Clinical trial NCT05021744: Do Handgrip Strength and Dexterity Predict of Respiratory Function ?
Official title: Do Hand Grip Strength and Dexterity Predict of Respiratory Function in Neuromuscular Disease ?
Study type: OBSERVATIONAL
Overall status: COMPLETED
Conditions: Neuromuscular Diseases
Lead sponsor: Bezmialem Vakif University
Sponsor class: OTHER
Collaborators: name: Medipol University
First posted: 2021-08-25
Enrollment: 30
Sex: ALL
Minimum age (years): 6
Maximum age (years): 18
Standard ages: CHILD
ADULT
Accepts healthy volunteers: no
Observational model: OTHER
Time perspective: PROSPECTIVE
Sampling method: PROBABILITY_SAMPLE
Study population: Our study was carried out with 30 patients between the ages of 6-18 who were followed up with a diagnosis of neuromuscular disease.

Brief summary: Dysfunction due to weakness in respiratory muscles is one of the biggest problem that causes mortality and morbidity in neuromuscular diseases.Since the NMD have a crucial life-threading natural progression, many clinicians and researchers are trying to working out to increase life span and/or quality of life with medical and rehabilitative approaches.The relationship between upper extremity functions and respiratory functions in pediatric neuromuscular patients is still not clear. The clinician working with children with neuromuscular disease should be aware of the effects of muscle weakness and cognitive dysfunction on the respiratory system. Symptoms can be insidious and cause progressive loss of function, respiratory failure, and even death

Detailed description: Background:Neuromuscular diseases are acquired or hereditary diseases that affect the function of the muscles in our body caused by the nerves not sending information to your muscles and/or problems with the muscles not working properly.

Objective:The aim of our study is to discover more cost-effective and practical tools to predict respiratory function losses that may be a significant problem in children with neuromuscular disease.

Methods: Hand grip strength and dexterity of children with neuromuscular disease were measured using the dynamometer and the nine-hole-peg-test respectively. The Vignos and Brooke Upper Extremity Functional Scales were used to evaluate functional status for patient recruitment.Respiratory function parameters:forced vital capacity (FVC), forced expiratory volume in one second (FEV1) and peak expiratory flow(PEF) were evaluated with spirometry.

Eligibility criteria: Inclusion Criteria:

* to be diagnosed with NMD
* to be in Stage 5 or below according to the Vignos scale (walking without assistance)
* to be between Stage 1-4 according to the Brooke scale.

Exclusion Criteria:

* Patients with severe systemic disease, ambulatory problem, cognitive problem, and upper extremity deformity were excluded

Primary outcomes:
measure: Respiratory Function Test
timeFrame: 1 day
measure: Hand Grip Strength Test
timeFrame: 1 day
measure: Hand Dexterity Assessment
timeFrame: 1 day
Secondary outcomes:
measure: Brooke Upper Extremity Functional Scale
timeFrame: 1 day
measure: Vignos Functional Scale
timeFrame: 1 day
Other outcomes:
Locations:
Study officials:
affiliation: Marmara University
name: Aysel Yıldız Ozer, Dr.
role: STUDY_CHAIR
References: