Validation of manual muscle testing and a subset of eight muscles for adult and juvenile idiopathic inflammatory myopathies.
Validation of manual muscle testing and a subset of eight muscles for adult and juvenile idiopathic inflammatory myopathies.
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DOI：
10.1002/acr.20035
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发表时间：
2010-04
影响因子：
4.7
通讯作者：
Hicks, Jeanne E.
中科院分区：
文献类型：
--
作者：
Rider, Lisa G.;Koziol, Deloris;Giannini, Edward H.;Jain, Minal S.;Smith, Michaele R.;Whitney-Mahoney, Kristi;Feldman, Brian M.;Wright, Susan J.;Lindsley, Carol B.;Pachman, Lauren M.;Villalba, Maria L.;Lovell, Daniel J.;Bowyer, Suzanne L.;Plotz, Paul H.;Miller, Frederick W.;Hicks, Jeanne E.
目的：验证手动肌肉测试（MMT）对青少年和成人皮肌炎（DM）和多发性肌炎（PM）的力量评估。73名儿童和45名成人DM/PM患者在基线时进行了评估，并在6-9个月后重新评估。我们比较了总MMT（一组24个近端，远端和轴向肌肉）和近端MMT（7个近端肌肉群）测试双边0-10量表与144个子集的6和96个子集的8个肌肉群测试单边。专家共识被用来排名最好的缩写MMT子集的表面效度和易于评估。总MMT、近端MMT和最佳MMT子集具有出色的内部可靠性（rs：总MMT 0.91-0.98）和一致性（Cronbach's α 0.78-0.97）。评定者间和评定者内可靠性可接受（Kendall's W 0.68-0.76; rs 0.84-0.95）。MMT亚组评分与总评分和近端MMT评分以及儿童期肌炎评估量表高度相关，与医生整体活动、功能障碍、磁共振成像、轴向和远端MMT评分中度相关，在成人中与肌酸激酶中度相关。总MMT的标准化反应平均值在青少年中为0.56，在成人中为0.75。达成共识，使用8块肌肉（颈屈肌、三角肌、二头肌、腕伸肌、臀大肌和臀中肌、四头肌和踝背屈肌）的子集，这些肌肉的表现与全MMT和近端MMT一样好，具有良好的表面有效性和易于评估。这些发现有助于标准化使用MMT评估强度作为肌炎的结果指标。
To validate manual muscle testing (MMT) for strength assessment in juvenile and adult dermatomyositis (DM) and polymyositis (PM). Seventy-three children and 45 adult DM/PM patients were assessed at baseline and reevaluated 6–9 months later. We compared Total MMT (a group of 24 proximal, distal, and axial muscles) and Proximal MMT (7 proximal muscle groups) tested bilaterally on a 0–10 scale with 144 subsets of six and 96 subsets of eight muscle groups tested unilaterally. Expert consensus was used to rank the best abbreviated MMT subsets for face validity and ease of assessment. The Total, Proximal and best MMT subsets had excellent internal reliability (rs:Total MMT 0.91–0.98), and consistency (Cronbach’s α 0.78–0.97). Inter- and intra-rater reliability were acceptable (Kendall’s W 0.68–0.76; rs 0.84–0.95). MMT subset scores correlated highly with Total and Proximal MMT scores and with the Childhood Myositis Assessment Scale, and correlated moderately with physician global activity, functional disability, magnetic resonance imaging, axial and distal MMT scores and, in adults, with creatine kinase. The standardized response mean for Total MMT was 0.56 in juveniles and 0.75 in adults. Consensus was reached to use a subset of eight muscles (neck flexors, deltoids, biceps, wrist extensors, gluteus maximus and medius, quadriceps and ankle dorsiflexors) that performed as well as the Total and Proximal MMT, and had good face validity and ease of assessment. These findings aid in standardizing the use of MMT for assessing strength as an outcome measure for myositis.
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影响因子：
5.5
作者：
Harris-Love, M. O.;Shrader, J. A.;Koziol, D.;Pahlajani, N.;Jain, M.;Smith, M.;Cintas, H. L.;McGarvey, C. L.;James-Newton, L.;Pokrovnichka, A.;Moini, B.;Cabalar, I.;Lovell, D. J.;Wesley, R.;Plotz, P. H.;Miller, F. W.;Hicks, J. E.;Rider, L. G.
通讯作者：
Rider, L. G.
影响因子：
158.5
作者：
BOHAN, A;PETER, JB
通讯作者：
PETER, JB
DOI：
10.1186/1746-1340-15-4
发表时间：
2007-03-06
期刊：
Chiropractic & osteopathy
影响因子：
--
作者：
Cuthbert, Scott C;Goodheart, George J Jr
通讯作者：
Goodheart, George J Jr
影响因子：
--
作者：
LIANG, MH;LARSON, MG;SCHWARTZ, JA
通讯作者：
SCHWARTZ, JA
影响因子：
5.1
作者：
Hicks, Jeanne E.
通讯作者：
Hicks, Jeanne E.