Physical function and performance measures of children and adolescents with Charcot-Marie-Tooth disease

This study aimed to verify whether there are differences in foot type, physical function, and performance between children and adolescents with Charcot-Marie-Tooth disease (CMT) and their healthy counterparts, and whether an interval of 6 months, from the initial assessment, reveals any significant...

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Bibliographic Details
Published in:Physiotherapy theory and practice 2021, Vol.37 (1), p.73-80
Main Authors: Baptista, Cyntia Rogean De, Nascimento-Elias, Adriana H, Garcia, Beatriz, Testa, Amanda, Domingues, Paula Calori, Martinez, Edson Zangiacomi, Marques, Jr, Wilson, Mattiello-Sverzut, Ana Claudia
Format: Article
Language:English
Subjects:
Adolescent
Adolescents
Ankle Joint - physiopathology
Biomechanics
Charcot-Marie-Tooth Disease - physiopathology
Child
Cross-Sectional Studies
Female
Hostility
Humans
Imbalance
Limbs
Lower limbs
Male
Muscle Strength - physiology
Muscles
Physical ability
Physical Functional Performance
Posture
Power
Range of Motion, Articular - physiology
Strength
Teenagers
Walk Test
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Summary:This study aimed to verify whether there are differences in foot type, physical function, and performance between children and adolescents with Charcot-Marie-Tooth disease (CMT) and their healthy counterparts, and whether an interval of 6 months, from the initial assessment, reveals any significant changes on physical performance and other specific physical measures of the lower limbs. : Participants between 6 and 17 years of age, with CMT (CMT group = 40), were compared to healthy participants (Control group, = 49). Twenty participants with CMT completed the follow-up. We collected anthropometric, goniometric (ankle and knee), and dynamometric (inversion, eversion, plantar flexors, dorsiflexors, knee, hip extensors) measures, agonist/antagonist ratios, feet alignment (Foot Posture Index - FPI), muscle power (Long Jump), Pediatric Balance Scale (PBS), and 10-meter walk test (10MWT). : Compared to Control, CMT showed reduced passive range of motion (ROM), weakness in all evaluated muscles, increased agonist/antagonist ratios, predominance of varus and lower performance (PBS and Long Jump). After 6 months, CMT measures did not change. : The cross-sectional analysis showed reduced ROM, strength, power, and distal muscle imbalance, as well as secondary limitations (PBS and 10MWT) in children and adolescents with CMT. These biomechanical and functional alterations did not change at the 6-month follow-up.
ISSN:0959-3985
1532-5040
DOI:10.1080/09593985.2019.1603257