Home‐based video assessment of ease of movement for patients with Duchenne: Interviews with physical therapists to select movement tasks.

Background and Purpose: Patients with Duchenne muscular dystrophy (DMD) change their movement patterns to compensate for muscle weakness. The Duchenne Video Assessment (DVA) measures ease of movement through evaluation of compensatory movements. The DVA directs caregivers to video record patients pe...

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Publicado en:Physiotherapy Research International Vol. 28; no. 3; pp. 1 - 11
Autores principales: Contesse, Marielle G., Hodges, Jason, Staunton, Hannah, Lowes, Linda P., Elmankabadi, Bassem, Elder, Sonya J., Ormazabal, Maitea Guridi, Dalle Pazze, Laura, Leffler, Mindy G.
Formato: forms research tables/charts Journal Article
Publicado: Wiley-Blackwell Jul2023
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jul2023
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      pub: Wiley-Blackwell
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        10.1002/pri.1993
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        atl: Home‐based video assessment of ease of movement for patients with Duchenne: Interviews with physical therapists to select movement tasks.
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        au:
          Contesse, Marielle G.
          Hodges, Jason
          Staunton, Hannah
          Lowes, Linda P.
          Elmankabadi, Bassem
          Elder, Sonya J.
          Ormazabal, Maitea Guridi
          Dalle Pazze, Laura
          Leffler, Mindy G.
        affil: Casimir, Kingston Massachusetts,, USA
      sug:
        subj:
          Home Physical Therapy
          Videorecording
          Physical Therapy Assessment
          Muscular Dystrophy, Duchenne Rehabilitation
          Movement Evaluation
          Task Performance and Analysis
          Functional Status
          Human
          Funding Source
          Qualitative Studies
          Male
          Female
          Semi-Structured Interview
          Physical Therapists
          Stair Climbing
          Walking
          Running
          Standing
          Sitting
          Supine Position
          Jumping
          Physical Mobility
          Immobility
          Interview Guides
          Questionnaires
          Thematic Analysis
          Content Analysis
          Data Analysis Software
          Descriptive Statistics
          Activities of Daily Living
          Male
          Female
      ab: Background and Purpose: Patients with Duchenne muscular dystrophy (DMD) change their movement patterns to compensate for muscle weakness. The Duchenne Video Assessment (DVA) measures ease of movement through evaluation of compensatory movements. The DVA directs caregivers to video record patients performing home‐based movement tasks using a mobile application, and DVA‐certified physical therapists evaluate the videos using scorecards with prespecified compensatory movement criteria. Two qualitative interview studies were conducted to select movement tasks for the DVA that are relevant to patients with DMD and able to reflect changes in function. Methods: Qualitative interviews with eligible physical therapists were conducted remotely. Physical therapists were asked to spontaneously suggest movement tasks prior to evaluating specific movement tasks selected a priori. Analysts conducted a content analysis to investigate whether movement tasks selected a priori were confirmed as relevant to the population of interest and able to show changes in function. Results: The studies included five physical therapists to select tasks for ambulatory patients with DMD and six for non‐ambulatory patients. For an ambulatory population, all five experts confirmed Climb Five Stairs, Run, Stand Up from Sitting, Sit Up from Supine, and Jump Forward, and four (80%) confirmed Walk as relevant and able to show functional changes. For a non‐ambulatory population, all six experts confirmed Eat 10 Bites, Roll Over in Bed, Shift Weight in Bed, Take T‐Shirt Off, Put T‐Shirt On, Put Arms on Armrest, and Reach Across Table to Grab Cell Phone, and five (83%) confirmed Raise Hands Above Head as relevant and able to show functional changes. Discussion: Physical therapists confirmed the DVA movement tasks as relevant to patients with DMD and able to reflect changes in function. The use of the DVA in clinical trials provides an opportunity to collect data not seen in clinic and reduce travel burden for families.
      pubtype: Academic Journal
      doctype:
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        research
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      ougenre: Article
    language: English
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