Reachable workspace and performance of upper limb (PUL) in duchenne muscular dystrophy

Muscle Nerve. 2016 Apr;53(4):545-54. doi: 10.1002/mus.24894. Epub 2015 Dec 29.

Abstract

Introduction: The Kinect-based reachable workspace relative surface area (RSA) is compared with the performance of upper limb (PUL) assessment in Duchenne muscular dystrophy (DMD).

Methods: 29 individuals with DMD (ages: 7-23; Brooke: 1-5) underwent both Kinect-based reachable workspace RSA and PUL assessments. RSAs were also collected from 24 age-matched controls. Total and quadrant RSAs were compared with the PUL total, shoulder-, middle-, and distal-dimension scores.

Results: The total reachable workspace RSA correlated well with the total PUL score (Spearman ρ = -0.602; P < 0.001), and with each of the PUL dimensional scores: shoulder (ρ = -0.624; P < 0.001), middle (ρ = -0.564; P = 0.001), and distal (ρ = -0.630; P < 0.001). With quadrant RSA, reachability in a particular quadrant was closely associated with respective PUL dimensional-level function (lateral-upper quadrant for shoulder-, lateral-upper/lower quadrants for middle-, and lateral-lower quadrant for distal-level function).

Conclusions: This study demonstrates concurrent validity of the reachable workspace outcome measure (RSA) with the DMD-specific upper extremity outcome measure (PUL).

Keywords: DMD; PUL; kinect; reachable workspace; upper extremity.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, U.S. Gov't, Non-P.H.S.

MeSH terms

  • Adolescent
  • Child
  • Cohort Studies
  • Humans
  • Male
  • Movement / physiology
  • Muscular Dystrophy, Duchenne / diagnosis
  • Muscular Dystrophy, Duchenne / physiopathology*
  • Muscular Dystrophy, Duchenne / psychology
  • Photic Stimulation / methods
  • Psychomotor Performance / physiology*
  • Range of Motion, Articular / physiology
  • Remote Sensing Technology / methods*
  • Upper Extremity / physiopathology*
  • Young Adult