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Rev Assoc Med Bras (1992) · Jan 2024
Pelvic obliquity, trunk control, and motor function: an exploratory study in a non-ambulatory Duchenne muscular dystrophy cohort.
- Fatma Uğur, İpek Gürbüz, KökenÖzlem YayıcıÖY0000-0003-2112-8284Akdeniz University, Faculty of Medicine, Department of Pediatric Neurology - Antalya, Turkey., KurtAyşegül Neşe ÇıtakANÇ0000-0002-7277-3550Ankara Yıldırım Beyazıt University, Ankara City Hospital, Department of Pediatric Neurology - Ankara, Turkey., and Öznur Yılmaz.
- Karamanoglu Mehmetbey University, Faculty of Health Sciences - Karaman, Turkey.
- Rev Assoc Med Bras (1992). 2024 Jan 1; 70 (12): e20241109e20241109.
ObjectiveThe aim of this study was to investigate the relationship between pelvic obliquity and trunk control, spinal deformity, upper extremity functional performance, and motor function in patients with non-ambulatory Duchenne muscular dystrophy.MethodsThis cross-sectional study included 21 patients with Duchenne muscular dystrophy aged 8-18 years. In the study, participants' upper extremity functional levels, pelvic obliquity degrees, spinal deformity, trunk control, upper extremity performance, and motor functions were evaluated using various tools such as the Brooke Upper Extremity Functional Scale, baseline scoliometer, spinal mouse, Trunk Control Measurement Scale, Upper Extremity Performance Scale, and Egen Klassifikation Scale Version 2, respectively.ResultsThe study found a strong correlation between pelvic obliquity and frontal spine deformity (p<0.01), as well as moderate relationships between pelvic obliquity, motor function, wheelchair usage duration, and knee flexion contractures (p<0.05).ConclusionThe study found that pelvic obliquity may lead to spinal health deterioration and motor function limitations in non-ambulatory patients with Duchenne muscular dystrophy, especially those with lower extremity joint contractures and long-term wheelchair use.
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