no conflict of interest.
(2024 The Japanese Association of Rehabilitation Medicine.)
Methods: This retrospective study reviewed the medical records of 39 boys with DMD from the National Center of Neurology and Psychiatry to evaluate the concurrent validity of the FCUE and PUL using non-parametric Spearman rank correlation (ρ). We also determined the concurrent validity of the Brooke Upper Extremity Scale and PUL for comparison.
Results: The ρ value between the FCUE and PUL was -0.914 (P<0.001). The FCUE showed robust concurrent validity with the PUL. That correlation between the FCUE and Brooke Upper Extremity Scale gave a ρ value of -0.854 (P<0.001).
Conclusions: The FCUE had a higher concurrent validity with the PUL than with the Brooke Upper Extremity Scale. The FCUE is considered a valid assessment tool of upper-limb function in boys with DMD. Selecting the best assessment method depends on the severity of the patient's condition and a balance between assessment accuracy and evaluation time.
Competing Interests: CONFLICTS OF INTEREST: KM has received annual payments from the General Insurance Association of Japan. HK has received research grants from Chugai Pharmaceutical and Taiho Pharmaceutical. ET has received research grants from Daiichi Sankyo, Nippon Shinyaku, Taiho Pharmaceutical, and Takeda Pharmaceutical. HK has received lecture fees from Chugai Pharmaceutical, Nippon Shinyaku, Biogen Japan, Novartis, and Pfizer. The remaining authors declare no conflict of interest.
(2024 The Japanese Association of Rehabilitation Medicine.)