Orphanet Journal of Rare Diseases (Sep 2018)

A continuous repetitive task to detect fatigability in spinal muscular atrophy

  • Marloes Stam,
  • Renske I. Wadman,
  • Bart Bartels,
  • Maureen Leeuw,
  • Henk-Jan Westeneng,
  • Camiel A. Wijngaarde,
  • Leonard H. van den Berg,
  • W. Ludo van der Pol

DOI
https://doi.org/10.1186/s13023-018-0904-5
Journal volume & issue
Vol. 13, no. 1
pp. 1 – 7

Abstract

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Abstract Background To determine the value of a continuous repetitive task to detect and quantify fatigability as additional dimension of impaired motor function in patients with hereditary proximal spinal muscular atrophy (SMA). Results In this repeated measure case-control study 52 patients with SMA types 2–4, 17 healthy and 29 disease controls performed five consecutive rounds of the Nine-Hole Peg test to determine the presence of fatigability. We analysed differences in test performance and associations with disease characteristics. Five patients with SMA type 2 (22%) and 1 disease control (3%) could not finish five rounds due to fatigue (p = 0.01). Patients with SMA type 2 performed the test significantly more slowly than all other groups (p 0.4). Time needed to complete each round during the five-round task increased in 15 patients with SMA type 2 (65%), 4 with type 3a (36%), 4 with type 3b/4 (22%), 9 disease controls (31%) and 1 healthy control (6%). There was no effect of age at disease onset or disease duration in SMA type 2 (p = 0.39). Test-retest reliability was high. Conclusion Fatigability of remaining arm function is a feature of SMA type 2 and can be determined with continuous repetitive tasks.

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