Balance and walking involvement in facioscapulohumeral dystrophy: A pilot study on the effects of custom lower limb orthoses

I. Aprile, C. Bordieri, A. Gilardi, M. Lainieri Milazzo, G. Russo, F. De Santis, R. Frusciante, E. Iannaccone, C. Erra, E. Ricci, L. Padua

Research output: Contribution to journalArticle

9 Citations (Scopus)

Abstract

Background. Autosomal dominant facioscapulohumeral dystrophy (FSHD), the third most common muscular dystrophy, is characterised by asymmetric and highly variable muscle weakness. In FSHD patients, the coupling of the ankle muscles impairment with the knee, hip and abdominal muscles impairment, causes complex alterations of balance and walking with deterioration of quality of life (QoL). Aim. The aim of this pilot study is to evaluate the effects of custom orthoses (foot orthosis-FO and ankle foot orthosis-AFO) on balance, "walking and QoL of FSHD patients through a multidimensional approach. Design. Pilot study. Setting. Outpatient Rehabilitation Department of Don Gnocchi Foundation. Population. Fifteen patients with facioscapulohumeral muscular dystrophy were studied. Methods. On 15 FSHD patients clinical evaluation (Manual Muscle Test-MMT, Clinical Severity Score), performance tests (10 meter Walking test-10mWT and 2 minute Walking Test-2minWT), instrumental assessment (stabilometric evaluation), disability (Rivermead Mobility Index- RMI, Berg Balance Scale-BBS) and patient-oriented (Medical Outcome Study 36-item Short Form-SF-36, North American Spine Society-NASS and Visual Analogue Scale-VAS) measures were performed. Patients were evaluated first, wearing their shoes and then wearing their shoes plus orthoses. This evaluation was performed 1 month after wearing the orthoses. Results. The shoes plus orthoses evaluation, performed after one month in which the patients daily wore the custom lower limb orthoses, showed a significant improvement of walking performance (10-mWT p

Original languageEnglish
Pages (from-to)169-178
Number of pages10
JournalEuropean Journal of Physical and Rehabilitation Medicine
Volume49
Issue number2
Publication statusPublished - Apr 2013

Fingerprint

Orthotic Devices
Walking
Lower Extremity
Shoes
Foot Orthoses
Ankle
Facioscapulohumeral Muscular Dystrophy
Quality of Life
Disability Evaluation
Abdominal Muscles
Muscles
Muscular Dystrophies
Muscle Weakness
Visual Analog Scale
Hip
Knee
Outpatients
Rehabilitation
Outcome Assessment (Health Care)
Population

Keywords

  • Facioscapulohumeral
  • Lower extremity.
  • Muscular dystrophy
  • Orthotic devices

ASJC Scopus subject areas

  • Rehabilitation
  • Physical Therapy, Sports Therapy and Rehabilitation

Cite this

Balance and walking involvement in facioscapulohumeral dystrophy : A pilot study on the effects of custom lower limb orthoses. / Aprile, I.; Bordieri, C.; Gilardi, A.; Milazzo, M. Lainieri; Russo, G.; De Santis, F.; Frusciante, R.; Iannaccone, E.; Erra, C.; Ricci, E.; Padua, L.

In: European Journal of Physical and Rehabilitation Medicine, Vol. 49, No. 2, 04.2013, p. 169-178.

Research output: Contribution to journalArticle

Aprile, I, Bordieri, C, Gilardi, A, Milazzo, ML, Russo, G, De Santis, F, Frusciante, R, Iannaccone, E, Erra, C, Ricci, E & Padua, L 2013, 'Balance and walking involvement in facioscapulohumeral dystrophy: A pilot study on the effects of custom lower limb orthoses', European Journal of Physical and Rehabilitation Medicine, vol. 49, no. 2, pp. 169-178.
Aprile, I. ; Bordieri, C. ; Gilardi, A. ; Milazzo, M. Lainieri ; Russo, G. ; De Santis, F. ; Frusciante, R. ; Iannaccone, E. ; Erra, C. ; Ricci, E. ; Padua, L. / Balance and walking involvement in facioscapulohumeral dystrophy : A pilot study on the effects of custom lower limb orthoses. In: European Journal of Physical and Rehabilitation Medicine. 2013 ; Vol. 49, No. 2. pp. 169-178.
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AU - Gilardi, A.

AU - Milazzo, M. Lainieri

AU - Russo, G.

AU - De Santis, F.

AU - Frusciante, R.

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AU - Erra, C.

AU - Ricci, E.

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