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Malloy J, Berry E, Correia A, Fragala-Pinkham M, Coucci S, Riley S, Spratt J, Knight Pfaffinger J, Massaro J, Ehrbar R, D'Agostino R, Gurary EB, Gordon LB, Kleinman ME. Baseline Range of Motion, Strength, Motor Function, and Participation in Youth with Hutchinson-Gilford Progeria Syndrome. Phys Occup Ther Pediatr 2023; 43:482-501. [PMID: 36628480 PMCID: PMC10496152 DOI: 10.1080/01942638.2022.2158054] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/13/2021] [Revised: 11/17/2022] [Accepted: 12/05/2022] [Indexed: 01/12/2023]
Abstract
AIMS Limited information is available on impairments, activity limitations and participation restrictions in youth with Hutchinson-Gilford progeria syndrome (HGPS), a rare genetic premature aging disease. The purposes were to: (1) describe range of motion (ROM), grip, pinch and quadriceps strength, functional balance, walking endurance, and gross motor limitations and participation restrictions; (2) evaluate the association between ROM impairments and age; and (3) evaluate the association between the Gross Motor Function Measure-88 (GMFM) scores and lower extremity (LE) ROM, quadriceps strength, and age. METHODS Upper and LE ROM, grip, pinch and quadriceps strength, Timed Up and Go (TUG), Six Minute Walk Test, GMFM-88, and Canadian Occupational Performance Measure data were recorded for 38 participants with HGPS. RESULTS All youth exhibited ROM impairments and most displayed decreased grip and pinch strength, walking endurance, and gross motor skills when compared to same-aged peers. However, the majority had good functional balance with TUG scores in the normal range. Participation restrictions included difficulty keeping up with peers when walking and difficulty completing activities of daily living. Some ROM measurements were negatively associated with age indicating that older participants had more extensive ROM limitation than younger participants. CONCLUSIONS Physical and occupational therapists can use this information when evaluating youth with HGPS, designing a plan of care, and providing treatment interventions.
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Affiliation(s)
- Julie Malloy
- Department of Physical and Occupational Therapy Services, Boston Children's Hospital, Boston, MA, USA
| | - Emily Berry
- Department of Physical and Occupational Therapy Services, Boston Children's Hospital, Boston, MA, USA
| | - Annette Correia
- Department of Physical and Occupational Therapy Services, Boston Children's Hospital, Boston, MA, USA
| | - Maria Fragala-Pinkham
- Department of Physical and Occupational Therapy Services, Boston Children's Hospital, Boston, MA, USA
| | - Sarah Coucci
- Department of Physical and Occupational Therapy Services, Boston Children's Hospital, Boston, MA, USA
| | - Susan Riley
- Department of Physical and Occupational Therapy Services, Boston Children's Hospital, Boston, MA, USA
| | - Jessica Spratt
- Department of Physical and Occupational Therapy Services, Boston Children's Hospital, Boston, MA, USA
| | - Jessica Knight Pfaffinger
- Department of Physical and Occupational Therapy Services, Boston Children's Hospital, Boston, MA, USA
| | - Joe Massaro
- Department of Biostatistics, Boston University School of Public Health, Boston, MA, USA
| | - Rachel Ehrbar
- Department of Biostatistics, Boston University School of Public Health, Boston, MA, USA
| | - Ralph D'Agostino
- Department of Mathematics and Statistics, Boston University, Boston, MA, USA
| | - Ellen B Gurary
- Department of Biostatistics, Boston University School of Public Health, Boston, MA, USA
| | - Leslie B Gordon
- Department of Anesthesiology, Preoperative and Pain Medicine, Boston Children's Hospital, Boston, MA, USA
- Department of Pediatrics, Hasbro Children's Hospital and Warren Alpert Medical School of Brown University, Providence, RI, USA
| | - Monica E Kleinman
- Department of Anesthesiology, Preoperative and Pain Medicine, Boston Children's Hospital, Boston, MA, USA
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