Task-oriented upper limb strength training in myotonic dystrophy type 1: case study
Keywords:
Myotonic Dystrophy, Exercise, Muscle Strength, Quality of LifeAbstract
This study aimed to assess the effects of upper limb strength training using a task-oriented approach with respect to muscle strength, func-tionality and quality of life in an adult with myotonic dystrophy type1. Submaximal muscular strength training (60% maximum resistance) was performed three times a week for a period of 16 weeks, consisting of three evaluations, an initial, a final, and then a follow-up one month after protocol completion based on the Medical Research Council scale (MRC), Total Muscle Score (TMS), Motor Function Measure (MFM), and the Brazilian version of the quality of life questionnaire SF-36. Regard-ing muscle strength, there was an increase of 5% in the TMS. In terms of functionality, the MFM showed an increase of 1.04% in the final evalua-tion and remained the same in the follow-up evaluation. In the SF-36, the participant had an increase of 2.12% in the second evaluation, returning to the initial score one month after protocol. However, concerning func-tional capacity the same 20% increase was observed. The task-oriented submaximal muscle strength training proved to be beneficial based on the information reported about muscle strength and functional capacity in the quality of life questionnaire; nonetheless, a small quantitative vari-ation regarding functionality was seen.
Downloads
References
Aldehag AS, Jonsson H, Ansved T. Effects of a hand training programme in five patients with myotonic dystrophy type 1. Occup Ther Int. 2005;12(1):14-27.
Van Engelen BG, Eymard B, Wilcox D. 123rd ENMC International Workshop: management and therapy in myotonic dystrophy, 6-8 February 2004, Naarden, The Netherlands.Neuromuscul Disord. 2005;15(5):389-94.
Wheeler TM. Myotonic dystrophy: therapeutic strategies for the future. Neurotherapeutics. 2008;5(4):592-600.
Orngreen MC, Olsen DB, Vissing J. Aerobic training in patients with myotonic dystrophy type 1. Ann Neurol. 2005;57(5):754-7.
Ansved T. Muscular dystrophies: influence of physical conditioning on the disease evolution. Curr Opin Clin Nutr Metab Care. 2003;6(4):435-9.
Eagle M. Report on the muscular dystrophy campaign workshop: exercise in neuromuscular diseases Newcastle, January 2002. Neuromuscul Disord. 2002;12(10):975-83.
Ansved T. Muscle training in muscular dystrophies. Acta Physiol Scand. 2001;171(3):359-66.
Cup EH, Pieterse AJ, Ten Broek-Pastoor JM, Munneke M, van Engelen BG, Hendricks HT, et al. Exercise therapy and other types of physical therapy for patients with neuromuscular diseases: a systematic review. Arch Phys Med Rehabil. 2007;88(11):1452-64.
Voet NB, van der Kooi EL, Riphagen II, Lindeman E, van Engelen BG, Geurts ACh. Strength training and aerobic exercise training for muscle disease. Cochrane Database Syst Rev. 2010;(1):CD003907.
Consensus conference: Role of Physical Activity and Exercise Training in Neuromuscular Diseases. Am J Phys Med Rehabil. 2002;81(11 Suppl):S1-195.
Phillips BA, Mastaglia FL. Exercise therapy in patients with myopathy. Curr Opin Neurol. 2000;13(5):547-52.
Whittaker RG, Ferenczi E, Hilton-Jones D. Myotonic dystrophy: practical issues relating to assessment of strength. J Neurol Neurosurg Psychiatry. 2006;77(11):1282-3.
Lindeman E, Spaans F, Reulen J, Leffers P, Drukker J. Progressive resistance training in neuromuscular patients. Effects on force and surface EMG. J Electromyogr Kinesiol. 1999;9(6):379-84.
Tollbäck A, Eriksson S, Wredenberg A, Jenner G, Vargas R, Borg K, et al. Effects of high resistance training in patients with myotonic dystrophy. Scand J Rehabil Med. 1999;31(1):9-16.
Grootenhuis MA, de Boone J, van der Kooi AJ. Living with muscular dystrophy: health related quality of life consequences for children and adults. Health Qual Life Outcomes. 2007;5:31.
Downloads
Published
Issue
Section
License
Copyright (c) 2011 Acta Fisiátrica
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
