Mary Chesshyre, Deborah Ridout, Georgia Stimpson, Valeria Ricotti, Silvana De Lucia, Erik H Niks, Volker Straub, Laurent Servais, Jean-Yves Hogrel, Giovanni Baranello, Adnan Manzur, UK NorthStar Clinical Network and Francesco Muntoni* on behalf of the iMDEX network.
Males with Duchenne muscular dystrophy aged 5 years to 18 years were subdivided according to the predicted effects of the participants' DMD mutation on dystrophin isoform expression (group 1, Dp427 absent, Dp140/Dp71 present; group 2, Dp427/Dp140 absent, Dp71 present).
Predicted reduced Dp140 expression was associated with reduced grip and pinch strength.
Predicted reduced Dp140 expression was associated with reduced forced vital capacity percent predicted.
Types of signals monitored in children's natural environments using wearable sensors, and their associated applications in various paediatric neurological conditions.
This paper provides detailed long-term outcome data for children with riboflavin transporter deficiency. Individuals who are treated early after symptom onset have better outcomes compared to those in whom diagnosis, and therefore treatment, was delayed. There was evidence of early improvement in hearing and visual acuity in those treated early. Despite long-term treatment patients are left with residual disability in strength, balance, hearing, visual acuity, and respiratory function. We recommend regular surveillance using the Riboflavin Transporter Deficiency Pediatric Scale and other clinical outcome measures.
This original article is commented by Bertini and Massey on pages 284–285 of this issue.
This study provides a detailed picture of functional motor outcomes in young steroid-naïve males with Duchenne muscular dystrophy (DMD) compared to typically developing controls. This study was the first to establish DMD specific reference curves for functional motor outcomes: time to rise from floor (TRF), 10-metre walk/run test, 6-minute walk test, and North Star Ambulatory Assessment. Motor outcome reference curves clearly differ between males with DMD and typically developing controls.
This original article is commented on by Baranello on pages 557–558 of this issue.
Goal importance varied across domains and GMFCS levels
Goal priority scores can be used to provide more focus for clinical conversations and/or aggregated across relevant populations for larger scale studies
Balance and parent-reported mobility increased more over time for the ankle–foot orthoses and footwear combinations with individualized alignment and footwear designs (AFO-FC/IAFD) group.
Changes in balance over time suggest a therapeutic effect of the AFO-FC/IAFD approach.
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