Validation of the Children's Hospital of Philadelphia Infant Test of Neuromuscular Disorders (CHOP INTEND)

被引:117
作者
Glanzman, Allan M. [1 ]
McDermott, Michael P. [2 ]
Montes, Jacqueline [3 ]
Martens, William B. [2 ]
Flickinger, Jean
Riley, Susan [4 ]
Quigley, Janet [4 ]
Dunaway, Sally [3 ]
O'Hagen, Jessica [3 ]
Deng, Liyong [3 ]
Chung, Wendy K. [3 ]
Tawil, Rabi [2 ]
Darras, Basil T. [4 ,5 ]
Yang, Michele [6 ,7 ]
Sproule, Douglas [3 ]
De Vivo, Darryl C. [3 ]
Kaufmann, Petra [3 ]
Finkel, Richard S. [8 ]
机构
[1] Childrens Hosp Philadelphia, Dept Phys Therapy, Philadelphia, PA 19104 USA
[2] Univ Rochester, Med Ctr, Rochester, NY 14642 USA
[3] Columbia Univ, New York, NY USA
[4] Childrens Hosp, Boston, MA 02115 USA
[5] Harvard Univ, Sch Med, Cambridge, MA 02138 USA
[6] Univ Colorado, Denver, CO 80202 USA
[7] Childrens Hosp, Denver, CO 80218 USA
[8] Univ Penn, Perelman Sch Med, Philadelphia, PA 19104 USA
关键词
child development/physiology; child; disability evaluation; female; humans; infant; male; motor skills/physiology; outcome assessment (health care); preschool; physical therapy/methods; psychometrics/methods; severity of illness index; spinal muscular atrophies of childhood/diagnosis; spinal muscular atrophies of childhood/physiopathology; validity; SPINAL MUSCULAR-ATROPHY; SMN2 COPY NUMBER; DISEASE SEVERITY; NATURAL-HISTORY; SMA;
D O I
10.1097/PEP.0b013e3182351f04
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
Purpose: Preliminary validation of the Children's Hospital of Philadelphia Infant Test of Neuromuscular Disorders (CHOP INTEND) for motor skill assessment in spinal muscular atrophy type I. Methods: A total of 27 subjects 3 to 260 months old (mean = 49, SD = 69) with spinal muscular atrophy-I were evaluated with the CHOP INTEND. Subjects were evaluated as part of a multicenter natural history study. Results: CHOP INTEND scores and age were significantly correlated (r = -0.51, P = .007; 2 survival of the motor neuron [SMN] 2 gene copies, n = 16, r = -0.60, 3 SMN2 gene copies, n = 9, r = -0.83). Respiratory support and CHOP INTEND scores were correlated (r = -0.74, P <.0001, n = 26). The CHOP INTEND and age regression in patients with 2 copies versus 3 copies of SMN2 approached significance (P = .0711, n = 25). Subjects who required respiratory support scored significantly lower (mean = 15.5, SD = 10.2 vs mean = 31.2, SD = 4.2, P <.0001, n = 27). Correlation with motor unit number estimation and combined motor unit activation were not significant. Conclusion: The CHOP INTEND reflects measures of disease severity and supports continued exploration of the CHOP INTEND. (Pediatr Phys Ther 2011; 23: 322-326)
引用
收藏
页码:322 / 326
页数:5
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