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Respir Physiol Neurobiol ; 262: 1-11, 2019 04.
Artigo em Inglês | MEDLINE | ID: mdl-30660861

RESUMO

INTRODUCTION: Duchenne muscular dystrophy(DMD) shows motor and respiratory impairment. METHODS: 19 DMD patients (DMDG) (nine ambulatory and 10 non-ambulatory) were evaluated through motor function measure (MFM), 6-minute walk test (6MWT), respiratory muscle strength, cough peak flow, spirometry and volumetric capnography (VCap) tools. Control group that performed spirometry and VCap (CG1-n = 17) were different from those that performed the 6MWT (CG2-n = 8). RESULTS: The follow tools were assessed (p < 0.05): (i) MFM: Ambulatory patients showed higher values than non-ambulatory patients; (ii) 6MWT: DMDG walked a shorter distance and showed higher respiratory rate at rest and heart rate (HR) at rest than CG2; (iii) Spirometry: DMDG and non-ambulatory patients had minor values achieved in spirometry when compared with CG1 and ambulatory patients, respectively; (iv) VCap: DMDG when compared with CG1 showed: (<11 years-old) lower values in VCap parameters; (>11 years-old): higher HR and lower slope 2. There was correlation between spirometry, mainly for zFEV1/FVC, and MFM. CONCLUSION: DMDG showed motor (MFM/6MWT) and respiratory (spirometry/VCap) deterioration when compared with CG. Non-ambulatory condition was associated with worse MFM and spirometry.


Assuntos
Atividade Motora , Distrofia Muscular de Duchenne/fisiopatologia , Respiração , Adolescente , Criança , Estudos Transversais , Progressão da Doença , Frequência Cardíaca , Humanos , Masculino , Transtornos Motores/etiologia , Transtornos Motores/fisiopatologia , Força Muscular , Transtornos Respiratórios/etiologia , Transtornos Respiratórios/fisiopatologia , Músculos Respiratórios/fisiopatologia , Espirometria , Caminhada/fisiologia
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