| Posture and gait abilities in patients with myotonic dystrophy (Steinert disease). Evaluation on the short-term of a rehabilitation program. | |
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MedLine Citation:
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PMID: 20638922 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVES: To evaluate the effects of a rehabilitation program in terms of balance, gait and muscle strength in a population of patients with myotonic dystrophy. PATIENTS: Twenty patients benefited, as outpatients in a hospital setting, from a rehabilitation program with clinical and instrumental evaluations. The evaluation focused on quantitative balance measurement by clinical and stabilometer tests, gait assessed by Locometre and extensors and flexors knee muscle strength measured in isokinetic concentric mode at 60°/s. RESULTS: After the rehabilitation program, we observed a significant improvement in the patients' balance capacities measured with the Berg Balance Scale (BBS), fast gait speed and muscle strength. However, the instrumental evaluation did not report any gains for static balance and spontaneous gait speed after the training program. No correlation was found between the various improvements. CONCLUSION: A rehabilitation program focused on strength, gait and balance allowed for significant improvements in some parameters of myotonic dystrophy. These results attest to the relevance of a short-term rehabilitation protocol for these patients in the framework of a multidisciplinary therapeutic care. The disparity observed in the results measured for these patients suggest the contribution of cognitive involvement in the limitations felt by patients with myotonic dystrophy in the areas of gait and balance. |
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Authors:
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B Missaoui; E Rakotovao; S Bendaya; M Mane; B Pichon; M Faucher; P Thoumie |
Publication Detail:
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Type: Clinical Trial; Journal Article Date: 2010-07-04 |
Journal Detail:
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Title: Annals of physical and rehabilitation medicine Volume: 53 ISSN: 1877-0665 ISO Abbreviation: Ann Phys Rehabil Med Publication Date: 2010 Aug-Sep |
Date Detail:
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Created Date: 2010-09-13 Completed Date: 2010-12-02 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101502773 Medline TA: Ann Phys Rehabil Med Country: Netherlands |
Other Details:
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Languages: eng; fre Pagination: 387-98 Citation Subset: IM |
Copyright Information:
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Copyright 2010 Elsevier Masson SAS. All rights reserved. |
Affiliation:
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Service de rééducation neuro-orthopédique, pôle de médecine physique et réadaptation, hôpital Rothschild, AP-HP, université Pierre-et-Marie-Curie, 33, boulevard de Picpus, 75012 Paris, France. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Female Gait Disorders, Neurologic / etiology, rehabilitation* Humans Male Middle Aged Muscle Stretching Exercises Myotonic Dystrophy / physiopathology*, rehabilitation* Physical Endurance Postural Balance* Program Evaluation Resistance Training Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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