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An instrumented timed up and go in facioscapulohumeral muscular dystrophy
Authors:Jessie Huisinga PhD  Adam Bruetsch MS  Ayla Mccalley BS  Melissa Currence PTA  Laura Herbelin CCRP  Omar Jawdat MD  Mamatha Pasnoor MD  Mazen Dimachkie MD  Richard Barohn MD  Jeffrey Statland MD
Affiliation:1. Landon Center on Aging, University of Kansas Medical Center, 3901 Rainbow Blvd, MS 1005 Kansas City, Kansas, USAJ.H and J.S. contributed equally to this work.;2. Landon Center on Aging, University of Kansas Medical Center, 3901 Rainbow Blvd, MS 1005 Kansas City, Kansas, USA;3. Department of Neurology, University of Kansas Medical Center, Kansas City, Kansas, USA
Abstract:Introduction: Instrumenting timed functional motor tasks may reveal a continuum of motor disability that predicts future motor dysfunction. Methods: We performed a prospective study of the instrumented timed up and go (iTUG) test in genetically confirmed facioscapulohumeral muscular dystrophy (FSHD) participants using a commercially available system of wireless motion sensors. Patients returned within 2 weeks to determine test–retest reliability. Gait parameters in FSHD participants were compared with a normative database, FSHD clinical severity score, manual muscle testing, and patient‐reported functional disability. Results: Gait parameters in FSHD participants were significantly (P < 0.05) altered compared with normative values, and reliability was excellent (intraclass correlation coefficient 0.84–0.99). Stride velocity and trunk sagittal range of motion had moderate to strong correlations to other FSHD disease measures. Discussion: The iTUG was reliable, abnormal in FSHD, and could distinguish between participants with differing disease severities. Instrumenting timed functional tasks may prove to be useful in FSHD clinical trials. Muscle Nerve 57 : 503–506, 2018
Keywords:facioscapulohumeral muscular dystrophy  iTUG  PROMIS PF  test–  retest reliability  timed up and go test
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