Avaliação miométrica de pacientes com distrofia muscular de Duchenne

Araújo, Alexandra P.Q.C.; Duro, Luiz A.; Araújo, Abelardo Q.C.; Penque, Glória M.C.A.

doi:10.1590/S0004-282X1995000200008

Resumos

Os autores relatam sua experiência com a avaliação da força muscular pela utilização do miômetro manual em 16 pacientes com distrofia muscular de Duchenne (DMD). Observaram rápida diminuição da força de extensão da perna entre 6 e 8 anos de idade, analisando pacientes de diferentes faixas etárias. Paralelamente, ocorreu perda da deambulação. Verificaram aumentos de força em dois pacientes avaliados evolutivamente num período de 6 meses, sem explicação até o momento. Revêem a literatura e concluem no sentido da importância da difusão do método.

função muscular; miometria; distrofia muscular de Duchenne

An account of the authors' experience in strength measurement using a hand-held dynamometer in 16 patients with Duchenne muscular dystrophy (DMD) is given. A rapid decrease of knee extension strength was observed, between 6 and 8 years of age, analysing among patients of different ages. At the same time loss of the ability to walk has occurred. An unexplainable increase in strength was observed in two patients examined in a six month interval. A short review of the literature is given and the conclusion of the importance on the wider use of the instrument.

muscular function; myometry; Duchenne muscular dystrophy

Avaliação miométrica de pacientes com distrofia muscular de Duchenne

Myometry assessment in patients with Duchenne muscular dystrophy

Alexandra P.Q.C. Araújo^I; Luiz A. Duro^II; Abelardo Q.C. Araújo^III; Glória M.C.A. Penque^IV

^IProfessora Assistente de Neurologia Infantil do Departamento de Pediatria da Universidade Federal do Rio de Janeiro (UFRJ)

^IIProfessor Adjunto de Neurologia do Instituto de Neurologia Deolindo Couto (INDC) da UFRJ

^IIIProfessor Assistente de Neurologia da UFRJ

^IVMédica Assistente do INDC-UFRJ

RESUMO

Os autores relatam sua experiência com a avaliação da força muscular pela utilização do miômetro manual em 16 pacientes com distrofia muscular de Duchenne (DMD). Observaram rápida diminuição da força de extensão da perna entre 6 e 8 anos de idade, analisando pacientes de diferentes faixas etárias. Paralelamente, ocorreu perda da deambulação. Verificaram aumentos de força em dois pacientes avaliados evolutivamente num período de 6 meses, sem explicação até o momento. Revêem a literatura e concluem no sentido da importância da difusão do método.

Palavras-chave: função muscular, miometria, distrofia muscular de Duchenne.

SUMMARY

An account of the authors' experience in strength measurement using a hand-held dynamometer in 16 patients with Duchenne muscular dystrophy (DMD) is given. A rapid decrease of knee extension strength was observed, between 6 and 8 years of age, analysing among patients of different ages. At the same time loss of the ability to walk has occurred. An unexplainable increase in strength was observed in two patients examined in a six month interval. A short review of the literature is given and the conclusion of the importance on the wider use of the instrument.

Key words:muscular function, myometry, Duchenne muscular dystrophy.

Texto completo disponível apenas em PDF.

Full text available only in PDF format.

Aceite: 19-outubro-1994.

Dra Alexandra Prufer de Q. C. Araújo - Rua Gildásio Amado 55/1011 - 22631-020 Rio de Janeiro RJ -Brasil.

1. Araújo AQC, Penque G. Análise de força muscular em nove pacientes com distrofia muscular de Duchenne. Arq Neuropsiquiatr 1990, 48(Supl) abstr 155.
2. Edwards RHT, McDonnell M. Hand-held dynamometer for evaluating voluntary muscle-function. Lancet 1974, 2:757.
3. Edwards RHT, Young A, Hosking GP, Jones DA. Human skeletal muscle function: description of tests and normal values. Clin Sci Mol Med 1977, 52:283-290.
4. Edwards RHT, Chapman SJ, Newham DJ, Jones DA. Practical analysis of variability of muscle function measurements in Duchenne muscular dystrophy. Muscle & Nerve 1987, 10:6-14.
5. Hosking GP, Bhat US, Dubowitz V, Edwards RHT. Measurements of muscle strength and performance in children with normal and diseased muscle. Arch Dis Child 1976, 51:957-963.
6. Hyde SA, Scott OM, Goddard CM. The myometer: the development of a clinical tool. Physiotherapy 1983, 69:424-427.
7. Karni Y, Archdeacon L, Mills KR, Wiles CM. Clinical assessment and physyotherapy in Guillain-Barre syndrome. Physiotherapy 1984, 70:282-292.
⁸
Medical Research Council. Aids to the investigation of peripheral nerve injuries. War Memorandum No 7, Ed 2. London: HMSO, 1943.
9. Mesa LE, Dubrovsky AL, Corderi J. Steroids in Duchenne muscular dystrophy: deflazacort trial. Neuromusc Disord 1991, 1:261-266.
10. Scott OM, Hyde SA, Goddard CM, Dubowitz V. Quantitation of muscle function in children : a prospective study in Duchenne muscular dystrophy. Muscle & Nerve 1982, 5:291-301.
11. Scott OM, Hyde SA, Vrbov G, Dubowitz V. Therapeutic possibilities of chronic low frequency electrical stimulation in children with Duchenne muscular dystrophy. J Neurol Sci 1990, 95: 171-182.
12. Stuberg WA, Metcalf WK. Reliability of quantitative muscle testing in healthy children and in children with Duchenne muscular dystrophy using a hand-held dynamometer. Phys Therapy 1988, 68:977-982.
13. Van der Ploeg RJO, Oosterhuis HJGH, Reuvekamp J. Measuring muscle strength. J Neurol 1984, 231:200-203.
14. Wiles CM, Karni Y, Nicklin J. Laboratory testing of muscle function in the management of neuromuscular disease. J Neurol Neurosurg Psychiatry 1990, 53:384-387.

Datas de Publicação

Publicação nesta coleção
20 Jan 2011
Data do Fascículo
Jun 1995

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

[1] 1. Araújo AQC, Penque G. Análise de força muscular em nove pacientes com distrofia muscular de Duchenne. Arq Neuropsiquiatr 1990, 48(Supl) abstr 155.

[2] 2. Edwards RHT, McDonnell M. Hand-held dynamometer for evaluating voluntary muscle-function. Lancet 1974, 2:757.

[3] 3. Edwards RHT, Young A, Hosking GP, Jones DA. Human skeletal muscle function: description of tests and normal values. Clin Sci Mol Med 1977, 52:283-290.

[4] 4. Edwards RHT, Chapman SJ, Newham DJ, Jones DA. Practical analysis of variability of muscle function measurements in Duchenne muscular dystrophy. Muscle & Nerve 1987, 10:6-14.

[5] 5. Hosking GP, Bhat US, Dubowitz V, Edwards RHT. Measurements of muscle strength and performance in children with normal and diseased muscle. Arch Dis Child 1976, 51:957-963.

[6] 6. Hyde SA, Scott OM, Goddard CM. The myometer: the development of a clinical tool. Physiotherapy 1983, 69:424-427.

[7] 7. Karni Y, Archdeacon L, Mills KR, Wiles CM. Clinical assessment and physyotherapy in Guillain-Barre syndrome. Physiotherapy 1984, 70:282-292.

[8] ⁸
Medical Research Council. Aids to the investigation of peripheral nerve injuries. War Memorandum No 7, Ed 2. London: HMSO, 1943.

[9] 9. Mesa LE, Dubrovsky AL, Corderi J. Steroids in Duchenne muscular dystrophy: deflazacort trial. Neuromusc Disord 1991, 1:261-266.

[10] 10. Scott OM, Hyde SA, Goddard CM, Dubowitz V. Quantitation of muscle function in children : a prospective study in Duchenne muscular dystrophy. Muscle & Nerve 1982, 5:291-301.

[11] 11. Scott OM, Hyde SA, Vrbov G, Dubowitz V. Therapeutic possibilities of chronic low frequency electrical stimulation in children with Duchenne muscular dystrophy. J Neurol Sci 1990, 95: 171-182.

[12] 12. Stuberg WA, Metcalf WK. Reliability of quantitative muscle testing in healthy children and in children with Duchenne muscular dystrophy using a hand-held dynamometer. Phys Therapy 1988, 68:977-982.

[13] 13. Van der Ploeg RJO, Oosterhuis HJGH, Reuvekamp J. Measuring muscle strength. J Neurol 1984, 231:200-203.

[14] 14. Wiles CM, Karni Y, Nicklin J. Laboratory testing of muscle function in the management of neuromuscular disease. J Neurol Neurosurg Psychiatry 1990, 53:384-387.