Joint range of motion limitations in children and young adults with spinal muscular atrophy

Wang, Hui Yi, Ju, Yun Huei, Chen, Shu Mei, Lo, Sing Kai and Jong, Yuh Jyh 2004, Joint range of motion limitations in children and young adults with spinal muscular atrophy, Archives of physical medicine and rehabilitation, vol. 85, no. 10, pp. 1689-1696.

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Title Joint range of motion limitations in children and young adults with spinal muscular atrophy
Author(s) Wang, Hui Yi
Ju, Yun Huei
Chen, Shu Mei
Lo, Sing Kai
Jong, Yuh Jyh
Journal name Archives of physical medicine and rehabilitation
Volume number 85
Issue number 10
Start page 1689
End page 1696
Publisher W. B. Saunders Co.
Place of publication Philadelphia, Pa.
Publication date 2004-10
ISSN 0003-9993
1532-821X
Keyword(s) contracture
muscular atrophy, spinal
range of motion, articular
rehabilitation
Summary Objectives
To elicit descriptive data about limited joint range of motion (ROM) in subjects with type II or III spinal muscular atrophy (SMA) and to examine the relation between the number of motions with limited range and both age and functional ability.
Design
Descriptive cross-sectional study.
Setting
Neurologic pediatric outpatient clinic at a hospital in Taiwan.
Participants
Twenty-seven subjects with SMA type II (mean age, 9.8±6.5y) and 17 with SMA type III (mean age, 12.2±8.7y).
Intervention
Measurement with transparent goniometers of joint ROM bilaterally of the shoulder, elbow, wrist, hip, knee, and ankle.
Main outcome measures
The proportion of participants with each ROM limitation compared with all participants with the same SMA type, age distribution of the participants with each ROM limitation, mean range loss of each motion limitation, and the contracture index (risk index of joint contracture).
Results
Eighty-nine percent of the participants with SMA type II experienced knee extension limitation. Approximately 50% of the participants with both types of SMA had ankle dorsiflexion limitation. The motions of knee and hip extension and ankle dorsiflexion also had a relatively high contracture index. The number of motions with limited range positively correlated (P<.001) with age and upper-extremity functional grade (the higher the functional grade, the poorer the functional ability) for SMA type II.
Conclusions
We found varying degrees of joint ROM limitation. Certain motions were noted to be high risks for the development of contractures. This risk was higher mostly in younger children.

Language eng
Field of Research 110601 Biomechanics
HERDC Research category C1.1 Refereed article in a scholarly journal
Copyright notice ©2004, American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation
Persistent URL http://hdl.handle.net/10536/DRO/DU:30009336

Document type: Journal Article
Collection: School of Psychology
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