author_facet SILVA, Thiago Henrique da
ANEQUINI, Isabela Pessa
FÁVERO, Francis Meire
VOOS, Mariana Callil
OLIVEIRA, Acary Souza Bulle
TELLES, Juliana Aparecida Rhein
CAROMANO, Fátima Aparecida
SILVA, Thiago Henrique da
ANEQUINI, Isabela Pessa
FÁVERO, Francis Meire
VOOS, Mariana Callil
OLIVEIRA, Acary Souza Bulle
TELLES, Juliana Aparecida Rhein
CAROMANO, Fátima Aparecida
author SILVA, Thiago Henrique da
ANEQUINI, Isabela Pessa
FÁVERO, Francis Meire
VOOS, Mariana Callil
OLIVEIRA, Acary Souza Bulle
TELLES, Juliana Aparecida Rhein
CAROMANO, Fátima Aparecida
spellingShingle SILVA, Thiago Henrique da
ANEQUINI, Isabela Pessa
FÁVERO, Francis Meire
VOOS, Mariana Callil
OLIVEIRA, Acary Souza Bulle
TELLES, Juliana Aparecida Rhein
CAROMANO, Fátima Aparecida
Arquivos de Neuro-Psiquiatria
Functional performance and muscular strength in symptomatic female carriers of Duchenne muscular dystrophy
Neurology
Neurology (clinical)
author_sort silva, thiago henrique da
spelling SILVA, Thiago Henrique da ANEQUINI, Isabela Pessa FÁVERO, Francis Meire VOOS, Mariana Callil OLIVEIRA, Acary Souza Bulle TELLES, Juliana Aparecida Rhein CAROMANO, Fátima Aparecida 1678-4227 0004-282X FapUNIFESP (SciELO) Neurology Neurology (clinical) http://dx.doi.org/10.1590/0004-282x20190168 <jats:p>Abstract Duchenne muscular dystrophy (DMD) usually affects men. However, women are also affected in rare instances. Approximately 8% of female DMD carriers have muscle weakness and cardiomyopathy. The early identification of functional and motor impairments can support clinical decision making. Objective: To investigate the motor and functional impairments of 10 female patients with dystrophinopathy diagnosed with clinical, pathological, genetic and immunohistochemical studies. Methods: A descriptive study of a sample of symptomatic female carriers of DMD mutations. The studied variables were muscular strength and functional performance. Results: The prevalence was 10/118 (8.4%) symptomatic female carriers. Deletions were found in seven patients. The age of onset of symptoms in female carriers of DMD was quite variable. Pseudohypertrophy of calf muscles, muscular weakness, compensatory movements and longer timed performance on functional tasks were observed in most of the cases. Differently from males with DMD, seven female patients showed asymmetrical muscular weakness. The asymmetric presentation of muscle weakness was frequent and affected posture and functionality in some cases. The functional performance presents greater number of compensatory movements. Time of execution of activities was not a good biomarker of functionality for this population, because it does not change in the same proportion as the number of movement compensations. Conclusion: Clinical manifestation of asymmetrical muscle weakness and compensatory movements, or both can be found in female carriers of DMD mutations, which can adversely affect posture and functional performance of these patients.</jats:p> Functional performance and muscular strength in symptomatic female carriers of Duchenne muscular dystrophy Arquivos de Neuro-Psiquiatria
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title Functional performance and muscular strength in symptomatic female carriers of Duchenne muscular dystrophy
title_unstemmed Functional performance and muscular strength in symptomatic female carriers of Duchenne muscular dystrophy
title_full Functional performance and muscular strength in symptomatic female carriers of Duchenne muscular dystrophy
title_fullStr Functional performance and muscular strength in symptomatic female carriers of Duchenne muscular dystrophy
title_full_unstemmed Functional performance and muscular strength in symptomatic female carriers of Duchenne muscular dystrophy
title_short Functional performance and muscular strength in symptomatic female carriers of Duchenne muscular dystrophy
title_sort functional performance and muscular strength in symptomatic female carriers of duchenne muscular dystrophy
topic Neurology
Neurology (clinical)
url http://dx.doi.org/10.1590/0004-282x20190168
publishDate 2020
physical 143-148
description <jats:p>Abstract Duchenne muscular dystrophy (DMD) usually affects men. However, women are also affected in rare instances. Approximately 8% of female DMD carriers have muscle weakness and cardiomyopathy. The early identification of functional and motor impairments can support clinical decision making. Objective: To investigate the motor and functional impairments of 10 female patients with dystrophinopathy diagnosed with clinical, pathological, genetic and immunohistochemical studies. Methods: A descriptive study of a sample of symptomatic female carriers of DMD mutations. The studied variables were muscular strength and functional performance. Results: The prevalence was 10/118 (8.4%) symptomatic female carriers. Deletions were found in seven patients. The age of onset of symptoms in female carriers of DMD was quite variable. Pseudohypertrophy of calf muscles, muscular weakness, compensatory movements and longer timed performance on functional tasks were observed in most of the cases. Differently from males with DMD, seven female patients showed asymmetrical muscular weakness. The asymmetric presentation of muscle weakness was frequent and affected posture and functionality in some cases. The functional performance presents greater number of compensatory movements. Time of execution of activities was not a good biomarker of functionality for this population, because it does not change in the same proportion as the number of movement compensations. Conclusion: Clinical manifestation of asymmetrical muscle weakness and compensatory movements, or both can be found in female carriers of DMD mutations, which can adversely affect posture and functional performance of these patients.</jats:p>
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author SILVA, Thiago Henrique da, ANEQUINI, Isabela Pessa, FÁVERO, Francis Meire, VOOS, Mariana Callil, OLIVEIRA, Acary Souza Bulle, TELLES, Juliana Aparecida Rhein, CAROMANO, Fátima Aparecida
author_facet SILVA, Thiago Henrique da, ANEQUINI, Isabela Pessa, FÁVERO, Francis Meire, VOOS, Mariana Callil, OLIVEIRA, Acary Souza Bulle, TELLES, Juliana Aparecida Rhein, CAROMANO, Fátima Aparecida, SILVA, Thiago Henrique da, ANEQUINI, Isabela Pessa, FÁVERO, Francis Meire, VOOS, Mariana Callil, OLIVEIRA, Acary Souza Bulle, TELLES, Juliana Aparecida Rhein, CAROMANO, Fátima Aparecida
author_sort silva, thiago henrique da
container_issue 3
container_start_page 143
container_title Arquivos de Neuro-Psiquiatria
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description <jats:p>Abstract Duchenne muscular dystrophy (DMD) usually affects men. However, women are also affected in rare instances. Approximately 8% of female DMD carriers have muscle weakness and cardiomyopathy. The early identification of functional and motor impairments can support clinical decision making. Objective: To investigate the motor and functional impairments of 10 female patients with dystrophinopathy diagnosed with clinical, pathological, genetic and immunohistochemical studies. Methods: A descriptive study of a sample of symptomatic female carriers of DMD mutations. The studied variables were muscular strength and functional performance. Results: The prevalence was 10/118 (8.4%) symptomatic female carriers. Deletions were found in seven patients. The age of onset of symptoms in female carriers of DMD was quite variable. Pseudohypertrophy of calf muscles, muscular weakness, compensatory movements and longer timed performance on functional tasks were observed in most of the cases. Differently from males with DMD, seven female patients showed asymmetrical muscular weakness. The asymmetric presentation of muscle weakness was frequent and affected posture and functionality in some cases. The functional performance presents greater number of compensatory movements. Time of execution of activities was not a good biomarker of functionality for this population, because it does not change in the same proportion as the number of movement compensations. Conclusion: Clinical manifestation of asymmetrical muscle weakness and compensatory movements, or both can be found in female carriers of DMD mutations, which can adversely affect posture and functional performance of these patients.</jats:p>
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spelling SILVA, Thiago Henrique da ANEQUINI, Isabela Pessa FÁVERO, Francis Meire VOOS, Mariana Callil OLIVEIRA, Acary Souza Bulle TELLES, Juliana Aparecida Rhein CAROMANO, Fátima Aparecida 1678-4227 0004-282X FapUNIFESP (SciELO) Neurology Neurology (clinical) http://dx.doi.org/10.1590/0004-282x20190168 <jats:p>Abstract Duchenne muscular dystrophy (DMD) usually affects men. However, women are also affected in rare instances. Approximately 8% of female DMD carriers have muscle weakness and cardiomyopathy. The early identification of functional and motor impairments can support clinical decision making. Objective: To investigate the motor and functional impairments of 10 female patients with dystrophinopathy diagnosed with clinical, pathological, genetic and immunohistochemical studies. Methods: A descriptive study of a sample of symptomatic female carriers of DMD mutations. The studied variables were muscular strength and functional performance. Results: The prevalence was 10/118 (8.4%) symptomatic female carriers. Deletions were found in seven patients. The age of onset of symptoms in female carriers of DMD was quite variable. Pseudohypertrophy of calf muscles, muscular weakness, compensatory movements and longer timed performance on functional tasks were observed in most of the cases. Differently from males with DMD, seven female patients showed asymmetrical muscular weakness. The asymmetric presentation of muscle weakness was frequent and affected posture and functionality in some cases. The functional performance presents greater number of compensatory movements. Time of execution of activities was not a good biomarker of functionality for this population, because it does not change in the same proportion as the number of movement compensations. Conclusion: Clinical manifestation of asymmetrical muscle weakness and compensatory movements, or both can be found in female carriers of DMD mutations, which can adversely affect posture and functional performance of these patients.</jats:p> Functional performance and muscular strength in symptomatic female carriers of Duchenne muscular dystrophy Arquivos de Neuro-Psiquiatria
spellingShingle SILVA, Thiago Henrique da, ANEQUINI, Isabela Pessa, FÁVERO, Francis Meire, VOOS, Mariana Callil, OLIVEIRA, Acary Souza Bulle, TELLES, Juliana Aparecida Rhein, CAROMANO, Fátima Aparecida, Arquivos de Neuro-Psiquiatria, Functional performance and muscular strength in symptomatic female carriers of Duchenne muscular dystrophy, Neurology, Neurology (clinical)
title Functional performance and muscular strength in symptomatic female carriers of Duchenne muscular dystrophy
title_full Functional performance and muscular strength in symptomatic female carriers of Duchenne muscular dystrophy
title_fullStr Functional performance and muscular strength in symptomatic female carriers of Duchenne muscular dystrophy
title_full_unstemmed Functional performance and muscular strength in symptomatic female carriers of Duchenne muscular dystrophy
title_short Functional performance and muscular strength in symptomatic female carriers of Duchenne muscular dystrophy
title_sort functional performance and muscular strength in symptomatic female carriers of duchenne muscular dystrophy
title_unstemmed Functional performance and muscular strength in symptomatic female carriers of Duchenne muscular dystrophy
topic Neurology, Neurology (clinical)
url http://dx.doi.org/10.1590/0004-282x20190168